Abstract

The objective of this study is to examine the association between impulsivity and weight status in a large sample of the adult general population in France, and the influence of gender on this relationship. A total of 11,929 men and 39,114 women participating in the NutriNet-Santé cohort were selected in this cross-sectional analysis. The Barratt Impulsiveness Scale (BIS-11) was used to assess impulsivity. Weight and height were self-reported. The association between impulsivity and BMI was estimated using logistic regressions adjusted for socio-demographic and lifestyle factors. Individuals with high impulsivity levels (BIS-11 total score >71) were more likely to be obese (Odds Ratio (OR) = 1.80, 95% Confidence Interval (CI): 1.39, 2.33 in men; OR = 1.30, 95% CI: 1.15, 1.48 in women) compared to individuals in the average range of impulsivity. The strongest associations between impulsivity and obesity were observed in men, where highly impulsive participants were more likely to be class III obese (BMI > 40 kg/m2) (OR = 3.57, 95% CI: 1.86, 6.85). This large sample analysis supports the existence of a relationship between impulsivity and weight status and the importance of psychological factors in the prevention of obesity.

Highlights

  • Overweight and obesity currently represent a major global health burden and are leading public health issues in many countries [1], with associated comorbidities such as cardiovascular disease, type 2 diabetes and cancers [2]

  • The aim of this study was to explore the association between impulsivity using the BIS-11 and weight status, in a large sample of the general French population participating in the NutriNet-Santé cohort

  • Categories are defined as follow: underweight (

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Summary

Introduction

Overweight and obesity currently represent a major global health burden and are leading public health issues in many countries [1], with associated comorbidities such as cardiovascular disease, type 2 diabetes and cancers [2]. Impulsivity is a personality trait that is defined as “a predisposition toward rapid, unplanned reactions to internal or external stimuli without regard to the negative consequences of these reactions to the impulsive individuals or to others” [3]. It is a multidimensional construct measured with. (BIS-11) [6] is the most often used self-report questionnaire to assess impulsivity According to this definition, impulsive individuals could present a tendency to have rapid and unplanned reactions toward food, which could lead to overeating and obesity. Divergences in the characteristics of these samples, such as eating disorders [11]

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