Examining heart rate variability as an indicator of top-down inhibitory control over emotions and eating behaviors among individuals with and without binge eating

Bottera, Angeline R.; Mancuso, Christopher; Kambanis, P. Evelyna; Young, Kyle P. De

doi:10.1016/j.appet.2020.105071

Cited by 2 publications

(4 citation statements)

References 42 publications

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“…While prior self-report-based findings suggest that negative affect does not precede and predict LOC eating (Hilbert et al, 2009; Ranzenhofer et al, 2014), the current study suggests that electrophysiologic indices indicative of stress (higher HR, lower HRV) are associated with LOC. The finding of an association between electrophysiologic measures of stress and LOC eating is in partial agreement with a recent laboratory study examining autonomic indices and measured food intake (Bottera et al, 2021), where, in adults with and without binge eating who underwent either neutral or guilt mood induction, associations among feelings of guilt, milkshake consumption rate, and ANS parameters were examined. Findings suggested that, following guilt induction, individuals with lower HRV during the mood manipulation reported higher guilt prior to milkshake consumption.…”

Section: Discussionsupporting

confidence: 88%

“…Findings suggested that, following guilt induction, individuals with lower HRV during the mood manipulation reported higher guilt prior to milkshake consumption. Additionally, compared to all individuals in the neutral mood induction group and those in the guilt induction group with high HRV, those in the guilt induction group with low HRV had the greatest reduction in guilt after milkshake consumption (Bottera et al, 2021), supporting an affect-regulation model of palatable food consumption.…”

Section: Discussionmentioning

confidence: 91%

“…Higher heart rate variability (HRV), on the other hand, predominantly reflects parasympathetic activity (Porges, 1995) and is considered a marker of capacity for adaptive responding to stress and inhibitory control (Beauchaine & Thayer, 2015; Holzman & Bridgett, 2017; Porges, 1995; Thayer & Lane, 2000). Therefore, higher HR and/or lower HRV may reflect increased distress, decreased capacity for adaptive responding to stress, lower inhibitory control, and consequent increased susceptibility to LOC eating (Bottera, Mancuso, Kambanis, & De Young, 2021; Holzman & Bridgett, 2017).…”

Section: Introductionmentioning

confidence: 99%

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Autonomic indices and loss-of-control eating in adolescents: an ecological momentary assessment study

et al. 2022

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Background Loss-of-control (LOC) eating commonly develops during adolescence, and it predicts full-syndrome eating disorders and excess weight gain. Although negative emotions and emotion dysregulation are hypothesized to precede and predict LOC eating, they are rarely examined outside the self-report domain. Autonomic indices, including heart rate (HR) and heart rate variability (HRV), may provide information about stress and capacity for emotion regulation in response to stress. Methods We studied whether autonomic indices predict LOC eating in real-time in adolescents with LOC eating and body mass index (BMI) ⩾70th percentile. Twenty-four adolescents aged 12–18 (67% female; BMI percentile mean ± standard deviation = 92.6 ± 9.4) who reported at least twice-monthly LOC episodes wore biosensors to monitor HR, HRV, and physical activity for 1 week. They reported their degree of LOC after all eating episodes on a visual analog scale (0–100) using a smartphone. Results Adjusting for physical activity and time of day, higher HR and lower HRV predicted higher self-reported LOC after eating. Parsing between- and within-subjects effects, there was a significant, positive, within-subjects association between pre-meal HR and post-meal LOC rating. However, there was no significant within-subjects effect for HRV, nor were there between-subjects effects for either electrophysiologic variable. Conclusions Findings suggest that autonomic indices may either be a marker of risk for subsequent LOC eating or contribute to LOC eating. Linking physiological markers with behavior in the natural environment can improve knowledge of illness mechanisms and provide new avenues for intervention.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 91%

Section: Introductionmentioning

confidence: 99%

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Autonomic indices and loss-of-control eating in adolescents: an ecological momentary assessment study

et al. 2022

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“…In contrast to AN and BN, BED samples display a decreased parasympathetic modulation in response to stress tasks, but the paucity of BED evidence precludes drawing solid conclusions. Still, increased HRV changes related to objective BE episodes have been detected and suggest the further investigation of the utility to use PP monitoring to detect and deter these episodes (Bottera et al., 2021). Lastly, HRV findings comparing transdiagnostic and discrete diagnostic groups were mixed.…”

Section: Discussionmentioning

confidence: 99%

Momentary physiological indices related to eating disorders: A systematic and methodological review

Ralph‐Nearman,

Osborn,

Chang

et al. 2024

Euro Eating Disorders Rev

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Eating disorders (ED) are serious psychiatric illnesses, with no everyday support to intervene on the high rates of relapse. Understanding physiological indices that can be measured by wearable sensor technologies may provide new momentary interventions for individuals with ED. This systematic review, searching large databases, synthesises studies investigating peripheral physiological (PP) indices commonly included in wearable wristbands (heart rate [HR], heart rate variability [HRV], electrodermal activity [EDA], peripheral skin temperature [PST], and acceleration) in ED. Inclusion criteria included: (a) full peer‐reviewed empirical articles in English; (b) human participants with active ED; and (c) containing one of five wearable physiological measures. Kmet risk of bias was assessed. Ninety‐four studies were included (Anorexia nervosa [AN; N = 4418], bulimia nervosa [BN; N = 916], binge eating disorder [BED; N = 1604], other specified feeding and eating disorders [OSFED; N = 424], and transdiagnostic [N = 47]). Participants with AN displayed lower HR and EDA and higher HRV compared to healthy individuals. Those with BN showed higher HRV, and lower EDA and PST compared to healthy individuals. Other ED and Transdiagnostic samples showed mixed results. PP differences are indicated through various assessments in ED, which may suggest diagnostic associations, although more studies are needed to validate observed patterns. Results suggest important therapeutic potential for PP in ED, and larger studies including diverse participants and diagnostic groups are needed to fully uncover their role in ED.

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Examining heart rate variability as an indicator of top-down inhibitory control over emotions and eating behaviors among individuals with and without binge eating

Cited by 2 publications

References 42 publications

Autonomic indices and loss-of-control eating in adolescents: an ecological momentary assessment study

Autonomic indices and loss-of-control eating in adolescents: an ecological momentary assessment study

Momentary physiological indices related to eating disorders: A systematic and methodological review

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