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Transdiagnostic perspective of impulsivity and compulsivity in obesity: From cognitive profile to self-reported dimensions in clinical samples with and without diabetes

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  • Giulia Testa, University of Barcelona, Bellvitge Biomedical Research Institute, Instituto de Salud Carlos III
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  • Bernat Mora-Maltas, University of Barcelona, Bellvitge Biomedical Research Institute
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  • Lucía Camacho-Barcia, University of Barcelona, Bellvitge Biomedical Research Institute, Instituto de Salud Carlos III
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  • Roser Granero, Instituto de Salud Carlos III, Autonomous University of Barcelona
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  • Ignacio Lucas, University of Barcelona, Bellvitge Biomedical Research Institute
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  • Zaida Agüera, University of Barcelona, Bellvitge Biomedical Research Institute, Instituto de Salud Carlos III
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  • Susana Jiménez-Murcia, University of Barcelona, Bellvitge Biomedical Research Institute, Instituto de Salud Carlos III
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  • Rosa Baños, Instituto de Salud Carlos III, University of Valencia
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  • Valerie Bertaina-Anglade, Core Lab Department
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  • Cristina Botella, Instituto de Salud Carlos III, Jaume I University
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  • Mònica Bulló, Instituto de Salud Carlos III, Universidad Rovira i Virgili, Pere Virgili Health Research Institute
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  • Felipe F. Casanueva, Instituto de Salud Carlos III, University of Santiago de Compostela
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  • Søren Dalsgaard
  • José Manuel Fernández-Real, Instituto de Salud Carlos III, University of Girona
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  • Barbara Franke, Radboud University Nijmegen
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  • Gema Frühbeck, Instituto de Salud Carlos III, University of Navarra
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  • Montserrat Fitó, Instituto de Salud Carlos III, Pompeu Fabra University
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  • Carlos Gómez-Martínez, Instituto de Salud Carlos III, Pere Virgili Health Research Institute, Universidad Rovira i Virgili
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  • Xavier Pintó, Instituto de Salud Carlos III, University of Barcelona
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  • Geert Poelmans, Radboud University Nijmegen
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  • Francisco J. Tinahones, Instituto de Salud Carlos III, University of Málaga
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  • Rafael De La Torre, Instituto de Salud Carlos III, Pompeu Fabra University
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  • Jordi Salas-Salvadó, Instituto de Salud Carlos III, Pere Virgili Health Research Institute, Universidad Rovira i Virgili
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  • Lluis Serra-Majem, Instituto de Salud Carlos III, University of Las Palmas de Gran Canaria
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  • Stephanie Vos, Maastricht University
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  • Theresa Wimberley
  • Fernando Fernández-Aranda, University of Barcelona, Bellvitge Biomedical Research Institute, Instituto de Salud Carlos III

Impulsive and compulsive behaviors have both been observed in individuals with obesity. The co-occurrence of obesity and type 2 diabetes (T2D) is more strongly associated with impulsivity, although there are no conclusive results yet. A multidimensional assessment of impulsivity and compulsivity was conducted in individuals with obesity in the absence or presence of T2D, compared with healthy, normal-weight individuals, with highly impulsive patients (gambling disorders), and with highly compulsive patients (anorexia nervosa). Decision making and novelty seeking were used to measure impulsivity, and cognitive flexibility and harm avoidance were used for compulsivity. For impulsivity, patients with obesity and T2D showed poorer decision-making ability compared with healthy individuals. For compulsivity, individuals with only obesity presented less cognitive flexibility and high harm avoidance; these dimensions were not associated with obesity with T2D. This study contributes to the knowledge of the mechanisms associated with diabetes and its association with impulsive-compulsive behaviors, confirming the hypothesis that patients with obesity and T2D would be characterized by higher levels of impulsivity.

OriginalsprogEngelsk
Artikelnummer4426
TidsskriftNutrients
Vol/bind13
Nummer12
Antal sider14
ISSN2072-6643
DOI
StatusUdgivet - dec. 2021

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