Handling tempting food in a non-consummatory context reduces subsequent consumption of other tempting food: An extension beyond sweet snacks

Development and Evaluation of a Virtual Reality Puzzle Game to Decrease Food Intake: Randomized Controlled Trial

Background

Virtual reality (VR) has gained popularity in daily life, and VR food cues seem to elicit food cravings, similar to real food cues. However, little is known about the impact of VR food cues on actual food intake.

Objective

In real life (RL), exposure to food cues in a situation in which the desire to eat food interferes with the completion of a food-related task reduces the subsequent food intake (ie, the pre-exposure effect). In this study, we examine, on the one hand, whether the pre-exposure effect could be replicated in RL and, on the other hand, whether this effect could be extended to VR contexts.

Methods

The study used a 2 (stimulus type: food vs nonfood) × 2 (mode: VR vs RL) between-subject design (n=175). Participants were randomly assigned to 1 of the 4 conditions.

Results

We found the main effect of mode on food intake, with a higher food intake after both VR conditions than after RL conditions (P=.02). In addition, among female participants, we found that exposure to both food cues (ie, VR and RL) resulted in lower food intake than exposure to both nonfood cues (P=.05). In contrast, this effect was not observed among male participants (P=.34). Additionally, VR and RL cues generated similar emotional and behavioral responses (eg, arousal and game difficulty).

Conclusions

We were unable to replicate the exposure effect in our complete sample. Subgroup analyses, however, showed that for women, exposure to food cues (either in VR or in RL) reduces food intake, indicating that a VR pre-exposure procedure may effectively be applied exclusively for women.

Trial Registration

ClinicalTrials.gov NCT05169996; https://clinicaltrials.gov/ct2/show/NCT05169996

Pre-exposure to Tempting Food Reduces Subsequent Snack Consumption in Healthy-Weight but Not in Obese-Weight Individuals

Obesity has become a severe worldwide problem. Compared to healthy-weight individuals, obese individuals seem to show an increased sensitivity to tempting food. In the present study, we test the pre-exposure effect, which implies that consumption of tempting food is decreased after exposure to tempting food cues in a context of a task that discourages food consumption. Healthy-weight and obese-weight participants were recruited via social media and university channels. Participants took part in a scrabble task with either candy letters or foam letters and subsequently engaged in a taste test. Results showed that in healthy-weight participants, consumption was reduced after solving the scrabble task with candy letters in comparison to foam letters. In obese-weight participants, consumption was reduced in the condition using foam letters (in comparison with healthy-weight participants). The pre-exposure effect was replicated in healthy-weight participants, but could not be observed in participants with obesity, since consumption was reduced in general in this group. Our results suggest that more work should be done to understand how food nudges work in the context of obesity.