Objective: This study examined changes in desires to eat high-fat and low-fat foods across an obesity treatment program. The hypotheses under examination were (1) preferences for low-fat foods would increase across time and (2) preferences for high-fat foods would decrease across time.
Design: Single-group, prospective examination of desires to eat 48 foods, categorized according to fat content, before and after the 16-week treatment program.
Setting: University clinic, Memphis, Tennessee.
Participants: 118 obese (mean weight = 194.4 lbs) women (mean age = 45.24 years) participating in an obesity treatment program.
Intervention: A 16-week cognitive-behavioral program for obesity.
Variables measured: Desires to eat 48 foods varying in fat content and whether or not participants actually ate these foods.
Analysis: Analysis of variance, multiple regression, and paired t tests.
Results: The results indicate that during the program, preferences for low-fat foods increased, whereas preferences for high-fat foods decreased. These changes mirrored the changes in consumption of both low-fat and high-fat foods.
Conclusions and implications: Within a behavioral economic perspective, the reinforcement value of low-fat foods may increase following a low-fat dietary intervention, whereas the reinforcing properties of high-fat foods may decline. This is desirable as low-fat foods hold many advantages over high-fat foods in terms of weight maintenance.