Forty-five participants identified 22 distinct drivers and triggers influencing their food choices.
More than 96% of participants reported that hunger, cravings, and satiety significantly affected their food decisions.
The most frequently mentioned drivers included health (95.6%), culture/heritage (93.3%), location (91.1%), and stress (88.8%).
Participants associated these drivers and triggers with various concepts related to eating behaviors, such as appetite and motivation.
A conceptual model was developed to illustrate the relationships between eating behavior concepts and the identified .
The study suggests that the underlying disease state may not influence eating behaviors in individuals with stable body weight.
Simplified
INTRODUCTION: Chronic weight management and treatments for type 2 diabetes (T2D) involve a combination of lifestyle-based (diet, exercise) and pharmaceutical interventions. In people with obesity or T2D, understanding the impact of on appetite and eating behaviors can be crucial to successful medical management. This study aimed to characterize perceptions and experiences regarding appetite and eating behaviors among people with obesity or T2D and identify drivers/triggers of food choices.
METHODS: This non-interventional, cross-sectional, qualitative study utilized semi-structured concept elicitation interviews to explore the perceptions of people with obesity and/or T2D around appetite, eating behaviors and drivers/triggers of food choices. Adult US residents (≥ 18 years) with stable body weight (± 5 kg) in the 3 months preceding participation were included in the study.
RESULTS: Forty-five participants (obesity: n = 15; overweight: n = 10; T2D: n = 20) were interviewed. Interviews were audio-recorded and transcribed verbatim for analysis. A subset of participants described eating behaviors on smartphone-based app tasks over 5 days. Most (> 96%) discussed the influence of hunger, cravings and satiety on food choices. Participants identified 22 drivers/triggers (including health, 95.6%; culture/heritage, 93.3%; location, 91.1%; stress, 88.8%). Participants also discussed associations between drivers/triggers and eating behavior concepts (appetite, hunger, cravings, satiety, motivation/determination). A conceptual model illustrating eating behavior concepts and related drivers/triggers was developed. The concept elicitation interviews identified a multitude of drivers and triggers and characterized the association of such drivers/triggers with seven core patient-reported concepts encompassing eating behaviors.
CONCLUSION: The findings build upon existing models of factors influencing food choices. Findings confirm prior research regarding impact of drivers/triggers on food choice in people with obesity and T2D and indicate underlying disease state does not appear to influence eating behaviors in people with stable body weight.
Key numbers
43 of 45
Influence of Hunger
Participants who discussed hunger's influence on food choices
22
Key Identified
Total number of reported by participants
43 of 45
Health Considerations
Participants who considered health a key driver of food choices
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Jiat Ling Poon is an employee and stockholder of Eli Lilly and Company. Louise OHara, Helen Kendal, Helena Bradley, and Brad Mason are employees of Adelphi Values Ltd. Kate Sully, Margaret Guy, and Chloe Tolley were employees of Adelphi Values Ltd at the time the research was conducted.
