Early Reward Learning and the Origins of Obesity: Food, Non-Food Reward, and Developing Self-Regulation
摘要
This review examines infancy as a sensitive period for the development of reward learning and self-regulation and evaluates how early experiences with food and non-food rewards shape obesity risk. We sought to address three questions: how biological susceptibility influences early reward processing, how caregiving practices use food as a reward, and how non-food reinforcement modifies the relative reinforcing value of food (RRVfood) during early development.
Recent FindingsRecent evidence indicates that obesity risk may depend less on absolute food motivation and more on the relative reinforcing value of food (RRVfood), a behavioral economic construct reflecting how motivated one is for food in the context of available non-food alternatives. Studies show that feeding to soothe, instrumental feeding, and restriction can strengthen food-based reward learning, particularly among biologically susceptible infants. Conversely, enriched environments, responsive parenting, and cognitively, socially, and physically engaging non-food activities support self-regulation and lower obesity risk, even in socioeconomically disadvantaged contexts.
SummaryEarly obesity risk reflects an imbalance in reinforcement rather than excessive food motivation alone. Shifting the balance toward non-food rewards represents a promising, strength-based direction for future mechanistic and intervention research.