Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
  • About KevinMD | Kevin Pho, MD
  • Be heard on social media’s leading physician voice
  • Contact Kevin
  • Discounted enhanced author page
  • DMCA Policy
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • Group vs. individual disability insurance for doctors: pros and cons
  • KevinMD influencer opportunities
  • Opinion and commentary by KevinMD
  • Physician burnout speakers to keynote your conference
  • Physician Coaching by KevinMD
  • Physician keynote speaker: Kevin Pho, MD
  • Physician Speaking by KevinMD: a boutique speakers bureau
  • Primary care physician in Nashua, NH | Kevin Pho, MD
  • Privacy Policy
  • Recommended services by KevinMD
  • Terms of Use Agreement
  • Thank you for subscribing to KevinMD
  • Thank you for upgrading to the KevinMD enhanced author page
  • The biggest mistake doctors make when purchasing disability insurance
  • The doctor’s guide to disability insurance: short-term vs. long-term
  • The KevinMD ToolKit
  • Upgrade to the KevinMD enhanced author page
  • Why own-occupation disability insurance is a must for doctors

Here’s why you can’t resist eating that dessert

Peter Ubel, MD
Conditions
July 23, 2014
Share
Tweet
Share

It all comes down to willpower, right?  Strength of purpose.  Muster the resolve to skip dessert, and you have a shot at losing that spare tire hanging off your belly.  Succumb to your temptations, however, and you are simply being weak.

But is it just weakness that causes us to overeat?

A study in Psychological Science suggests that our inability to resist that mouthwatering looking chocolate cake doesn’t arise simply because our willpower is weak but also because, after exhausting our willpower, the cake looks even more mouthwatering to us than it did before.  Our ability to overcome temptation is reduced at the same time that the power of the temptation increases.

In this study, participants first underwent an exercise meant to exhaust their willpower.  They watched a seven minute documentary on Canadian bighorn mountain sheep.  Believe it or not, that documentary on its own doesn’t delete people’s willpower significantly.  Instead, it was distracting words scrolling across the screen that exhausted people’s willpower.  You see, half the participants were told to watch the documentary and read the words if they wanted to, as they scrolled in front of their field of vision.  No willpower needed there.  If you are curious what the word looks like, you look at it.  If not, you don’t.

But the other half of the participants were told specifically not to read the words — they were told to maintain their focus on the sheep.  Nothing but the sheep.  Seven minutes of ignoring words while watching sheep?  Exhausting just to think about it!

And willpower exhaustion was an important part of the study, because previous research has shown that willpower is depletable.  Exert willpower for seven minutes and you have less willpower to draw upon in the near future.

Which leads us to part two of the study.  The researchers placed these participants in an fMRI machine (a brain imager) and flashed pictures of deliciously unhealthy foods.  They wanted to see which parts of people’s brains lit up in front of these tempting delicacies.  I should tell you that the participants in this study were all trying to lose weight, and had all fasted before the study (which, by the way, probably means their willpower was already beginning to be depleted before they began the research).

Here is what happened.  The fMRI images revealed differences across the two groups of participants in their ability to resist temptation.  They found neurologic evidence of depleted willpower among the people who spent seven minutes not reading those pesky words.  But that is not all that the researchers found.  Those people whose willpower had been relatively depleted also showed increased activity in regions of the brain associated with “Q reactivity” — something to do with the OFC portion of their brains.  (Sorry, neuroscience is above my pay grade.)  Basically, the activity in these brain regions revealed that the food pictures looked tastier to depleted participants than it did to non-depleted ones.

Think of it this way.  You’re on a diet.  You have a tough day at work, and an awful commute back home (where it took all your remaining willpower not to flip off that @$&hole who cut in front of you on the highway) and now you open up your fridge to have a healthy salad.  But you see a tempting container of macaroni and cheese.  Not only are you too exhausted to resist the temptation, but the macaroni and cheese actually strikes you as something that would be so delicious to eat!

It might be time to give your spare tire a name.  Because it isn’t going anywhere anytime soon.

Peter Ubel is a physician and behavioral scientist who blogs at his self-titled site, Peter Ubel and can be reached on Twitter @PeterUbel.  He is the author of Critical Decisions: How You and Your Doctor Can Make the Right Medical Choices Together. This article originally appeared in Forbes.

Prev

The VA scandal exposes the folly of metrics

July 23, 2014 Kevin 15
…
Next

Practicing convenience medicine in the ER

July 23, 2014 Kevin 7
…

Tagged as: Neurology, Obesity

< Previous Post
The VA scandal exposes the folly of metrics
Next Post >
Practicing convenience medicine in the ER

ADVERTISEMENT

More by Peter Ubel, MD

  • Clinicians shouldn’t be punished for taking care of needy populations

    Peter Ubel, MD
  • Patients alone cannot combat high health care prices

    Peter Ubel, MD
  • Is the FDA too slow to handle the pandemic?

    Peter Ubel, MD

More in Conditions

  • Rethinking health care for older adults beyond lab results

    Gerald Kuo
  • Tracheostomy communication barriers: a gap in medical training

    Alyssa Lambrecht, DO
  • Overcoming dental anxiety for better oral health care

    Kaushal Shah, DMD
  • Tubal ligation and widowhood: Navigating toxic requests

    Dr. Vartika Mishra
  • Lowercase PTSD: Why emergency staff are still hypervigilant

    Amy Dinaburg, RN
  • Improving tobacco treatment in clinical practice

    Edward Anselm, MD
  • Most Popular

  • Past Week

    • The dangers of vertical integration in health care

      Stephanie Waggel, MD | Policy
    • The 9 laws of health care quality: Why metrics miss the point

      Constantine Ioannou, MD | Physician
    • Why does sex work seem like a more viable path than medicine in 2026?

      Corina Fratila, MD | Physician
    • The quiet paradox of physician mental health and medication

      Timothy Lesaca, MD | Physician
    • Navigating the patchwork of CME requirements by state

      Vladislav Tchatalbachev, MD | Physician
    • Securing physician autonomy with employer-sponsored direct primary care

      Dana Y. Lujan, MBA | Physician
  • Past 6 Months

    • Missed diagnosis visceral leishmaniasis: a tragedy of note bloat

      Arthur Lazarus, MD, MBA | Conditions
    • Menstrual health in medicine: Addressing the gender gap in care

      Cynthia Kumaran | Conditions
    • The dangers of vertical integration in health care

      Stephanie Waggel, MD | Policy
    • The 9 laws of health care quality: Why metrics miss the point

      Constantine Ioannou, MD | Physician
    • Why does sex work seem like a more viable path than medicine in 2026?

      Corina Fratila, MD | Physician
    • From Singapore to Canada: a blueprint for primary care transformation

      Ivy Oandasan, MD | Policy
  • Recent Posts

    • The hidden cost of ignoring public health infrastructure

      Lujain Mattar | Education
    • The truth about psychiatric supplements and mental health

      Muhamad Aly Rifai, MD | Meds
    • Rethinking health care for older adults beyond lab results

      Gerald Kuo | Conditions
    • Why false accusations against doctors destroy careers

      Olumuyiwa Bamgbade, MD | Physician
    • Tracheostomy communication barriers: a gap in medical training

      Alyssa Lambrecht, DO | Conditions
    • Overcoming dental anxiety for better oral health care

      Kaushal Shah, DMD | Conditions

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 2 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • The dangers of vertical integration in health care

      Stephanie Waggel, MD | Policy
    • The 9 laws of health care quality: Why metrics miss the point

      Constantine Ioannou, MD | Physician
    • Why does sex work seem like a more viable path than medicine in 2026?

      Corina Fratila, MD | Physician
    • The quiet paradox of physician mental health and medication

      Timothy Lesaca, MD | Physician
    • Navigating the patchwork of CME requirements by state

      Vladislav Tchatalbachev, MD | Physician
    • Securing physician autonomy with employer-sponsored direct primary care

      Dana Y. Lujan, MBA | Physician
  • Past 6 Months

    • Missed diagnosis visceral leishmaniasis: a tragedy of note bloat

      Arthur Lazarus, MD, MBA | Conditions
    • Menstrual health in medicine: Addressing the gender gap in care

      Cynthia Kumaran | Conditions
    • The dangers of vertical integration in health care

      Stephanie Waggel, MD | Policy
    • The 9 laws of health care quality: Why metrics miss the point

      Constantine Ioannou, MD | Physician
    • Why does sex work seem like a more viable path than medicine in 2026?

      Corina Fratila, MD | Physician
    • From Singapore to Canada: a blueprint for primary care transformation

      Ivy Oandasan, MD | Policy
  • Recent Posts

    • The hidden cost of ignoring public health infrastructure

      Lujain Mattar | Education
    • The truth about psychiatric supplements and mental health

      Muhamad Aly Rifai, MD | Meds
    • Rethinking health care for older adults beyond lab results

      Gerald Kuo | Conditions
    • Why false accusations against doctors destroy careers

      Olumuyiwa Bamgbade, MD | Physician
    • Tracheostomy communication barriers: a gap in medical training

      Alyssa Lambrecht, DO | Conditions
    • Overcoming dental anxiety for better oral health care

      Kaushal Shah, DMD | Conditions

MedPage Today Professional

An Everyday Health Property Medpage Today

Copyright © 2026 KevinMD.com | Powered by Astra WordPress Theme

  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Here’s why you can’t resist eating that dessert
2 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...