Issue 24-5, 2025

Original article

Masticatory Muscle Activity in Individuals with Restrained Eating Behavior: a Cross-Sectional Study



a href="https://orcid.org/0000-0003-3704-988X" target="_blank">ORCID Vasily V. Smirnov *, ORCID Sergey V. Popov , ORCID Daria S. Khramova , Elizaveta A. Chistiakova, Natalya V. Zueva, Inga M. Velskaya, Bronislav F. Dernovoj

Institute of Physiology of Komi Science Centre of the Urals Branch of the Russian Academy of Sciences, Syktyvkar, Russia


ABSTRACT

INTRODUCTION.  The prevalence of overweight and obesity has long been a global public health problem that becomes more acute every year. To increase the effectiveness of weight loss programs based on dietary restriction, including those used in the health resort treatment, it is necessary to take into account individual physiological characteristics associated with restrained eating behavior.

AIM.  To measure electromyographic (EMG) parameters of masticatory muscle activity in restrained eaters during an agar chewing test.

MATERIALS AND METHODS.  A cross-sectional study was conducted with 129 untrained participants (83 women and 46 men, mean age 32.4 ± 8.1 years) who were categorized as non-restrained (control) and restrained eaters based on scores on the restrained scale of the Dutch Eating Behavior Questionnaire. EMG parameters of masticatory, temporalis, and suprahyoid muscle activity were determined in the initial, middle, and final phases of the chewing test.

RESULTS AND DISCUSSION.  Restrained eaters chewed agar gels with the same frequency (1.40 vs. 1.44 sec-1, p = 0.305), using the same number of chewing movements (31.9 vs. 35.0 times, p = 0.979) and duration of chewing (23.2 vs. 24.2 s, p = 0.710) in comparison to controls. The maximal and mean amplitudes of the masseter muscle signal in restrained eaters were 17 % lower than in controls, despite the chewing cycle duration and frequency being similar. Regardless of eating behavior, the maximal and mean amplitudes of the EMG signal of contraction in the temporalis muscle were 18–21 % and 15–17 % lower than those in the masseter muscle, respectively. The maximal amplitude of the suprahyoid muscle’s EMG signal showed no differences across groups; however, the mean amplitude was 18 % lower in restrained eaters compared to controls. The activity of the masseter and temporalis muscles was reduced in the initial phases of chewing, whereas the activity of the suprahyoid muscles was reduced in the final phase of bolus formation and swallowing.

CONCLUSION.  Restrained eaters demonstrated reduced masticatory muscle activation in the chewing test. It is advisable to identify restrained eating behavior and assess chewing function when prescribing calorie-restricted dietary therapy to patients in health resort treatments. Medical rehabilitation of patients with restrained eating behavior should include the use of treatment technologies aimed at restoring the activity of the masticatory muscles.


KEYWORDS: restrained eating behavior, chewing test, electromyography, masseter muscle, temporalis muscle, suprahyoid muscles

FOR CITATION:

Smirnov V.V., Popov S.V., Khramova D.S., Chistiakova E.A., Zueva N.V., Velskaya I.M., Dernovoj B.F. Masticatory Muscle Activity in Individuals with Restrained Eating Behavior: a Cross-Sectional Study. Bulletin of Rehabilitation Medicine. 2025; 24(5):57–65. https://doi.org/10.38025/2078-1962-2025-24-5-57-65 (In Russ.).] 

FOR CORRESPONDENCE:

Vasily V. Smirnov, Е-mail: smirnowich@yandex.ru, smirnov@physiol.komisc.ru


References:

  1. World Health Organization. WHO European Regional Obesity Report 2022. May 2, 2022. Available at: https://www.who.int/europe/publications/i/item/9789289057738 (Accessed 20.02.2025)
  2. The Organization for Economic Co-operation and Development. Health at a glance 2021: OECD indicators. November 9, 2021. Available at: https://www.oecd.org/en/publications/health-at-a-glance-2021_ae3016b9-en.html (Accessed 20.02.2025)
  3. Angelidi A.M., Belanger M.J., Kokkinos A., et al. Novel noninvasive approaches to the treatment of obesity: From pharmacotherapy to gene therapy. Endocr Rev 2022; 43(3): 507–557. https://doi.org/10.1210/endrev/bnab034
  4. Chao A.M., Quigley K.M., Wadden T.A. Dietary interventions for obesity: Clinical and mechanistic findings. J Clin Invest 2021; 131(1): e140065. https://doi.org/10.1172/JCI140065
  5. Научно-практическое руководство для врачей «Санаторно-курортное лечение». Под общей редакцией А.Д. Фесюна. Том 1. Основы санаторно-курортного лечения. Москва: Реновация. 2022; 496 с. [Scientific and Practical Guide for Physicians «Sanatorium Treatment». Edited by A.D. Fesyun. Volume 1. Fundamentals of sanatorium-resort treatment. Moscow: Renovation. 2022; 496 p. (In Russ.).]
  6. Научно-практическое руководство для врачей «Санаторно-курортное лечение». Под общей редакцией А.Д. Фесюна. Том 2. Санаторно-курортное лечение при различных заболеваниях. Москва: Реновация. 2022; 544 с. [Scientific and Practical Guide for Physicians “Sanatorium Treatment”. Edited by A.D. Fesyun. Volume 2. Sanatorium-resort treatment for various diseases. Moscow: Renovation. 2022; 544 p. (In Russ.).]
  7. Guo Q., Ye A., Singh H., Rousseau D. Destructuring and restructuring of foods during gastric digestion. Compr Rev Food Sci Food Saf 2020; 19(4): 1658–1679. https://doi.org/10.1111/1541-4337.12558
  8. Kumar A., Almotairy N., Merzo J.J, et al. Chewing and its influence on swallowing, gastrointestinal and nutrition-related factors: a systematic review. Crit Rev Food Sci Nutr 2023; 63(33): 11987–12017. https://doi.org/10.1080/10408398.2022.2098245
  9. Batisse C., Bonnet G., Eschevins C., et al. The influence of oral health on patients’ food perception: a systematic review. J Oral Rehabil 2017; 44(12): 996–1003. https://doi.org/10.1111/joor.12535
  10. Forde C.G., Bolhuis D. Interrelations between food form, texture, and matrix influence energy intake and metabolic responses. Curr Nutr Rep 2022; 11(2): 124–132. https://doi.org/10.1007/s13668-022-00413-4
  11. Ketel E.C., de Wijk R.A., de Graaf C., Stieger M. Relating oral physiology and anatomy of consumers varying in age, gender and ethnicity to food oral processing behavior. Physiol Behav 2020; 215: 112766. https://doi.org/10.1016/j.physbeh.2019.112766
  12. Hama Y., Hosoda A., Kubota C., et al. Factors related to masticatory performance in junior and senior high school students and young adults: A cross-sectional study. J Prosthodont Res 2023; 67(3): 424–429. https://doi.org/10.2186/jpr.JPR_D_22_00137
  13. Meisel P., Daboul A., Bülow R., et al. Masticatory muscles characteristics in relation to adiposity and general muscular fitness: A population-based study. Odontology 2023; 111(3): 742–749. https://doi.org/10.1007/s10266-023-00785-1
  14. Fan Y., Shu X., Leung K.C.M., Lo E.C.M. Association between masticatory performance and oral conditions in adults: A systematic review and meta-analysis. J Dent 2023; 129: 104395. https://doi.org/10.1016/j.jdent.2022.104395
  15. Han J., Liu Y., Song S., et al. Effects of food stimuli on event-related potentials of restrained eating subgroups during task switching. Neurosci Lett 2021; 754: 135853. https://doi.org/10.1016/j.neulet.2021.135853
  16. Nolan L.J., Barnhart W.R., Diorio G., et al. A systematic review and meta-analysis of cross-sectional questionnaire studies of the relationship between negative and positive emotional eating and body mass index: Valence matters. Appetite 2025; 209: 107966. https://doi.org/10.1016/j.appet.2025.107966
  17. Moore K., Walker D., Laczniak R. Cool or hot: How dietary restraint produces both positive and negative eating behaviors. Food Qual Prefer 2024; 116: 105147. https://doi.org/10.1016/j.foodqual.2024.105147
  18. Sta Maria M.T., Hasegawa Y., Khaing A.M.M., et al. The relationships between mastication and cognitive function: A systematic review and meta-analysis. Jpn Dent Sci Rev 2023; 59: 375–388. https://doi.org/10.1016/j.jdsr.2023.10.001
  19. Hashimoto A., Nozaki A., Inoue H., Kuwano T. High masticatory ability attenuates psychosocial stress: A cross-sectional study. PLoS ONE 2023; 18(1): e0279891. https://doi.org/10.1371/journal.pone.0279891
  20. Bellisle F. Chewing and swallowing as indices of the stimulation to eat during meals in humans: Effects revealed by the edogram method and video recordings. Neurosci Biobehav Rev 2000; 24(2): 223–228. https://doi.org/10.1016/s0149-7634(99)00075-5
  21. Smirnov V., Khramova D., Chistiakova E., et al. Texture perception and chewing of agar gel by people with different sensitivity to hardness. Gels 2024; 11(1): 5. https://doi.org/10.3390/gels11010005
  22. van Strien T., Frijters J.E.R., Bergers G.P.A., Defares P.B. The Dutch Eating Behavior Questionnaire (DEBQ) for assessment of restrained, emotional, and external eating behavior. Int J Eat Disord 1986; 5(2): 295–315. https://doi.org/10.1002/1098-108X(198602)5:2<295::AID-EAT2260050209>3.0.CO;2-T
  23. Smirnov V.V., Popov S.V., Borisenkov M.F., Zueva N.V. Validation of the Dutch eating behavior questionnaire in Russian young people. Curr Psychol 2024; 44(1): 467–478. https://doi.org/10.1007/s12144-024-07221-9
  24. Koo T.K., Li M.Y. A guideline of selecting and reporting intraclass correlation coefficients for reliability research. J Chiropr Med 2016; 15(2): 155–163. https://doi.org/10.1016/j.jcm.2016.02.012
  25. Yong C., Liu H., Yang Q., et al. The relationship between restrained eating, body image, and dietary intake among university students in china: A cross-sectional study. Nutrients 2021; 13(3): 990. https://doi.org/10.3390/nu13030990
  26. Małachowska A., Jeżewska-Zychowicz M., Gębski J. Polish adaptation of the Dutch Eating Behaviour Questionnaire (DEBQ): The role of eating style in explaining food intake — A cross-sectional study. Nutrients 2021; 13(12): 4486. https://doi.org/10.3390/nu13124486
  27. McGeown L., De Young K.P., Mushquash A.R. Disconnect between sympathetically-induced hunger suppression and consumption among highly restrained eaters following stress. Appetite 2022; 181: 106419. https://doi.org/10.1016/j.appet.2022.106419
  28. Regalo I.H., Palinkas M., Gonçalves L.M.N., et al. Impact of obesity on the structures and functions of the stomatognathic system: A morphofunctional approach. Arch Oral Biol 2023; 159: 105877. https://doi.org/10.1016/j.archoralbio.2023.105877
  29. Park S., Shin W.S. Differences in eating behaviors and masticatory performances by gender and obesity status. Physiol Behav 2014; 138: 69–74. https://doi.org/10.1016/j.physbeh.2014.10.001



Creative Commons License
The content is available under the Creative Commons Attribution 4.0 License.

©


This is an open article under the CC BY 4.0 license. Published by the National Medical Research Center for Rehabilitation and Balneology.