Alterations in reward network functional connectivity are associated with increased food addiction in obese individuals

Abstract Functional neuroimaging studies in obesity have identified alterations in the connectivity within the reward network leading to decreased homeostatic control of ingestive behavior. However, the neural mechanisms underlying sex differences in the prevalence of food addiction in obesity is un...

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Autores principales: Soumya Ravichandran, Ravi R. Bhatt, Bilal Pandit, Vadim Osadchiy, Anita Alaverdyan, Priten Vora, Jean Stains, Bruce Naliboff, Emeran A. Mayer, Arpana Gupta
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Publicado: Nature Portfolio 2021
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spelling oai:doaj.org-article:a6fb392db49a44ab9c6c395f278677732021-12-02T14:27:02ZAlterations in reward network functional connectivity are associated with increased food addiction in obese individuals10.1038/s41598-021-83116-02045-2322https://doaj.org/article/a6fb392db49a44ab9c6c395f278677732021-02-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-83116-0https://doaj.org/toc/2045-2322Abstract Functional neuroimaging studies in obesity have identified alterations in the connectivity within the reward network leading to decreased homeostatic control of ingestive behavior. However, the neural mechanisms underlying sex differences in the prevalence of food addiction in obesity is unknown. The aim of the study was to identify functional connectivity alterations associated with: (1) Food addiction, (2) Sex- differences in food addiction, (3) Ingestive behaviors. 150 participants (females: N = 103, males: N = 47; food addiction: N = 40, no food addiction: N = 110) with high BMI ≥ 25 kg/m2 underwent functional resting state MRIs. Participants were administered the Yale Food Addiction Scale (YFAS), to determine diagnostic criteria for food addiction (YFAS Symptom Count ≥ 3 with clinically significant impairment or distress), and completed ingestive behavior questionnaires. Connectivity differences were analyzed using a general linear model in the CONN Toolbox and images were segmented using the Schaefer 400, Harvard–Oxford Subcortical, and Ascending Arousal Network atlases. Significant connectivities and clinical variables were correlated. Statistical significance was corrected for multiple comparisons at q < .05. (1) Individuals with food addiction had greater connectivity between brainstem regions and the orbital frontal gyrus compared to individuals with no food addiction. (2) Females with food addiction had greater connectivity in the salience and emotional regulation networks and lowered connectivity between the default mode network and central executive network compared to males with food addiction. (3) Increased connectivity between regions of the reward network was positively associated with scores on the General Food Cravings Questionnaire-Trait, indicative of greater food cravings in individuals with food addiction. Individuals with food addiction showed greater connectivity between regions of the reward network suggesting dysregulation of the dopaminergic pathway. Additionally, greater connectivity in the locus coeruleus could indicate that the maladaptive food behaviors displayed by individuals with food addiction serve as a coping mechanism in response to pathological anxiety and stress. Sex differences in functional connectivity suggest that females with food addiction engage more in emotional overeating and less cognitive control and homeostatic processing compared to males. These mechanistic pathways may have clinical implications for understanding the sex-dependent variability in response to diet interventions.Soumya RavichandranRavi R. BhattBilal PanditVadim OsadchiyAnita AlaverdyanPriten VoraJean StainsBruce NaliboffEmeran A. MayerArpana GuptaNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-15 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Soumya Ravichandran
Ravi R. Bhatt
Bilal Pandit
Vadim Osadchiy
Anita Alaverdyan
Priten Vora
Jean Stains
Bruce Naliboff
Emeran A. Mayer
Arpana Gupta
Alterations in reward network functional connectivity are associated with increased food addiction in obese individuals
description Abstract Functional neuroimaging studies in obesity have identified alterations in the connectivity within the reward network leading to decreased homeostatic control of ingestive behavior. However, the neural mechanisms underlying sex differences in the prevalence of food addiction in obesity is unknown. The aim of the study was to identify functional connectivity alterations associated with: (1) Food addiction, (2) Sex- differences in food addiction, (3) Ingestive behaviors. 150 participants (females: N = 103, males: N = 47; food addiction: N = 40, no food addiction: N = 110) with high BMI ≥ 25 kg/m2 underwent functional resting state MRIs. Participants were administered the Yale Food Addiction Scale (YFAS), to determine diagnostic criteria for food addiction (YFAS Symptom Count ≥ 3 with clinically significant impairment or distress), and completed ingestive behavior questionnaires. Connectivity differences were analyzed using a general linear model in the CONN Toolbox and images were segmented using the Schaefer 400, Harvard–Oxford Subcortical, and Ascending Arousal Network atlases. Significant connectivities and clinical variables were correlated. Statistical significance was corrected for multiple comparisons at q < .05. (1) Individuals with food addiction had greater connectivity between brainstem regions and the orbital frontal gyrus compared to individuals with no food addiction. (2) Females with food addiction had greater connectivity in the salience and emotional regulation networks and lowered connectivity between the default mode network and central executive network compared to males with food addiction. (3) Increased connectivity between regions of the reward network was positively associated with scores on the General Food Cravings Questionnaire-Trait, indicative of greater food cravings in individuals with food addiction. Individuals with food addiction showed greater connectivity between regions of the reward network suggesting dysregulation of the dopaminergic pathway. Additionally, greater connectivity in the locus coeruleus could indicate that the maladaptive food behaviors displayed by individuals with food addiction serve as a coping mechanism in response to pathological anxiety and stress. Sex differences in functional connectivity suggest that females with food addiction engage more in emotional overeating and less cognitive control and homeostatic processing compared to males. These mechanistic pathways may have clinical implications for understanding the sex-dependent variability in response to diet interventions.
format article
author Soumya Ravichandran
Ravi R. Bhatt
Bilal Pandit
Vadim Osadchiy
Anita Alaverdyan
Priten Vora
Jean Stains
Bruce Naliboff
Emeran A. Mayer
Arpana Gupta
author_facet Soumya Ravichandran
Ravi R. Bhatt
Bilal Pandit
Vadim Osadchiy
Anita Alaverdyan
Priten Vora
Jean Stains
Bruce Naliboff
Emeran A. Mayer
Arpana Gupta
author_sort Soumya Ravichandran
title Alterations in reward network functional connectivity are associated with increased food addiction in obese individuals
title_short Alterations in reward network functional connectivity are associated with increased food addiction in obese individuals
title_full Alterations in reward network functional connectivity are associated with increased food addiction in obese individuals
title_fullStr Alterations in reward network functional connectivity are associated with increased food addiction in obese individuals
title_full_unstemmed Alterations in reward network functional connectivity are associated with increased food addiction in obese individuals
title_sort alterations in reward network functional connectivity are associated with increased food addiction in obese individuals
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/a6fb392db49a44ab9c6c395f27867773
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