Artiga A I, Viana J B, Maldonado C R, Chandler-Laney P C, Oswald K D, Boggiano M M
Department of Psychology, Behavioral Neuroscience Division, University of Alabama at Birmingham, Birmingham, AL 35294-1170, USA.
Physiol Behav. 2007 Jul 24;91(4):424-31. doi: 10.1016/j.physbeh.2007.04.001. Epub 2007 Apr 12.
Clinical binge eating runs a protracted course. The etiology of binge eating remains perplexing in part because, in humans, it is difficult to isolate and assess the independent and aggregate impact of various contributing variables. Using rats, we found that footshock stress and a history of caloric restriction (S+R), combine synergistically to induce binge eating. Stress and dieting are also strong antecedents and relapse factors in human eating disorders. Here we report further behavioral and physiological parallels to human binge eating. Like the protracted course of human binge eating, young female Sprague-Dawley rats continued to binge eat after 23 restriction/stress cycles (7 months) and this despite experiencing no significant weight loss during the restriction phases. Stress alone reduced adiposity by 35% (p<0.001) but S+R rats had no significant fat loss. An endocrine profile of normal plasma leptin and insulin levels but marked elevation of plasma corticosterone levels was found only in the binge-eating (S+R) rats (p<0.01), also paralleling endocrine profiles reported in clinical binge-eating studies. These behavioral and physiological similarities between this animal model and clinical binge eating increase its utility in understanding binge eating. Importantly, our findings also highlight the stubborn nature of binge eating: once a critical experience with dieting and stress is experienced, little if any further weight loss or food restriction is necessary to sustain it.
临床暴饮暴食病程迁延。暴饮暴食的病因仍令人困惑,部分原因在于,对人类而言,很难分离和评估各种影响因素的独立及综合作用。通过对大鼠的研究,我们发现电击应激和热量限制史(应激+限制)协同作用可诱发暴饮暴食。应激和节食也是人类饮食失调的重要诱因和复发因素。在此,我们报告该动物模型与人类暴饮暴食在行为和生理方面的更多相似之处。与人类暴饮暴食的迁延病程类似,年轻雌性斯普拉格-道利大鼠在经历23个限制/应激周期(7个月)后仍持续暴饮暴食,尽管在限制阶段体重并未显著减轻。单独应激使肥胖程度降低了35%(p<0.001),但应激+限制组大鼠的脂肪量并未显著减少。仅在暴饮暴食(应激+限制)组大鼠中发现血浆瘦素和胰岛素水平正常,但血浆皮质酮水平显著升高(p<0.01),这也与临床暴饮暴食研究报告的内分泌特征相符。该动物模型与临床暴饮暴食之间的这些行为和生理相似性,增加了其在理解暴饮暴食方面的实用性。重要的是,我们的研究结果还凸显了暴饮暴食的顽固性:一旦经历节食和应激的关键体验,几乎无需进一步减重或限制食物摄入就能维持暴饮暴食行为。