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慢性应激暴露可能会影响大脑对高热量食物线索的反应,从而导致致肥胖的饮食习惯。

Chronic stress exposure may affect the brain's response to high calorie food cues and predispose to obesogenic eating habits.

机构信息

Department of Nutrition, University of California, Davis, CA 95616, USA.

出版信息

Physiol Behav. 2013 Aug 15;120:233-42. doi: 10.1016/j.physbeh.2013.08.010. Epub 2013 Aug 16.

Abstract

Exaggerated reactivity to food cues involving calorically-dense foods may significantly contribute to food consumption beyond caloric need. Chronic stress, which can induce palatable "comfort" food consumption, may trigger or reinforce neural pathways leading to stronger reactions to highly rewarding foods. We implemented functional magnetic resonance imaging (fMRI) to assess whether chronic stress influences activation in reward, motivation and executive brain regions in response to pictures of high calorie and low calorie foods in thirty women. On separate lab visits, we also assessed food intake from a snack food buffet and circulating cortisol. In women reporting higher chronic stress (HCS), pictures of high calorie foods elicited exaggerated activity in regions of the brain involving reward, motivation, and habitual decision-making. In response to pictures of high calorie food, higher chronic stress was also associated with significant deactivation in frontal regions (BA10; BA46) linked to strategic planning and emotional control. In functional connectivity analysis, HCS strengthened connectivity between amygdala and the putamen, while LCS enhanced connectivity between amygdala and the anterior cingulate and anterior prefrontal cortex (BA10). A hypocortisolemic signature and more consumption of high calorie foods from the snack buffet were observed in the HCS group. These results suggest that persistent stress exposure may alter the brain's response to food in ways that predispose individuals to poor eating habits which, if sustained, may increase risk for obesity.

摘要

对涉及高热量食物的食物线索反应过度,可能会导致超出热量需求的食物摄入。慢性压力会促使人们食用美味的“舒适”食物,可能会引发或加强导致对高奖励食物反应更强烈的神经通路。我们采用功能磁共振成像(fMRI)来评估慢性应激是否会影响 30 名女性对高热量和低热量食物图片的奖赏、动机和执行脑区的激活。在单独的实验室访问中,我们还评估了从零食自助餐中摄入的食物量和循环皮质醇。在报告慢性压力较高(HCS)的女性中,高热量食物的图片会引起大脑中涉及奖赏、动机和习惯性决策的区域活动过度。对于高热量食物的图片,HCS 还与与策略规划和情绪控制相关的额区(BA10;BA46)的显著去激活相关。在功能连接分析中,HCS 增强了杏仁核和壳核之间的连接,而 LCS 增强了杏仁核和前扣带和前前额叶皮层(BA10)之间的连接。在 HCS 组中观察到皮质醇水平降低和从零食自助餐中摄入更多的高热量食物。这些结果表明,持续的压力暴露可能会改变大脑对食物的反应方式,使个体更容易养成不良的饮食习惯,如果持续下去,可能会增加肥胖的风险。

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