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食物成瘾的超重和肥胖患者脑电图功能连接性和脑电图功率谱的改变:一项脑电低分辨率电磁断层成像研究

Modification of EEG functional connectivity and EEG power spectra in overweight and obese patients with food addiction: An eLORETA study.

作者信息

Imperatori Claudio, Fabbricatore Mariantonietta, Innamorati Marco, Farina Benedetto, Quintiliani Maria Isabella, Lamis Dorian A, Mazzucchi Edoardo, Contardi Anna, Vollono Catello, Della Marca Giacomo

机构信息

Department of Human Sciences, European University of Rome, Via degli Aldobrandeschi 190, 00163, Rome, Italy.

Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, USA.

出版信息

Brain Imaging Behav. 2015 Dec;9(4):703-16. doi: 10.1007/s11682-014-9324-x.

Abstract

We evaluated the modifications of electroencephalographic (EEG) power spectra and EEG connectivity in overweight and obese patients with elevated food addiction (FA) symptoms. Fourteen overweight and obese patients (3 men and 11 women) with three or more FA symptoms and fourteen overweight and obese patients (3 men and 11 women) with two or less FA symptoms were included in the study. EEG was recorded during three different conditions: 1) five minutes resting state (RS), 2) five minutes resting state after a single taste of a chocolate milkshake (ML-RS), and 3) five minutes resting state after a single taste of control neutral solution (N-RS). EEG analyses were conducted by means of the exact Low Resolution Electric Tomography software (eLORETA). Significant modification was observed only in the ML-RS condition. Compared to controls, patients with three or more FA symptoms showed an increase of delta power in the right middle frontal gyrus (Brodmann Area [BA] 8) and in the right precentral gyrus (BA 9), and theta power in the right insula (BA 13) and in the right inferior frontal gyrus (BA 47). Furthermore, compared to controls, patients with three or more FA symptoms showed an increase of functional connectivity in fronto-parietal areas in both the theta and alpha band. The increase of functional connectivity was also positively associated with the number of FA symptoms. Taken together, our results show that FA has similar neurophysiological correlates of other forms of substance-related and addictive disorders suggesting similar psychopathological mechanisms.

摘要

我们评估了食物成瘾(FA)症状加重的超重和肥胖患者的脑电图(EEG)功率谱及EEG连通性的变化。本研究纳入了14名有三种或更多FA症状的超重和肥胖患者(3名男性和11名女性)以及14名有两种或更少FA症状的超重和肥胖患者(3名男性和11名女性)。在三种不同情况下记录EEG:1)五分钟静息状态(RS);2)单次品尝巧克力奶昔后的五分钟静息状态(ML-RS);3)单次品尝对照中性溶液后的五分钟静息状态(N-RS)。通过精确低分辨率脑电断层扫描软件(eLORETA)进行EEG分析。仅在ML-RS情况下观察到显著变化。与对照组相比,有三种或更多FA症状的患者右侧额中回(布罗德曼区[BA]8)和右侧中央前回(BA 9)的δ功率增加,右侧岛叶(BA 13)和右侧额下回(BA 47)的θ功率增加。此外,与对照组相比,有三种或更多FA症状的患者在θ和α频段的额顶叶区域功能连通性增加。功能连通性的增加也与FA症状的数量呈正相关。综上所述,我们的结果表明,FA与其他形式的物质相关和成瘾性障碍具有相似的神经生理学相关性,提示存在相似的精神病理机制。

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