Di Segni Matteo, Patrono Enrico, Patella Loris, Puglisi-Allegra Stefano, Ventura Rossella
Dipartimento di Psicologia and Centro "Daniel Bovet", Sapienza-Università di Roma, Piazzale Aldo Moro 5, 00181 Roma, Italy.
Dipartimento di Scienze Cliniche Applicate e Biotecnologiche, University of L'Aquila, via Vetoio (Coppito 2) Coppito, 67010 L'Aquila, Italy.
Nutrients. 2014 Oct 22;6(10):4591-609. doi: 10.3390/nu6104591.
Eating disorders are multifactorial conditions that can involve a combination of genetic, metabolic, environmental, and behavioral factors. Studies in humans and laboratory animals show that eating can also be regulated by factors unrelated to metabolic control. Several studies suggest a link between stress, access to highly palatable food, and eating disorders. Eating "comfort foods" in response to a negative emotional state, for example, suggests that some individuals overeat to self-medicate. Clinical data suggest that some individuals may develop addiction-like behaviors from consuming palatable foods. Based on this observation, "food addiction" has emerged as an area of intense scientific research. A growing body of evidence suggests that some aspects of food addiction, such as compulsive eating behavior, can be modeled in animals. Moreover, several areas of the brain, including various neurotransmitter systems, are involved in the reinforcement effects of both food and drugs, suggesting that natural and pharmacological stimuli activate similar neural systems. In addition, several recent studies have identified a putative connection between neural circuits activated in the seeking and intake of both palatable food and drugs. The development of well-characterized animal models will increase our understanding of the etiological factors of food addiction and will help identify the neural substrates involved in eating disorders such as compulsive overeating. Such models will facilitate the development and validation of targeted pharmacological therapies.
饮食失调是多因素导致的状况,可能涉及遗传、代谢、环境和行为因素的综合作用。对人类和实验动物的研究表明,饮食也可由与代谢控制无关的因素调节。多项研究表明,压力、获得美味食物的机会与饮食失调之间存在联系。例如,因负面情绪状态而食用“安慰食品”表明,一些人会通过过度进食来自我治疗。临床数据表明,一些人可能会因食用美味食物而产生类似成瘾的行为。基于这一观察结果,“食物成瘾”已成为一个深入科学研究的领域。越来越多的证据表明,食物成瘾的某些方面,如强迫性进食行为,可以在动物身上进行模拟。此外,大脑的几个区域,包括各种神经递质系统,都参与了食物和药物的强化作用,这表明自然和药理刺激激活了相似的神经系统。此外,最近的几项研究已经确定了在寻求和摄入美味食物及药物时激活的神经回路之间的一种假定联系。建立特征明确的动物模型将增进我们对食物成瘾病因因素的理解,并有助于确定与强迫性暴饮暴食等饮食失调相关的神经基质。此类模型将促进有针对性的药物治疗方法的开发和验证。