Department of Medical Imaging, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan; Department of Radiology, Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
Obes Res Clin Pract. 2017 Nov-Dec;11(6):677-686. doi: 10.1016/j.orcp.2017.04.011. Epub 2017 May 25.
The aim of the present study was to evaluate the impulsivity and brain correlates of response inhibition and error processing among females with obesity and sweet food addiction (O & SFA).
We evaluated the response inhibition and error processing by functional magnetic resonance imaging (fMRI) in subjects with O & SFA and controls. Twenty females with O & SFA and 20 controls were recruited. All subjects performed the event-related designed Go/No-go task under fMRI and completed questionnaires related to food craving and impulsivity.
The O & SFA group exhibited a higher score for impulsivity than did the control group. The O & SFA also exhibited lower brain activation when processing response inhibition over the right rolandic operculum and thalamus than controls. Both O & SFA and control groups exhibited activation of the insula and caudate during error processing. The activation over the left insula, precuneus, and bilateral putamen were higher in the subjects with O & SFA than for those in the control group.
Our results support the fact that the fronto-striatal network is involved in response inhibition, and the caudate and insula contributes to error processing. Furthermore, women with O & SFA have impaired rolandic operculum when processing response inhibition and have greater insular and putamen activation in maintain their error processing function.
本研究旨在评估肥胖和甜食成瘾(O & SFA)女性的冲动性以及反应抑制和错误处理的大脑相关性。
我们通过功能磁共振成像(fMRI)评估了 O & SFA 患者和对照组的反应抑制和错误处理。招募了 20 名 O & SFA 女性和 20 名对照组。所有受试者在 fMRI 下执行与食物渴望和冲动性相关的问卷。
O & SFA 组的冲动性得分高于对照组。与对照组相比,O & SFA 组在右 Rolandic 脑回和丘脑处理反应抑制时大脑激活水平较低。在错误处理过程中,O & SFA 和对照组均激活了脑岛和尾状核。与对照组相比,O & SFA 组的左侧脑岛、楔前叶和双侧壳核的激活程度更高。
我们的结果支持这样一个事实,即额纹状体网络参与反应抑制,尾状核和脑岛有助于错误处理。此外,肥胖和甜食成瘾的女性在处理反应抑制时, Rolandic 脑回的功能受损,并且在维持错误处理功能时,脑岛和壳核的激活程度更高。