Department of Internal Medicine VI: Psychosomatic Medicine and Psychotherapy, University of Tübingen, Tübingen, Germany.
IMPRS for Cognitive and Systems Neuroscience, Tübingen, Germany.
Sci Rep. 2018 Jan 23;8(1):1388. doi: 10.1038/s41598-017-19112-0.
The food-related behavior of functional dyspepsia has been attracting more interest of late. This pilot study aims to provide evidence of the physiological, emotional, and attentional aspects of food processing in functional dyspepsia patients. The study was performed in 15 functional dyspepsia patients and 17 healthy controls after a standard breakfast. We measured autonomic nervous system activity using skin conductance response and heart rate variability, emotional response using facial electromyography, and visual attention using eyetracking during the visual stimuli of food/non-food images. In comparison to healthy controls, functional dyspepsia patients showed a greater craving for food, a decreased intake of food, more dyspeptic symptoms, lower pleasantness rating of food images (particularly of high fat), decreased low frequency/high frequency ratio of heart rate variability, and suppressed total processing time of food images. There were no significant differences of skin conductance response and facial electromyography data between groups. The results suggest that high level cognitive functions rather than autonomic and emotional mechanisms are more liable to function differently in functional dyspepsia patients. Abnormal dietary behavior, reduced subjective rating of pleasantness and visual attention to food should be considered as important pathophysiological characteristics in functional dyspepsia.
功能性消化不良的食物相关行为近来引起了更多关注。本研究旨在为功能性消化不良患者的食物加工的生理、情绪和注意力方面提供证据。研究在 15 例功能性消化不良患者和 17 例健康对照者标准早餐后进行。我们在视觉刺激食物/非食物图像期间使用皮肤电反应和心率变异性测量自主神经系统活动,使用面部肌电图测量情绪反应,使用眼动追踪测量视觉注意力。与健康对照组相比,功能性消化不良患者表现出更强的食物渴望、更少的食物摄入、更多的消化不良症状、更低的食物图像愉悦度评分(特别是高脂肪食物)、心率变异性低频/高频比值降低、以及食物图像总处理时间减少。组间皮肤电反应和面部肌电图数据无显著差异。研究结果表明,高水平认知功能而不是自主和情绪机制更容易在功能性消化不良患者中出现不同的功能。异常的饮食行为、对愉悦感的主观评价降低以及对食物的视觉注意力减少应被视为功能性消化不良的重要病理生理特征。
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