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饮食摄入和类似成瘾的进食行为:是时候考虑生物钟了。

Food intake and addictive-like eating behaviors: Time to think about the circadian clock(s).

机构信息

Institute of Cellular and Integrative Neurosciences, CNRS UPR3212, 5 rue Blaise Pascal, 67084 Strasbourg Cedex, France.

出版信息

Neurosci Biobehav Rev. 2019 Nov;106:122-132. doi: 10.1016/j.neubiorev.2018.07.003. Epub 2018 Jul 7.

Abstract

Compulsive feeding has been considered as an addicted-like behavior with similarities to drug addiction. Food intake is brain controlled involving a balance between metabolic and hedonic pathways that modulate respectively how much and what is eaten. Pathological conditions such as compulsive feeding or an eating addiction can interfere with this balance and obesity may develop. Daily feeding times are also centrally controlled by the circadian clock in the suprachiasmatic nucleus. Disruptions of this body clock (e.g., social jet-lag, shift work) lead to eating and metabolic disorders. The circadian pacemaker is intricately connected with the metabolic and hedonic centers controlling feeding, and most importantly, some of these nuclei have clock activity. When the brain circadian system is compromised in eating disorders, such perturbations may be in part the causes of compulsive feeding, night eating and addictive-like eating behavior. Therefore, food intake is regulated by the central circadian-metabolic-hedonic network, which is functionally interconnected to avoid perturbing the eating behavior physiology.

摘要

强迫性进食被认为是一种类似成瘾的行为,与药物成瘾有相似之处。食物摄入是受大脑控制的,涉及代谢和享乐途径之间的平衡,分别调节进食的量和内容。强迫性进食或饮食成瘾等病理状况会干扰这种平衡,从而导致肥胖。每日进食时间也由视交叉上核中的生物钟中枢控制。这种生物钟的破坏(例如社交时差、轮班工作)会导致饮食和代谢紊乱。昼夜节律起搏器与控制进食的代谢和享乐中心错综复杂地连接在一起,最重要的是,其中一些核具有时钟活动。当进食障碍中的大脑昼夜节律系统受损时,这些干扰可能部分是强迫性进食、夜间进食和类似成瘾的进食行为的原因。因此,食物摄入受中枢昼夜节律-代谢-享乐网络的调节,该网络在功能上相互连接,以避免扰乱进食行为生理学。

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