Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Department of Psychology, Michigan State University, East Lansing, MI, USA.
Physiol Behav. 2023 Jun 1;265:114177. doi: 10.1016/j.physbeh.2023.114177. Epub 2023 Mar 24.
Puberty is a high-risk period for the development of dysregulated eating, including binge eating. While risk for binge eating in animals and humans increases in both males and females during puberty, the increased prevalence is significantly greater in females. Emerging data suggest that the organizational effects of gonadal hormones may contribute to the female preponderance of binge eating. In this narrative review, we discuss studies conducted in animals that have examined these organizational effects as well as the neural systems that may serve as intermediary mechanisms. Relatively few studies have been conducted, but data thus far suggest that pubertal estrogens may organize risk for binge eating, potentially by altering key circuits in brain reward pathways. These promising results highlight the need for future studies to directly test organizational effects of pubertal hormones using hormone replacement techniques and circuit-level manipulations that can identify pathways contributing to binge eating across development.
青春期是饮食失调发展的高风险期,包括暴食。虽然在动物和人类中,青春期雄性和雌性的暴食风险都会增加,但女性的暴食患病率增加更为显著。新出现的数据表明,性腺激素的组织效应可能导致暴食行为在女性中更为普遍。在这篇叙述性综述中,我们讨论了在动物中进行的研究,这些研究检查了这些组织效应以及可能作为中介机制的神经系统。虽然进行的研究相对较少,但迄今为止的数据表明,青春期雌激素可能会增加暴食的风险,可能是通过改变大脑奖励通路中的关键回路。这些有希望的结果强调了未来研究的必要性,这些研究需要使用激素替代技术和电路级操作直接测试青春期激素的组织效应,这些技术和操作可以确定在整个发育过程中导致暴食的途径。