School of Psychology, University of Sussex, Brighton, United Kingdom.
Centre for Dementia Studies, Brighton and Sussex Medical School, Brighton, United Kingdom.
PLoS One. 2023 Aug 24;18(8):e0290308. doi: 10.1371/journal.pone.0290308. eCollection 2023.
The vicious cycle model of obesity suggests that repeated habitual intake of a diet high in fat and sugar (HFS) results in impairment in hippocampal function which in turn increases impulsive behaviours, making it harder to resist unhealthy diet choices. Evidence from studies with rodents consistently show switching to a HFS diet impairs performance on hippocampally-sensitive memory tasks. The limited literature in humans also suggest impaired memory and increased impulsivity related to higher habitual HFS intake. However, these changes in memory and impulsivity have been looked at independently. To investigate how these effects are inter-related, three experiments were conducted where relative HFS intake was related to measures of memory and impulsivity. In Experiment 1 (90 female participants), HFS was associated with higher scores on the Everyday Memory Questionnaire-revised (EMQ), and higher scores on the total, Attention (BISatt) and Motor (BISmot) sub-scales of the Barratt Impulsiveness Scale (BIS11). Experiment 2 (84 women and 35 men), replicated the association between HFS and EMQ, and also found HFS related to poorer performance on the hippocampally-sensitive 4 mountain (4MT) memory task. The association between HFS intake and the BISatt replicated, but there were no significant associations with other BIS11 measures or delay-discounting for monetary rewards. Experiment 3 (199 women and 87 men) replicated the associations between DFS and 4MT and EMQ, and also found an association with overall recall, but not response inhibition, from a Remembering Causes Forgetting task: HFS was also significantly associated with BIS total, BISatt and BISmot. In all three studies these associations remained when potential confounds (BMI, age, gender, hunger state, restrained and disinhibited eating) were controlled for. Mediation analysis found that the effect of HFS on memory at least part mediated the relationship between HFS and impulsivity in Experiments 1 and 3, but not 2. Overall these data provide some support for the vicious cycle model, but also suggest that trait impulsivity may be a risk factor for poor dietary choice.
肥胖的恶性循环模型表明,反复习惯性地摄入高脂肪和高糖的饮食(HFS)会损害海马体功能,进而增加冲动行为,使人更难抵制不健康的饮食选择。来自啮齿动物研究的证据一致表明,切换到 HFS 饮食会损害与海马体相关的记忆任务的表现。人类的有限文献也表明,与习惯性 HFS 摄入量较高相关的记忆和冲动性受损。然而,这些记忆和冲动性的变化是分开研究的。为了研究这些影响是如何相互关联的,进行了三项实验,其中相对 HFS 的摄入量与记忆和冲动性的测量值相关。在实验 1(90 名女性参与者)中,HFS 与修订后的日常记忆问卷(EMQ)的更高分数以及巴雷特冲动量表(BIS11)的总分数、注意力(BISatt)和运动(BISmot)子量表的更高分数相关。实验 2(84 名女性和 35 名男性)复制了 HFS 与 EMQ 之间的关联,还发现 HFS 与海马体敏感的 4 山(4MT)记忆任务的表现较差有关。HFS 摄入量与 BISatt 的关联得到复制,但与其他 BIS11 测量值或金钱奖励的延迟折扣没有显著关联。实验 3(199 名女性和 87 名男性)复制了 DFS 与 4MT 和 EMQ 之间的关联,还发现与回忆任务的整体回忆有关,但与反应抑制无关:HFS 还与 BIS 总、BISatt 和 BISmot 显著相关。在所有三项研究中,当控制了潜在的混杂因素(BMI、年龄、性别、饥饿状态、限制和放纵进食)时,这些关联仍然存在。中介分析发现,在实验 1 和 3 中,HFS 对记忆的影响至少部分介导了 HFS 与冲动性之间的关系,但在实验 2 中则不然。总的来说,这些数据为恶性循环模型提供了一些支持,但也表明特质冲动性可能是不良饮食选择的风险因素。