1. Central Nervous System and Peripheral Hormone Responses to a Meal in Children.
- Author
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Roth CL, Melhorn SJ, Elfers CT, Scholz K, De Leon MRB, Rowland M, Kearns S, Aylward E, Grabowski TJ, Saelens BE, and Schur EA
- Subjects
- Case-Control Studies, Child, Cross-Sectional Studies, Female, Follow-Up Studies, Ghrelin metabolism, Glucagon-Like Peptide 1 metabolism, Humans, Insulin metabolism, Magnetic Resonance Imaging methods, Male, Obesity metabolism, Peptide YY metabolism, Postprandial Period, Prognosis, Appetite, Biomarkers metabolism, Brain physiopathology, Meals, Obesity physiopathology, Satiation
- Abstract
Context: Behavioral studies suggest that responses to food consumption are altered in children with obesity (OB)., Objective: To test central nervous system and peripheral hormone response by functional MRI and satiety-regulating hormone levels before and after a meal., Design and Setting: Cross-sectional study comparing children with OB and children of healthy weight (HW) recruited from across the Puget Sound region of Washington., Participants: Children (9 to 11 years old; OB, n = 54; HW, n = 22), matched for age and sex., Intervention and Outcome Measures: Neural activation to images of high- and low-calorie food and objects was evaluated across a set of a priori appetite-processing regions that included the ventral and dorsal striatum, amygdala, substantia nigra/ventral tegmental area, insula, and medial orbitofrontal cortex. Premeal and postmeal hormones (insulin, peptide YY, glucagon-like peptide-1, active ghrelin) were measured., Results: In response to a meal, average brain activation by high-calorie food cues vs objects in a priori regions was reduced after meals in children of HW (Z = -3.5, P < 0.0001), but not in children with OB (z = 0.28, P = 0.78) despite appropriate meal responses by gut hormones. Although premeal average brain activation by high-calorie food cues was lower in children with OB vs children of HW, postmeal activation was higher in children with OB (Z = -2.1, P = 0.04 and Z = 2.3, P = 0.02, respectively). An attenuated central response to a meal was associated with greater degree of insulin resistance., Conclusions: Our data suggest that children with OB exhibit an attenuated central, as opposed to gut hormone, response to a meal, which may predispose them to overconsumption of food or difficulty with weight loss., (Copyright © 2019 Endocrine Society.)
- Published
- 2019
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