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Elevated reward response to receipt of palatable food predicts future weight variability in healthy-weight adolescents
Journal article   Open access   Peer reviewed

Elevated reward response to receipt of palatable food predicts future weight variability in healthy-weight adolescents

Samantha R Winter, Sonja Yokum, Eric Stice, Karol Osipowicz and Michael R Lowe
The American journal of clinical nutrition, v 105(4), pp 781-789
Apr 2017
PMID: 28228422
url
https://doi.org/10.3945/ajcn.116.141143View
Published, Version of Record (VoR) Open

Abstract

Body Mass Index Cues Obesity - psychology Humans Male Obesity - physiopathology Reference Values Weight Gain - physiology Brain - physiology Energy Intake Emotions Young Adult Magnetic Resonance Imaging Adolescent Brain Mapping Diet - psychology Female Reward Food
Both an elevated brain-reward-region response to palatable food and elevated weight variability have been shown to predict future weight gain. We examined whether the brain-reward response to food is related to future weight variability. A total of 162 healthy-weight adolescents, who were aged 14-18 y at baseline, were enrolled in the study and were assessed annually over a 3-y follow-up period with 127 participants completing the final 3-y follow-up assessment. With the use of functional magnetic resonance imaging, we tested whether the neural responses to a cue that signaled an impending milkshake receipt and the receipt of the milkshake predicted weight variability over the follow-up period. Weight variability was modeled with a root mean squared error method to reflect fluctuations in weight independent of the net weight change. Elevated activation in the medial prefrontal cortex and supplementary motor area, cingulate gyrus, cuneus and occipital gyrus, and insula in response to milkshake receipt predicted greater weight variability. Greater activation in the precuneus and middle temporal gyrus predicted lower weight variability. From our study data, we suggest that the elevated activation of reward and emotional-regulation brain regions (medial prefrontal cortex, cingulate cortex, and insula) and lower activation in self-reference regions (precuneus) in response to milkshake receipt predict weight variability over 3 y of follow-up. The fact that the reward response in the current study emerged in response to high-calorie palatable food receipt suggests that weight variability may be a measure of propensity periods of a positive energy balance and should be examined in addition to measures of the net weight change. With our collective results, we suggest that weight variability and its brain correlates should be added to other variables that are predictive of weight gain to inform the design of obesity-preventive programs in adolescents. This trial was registered at clinicaltrials.gov as NCT01807572.

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Collaboration types
Domestic collaboration
Web of Science research areas
Nutrition & Dietetics
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