Uncovering neural pathways underlying bulimia nervosa: resting-state neural connectivity disruptions correlate with maladaptive eating behaviors

Abstract Purpose Bulimia nervosa (BN) is characterized by recurrent binge-eating episodes and inappropriate compensatory behaviors. This study investigated alterations in resting-state surface-based neural activity in BN patients and explored correlations between brain activity and eating behavior....

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Main Authors: Jia-ni Wang, Miao Wang, Guo-wei Wu, Wei-hua Li, Zi-ling Lv, Qian Chen, Zheng-han Yang, Xiao-hong Li, Zhen-chang Wang, Zhan-jiang Li, Peng Zhang, Li-rong Tang
Format: Article
Language:English
Published: Springer 2023-10-01
Series:Eating and Weight Disorders
Subjects:
Online Access:https://doi.org/10.1007/s40519-023-01617-5
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author Jia-ni Wang
Miao Wang
Guo-wei Wu
Wei-hua Li
Zi-ling Lv
Qian Chen
Zheng-han Yang
Xiao-hong Li
Zhen-chang Wang
Zhan-jiang Li
Peng Zhang
Li-rong Tang
author_facet Jia-ni Wang
Miao Wang
Guo-wei Wu
Wei-hua Li
Zi-ling Lv
Qian Chen
Zheng-han Yang
Xiao-hong Li
Zhen-chang Wang
Zhan-jiang Li
Peng Zhang
Li-rong Tang
author_sort Jia-ni Wang
collection DOAJ
description Abstract Purpose Bulimia nervosa (BN) is characterized by recurrent binge-eating episodes and inappropriate compensatory behaviors. This study investigated alterations in resting-state surface-based neural activity in BN patients and explored correlations between brain activity and eating behavior. Methods A total of 26 BN patients and 28 healthy controls were enrolled. Indirect measurement of cerebral cortical activity and functional connectivity (FC) analyses were performed in Surfstat. A principal component analysis (PCA) model was used to capture the commonalities within the behavioral questionnaires from the BN group. Results Compared with the healthy control group, the BN group showed decreased surface-based two-dimensional regional homogeneity in the right superior parietal lobule (SPL). Additionally, the BN group showed decreased FC between the right SPL and the bilateral lingual gyrus and increased FC between the right SPL and the left caudate nucleus and right putamen. In the FC–behavior association analysis, the second principal component (PC2) was negatively correlated with FC between the right SPL and the left caudate nucleus. The third principal component (PC3) was negatively correlated with FC between the right SPL and the left lingual gyrus and positively correlated with FC between the right SPL and the right lingual gyrus. Conclusion We revealed that the right SPL undergoes reorganization with respect to specific brain regions at the whole-brain level in BN. In addition, our results suggest a correlation between brain reorganization and maladaptive eating behavior. These findings may provide useful information to better understand the neural mechanisms of BN. Level of evidence V, descriptive study.
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spelling doaj.art-073465087d764394adbac32e1930e8d62023-11-05T12:05:26ZengSpringerEating and Weight Disorders1590-12622023-10-0128111410.1007/s40519-023-01617-5Uncovering neural pathways underlying bulimia nervosa: resting-state neural connectivity disruptions correlate with maladaptive eating behaviorsJia-ni Wang0Miao Wang1Guo-wei Wu2Wei-hua Li3Zi-ling Lv4Qian Chen5Zheng-han Yang6Xiao-hong Li7Zhen-chang Wang8Zhan-jiang Li9Peng Zhang10Li-rong Tang11Department of Radiology, Beijing Friendship Hospital, Capital Medical UniversityChinese Institute for Brain ResearchCAS Key Laboratory of Behavioral Science, Institute of Psychology, Chinese Academy of SciencesDepartment of Radiology, Beijing Friendship Hospital, Capital Medical UniversityBeijing Anding Hospital, Capital Medical UniversityDepartment of Radiology, Beijing Friendship Hospital, Capital Medical UniversityDepartment of Radiology, Beijing Friendship Hospital, Capital Medical UniversityBeijing Anding Hospital, Capital Medical UniversityDepartment of Radiology, Beijing Friendship Hospital, Capital Medical UniversityBeijing Anding Hospital, Capital Medical UniversityDepartment of Radiology, Beijing Friendship Hospital, Capital Medical UniversityBeijing Anding Hospital, Capital Medical UniversityAbstract Purpose Bulimia nervosa (BN) is characterized by recurrent binge-eating episodes and inappropriate compensatory behaviors. This study investigated alterations in resting-state surface-based neural activity in BN patients and explored correlations between brain activity and eating behavior. Methods A total of 26 BN patients and 28 healthy controls were enrolled. Indirect measurement of cerebral cortical activity and functional connectivity (FC) analyses were performed in Surfstat. A principal component analysis (PCA) model was used to capture the commonalities within the behavioral questionnaires from the BN group. Results Compared with the healthy control group, the BN group showed decreased surface-based two-dimensional regional homogeneity in the right superior parietal lobule (SPL). Additionally, the BN group showed decreased FC between the right SPL and the bilateral lingual gyrus and increased FC between the right SPL and the left caudate nucleus and right putamen. In the FC–behavior association analysis, the second principal component (PC2) was negatively correlated with FC between the right SPL and the left caudate nucleus. The third principal component (PC3) was negatively correlated with FC between the right SPL and the left lingual gyrus and positively correlated with FC between the right SPL and the right lingual gyrus. Conclusion We revealed that the right SPL undergoes reorganization with respect to specific brain regions at the whole-brain level in BN. In addition, our results suggest a correlation between brain reorganization and maladaptive eating behavior. These findings may provide useful information to better understand the neural mechanisms of BN. Level of evidence V, descriptive study.https://doi.org/10.1007/s40519-023-01617-5Bulimia nervosaSurface-based regional homogeneityFunctional connectivityPrincipal component analysisEating behaviorVisual information
spellingShingle Jia-ni Wang
Miao Wang
Guo-wei Wu
Wei-hua Li
Zi-ling Lv
Qian Chen
Zheng-han Yang
Xiao-hong Li
Zhen-chang Wang
Zhan-jiang Li
Peng Zhang
Li-rong Tang
Uncovering neural pathways underlying bulimia nervosa: resting-state neural connectivity disruptions correlate with maladaptive eating behaviors
Eating and Weight Disorders
Bulimia nervosa
Surface-based regional homogeneity
Functional connectivity
Principal component analysis
Eating behavior
Visual information
title Uncovering neural pathways underlying bulimia nervosa: resting-state neural connectivity disruptions correlate with maladaptive eating behaviors
title_full Uncovering neural pathways underlying bulimia nervosa: resting-state neural connectivity disruptions correlate with maladaptive eating behaviors
title_fullStr Uncovering neural pathways underlying bulimia nervosa: resting-state neural connectivity disruptions correlate with maladaptive eating behaviors
title_full_unstemmed Uncovering neural pathways underlying bulimia nervosa: resting-state neural connectivity disruptions correlate with maladaptive eating behaviors
title_short Uncovering neural pathways underlying bulimia nervosa: resting-state neural connectivity disruptions correlate with maladaptive eating behaviors
title_sort uncovering neural pathways underlying bulimia nervosa resting state neural connectivity disruptions correlate with maladaptive eating behaviors
topic Bulimia nervosa
Surface-based regional homogeneity
Functional connectivity
Principal component analysis
Eating behavior
Visual information
url https://doi.org/10.1007/s40519-023-01617-5
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