Contextualizing the Neural Vulnerabilities Model of Obesity

In recent years, investigators have focused on neural vulnerability factors that increase the risk of unhealthy weight gain, which has provided a useful organizing structure for obesity neuroscience research. However, this framework, and much of the research it has informed, has given limited attent...

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Main Authors: Timothy D. Nelson, Eric Stice
Format: Article
Language:English
Published: MDPI AG 2023-06-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/15/13/2988
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author Timothy D. Nelson
Eric Stice
author_facet Timothy D. Nelson
Eric Stice
author_sort Timothy D. Nelson
collection DOAJ
description In recent years, investigators have focused on neural vulnerability factors that increase the risk of unhealthy weight gain, which has provided a useful organizing structure for obesity neuroscience research. However, this framework, and much of the research it has informed, has given limited attention to contextual factors that may interact with key vulnerabilities to impact eating behaviors and weight gain. To fill this gap, we propose a <i>Contextualized Neural Vulnerabilities Model of Obesity</i>, extending the existing theory to more intentionally incorporate contextual factors that are hypothesized to interact with neural vulnerabilities in shaping eating behaviors and weight trajectories. We begin by providing an overview of the <i>Neural Vulnerabilities Model of Obesity</i>, and briefly review supporting evidence. Next, we suggest opportunities to add contextual considerations to the model, including incorporating environmental and developmental context, emphasizing how contextual factors may interact with neural vulnerabilities to impact eating and weight. We then synthesize earlier models and new extensions to describe a <i>Contextualized Neural Vulnerabilities Model of Obesity</i> with three interacting components—food reward sensitivity, top-down regulation, and environmental factors—all within a developmental framework that highlights adolescence as a key period. Finally, we propose critical research questions arising from the framework, as well as opportunities to inform novel interventions.
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spelling doaj.art-aab17c9417b2449c9747e60f78fff4752023-11-18T17:15:23ZengMDPI AGNutrients2072-66432023-06-011513298810.3390/nu15132988Contextualizing the Neural Vulnerabilities Model of ObesityTimothy D. Nelson0Eric Stice1Department of Psychology, University of Nebraska-Lincoln, Lincoln, NE 68588, USADepartment of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA 94305, USAIn recent years, investigators have focused on neural vulnerability factors that increase the risk of unhealthy weight gain, which has provided a useful organizing structure for obesity neuroscience research. However, this framework, and much of the research it has informed, has given limited attention to contextual factors that may interact with key vulnerabilities to impact eating behaviors and weight gain. To fill this gap, we propose a <i>Contextualized Neural Vulnerabilities Model of Obesity</i>, extending the existing theory to more intentionally incorporate contextual factors that are hypothesized to interact with neural vulnerabilities in shaping eating behaviors and weight trajectories. We begin by providing an overview of the <i>Neural Vulnerabilities Model of Obesity</i>, and briefly review supporting evidence. Next, we suggest opportunities to add contextual considerations to the model, including incorporating environmental and developmental context, emphasizing how contextual factors may interact with neural vulnerabilities to impact eating and weight. We then synthesize earlier models and new extensions to describe a <i>Contextualized Neural Vulnerabilities Model of Obesity</i> with three interacting components—food reward sensitivity, top-down regulation, and environmental factors—all within a developmental framework that highlights adolescence as a key period. Finally, we propose critical research questions arising from the framework, as well as opportunities to inform novel interventions.https://www.mdpi.com/2072-6643/15/13/2988neural vulnerabilitiesobesitycontexteating behaviorreward sensitivityregulation
spellingShingle Timothy D. Nelson
Eric Stice
Contextualizing the Neural Vulnerabilities Model of Obesity
Nutrients
neural vulnerabilities
obesity
context
eating behavior
reward sensitivity
regulation
title Contextualizing the Neural Vulnerabilities Model of Obesity
title_full Contextualizing the Neural Vulnerabilities Model of Obesity
title_fullStr Contextualizing the Neural Vulnerabilities Model of Obesity
title_full_unstemmed Contextualizing the Neural Vulnerabilities Model of Obesity
title_short Contextualizing the Neural Vulnerabilities Model of Obesity
title_sort contextualizing the neural vulnerabilities model of obesity
topic neural vulnerabilities
obesity
context
eating behavior
reward sensitivity
regulation
url https://www.mdpi.com/2072-6643/15/13/2988
work_keys_str_mv AT timothydnelson contextualizingtheneuralvulnerabilitiesmodelofobesity
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