Binge Eating (BE) and Obesity: Brain Activity and Psychological Measures before and after Roux-En-Y Gastric Bypass (RYGB)

Brain activity in response to food cues following Roux-En-Y Gastric Bypass (RYGB) in binge eating (BE) or non-binge eating (NB) individuals is understudied. Here, 15 RYGB (8 BE; 7 NB) and 13 no treatment (NT) (7 BE; 6 NB) women with obesity underwent fMRI imaging while viewing high and low energy de...

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Main Authors: Shaunte Baboumian, Lauren Puma, Charles Swencionis, Nerys M. Astbury, Jennifer Ho, Spiro P. Pantazatos, Allan Geliebter
Format: Article
Language:English
Published: MDPI AG 2023-08-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/15/17/3808
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author Shaunte Baboumian
Lauren Puma
Charles Swencionis
Nerys M. Astbury
Jennifer Ho
Spiro P. Pantazatos
Allan Geliebter
author_facet Shaunte Baboumian
Lauren Puma
Charles Swencionis
Nerys M. Astbury
Jennifer Ho
Spiro P. Pantazatos
Allan Geliebter
author_sort Shaunte Baboumian
collection DOAJ
description Brain activity in response to food cues following Roux-En-Y Gastric Bypass (RYGB) in binge eating (BE) or non-binge eating (NB) individuals is understudied. Here, 15 RYGB (8 BE; 7 NB) and 13 no treatment (NT) (7 BE; 6 NB) women with obesity underwent fMRI imaging while viewing high and low energy density food (HEF and LEF, respectively) and non-food (NF) visual cues. A region of interest (ROI) analysis compared BE participants to NB participants in those undergoing RYGB surgery pre-surgery and 4 months post. Results were corrected for multiple comparisons using liberal (<i>p</i> < 0.006 uncorrected) and stringent (<i>p</i> < 0.05 FDR corrected) thresholds. Four months following RYGB (vs. no treatment (NT) control), both BE and NB participants showed greater reductions in blood oxygen level-dependent (BOLD) signals (a proxy of local brain activity) in the dorsomedial prefrontal cortex in response to HEF (vs. LEF) cues (<i>p</i> < 0.006). BE (vs. NB) participants showed greater increases in the precuneus (<i>p</i> < 0.006) and thalamic regions (<i>p</i> < 0.05 corrected) to food (vs. NF). For RYGB (vs. NT) participants, BE participants, but not NB participants, showed lower BOLD signal in the middle occipital gyrus (<i>p</i> < 0.006), whilst NB participants, but not BE participants, showed lower signal in inferior frontal gyrus (<i>p</i> < 0.006) in response to HEF (vs. LEF). Results suggest distinct neural mechanisms of RGYB in BE and may help lead to improved clinical treatments.
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spelling doaj.art-ecbb37ed539a480ebdf2397e09f0aa9d2023-11-19T08:39:26ZengMDPI AGNutrients2072-66432023-08-011517380810.3390/nu15173808Binge Eating (BE) and Obesity: Brain Activity and Psychological Measures before and after Roux-En-Y Gastric Bypass (RYGB)Shaunte Baboumian0Lauren Puma1Charles Swencionis2Nerys M. Astbury3Jennifer Ho4Spiro P. Pantazatos5Allan Geliebter6Department of Psychiatry, Icahn School of Medicine at Mount Sinai, Mount Sinai Morningside, 1111 Amsterdam Ave, New York, NY 10025, USADepartment of Psychiatry, Icahn School of Medicine at Mount Sinai, Mount Sinai Morningside, 1111 Amsterdam Ave, New York, NY 10025, USAFerkauf Graduate School of Psychology, Yeshiva University, 500 West 185th Street, New York, NY 10033, USANuffield Department of Primary Care Health Sciences, Medical Sciences Division, University of Oxford, Oxford OX2 6GG, UKDepartment of Psychiatry, Icahn School of Medicine at Mount Sinai, Mount Sinai Morningside, 1111 Amsterdam Ave, New York, NY 10025, USAMolecular Imaging and Neuropathology Division, New York State Psychiatric Institute, Department of Psychiatry, Columbia University Irving Medical Center, 1051 Riverside Dr, New York, NY 10032, USADepartment of Psychiatry, Icahn School of Medicine at Mount Sinai, Mount Sinai Morningside, 1111 Amsterdam Ave, New York, NY 10025, USABrain activity in response to food cues following Roux-En-Y Gastric Bypass (RYGB) in binge eating (BE) or non-binge eating (NB) individuals is understudied. Here, 15 RYGB (8 BE; 7 NB) and 13 no treatment (NT) (7 BE; 6 NB) women with obesity underwent fMRI imaging while viewing high and low energy density food (HEF and LEF, respectively) and non-food (NF) visual cues. A region of interest (ROI) analysis compared BE participants to NB participants in those undergoing RYGB surgery pre-surgery and 4 months post. Results were corrected for multiple comparisons using liberal (<i>p</i> < 0.006 uncorrected) and stringent (<i>p</i> < 0.05 FDR corrected) thresholds. Four months following RYGB (vs. no treatment (NT) control), both BE and NB participants showed greater reductions in blood oxygen level-dependent (BOLD) signals (a proxy of local brain activity) in the dorsomedial prefrontal cortex in response to HEF (vs. LEF) cues (<i>p</i> < 0.006). BE (vs. NB) participants showed greater increases in the precuneus (<i>p</i> < 0.006) and thalamic regions (<i>p</i> < 0.05 corrected) to food (vs. NF). For RYGB (vs. NT) participants, BE participants, but not NB participants, showed lower BOLD signal in the middle occipital gyrus (<i>p</i> < 0.006), whilst NB participants, but not BE participants, showed lower signal in inferior frontal gyrus (<i>p</i> < 0.006) in response to HEF (vs. LEF). Results suggest distinct neural mechanisms of RGYB in BE and may help lead to improved clinical treatments.https://www.mdpi.com/2072-6643/15/17/3808fMRIbariatric surgeryregion of interest (ROI) analysisbinge eatingindividuals with obesity
spellingShingle Shaunte Baboumian
Lauren Puma
Charles Swencionis
Nerys M. Astbury
Jennifer Ho
Spiro P. Pantazatos
Allan Geliebter
Binge Eating (BE) and Obesity: Brain Activity and Psychological Measures before and after Roux-En-Y Gastric Bypass (RYGB)
Nutrients
fMRI
bariatric surgery
region of interest (ROI) analysis
binge eating
individuals with obesity
title Binge Eating (BE) and Obesity: Brain Activity and Psychological Measures before and after Roux-En-Y Gastric Bypass (RYGB)
title_full Binge Eating (BE) and Obesity: Brain Activity and Psychological Measures before and after Roux-En-Y Gastric Bypass (RYGB)
title_fullStr Binge Eating (BE) and Obesity: Brain Activity and Psychological Measures before and after Roux-En-Y Gastric Bypass (RYGB)
title_full_unstemmed Binge Eating (BE) and Obesity: Brain Activity and Psychological Measures before and after Roux-En-Y Gastric Bypass (RYGB)
title_short Binge Eating (BE) and Obesity: Brain Activity and Psychological Measures before and after Roux-En-Y Gastric Bypass (RYGB)
title_sort binge eating be and obesity brain activity and psychological measures before and after roux en y gastric bypass rygb
topic fMRI
bariatric surgery
region of interest (ROI) analysis
binge eating
individuals with obesity
url https://www.mdpi.com/2072-6643/15/17/3808
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