Impact of Intensive Lifestyle Intervention on Neural Food Cue Reactivity: Action for Health in Diabetes Brain Ancillary Study

Autor: R. Nick Bryan, Samantha E Williams, Regina L. Leckie, Rena R. Wing, Lisa Desiderio, Thomas A. Wadden, Kathryn Demos McDermott, Mark A. Espeland, Rebecca Neiberg, Kirk I. Erickson, Lucy H Falconbridge, John M. Jakicic, Miguel Alonso-Alonso
Rok vydání: 2019
Předmět:
Zdroj: Obesity (Silver Spring)
ISSN: 1930-739X
1930-7381
DOI: 10.1002/oby.22496
Popis: OBJECTIVE The Action for Health in Diabetes (Look AHEAD) research study was a randomized trial comparing the effects of an intensive lifestyle intervention (ILI) versus a diabetes support and education (DSE) control group in adults with type 2 diabetes and overweight or obesity. Functional magnetic resonance imaging was used to determine whether neural food cue reactivity differed for these groups 10 years after randomization. METHODS A total of 232 participants (ILI, n = 125, 72% female; DSE, n = 107, 64% female) were recruited at three of the Look AHEAD sites for functional magnetic resonance imaging. Neural response to high-calorie foods compared with nonfoods was assessed in DSE versus ILI. Exploratory correlations were conducted within ILI to identify regions in which activity was associated with degree of weight loss. RESULTS Voxel-wise whole-brain comparisons revealed greater reward-processing activity in left caudate for DSE compared with ILI and greater activity in attention- and visual-processing regions for ILI than DSE (P
Databáze: OpenAIRE