Obesity

Exposure to written content eliciting weight stigmatization: Neural responses in appetitive and food reward regions

Obesity (Silver Spring)Published Randomised controlled trial

Authors' conclusion

Exposure to WS was associated with increased responsiveness to HC food content in the dorsal striatum and thalamus in individuals with overweight and obesity.

Study context

Population
Adults with overweight and obesity
Participants
20 vs 20
Comparison
Written weight stigma article vs control article
  • Weight stigma (WS)n = 20
  • Controln = 20reference
Primary endpoint
Neural activity in food reward- and appetite-related regions in response to high-calorie (HC), low-calorie and non-food pictures
Follow-up
After reading the article
Methodological detailsfunctional brain imaging, a priori region of interest analyses, exploratory whole-brain analyses
  • Functional brain imaging
  • A priori region of interest analyses
  • Exploratory whole-brain analyses

Primary result

As reported in the abstract

Activation to HC > low-calorie food cues (a priori region of interest analyses)
  • Significant group differences in activation to high-calorie (HC) > low-calorie food cues in the caudate and thalamus

Further findings

Exploratory whole-brain analyses, HC > low-calorie food cues

Significant differences in regions including left insula, left thalamus, left inferior temporal gyrus, right lingual gyrus, and bilateral middle occipital gyrus and superior parietal lobule
P < 0.005 uncorrected, k ≥ 200 m³

Relationship of activation pattern with TFEQ, glucose and subjective appetite in WS

No significant relationships between activation pattern and TFEQ, glucose or subjective appetite in WS

Original publication

Exposure to written content eliciting weight stigmatization: Neural responses in appetitive and food reward regions. Obesity (Silver Spring). Published 20 October 2023. doi:10.1002/oby.23917

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