Obesity

Neural processing of sweet taste in reward regions is reduced following bariatric surgery

Obesity (Silver Spring)Published Observational controlled cohort study

Authors' conclusion

Bariatric surgery reduces the reward system response to sweet taste in women with obesity without affecting activity in sensory regions, which is consistent with reduced drive to consume sweet foods.

Study context

Population
Nondiabetic bariatric surgery participants (women with obesity) and controls with normal weight to overweight21 bariatric repeated after surgery
Participants
24 vs 21
Exposure
Bariatric participants before vs after surgery, and vs controls
  • Bariatricn = 24
  • Controln = 21reference
Outcome
Brain reward system (ventral tegmental area, ventral striatum, orbitofrontal cortex) ROI activation to sucrose
Follow-up
After vs before surgery
Methodological detailsfunctional MRI
  • Functional MRI

Main finding

As reported in the abstract

  • 0.40M sucrose activation in reward regions decreased after surgery
  • 0.10M sucrose activation in reward regions did not decrease after surgery

Observational data: associations, not effects.

Further findings

Perceived sweet intensity

Not different among control, presurgery and postsurgery groups

Preferred sweet concentration in bariatric participants · before to after surgery

Decreased after surgery (0.52M to 0.29M)
P = 0.008

Sensory region (primary somatosensory and primary taste cortex) activation to 0.40M sucrose

Unchanged by surgery; did not differ between control and bariatric participants

Primary taste cortex activation to 0.10M sucrose · after surgery

Greater in postsurgical bariatric participants vs controls

Original publication

Neural processing of sweet taste in reward regions is reduced following bariatric surgery. Obesity (Silver Spring). Published 28 August 2024. doi:10.1002/oby.24103

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