Insulin sensitivity affects corticolimbic brain responses to visual food cues in polycystic ovary syndrome patients

2015 ◽  
Vol 24 (2) ◽  
Author(s):  
Hanin M. Alsaadi ◽  
Dean A. Van Vugt
Keyword(s):  
Polycystic Ovary ◽  
Brain Regions ◽  
Anterior Cingulate ◽  
Food Cues ◽  
Ovary Syndrome ◽  
Insulin Resistant ◽  
Brain Responses ◽  
Glucose Challenge ◽  
Visual Food Cues ◽  
Food Pictures

AbstractThis study examined the effect of insulin sensitivity on the responsiveness of appetite regulatory brain regions to visual food cues.Nineteen participants diagnosed with polycystic ovary syndrome (PCOS) were divided into insulin-sensitive (n=8) and insulin-resistant (n=11) groups based on the homeostatic model assessment of insulin resistance (HOMA2-IR). Subjects underwent functional magnetic resonance imaging (fMRI) while viewing food pictures following water or dextrose consumption. The corticolimbic blood oxygen level dependent (BOLD) responses to high-calorie (HC) or low-calorie (LC) food pictures were compared within and between groups.BOLD responses to food pictures were reduced during a glucose challenge in numerous corticolimbic brain regions in insulin-sensitive but not insulin-resistant subjects. Furthermore, the degree of insulin resistance positively correlated with the corticolimbic BOLD response in the medial prefrontal cortex (mPFC), orbitofrontal cortex (OFC), anterior cingulate and ventral tegmental area (VTA) in response to HC pictures, and in the dorsolateral prefrontal cortex (DLPFC), mPFC, anterior cingulate, and insula in response to LC pictures following a glucose challenge. BOLD signal in the OFC, midbrain, hippocampus, and amygdala following a glucose challenge correlated with HOMA2-IR in response to HC-LC pictures.We conclude that the normal inhibition of corticolimbic brain responses to food pictures during a glucose challenge is compromised in insulin-resistant subjects. The increase in brain responsiveness to food pictures during postprandial hyperinsulinemia may lead to greater non-homeostatic eating and perpetuate obesity in insulin-resistant subjects.

Glucose-induced inhibition of the appetitive brain response to visual food cues in polycystic ovary syndrome patients

2014 ◽  
Vol 1558 ◽  
pp. 44-56 ◽  
Author(s):  
Dean A. Van Vugt ◽  
Alicja Krzemien ◽  
Hanin Alsaadi ◽  
Tamar C. Frank ◽  
Robert L. Reid
Keyword(s):  
Polycystic Ovary Syndrome ◽  
Polycystic Ovary ◽  
Food Cues ◽  
Brain Response ◽  
Ovary Syndrome ◽  
Visual Food Cues

Insulin Therapy in Pregnancy Hypertensive Diseases and its Effect on the Offspring and Mother Later in Life

2019 ◽  
Vol 17 (5) ◽  
pp. 455-464 ◽  
Author(s):  
Alfonso Mate ◽  
Antonio J. Blanca ◽  
Rocío Salsoso ◽  
Fernando Toledo ◽  
Pablo Stiefel ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Insulin Resistance ◽  
Polycystic Ovary Syndrome ◽  
Insulin Therapy ◽  
Polycystic Ovary ◽  
Ovary Syndrome ◽  
Insulin Resistant ◽  
Hypertensive Disorders ◽  
The Impact ◽  
In Pregnancy

Pregnancy hypertensive disorders such as Preeclampsia (PE) are strongly correlated with insulin resistance, a condition in which the metabolic handling of D-glucose is deficient. In addition, the impact of preeclampsia is enhanced by other insulin-resistant disorders, including polycystic ovary syndrome and obesity. For this reason, there is a clear association between maternal insulin resistance, polycystic ovary syndrome, obesity and the development of PE. However, whether PE is a consequence or the cause of these disorders is still unclear. Insulin therapy is usually recommended to pregnant women with diabetes mellitus when dietary and lifestyle measures have failed. The advantage of insulin therapy for Gestational Diabetes Mellitus (GDM) patients with hypertension is still controversial; surprisingly, there are no studies in which insulin therapy has been used in patients with hypertension in pregnancy without or with an established GDM. This review is focused on the use of insulin therapy in hypertensive disorders in the pregnancy and its effect on offspring and mother later in life. PubMed and relevant medical databases have been screened for literature covering research in the field especially in the last 5-10 years.

Acute diet soda consumption alters brain responses to food cues in humans: A randomized, controlled, cross-over pilot study

2021 ◽  
pp. 026010602199375
Author(s):  
Olivia M. Farr
Keyword(s):  
Pilot Study ◽  
Epidemiological Studies ◽  
Potential Mechanism ◽  
Food Cues ◽  
Diet Soda ◽  
Brain Responses ◽  
Dorsolateral Prefrontal ◽  
Carbonated Water ◽  
Soda Consumption ◽  
Visual Food Cues

Background: Diet soda consumption has frequently been linked to obesity and its comorbidities in epidemiological studies. Whether this link is causal and a potential mechanism remains to be determined. Aim/Methods: This randomized, cross-over, controlled pilot study sought to determine whether there may be changes in reward-related brain activations to visual food cues after acute consumption of diet soda versus regular soda or carbonated water using functional magnetic resonance imaging. Results: Diet soda as compared to carbonated water consumption increased activation of reward-related caudate to highly versus less desirable food cues. Diet soda as compared to regular soda increased reward-related insula and decreased activation of cognitive control-related dorsolateral prefrontal cortex to food cues versus non-food cues. No changes in ratings of hunger an hour after beverage consumption were observed. Conclusions: These results may suggest a potential mechanism for diet soda to increase food palatability through activation of the reward system and suppression of inhibitory control that remains to be confirmed by future studies.

scholarly journals The processing of visual food cues during bitter aftertaste perception in females with high vs. low disgust propensity: an fMRI study

2021 ◽  
Author(s):  
Anne Schienle ◽  
Albert Wabnegger
Keyword(s):  
Personality Trait ◽  
Visual Cues ◽  
Critical Role ◽  
Relevant Information ◽  
Anterior Cingulate ◽  
Conflict Monitoring ◽  
Food Cues ◽  
Sweet Food ◽  
Visual Food Cues ◽  
Disgust Propensity

AbstractAn extremely bitter taste can signal food spoilage, and therefore typically elicits disgust. The present cross-modal functional magnetic resonance imaging experiment investigated whether the personality trait ‘disgust propensity’ (DP; temporally stable tendency to experience disgust across different situations) has an influence on the processing of visual food cues during bitter aftertaste perception. Thirty females with high DP and 30 females with low DP viewed images depicting sweet food (e.g., cakes, ice cream) and vegetables, once in combination with an extremely bitter aftertaste (concentrated wormwood tea), and once with a neutral taste (water). Females highly prone to disgust (compared to low disgust-prone females) showed increased activity in the anterior cingulate cortex (ACC) and increased mPFC-insula connectivity when presented with the mismatch of a bitter aftertaste and visual cues of sweet food. The ACC is involved in conflict monitoring and is strongly interconnected with insular areas. This connection plays a critical role in awareness of changes in homeostatic states. Our findings indicate that the personality trait DP is associated with cross-modal integration processes of disgust-relevant information. Females high in DP were more alert to food-related sensory mismatch (pleasant visual features, aversive taste) than females low in DP.

Rosiglitazone in insulin-resistant women with polycystic ovary syndrome (PCOS): effects on ovarian function and metabolism

2002 ◽  
Vol 78 ◽  
pp. S36 ◽  
Author(s):  
Nicholas A Cataldo ◽  
Fahim Abbasi ◽  
Tracey L McLaughlin ◽  
Patricia Y Fechner ◽  
Gerald M Reaven ◽  
...  
Keyword(s):  
Polycystic Ovary Syndrome ◽  
Ovarian Function ◽  
Polycystic Ovary ◽  
Ovary Syndrome ◽  
Insulin Resistant

scholarly journals Limitations of insulin resistance assessment in polycystic ovary syndrome

2018 ◽  
Vol 7 (3) ◽  
pp. 403-412 ◽  
Author(s):  
Krzysztof C Lewandowski ◽  
Justyna Płusajska ◽  
Wojciech Horzelski ◽  
Ewa Bieniek ◽  
Andrzej Lewiński
Keyword(s):  
Insulin Resistance ◽  
Polycystic Ovary Syndrome ◽  
Fasting Glucose ◽  
Polycystic Ovary ◽  
Detailed Comparison ◽  
Ovary Syndrome ◽  
Extreme Caution ◽  
Insulin Resistant ◽  
Method Of Assessment ◽  
Surrogate Method

Background Though insulin resistance (IR) is common in polycystic ovary syndrome (PCOS), there is no agreement as to what surrogate method of assessment of IR is most reliable. Subjects and methods In 478 women with PCOS, we compared methods based on fasting insulin and either fasting glucose (HOMA-IR and QUICKI) or triglycerides (McAuley Index) with IR indices derived from glucose and insulin during OGTT (Belfiore, Matsuda and Stumvoll indices). Results There was a strong correlation between IR indices derived from fasting values HOMA-IR/QUICKI, r = −0.999, HOMA-IR/McAuley index, r = −0.849 and between all OGTT-derived IR indices (e.g. r = −0.876, for IRI/Matsuda, r = −0.808, for IRI/Stumvoll, and r = 0.947, for Matsuda/Stumvoll index, P < 0.001 for all), contrasting with a significant (P < 0.001), but highly variable correlation between IR indices derived from fasting vs OGTT-derived variables, ranging from r = −0.881 (HOMA-IR/Matsuda), through r = 0.58, or r = −0.58 (IRI/HOMA-IR, IRI/QUICKI, respectively) to r = 0.41 (QUICKI/Stumvoll), and r = 0.386 for QUICKI/Matsuda indices. Detailed comparison between HOMA-IR and IRI revealed that concordance between HOMA and IRI was poor for HOMA-IR/IRI values above 75th and 90th percentile. For instance, only 53% (70/132) women with HOMA-IR >75th percentile had IRI value also above 75th percentile. There was a significant, but weak correlation of all IR indices with testosterone concentrations. Conclusions Significant number of women with PCOS can be classified as being either insulin sensitive or insulin resistant depending on the method applied, as correlation between various IR indices is highly variable. Clinical application of surrogate indices for assessment of IR in PCOS must be therefore viewed with an extreme caution.

Polycystic ovary syndrome: metabolic aspects

2011 ◽  
pp. 1235-1239
Author(s):  
Richard S. Legro
Keyword(s):  
Polycystic Ovary Syndrome ◽  
Insulin Action ◽  
Polycystic Ovary ◽  
Metabolic Abnormalities ◽  
Polycystic Ovaries ◽  
Ovary Syndrome ◽  
Insulin Resistant ◽  
The Metabolic Syndrome ◽  
Health Disorders

Polycystic ovary syndrome (PCOS) is thought to be primarily a disorder that affects women during their reproductive years. The diagnostic criteria reflect ovarian dysfunction, i.e. hyperandrogenism, anovulation, and polycystic ovaries. However, women with PCOS appear to be uniquely insulin resistant, are frequently obese, and may be at risk for a variety of long-term health disorders including diabetes, cardiovascular disease, and cancers. Although the endocrine and reproductive features of the disorder improve with age, the associated metabolic abnormalities, particularly components of the metabolic syndrome, may actually worsen. This chapter will explore the pathophysiology of aberrant insulin action in women with PCOS, recognition of long-term risks, and preventive strategies.

scholarly journals How task demands shape brain responses to visual food cues

2017 ◽  
Vol 38 (6) ◽  
pp. 2897-2912 ◽  
Author(s):  
Tanja Maria Pohl ◽  
Claus Tempelmann ◽  
Toemme Noesselt
Keyword(s):  
Task Demands ◽  
Food Cues ◽  
Brain Responses ◽  
Visual Food Cues

scholarly journals Increased anticipatory but decreased consummatory brain responses to food in sisters of anorexia nervosa patients

BJPsych Open ◽  
2016 ◽  
Vol 2 (4) ◽  
pp. 255-261 ◽  
Author(s):  
Stefanie Horndasch ◽  
Sophie O'Keefe ◽  
Anneka Lamond ◽  
Katie Brown ◽  
Ciara McCabe
Keyword(s):  
Anorexia Nervosa ◽  
Family History ◽  
Neural Response ◽  
Anterior Cingulate ◽  
Neural Responses ◽  
Food Cues ◽  
Dorsal Anterior Cingulate Cortex ◽  
Brain Responses ◽  
History Of ◽  
Increased Activity

BackgroundWe have previously shown increased anticipatory and consummatory neural responses to rewarding and aversive food stimuli in women recovered from anorexia nervosa (AN).AimsTo determine whether these differences are trait markers for AN, we examined the neural response in those with a familial history but no personal history of AN.MethodThirty-six volunteers were recruited: 15 who had a sister with anorexia nervosa (family history) and 21 control participants. Using fMRI we examined the neural response during an anticipatory phase (food cues, rewarding and aversive), an effort phase and a consummatory phase (rewarding and aversive tastes).ResultsFamily history (FH) volunteers showed increased activity in the caudate during the anticipation of both reward and aversive food and in the thalamus and amygdala during anticipation of aversive only. FH had decreased activity in the dorsal anterior cingulate cortex, the pallidum and the superior frontal gyrus during taste consumption.ConclusionsIncreased neural anticipatory but decreased consummatory responses to food might be a biomarker for AN. Interventions that could normalise these differences may help to prevent disorder onset.

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