4.8 Article

Neurocognitive and Hormonal Correlates of Voluntary Weight Loss in Humans

Journal

CELL METABOLISM
Volume 29, Issue 1, Pages 39-+

Publisher

CELL PRESS
DOI: 10.1016/j.cmet.2018.09.024

Keywords

-

Funding

  1. Canadian Institutes of Health Research (CIHR) Foundation Scheme
  2. Frederick Banting and Charles Best Canada Graduate Scholarship (CIHR)
  3. CIHR [219271, 242614]

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Insufficient responses to hypocaloric diets have been attributed to hormonal adaptations that override self-control of food intake. We tested this hypothesis by measuring circulating energy-balance hormones and brain functional magnetic resonance imaging reactivity to food cues in 24 overweight/obese participants before, and 1 and 3 months after starting a calorie restriction diet. Increased activity and functional connectivity in prefrontal regions at month 1 correlated with weight loss at months 1 and 3. Weight loss was also correlated with increased plasma ghrelin and decreased leptin, and these changes were associated with food cue reactivity in reward-related brain regions. However, the reduction in leptin did not counteract weight loss; indeed, it was correlated with further weight loss at month 3. Activation in prefrontal regions associated with self-control could contribute to successful weight loss and maintenance. This work supports the role of higher-level cognitive brain function in body-weight regulation in humans.

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