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Nan J, Herbert MS, Purpura S, Henneken AN, Ramanathan D, Mishra J. Personalized Machine Learning-Based Prediction of Wellbeing and Empathy in Healthcare Professionals. SENSORS (BASEL, SWITZERLAND) 2024; 24:2640. [PMID: 38676258 PMCID: PMC11053570 DOI: 10.3390/s24082640] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/01/2024] [Revised: 04/09/2024] [Accepted: 04/19/2024] [Indexed: 04/28/2024]
Abstract
Healthcare professionals are known to suffer from workplace stress and burnout, which can negatively affect their empathy for patients and quality of care. While existing research has identified factors associated with wellbeing and empathy in healthcare professionals, these efforts are typically focused on the group level, ignoring potentially important individual differences and implications for individualized intervention approaches. In the current study, we implemented N-of-1 personalized machine learning (PML) to predict wellbeing and empathy in healthcare professionals at the individual level, leveraging ecological momentary assessments (EMAs) and smartwatch wearable data. A total of 47 mood and lifestyle feature variables (relating to sleep, diet, exercise, and social connections) were collected daily for up to three months followed by applying eight supervised machine learning (ML) models in a PML pipeline to predict wellbeing and empathy separately. Predictive insight into the model architecture was obtained using Shapley statistics for each of the best-fit personalized models, ranking the importance of each feature for each participant. The best-fit model and top features varied across participants, with anxious mood (13/19) and depressed mood (10/19) being the top predictors in most models. Social connection was a top predictor for wellbeing in 9/12 participants but not for empathy models (1/7). Additionally, empathy and wellbeing were the top predictors of each other in 64% of cases. These findings highlight shared and individual features of wellbeing and empathy in healthcare professionals and suggest that a one-size-fits-all approach to addressing modifiable factors to improve wellbeing and empathy will likely be suboptimal. In the future, such personalized models may serve as actionable insights for healthcare professionals that lead to increased wellness and quality of patient care.
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Affiliation(s)
- Jason Nan
- Neural Engineering and Translation Labs, University of California San Diego, La Jolla, CA 92093, USA; (S.P.); (D.R.); (J.M.)
- Department of Bioengineering, University of California San Diego, La Jolla, CA 92093, USA
| | - Matthew S. Herbert
- Department of Psychiatry, University of California San Diego, La Jolla, CA 92093, USA;
- Department of Mental Health, VA San Diego Medical Center, San Diego, CA 92161, USA;
- Center of Excellence for Stress and Mental Health, VA San Diego Medical Center, San Diego, CA 92161, USA
| | - Suzanna Purpura
- Neural Engineering and Translation Labs, University of California San Diego, La Jolla, CA 92093, USA; (S.P.); (D.R.); (J.M.)
- Department of Psychiatry, University of California San Diego, La Jolla, CA 92093, USA;
| | - Andrea N. Henneken
- Department of Mental Health, VA San Diego Medical Center, San Diego, CA 92161, USA;
- Center of Excellence for Stress and Mental Health, VA San Diego Medical Center, San Diego, CA 92161, USA
| | - Dhakshin Ramanathan
- Neural Engineering and Translation Labs, University of California San Diego, La Jolla, CA 92093, USA; (S.P.); (D.R.); (J.M.)
- Department of Psychiatry, University of California San Diego, La Jolla, CA 92093, USA;
- Department of Mental Health, VA San Diego Medical Center, San Diego, CA 92161, USA;
- Center of Excellence for Stress and Mental Health, VA San Diego Medical Center, San Diego, CA 92161, USA
| | - Jyoti Mishra
- Neural Engineering and Translation Labs, University of California San Diego, La Jolla, CA 92093, USA; (S.P.); (D.R.); (J.M.)
- Department of Psychiatry, University of California San Diego, La Jolla, CA 92093, USA;
- Center of Excellence for Stress and Mental Health, VA San Diego Medical Center, San Diego, CA 92161, USA
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Tabiś K, Maćków M, Nowacki D, Poprawa R. Adapting the Dietary Fat and Free Sugar Short Questionnaire: A Comprehensive Polish Modification for Enhanced Precision in Nutritional Assessments. Nutrients 2024; 16:503. [PMID: 38398827 PMCID: PMC10892036 DOI: 10.3390/nu16040503] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2023] [Revised: 02/04/2024] [Accepted: 02/05/2024] [Indexed: 02/25/2024] Open
Abstract
BACKGROUND This study aimed to investigate whether The Dietary Fat and Free Sugar-Short Questionnaire (DFS) is a reliable and valid measure that can be used in Polish conditions. It involved 291 participants, aged 14 to 70 (M = 25.9, SD = 10.1), the majority of whom were women (75%). METHODS The questionnaire consisted of, among others, Polish DFS version, FFQ-6, TFEQ, and SCOFF. Test-retest reliability was established on the group of 26 students with a 2-week interval. Participants' percentage of energy intake from both free sugars and saturated fats based on FFQ was correlated with DFS total and subscales scores. To investigate convergent and divergent validity, DFS scores with TFEQ correlations were performed. Diagnostic validity was established based on difference analysis between groups with the risk of eating disorders and those without the risk of those based on SCOFF. RESULTS Test-retest reliability (rtr = 0.856) and internal consistency (α = 0.797) indicated excellent reliability. DFS correlated significantly with FFQ for both total scores (r = 0.82) and each subscale: sugar (0.79), fat (0.75), and fat-sugar (0.59). The correlations of DFS and TFEQ were statistically significant for cognitive restraint (r = 0.32) and uncontrolled eating (r = 0.19). There also have been found significant differences based on SCOFF regarding DFS. CONCLUSIONS The results suggest good reliability and validity of the Polish version of DFS.
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Affiliation(s)
- Katarzyna Tabiś
- Institute of Psychology, University of Wroclaw, 50-137 Wroclaw, Poland;
| | - Monika Maćków
- Department of Human Nutrition, Wroclaw University of Environmental and Life Sciences, 50-375 Wroclaw, Poland; (M.M.); (D.N.)
| | - Dorian Nowacki
- Department of Human Nutrition, Wroclaw University of Environmental and Life Sciences, 50-375 Wroclaw, Poland; (M.M.); (D.N.)
| | - Ryszard Poprawa
- Institute of Psychology, University of Wroclaw, 50-137 Wroclaw, Poland;
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Kennedy BL, Camara AM, Tran DMD. You eye what you eat: BMI, consumption patterns, and dieting status predict temporal attentional bias to food-associated images. Appetite 2024; 192:107095. [PMID: 37890529 DOI: 10.1016/j.appet.2023.107095] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2023] [Revised: 10/13/2023] [Accepted: 10/22/2023] [Indexed: 10/29/2023]
Abstract
People know that overconsumption of high-fat high-sugar (HFHS) foods have negative consequences for physical and cognitive wellbeing but continue to consume these foods in excess, leading to recent proposals to model obesity as an addiction disorder. The current experiment tested, in a large undergraduate sample (N = 306), the hypothesis that obesity and overconsumption is linked with an oversensitivity to rewards that drives attentional biases towards foods and food-associated cues. Using a modified emotion-induced blindness task with food-related distractors, we examined the extent to which attentional biases to images of HFHS foods were accounted for by BMI, HFHS food intake, self-reported hunger, time since last meal, diet status, food preferences, and attentional control. We also examined whether the same individual differences predicted attentional priority to cues that have a learned association with HFHS foods (i.e., images of food logos). Contrary to our predictions, higher BMI predicted less attentional priority for images of food and food logos. At the same time, increased consumption of HFHS foods predicted increased attentional priority for food images, whereas dieting predicted increased attentional priority for food logo images. Our results suggest that different people may preferentially attend to food versus food logo imagery based on their relationships with food. More broadly, our results support the theoretical perspective that attentional biases to food-associated stimuli can be affected by various competing, state-related factors.
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Affiliation(s)
- Briana L Kennedy
- School of Psychological Science, University of Western Australia, Perth, WA, Australia
| | - Andrew M Camara
- School of Psychology, University of Sydney, Camperdown, NSW, Australia
| | - Dominic M D Tran
- School of Psychology, University of Sydney, Camperdown, NSW, Australia.
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4
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Hussain M, Egan H, Keyte R, Strachan R, Tahrani AA, Mantzios M. Exploring the association between self-compassion, mindfulness and mindful eating with eating behaviours amongst patients with obesity. Nutr Health 2023; 29:683-693. [PMID: 35538911 DOI: 10.1177/02601060221094671] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Background: People who have obesity often experience problematic eating behaviours, contributing towards their excessive weight gain. Aims: Understanding problematic eating behaviours and their association to self-compassion, mindfulness and mindful eating is important for the development of future interventions that improve weight-loss and weight-regulation. Methods: One hundred and one participants attending their first session of a 6-session dietetic programme within a Tier 3 medical weight management service in the West Midlands, UK were recruited to complete questionnaires on self-compassion, mindfulness, mindful eating and eating behaviours, such as, emotional, restrained, external, fat and sugar consumption and grazing. Results: The findings suggested all three constructs, self-compassion, mindfulness and mindful eating were significantly and negatively associated with grazing and emotional eating, but mindful eating was the only construct that also displayed a significant and negative association with other eating behaviours that are often barriers to successful weight regulation, such as external eating and fat consumption. Further investigation suggested mindful eating had an indirect effect on fat consumption and grazing via external eating. Conclusion: Whilst, self-compassion, mindfulness and mindful eating displayed a negative relationship with grazing and emotional eating, mindful eating also displayed a negative relationship with fat consumption and external eating. Possible explanations and directions for future work are discussed with an emphasis on the need for more empirical work.
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Affiliation(s)
- Misba Hussain
- Department of Psychology, Birmingham City University, UK
| | - Helen Egan
- Department of Psychology, Birmingham City University, UK
| | - Rebecca Keyte
- Department of Psychology, Birmingham City University, UK
| | | | - Abd A Tahrani
- Institute of Metabolism and Systems Research, University of Birmingham, Birmingham, UK
- Department of Endocrinology and Diabetes, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK
- Centre for Endocrinology, Diabetes and Metabolism, Birmingham Health Partners, Birmingham, UK
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Phipps DJ, Hagger MS, Hamilton K. Predicting sugar intake using an extended theory of planned behavior in a sample of adolescents: The role of habit and self-control. Brain Behav 2023; 13:e3200. [PMID: 37534544 PMCID: PMC10570494 DOI: 10.1002/brb3.3200] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/21/2022] [Revised: 07/13/2023] [Accepted: 07/22/2023] [Indexed: 08/04/2023] Open
Abstract
INTRODUCTION High levels of sugar intake are associated with multiple maladaptive health outcomes in adult and younger populations. Identifying the psychological determinants of sugar intake in adolescents, and the processes involved, may help identify potentially modifiable targets and inform intervention development. We tested the predictions of an extended theoretical model based on the theory of planned behavior (TPB), which specified social cognition constructs, habit, and self-control as correlates of sugar intake in an adolescent sample. METHODS Adolescents aged 12 to 14 years (N = 88) recruited via a survey panel company and consenting to participate in the study completed online self-report measures of constructs from the TPB alongside measures of habit and self-control. One month later, participants completed a follow-up measure of free-sugar intake. Hypothesized effects of our proposed extended model were tested using partial least squares structural equation modeling. RESULTS We found statistically significant effects of attitude, subjective norm, and perceived behavioral control on sugar intake intentions. We also found significant effects of habit and self-control on sugar intake measured at follow-up, but no effect for intention. Perceived behavioral control moderated the intention-behavior relationship such that intention effects on behavior were larger when perceived behavioral control was high. However, self-control did not moderate the intention-behavior relationship. CONCLUSION Results indicate that sugar intake in this sample was a function of habits and self-control, and the effect of sugar intake intentions was conditional on perceived behavioral control. Results contribute to an evidence base of determinants and associated processes that relate to sugar intake in adolescents and may signal potentially modifiable targets for intervention.
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Affiliation(s)
- Daniel J. Phipps
- Faculty of Sport and Health SciencesUniversity of JyväskyläJyväskyläFinland
- School of Applied PsychologyGriffith UniversityBrisbaneAustralia
| | - Martin S. Hagger
- Faculty of Sport and Health SciencesUniversity of JyväskyläJyväskyläFinland
- School of Applied PsychologyGriffith UniversityBrisbaneAustralia
- Department of Psychological SciencesUniversity of California ‐ MercedMercedUSA
- Health Sciences Research InstituteUniversity of California‐, MercedMercedUSA
| | - Kyra Hamilton
- Faculty of Sport and Health SciencesUniversity of JyväskyläJyväskyläFinland
- School of Applied PsychologyGriffith UniversityBrisbaneAustralia
- Menzies Health Institute QueenslandGriffith UniversityGold CoastAustralia
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Perszyk EE, Davis XS, Djordjevic J, Jones-Gotman M, Trinh J, Hutelin Z, Veldhuizen MG, Koban L, Wager TD, Kober H, Small DM. Odour-imagery ability is linked to food craving, intake, and adiposity change in humans. Nat Metab 2023; 5:1483-1493. [PMID: 37640944 DOI: 10.1038/s42255-023-00874-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/06/2023] [Accepted: 07/25/2023] [Indexed: 08/31/2023]
Abstract
It is well-known that food-cue reactivity (FCR) is positively associated with body mass index (BMI)1 and weight change2, but the mechanisms underlying these relationships are incompletely understood. One prominent theory of craving posits that the elaboration of a desired substance through sensory imagery intensifies cravings, thereby promoting consumption3. Olfaction is integral to food perception, yet the ability to imagine odours varies widely4. Here we test in a basic observational study whether this large variation in olfactory imagery drives FCR strength to promote adiposity in 45 adults (23 male). We define odour-imagery ability as the extent to which imagining an odour interferes with the detection of a weak incongruent odour (the 'interference effect'5). As predicted in our preregistration, the interference effect correlates with the neural decoding of imagined, but not real, odours. These perceptual and neural measures of odour imagery are in turn associated with FCR, defined by the rated craving intensity of liked foods and cue-potentiated intake. Finally, odour imagery exerts positive indirect effects on changes in BMI and body-fat percentage over one year via its influences on FCR. These findings establish odour imagery as a driver of FCR that in turn confers risk for weight gain.
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Affiliation(s)
- Emily E Perszyk
- Modern Diet and Physiology Research Center, New Haven, CT, USA.
- Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA.
| | - Xue S Davis
- Modern Diet and Physiology Research Center, New Haven, CT, USA
- Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA
| | - Jelena Djordjevic
- Department of Neurology and Neurosurgery, Montreal Neurological Institute and Hospital, McGill University, Montreal, Quebec, Canada
| | - Marilyn Jones-Gotman
- Department of Neurology and Neurosurgery, Montreal Neurological Institute and Hospital, McGill University, Montreal, Quebec, Canada
| | - Jessica Trinh
- Modern Diet and Physiology Research Center, New Haven, CT, USA
- Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA
| | - Zach Hutelin
- Modern Diet and Physiology Research Center, New Haven, CT, USA
- Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA
| | - Maria G Veldhuizen
- Department of Anatomy, Faculty of Medicine, Mersin University, Ciftlikkoy Campus, Mersin, Turkey
| | - Leonie Koban
- Lyon Neuroscience Research Center (CRNL), CNRS, INSERM, University Claude Bernard Lyon 1, Bron, France
| | - Tor D Wager
- Department of Psychological and Brain Sciences, Dartmouth College, Hanover, NH, USA
| | - Hedy Kober
- Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA
- Department of Psychology, Yale University, New Haven, CT, USA
| | - Dana M Small
- Modern Diet and Physiology Research Center, New Haven, CT, USA.
- Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA.
- Department of Neurology and Neurosurgery, Montreal Neurological Institute and Hospital, McGill University, Montreal, Quebec, Canada.
- Department of Psychology, Yale University, New Haven, CT, USA.
- Department of Medicine, McGill University Health Center, Montreal, Quebec, Canada.
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Yeomans MR, Armitage R, Atkinson R, Francis H, Stevenson RJ. Habitual intake of fat and sugar is associated with poorer memory and greater impulsivity in humans. PLoS One 2023; 18:e0290308. [PMID: 37616232 PMCID: PMC10449134 DOI: 10.1371/journal.pone.0290308] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2023] [Accepted: 08/07/2023] [Indexed: 08/26/2023] Open
Abstract
The vicious cycle model of obesity suggests that repeated habitual intake of a diet high in fat and sugar (HFS) results in impairment in hippocampal function which in turn increases impulsive behaviours, making it harder to resist unhealthy diet choices. Evidence from studies with rodents consistently show switching to a HFS diet impairs performance on hippocampally-sensitive memory tasks. The limited literature in humans also suggest impaired memory and increased impulsivity related to higher habitual HFS intake. However, these changes in memory and impulsivity have been looked at independently. To investigate how these effects are inter-related, three experiments were conducted where relative HFS intake was related to measures of memory and impulsivity. In Experiment 1 (90 female participants), HFS was associated with higher scores on the Everyday Memory Questionnaire-revised (EMQ), and higher scores on the total, Attention (BISatt) and Motor (BISmot) sub-scales of the Barratt Impulsiveness Scale (BIS11). Experiment 2 (84 women and 35 men), replicated the association between HFS and EMQ, and also found HFS related to poorer performance on the hippocampally-sensitive 4 mountain (4MT) memory task. The association between HFS intake and the BISatt replicated, but there were no significant associations with other BIS11 measures or delay-discounting for monetary rewards. Experiment 3 (199 women and 87 men) replicated the associations between DFS and 4MT and EMQ, and also found an association with overall recall, but not response inhibition, from a Remembering Causes Forgetting task: HFS was also significantly associated with BIS total, BISatt and BISmot. In all three studies these associations remained when potential confounds (BMI, age, gender, hunger state, restrained and disinhibited eating) were controlled for. Mediation analysis found that the effect of HFS on memory at least part mediated the relationship between HFS and impulsivity in Experiments 1 and 3, but not 2. Overall these data provide some support for the vicious cycle model, but also suggest that trait impulsivity may be a risk factor for poor dietary choice.
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Affiliation(s)
- Martin R. Yeomans
- School of Psychology, University of Sussex, Brighton, United Kingdom
| | - Rhiannon Armitage
- School of Psychology, University of Sussex, Brighton, United Kingdom
| | - Rebecca Atkinson
- Centre for Dementia Studies, Brighton and Sussex Medical School, Brighton, United Kingdom
| | - Heather Francis
- Department of Psychology, Macquarie University, Sydney, New South Wales, Australia
| | - Richard J. Stevenson
- Department of Psychology, Macquarie University, Sydney, New South Wales, Australia
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Atak S, Boye A, Peciña S, Liu ZX. High-Fat-Sugar Diet is Associated with Impaired Hippocampus-Dependent Memory in Humans. Physiol Behav 2023; 268:114225. [PMID: 37150429 DOI: 10.1016/j.physbeh.2023.114225] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2023] [Revised: 04/28/2023] [Accepted: 05/04/2023] [Indexed: 05/09/2023]
Abstract
Overconsumption of high-fat and high-sugar (HFS) diet may affect the hippocampus, and consequently, memory functions. Yet, converging evidence is needed to demonstrate that the type of memory affected by HFS diet consumption is indeed hippocampus dependent. Moreover, the extent to which HFS diet can also affect executive functioning, and indirectly affect memory requires further examination. In this online study, we asked 349 young adults to report their HFS diet consumption and complete a word memory task, the Everyday Memory Questionnaire, and importantly two memory tasks that have been shown to robustly engage the hippocampus, i.e., the Pattern Separation and Associative Memory Tasks. Participants also completed two executive functioning tasks, the Trail Making Task (TMT) and the Stroop Task. These measures assess attention/cognitive flexibility and the ability to inhibit cognitive interference, respectively. After controlling for confounding variables, we found that participants who reported higher level consumption of a HFS diet performed worse on the Pattern Separation Task and that higher HFS intake was significantly associated with poorer TMT task performance and longer Stroop average reaction time (RT). TMT and Stroop RT scores indicative of reduced executive function also partially mediated the relationship between HFS diet and memory performance on the pattern separation task. Taken together, our results provide converging evidence that HFS diet may impair hippocampus-dependent memory. HFS diet may also affect executive functioning and indirectly impair memory function. The findings are consistent with human subject and animal studies and call for further investigations on the psychological and neural mechanisms underlying the dietary effects on cognitive processes.
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Affiliation(s)
- Selen Atak
- Department of Behavioral Sciences, The University of Michigan-Dearborn, Dearborn, Michigan, USA
| | - Alyssa Boye
- Department of Behavioral Sciences, The University of Michigan-Dearborn, Dearborn, Michigan, USA
| | - Susana Peciña
- Department of Behavioral Sciences, The University of Michigan-Dearborn, Dearborn, Michigan, USA
| | - Zhong-Xu Liu
- Department of Behavioral Sciences, The University of Michigan-Dearborn, Dearborn, Michigan, USA.
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9
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Kendig MD, Chow JYL, Martire SI, Rooney KB, Boakes RA. Switching from Sugar- to Artificially-Sweetened Beverages: A 12-Week Trial. Nutrients 2023; 15:2191. [PMID: 37432352 DOI: 10.3390/nu15092191] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2023] [Revised: 04/27/2023] [Accepted: 04/28/2023] [Indexed: 07/12/2023] Open
Abstract
BACKGROUND Consumption of sugar-sweetened beverages (SSBs) forms the primary source of added sugar intake and can increase the risk of metabolic disease. Evidence from studies in humans and rodents also indicates that consumption of SSBs can impair performance on cognitive tests, but that removing SSB access can ameliorate these effects. METHODS The present study used an unblinded 3-group parallel design to assess the effects of a 12-week intervention in which young healthy adults (mean age = 22.85, SD = 3.89; mean BMI: 23.2, SD = 3.6) who regularly consumed SSBs were instructed to replace SSB intake with artificially-sweetened beverages (n = 28) or water (n = 25), or (c) to continue SSB intake (n = 27). RESULTS No significant group differences were observed in short-term verbal memory on the Logical Memory test or the ratio of waist circumference to height (primary outcomes), nor in secondary measures of effect, impulsivity, adiposity, or glucose tolerance. One notable change was a significant reduction in liking for strong sucrose solutions in participants who switched to water. Switching from SSBs to 'diet' drinks or water had no detectable impact on cognitive or metabolic health over the relatively short time frame studied here. This study was prospectively registered with the Australian New Zealand Clinical Trials Registry (ACTRN12615001004550; Universal Trial Number: U1111-1170-4543).
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Affiliation(s)
- Michael D Kendig
- School of Life Sciences, University of Technology Sydney, Sydney, NSW 2007, Australia
| | - Julie Y L Chow
- School of Psychology, UNSW Sydney, Sydney, NSW 2052, Australia
- School of Psychology, University of Sydney, Sydney, NSW 2006, Australia
| | - Sarah I Martire
- School of Psychology, University of Sydney, Sydney, NSW 2006, Australia
| | - Kieron B Rooney
- Discipline of Exercise and Sport Science, Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2006, Australia
| | - Robert A Boakes
- School of Psychology, University of Sydney, Sydney, NSW 2006, Australia
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10
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Phipps DJ, Hamilton K. Creating Implicit Measure Stimulus Sets Using a Multi-Step Piloting Method. Methods Protoc 2023; 6:mps6030047. [PMID: 37218907 DOI: 10.3390/mps6030047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2023] [Revised: 04/18/2023] [Accepted: 04/26/2023] [Indexed: 05/24/2023] Open
Abstract
The effect of arbitrary stimulus selection is a persistent concern when employing implicit measures. The current study tests a data-driven multi-step procedure to create stimulus items using a combination of free-recall and survey data. Six sets of stimulus items were created, representing healthy food and high sugar items in children, adolescents, and adults. Selected items were highly representative of the target concepts, in frequent use, and of near equal length. Tests of the piloted items in two samples showed slightly higher implicit measure-behavior relations compared to a previously used measure, providing preliminary support for the value in empirically based stimulus selection. Further, the items reported as being the most associated with their target concepts differed notably from what one may expect from the guidelines or population consumption patterns, highlighting the importance of informed stimulus selection.
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Affiliation(s)
- Daniel J Phipps
- School of Applied Psychology, Griffith University, 176 Messines Ridge Road, Mt Gravatt, QLD 4122, Australia
- Menzies Health Institute Queensland, Griffith University, Parklands Drive, Gold Coast, QLD 4215, Australia
- Faculty of Sport and Health Sciences, University of Jyväskylä, Keskussairaalantie 4, 40600 Jyväskylä, Finland
| | - Kyra Hamilton
- School of Applied Psychology, Griffith University, 176 Messines Ridge Road, Mt Gravatt, QLD 4122, Australia
- Menzies Health Institute Queensland, Griffith University, Parklands Drive, Gold Coast, QLD 4215, Australia
- Health Sciences Research Institute, University of California, Merced, 5200 N. Lake Road, Merced, CA 95343, USA
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Hartmann H, Janssen LK, Herzog N, Morys F, Fängström D, Fallon SJ, Horstmann A. Self-reported intake of high-fat and high-sugar diet is not associated with cognitive stability and flexibility in healthy men. Appetite 2023; 183:106477. [PMID: 36764221 DOI: 10.1016/j.appet.2023.106477] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2022] [Revised: 01/19/2023] [Accepted: 01/27/2023] [Indexed: 02/11/2023]
Abstract
Animal studies indicate that a high-fat/high-sugar diet (HFS) can change dopamine signal transmission in the brain, which could promote maladaptive behavior and decision-making. Such diet-induced changes may also explain observed alterations in the dopamine system in human obesity. Genetic variants that modulate dopamine transmission have been proposed to render some individuals more prone to potential effects of HFS. The objective of this study was to investigate the association of HFS with dopamine-dependent cognition in humans and how genetic variations might modulate this potential association. Using a questionnaire assessing the self-reported consumption of high-fat/high-sugar foods, we investigated the association with diet by recruiting healthy young men that fall into the lower or upper end of that questionnaire (low fat/sugar group: LFS, n = 45; high fat/sugar group: HFS, n = 41) and explored the interaction of fat and sugar consumption with COMT Val158Met and Taq1A genotype. During functional magnetic resonance imaging (fMRI) scanning, male participants performed a working memory (WM) task that probes distractor-resistance and updating of WM representations. Logistic and linear regression models revealed no significant difference in WM performance between the two diet groups, nor an interaction with COMT Val158Met or Taq1A genotype. Neural activation in task-related brain areas also did not differ between diet groups. Independent of diet group, higher BMI was associated with lower overall accuracy on the WM task. This cross-sectional study does not provide evidence for diet-related differences in WM stability and flexibility in men, nor for a predisposition of COMT Val158Met or Taq1A genotype to the hypothesized detrimental effects of an HFS diet. Previously reported associations of BMI with WM seem to be independent of HFS intake in our male study sample.
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Affiliation(s)
- Hendrik Hartmann
- Collaborative Research Centre 1052, University of Leipzig, Leipzig, Germany; Department of Neurology, Max Planck Institute for Human Cognitive & Brain Sciences, Leipzig, Germany; Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Helsinki, Finland.
| | - Lieneke K Janssen
- Collaborative Research Centre 1052, University of Leipzig, Leipzig, Germany; Institute of Psychology, Otto-von-Guericke University Magdeburg, Magdeburg, Germany
| | - Nadine Herzog
- Department of Neurology, Max Planck Institute for Human Cognitive & Brain Sciences, Leipzig, Germany
| | - Filip Morys
- Montreal Neurological Institute, Montreal, QC, Canada
| | - Daniel Fängström
- Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Helsinki, Finland
| | | | - Annette Horstmann
- Collaborative Research Centre 1052, University of Leipzig, Leipzig, Germany; Department of Neurology, Max Planck Institute for Human Cognitive & Brain Sciences, Leipzig, Germany; Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Helsinki, Finland
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12
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Edwin Thanarajah S, DiFeliceantonio AG, Albus K, Kuzmanovic B, Rigoux L, Iglesias S, Hanßen R, Schlamann M, Cornely OA, Brüning JC, Tittgemeyer M, Small DM. Habitual daily intake of a sweet and fatty snack modulates reward processing in humans. Cell Metab 2023; 35:571-584.e6. [PMID: 36958330 DOI: 10.1016/j.cmet.2023.02.015] [Citation(s) in RCA: 14] [Impact Index Per Article: 14.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/01/2022] [Revised: 10/21/2022] [Accepted: 02/23/2023] [Indexed: 03/25/2023]
Abstract
Western diets rich in fat and sugar promote excess calorie intake and weight gain; however, the underlying mechanisms are unclear. Despite a well-documented association between obesity and altered brain dopamine function, it remains elusive whether these alterations are (1) pre-existing, increasing the individual susceptibility to weight gain, (2) secondary to obesity, or (3) directly attributable to repeated exposure to western diet. To close this gap, we performed a randomized, controlled study (NCT05574660) with normal-weight participants exposed to a high-fat/high-sugar snack or a low-fat/low-sugar snack for 8 weeks in addition to their regular diet. The high-fat/high-sugar intervention decreased the preference for low-fat food while increasing brain response to food and associative learning independent of food cues or reward. These alterations were independent of changes in body weight and metabolic parameters, indicating a direct effect of high-fat, high-sugar foods on neurobehavioral adaptations that may increase the risk for overeating and weight gain.
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Affiliation(s)
- Sharmili Edwin Thanarajah
- Max Planck Institute for Metabolism Research, Cologne, Germany; Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital, Goethe University, Frankfurt, Germany
| | - Alexandra G DiFeliceantonio
- Fralin Biomedical Research Institute at Virginia Tech Carilion & Department of Human Nutrition, Foods, and Exercise, College of Agriculture and Life Sciences, Roanoke, VA, USA
| | - Kerstin Albus
- Cologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases (CECAD), University of Cologne, Cologne, Germany; Department I of Internal Medicine, Center for Integrated Oncology Aachen Bonn Cologne Duesseldorf (CIO ABCD) & Excellence Center for Medical Mycology (ECMM), Faculty of Medicine and University Hospital Cologne, Cologne, Germany
| | | | - Lionel Rigoux
- Max Planck Institute for Metabolism Research, Cologne, Germany
| | - Sandra Iglesias
- Translational Neuromodeling Unit, Institute for Biomedical Engineering, University of Zurich and Swiss Federal Institute of Technology, Zurich, Switzerland
| | - Ruth Hanßen
- Max Planck Institute for Metabolism Research, Cologne, Germany; Policlinic for Endocrinology, Diabetes and Preventive Medicine (PEPD), University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany
| | - Marc Schlamann
- Department of Neuroradiology, University Hospital of Cologne, Kerpener Str. 62, 50937 Cologne, Germany
| | - Oliver A Cornely
- Cologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases (CECAD), University of Cologne, Cologne, Germany; Department I of Internal Medicine, Center for Integrated Oncology Aachen Bonn Cologne Duesseldorf (CIO ABCD) & Excellence Center for Medical Mycology (ECMM), Faculty of Medicine and University Hospital Cologne, Cologne, Germany; German Centre for Infection Research (DZIF), Partner Site Bonn-Cologne, Cologne, Germany; Clinical Trials Centre Cologne (ZKS Köln), University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany
| | - Jens C Brüning
- Max Planck Institute for Metabolism Research, Cologne, Germany; Cologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases (CECAD), University of Cologne, Cologne, Germany; Policlinic for Endocrinology, Diabetes and Preventive Medicine (PEPD), University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany
| | - Marc Tittgemeyer
- Max Planck Institute for Metabolism Research, Cologne, Germany; Cologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases (CECAD), University of Cologne, Cologne, Germany.
| | - Dana M Small
- Modern Diet and Physiology Research Center, New Haven, CT, USA; Yale University School of Medicine, Department of Psychiatry, New Haven, CT, USA.
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13
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Mae Armitage R, Iatridi V, Thanh Vi C, Richard Yeomans M. Phenotypic differences in taste hedonics: the effects of sweet liking. Food Qual Prefer 2023. [DOI: 10.1016/j.foodqual.2023.104845] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/13/2023]
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14
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Perszyk EE, Davis XS, Djordjevic J, Jones-Gotman M, Trinh J, Hutelin Z, Veldhuizen MG, Koban L, Wager TD, Kober H, Small DM. Odor imagery but not perception drives risk for food cue reactivity and increased adiposity. BIORXIV : THE PREPRINT SERVER FOR BIOLOGY 2023:2023.02.06.527292. [PMID: 36798231 PMCID: PMC9934556 DOI: 10.1101/2023.02.06.527292] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 02/10/2023]
Abstract
Mental imagery has been proposed to play a critical role in the amplification of cravings. Here we tested whether olfactory imagery drives food cue reactivity strength to promote adiposity in 45 healthy individuals. We measured odor perception, odor imagery ability, and food cue reactivity using self-report, perceptual testing, and neuroimaging. Adiposity was assessed at baseline and one year later. Brain responses to real and imagined odors were analyzed with univariate and multivariate decoding methods to identify pattern-based olfactory codes. We found that the accuracy of decoding imagined, but not real, odor quality correlated with a perceptual measure of odor imagery ability and with greater adiposity changes. This latter relationship was mediated by cue-potentiated craving and intake. Collectively, these findings establish odor imagery ability as a risk factor for weight gain and more specifically as a mechanism by which exposure to food cues promotes craving and overeating.
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Affiliation(s)
- Emily E. Perszyk
- Modern Diet and Physiology Research Center, New Haven, CT 06510, USA
- Department of Psychiatry, Yale University School of Medicine, New Haven, CT 06511, USA
| | - Xue S. Davis
- Modern Diet and Physiology Research Center, New Haven, CT 06510, USA
- Department of Psychiatry, Yale University School of Medicine, New Haven, CT 06511, USA
| | - Jelena Djordjevic
- Department of Neurology and Neurosurgery, Montreal Neurological Institute and Hospital, McGill University, Montréal, QC H3A 2B4, Canada
| | - Marilyn Jones-Gotman
- Department of Neurology and Neurosurgery, Montreal Neurological Institute and Hospital, McGill University, Montréal, QC H3A 2B4, Canada
| | - Jessica Trinh
- Modern Diet and Physiology Research Center, New Haven, CT 06510, USA
- Department of Psychiatry, Yale University School of Medicine, New Haven, CT 06511, USA
| | - Zach Hutelin
- Modern Diet and Physiology Research Center, New Haven, CT 06510, USA
- Department of Psychiatry, Yale University School of Medicine, New Haven, CT 06511, USA
| | - Maria G. Veldhuizen
- Department of Anatomy, Faculty of Medicine, Mersin University, Ciftlikkoy Campus, Mersin 33343, Turkey
| | - Leonie Koban
- Lyon Neuroscience Research Center (CRNL), CNRS, INSERM, University Claude Bernard Lyon 1, France
| | - Tor D. Wager
- Department of Psychological and Brain Sciences, Dartmouth College, Hanover, NH 03755, USA
| | - Hedy Kober
- Department of Psychiatry, Yale University School of Medicine, New Haven, CT 06511, USA
- Department of Psychology, Yale University, New Haven, CT 06511, USA
| | - Dana M. Small
- Modern Diet and Physiology Research Center, New Haven, CT 06510, USA
- Department of Psychiatry, Yale University School of Medicine, New Haven, CT 06511, USA
- Department of Psychology, Yale University, New Haven, CT 06511, USA
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15
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Chen HA, Hovens IB, Davis XS, Hutelin Z, Wall KM, Small DM. Identification of a novel link between adiposity and visuospatial perception. Obesity (Silver Spring) 2023; 31:423-433. [PMID: 36546337 PMCID: PMC9877146 DOI: 10.1002/oby.23603] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/13/2022] [Revised: 08/19/2022] [Accepted: 09/13/2022] [Indexed: 12/24/2022]
Abstract
OBJECTIVE Recent work has reported a negative association between BMI and performance on the Penn Line Orientation Task. To determine the reliability of this effect, a comprehensive assessment of visual function in individuals with healthy weight (HW) and those with overweight/obesity (OW/OB) was performed. METHODS Visual acuity/contrast, Penn Line Orientation Task, and higher-order visuospatial function were measured in 80 (40 with HW, 40 with OW/OB) case-control study participants. Adiposity, fasting glucose, hemoglobin A1c, diet, physical activity, and heart rate variability were also assessed. A subgroup of 22 participants plus 5 additional participants (n = 27) underwent functional magnetic resonance imaging scanning. RESULTS Compared with those with HW, individuals with OW/OB performed worse on tasks requiring judgments of line orientation. This effect was mediated by body fat percentage and was unrelated to other measures. Functional magnetic resonance imaging revealed a negative association between BMI and response in the primary visual cortex (V1) during line orientation judgment. Performance was unrelated to V1 response but positively correlated with response in a network of regions, including the lateral occipital cortex, when BMI was accounted for in the model. CONCLUSIONS These results demonstrate a selective deficit in line orientation perception associated with adiposity and blunted activation in the V1 that cannot be attributed to visual acuity and does not generalize to other visuospatial tasks.
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Affiliation(s)
- H. Alexander Chen
- Department of PsychiatryYale University School of Medicine, Yale UniversityNew HavenConnecticutUSA
- Modern Diet and Physiology Research CenterNew HavenConnecticutUSA
| | - Iris B. Hovens
- Department of PsychiatryYale University School of Medicine, Yale UniversityNew HavenConnecticutUSA
- Modern Diet and Physiology Research CenterNew HavenConnecticutUSA
| | - Xue S. Davis
- Department of PsychiatryYale University School of Medicine, Yale UniversityNew HavenConnecticutUSA
- Modern Diet and Physiology Research CenterNew HavenConnecticutUSA
| | - Zach Hutelin
- Department of PsychiatryYale University School of Medicine, Yale UniversityNew HavenConnecticutUSA
- Modern Diet and Physiology Research CenterNew HavenConnecticutUSA
| | - Kathryn M. Wall
- Department of PsychiatryYale University School of Medicine, Yale UniversityNew HavenConnecticutUSA
- Modern Diet and Physiology Research CenterNew HavenConnecticutUSA
| | - Dana M. Small
- Department of PsychiatryYale University School of Medicine, Yale UniversityNew HavenConnecticutUSA
- Modern Diet and Physiology Research CenterNew HavenConnecticutUSA
- Department of PsychologyYale UniversityNew HavenConnecticutUSA
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16
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Rogerson G, Whelan M, Gibson R. A systematic review of measurement methods used to estimate fluid and beverage intake in free-living, working-age adults. J Hum Nutr Diet 2022. [PMID: 36514191 DOI: 10.1111/jhn.13127] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2022] [Accepted: 12/05/2022] [Indexed: 12/15/2022]
Abstract
BACKGROUND Beverage intake in employees is important to quantify due to the potential of dehydration to increase the risk of errors and reduced work performance. This systematic review aimed to (1) characterise existing fluid intake measurement tools used in the workplace setting or among free-living, healthy adults of working age and (2) report the current validation status of available assessment tools for use in a UK setting. METHODS Three electronic databases were searched for publications measuring beverage intake using a defined tool or method. Additional studies were identified by hand from trial registers, grey literature and reference lists. Eligibility was determined using predefined inclusion/exclusion criteria. Study quality was assessed using a modified Strengthening the Reporting of Observational Studies in Epidemiology framework. Narrative synthesis was performed. RESULTS The review identified 105 studies. The most frequently reported beverage assessment methods were total diet diaries/records (n = 22), fluid specific diaries/records (n = 18), food and fluid frequency questionnaires (n = 17), beverage-specific frequency questionnaires (n = 23) and diet recalls (n = 11). General dietary measurement tools (measuring beverages as part of total diet) were used in 60 studies, and 45 studies used a beverage-specific tool. This review identified 18 distinct dietary assessment tools, of which 6 were fluid/beverage specific. Twelve tools published relative validity for a beverage-related variable and seven tools for total daily fluid intake (from whole diet or from beverages only). CONCLUSIONS Several fluid intake assessment tools were identified; however, few have been fully evaluated for total beverage intake, and none in a UK working population.
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Affiliation(s)
- Georgia Rogerson
- Department of Nutritional Sciences, King's College London, London, UK
| | - Megan Whelan
- Department of Nutritional Sciences, King's College London, London, UK
| | - Rachel Gibson
- Department of Nutritional Sciences, King's College London, London, UK
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17
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Mantzios M, Egan H, Wallis DJ, Wood J. Advancing the assessment of mindful eating: Exploring the psychometric properties and validating the mindful eating behaviour scale in English. Nutr Health 2022; 28:501-507. [PMID: 35876339 DOI: 10.1177/02601060221116164] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Background: Mindful eating has been described as significant in motivating research and clinical outcomes in weight regulation and healthy eating. The use of psychometric tools to measure mindful eating is problematic, with results often leading to interpretations that are not reflective of mindful eating theory and fundamentals of mindfulness. Aim: In this research, we explored the Mindful Eating Behaviour Scale (MEBS) within a British sample to validate the factorial structure, and widen the use of a scale that appears appropriate for measuring mindful eating. Methods: A community sample (n = 742) was recruited via social media, and the findings supported the factorial structure proposed through the original Dutch sample. Predictive validity was also assessed, with the scale and subscales predicting fat and sugar consumption. Results: Cronbach's α values were acceptable and similar to the original findings, also supporting the internal consistency of the scale. Conclusion: While factorial structure, predictive validity and internal consistency propose a scale that can be adopted with English speaking populations, we propose the potential of furthering scientific inquiry on mindful eating research by highlighting the behavioural aspects of the scale.
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Affiliation(s)
- Michail Mantzios
- Department of Psychology, Schools of Social Sciences, 1725Birmingham City University, Birmingham, UK
| | - Helen Egan
- Department of Psychology, Schools of Social Sciences, 1725Birmingham City University, Birmingham, UK
| | - Deborah J Wallis
- Department of Psychology, Schools of Social Sciences, 1725Birmingham City University, Birmingham, UK
| | - Jeffrey Wood
- Department of Psychology, Schools of Social Sciences, 1725Birmingham City University, Birmingham, UK
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18
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Aveline C, Leroy C, Brindisi MC, Chambaron S, Thomas-Danguin T, Sinding C. Influence of obesity on saltiness and sweetness intensity enhancement by odors. Food Qual Prefer 2022. [DOI: 10.1016/j.foodqual.2022.104685] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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19
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Nichols OI, Fuller-Rowell TE, Robinson AT, Eugene D, Homandberg LK. Neighborhood Socioeconomic Deprivation in Early Childhood Mediates Racial Disparities in Blood Pressure in a College Student Sample. J Youth Adolesc 2022; 51:2146-2160. [PMID: 35852667 PMCID: PMC9744188 DOI: 10.1007/s10964-022-01658-6] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2021] [Accepted: 07/02/2022] [Indexed: 12/14/2022]
Abstract
The influence of childhood contexts on adult blood pressure is an important yet understudied topic. Using a developmental perspective, this study examines the association between neighborhood socioeconomic disadvantage in early childhood (0-5 yrs), middle childhood (6-12 yrs) and adolescence (13-18 yrs) on subsequent blood pressure in young adulthood. Data were from 263 college students (52% Black; Mage = 19.21 years) and neighborhood socioeconomic disadvantage was measured using a tract-level Area Deprivation Index. Neighborhood disadvantage in early childhood was significantly associated with diastolic blood pressure and explained 22% of the race difference between Black and White adults. The findings are consistent with the notion that early childhood may be a sensitive period for the effects of neighborhood disadvantage on blood pressure.
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Affiliation(s)
- Olivia I Nichols
- Department of Human Development and Family Science, Auburn University, 203 Spidle Hall, Auburn, AL, 36849, USA.
| | - Thomas E Fuller-Rowell
- Department of Human Development and Family Science, Auburn University, 203 Spidle Hall, Auburn, AL, 36849, USA
| | - Austin T Robinson
- School of Kinesiology, Auburn University, 301 Wire Road, Auburn, AL, 36849, USA
| | - DaJuandra Eugene
- Center for Disease Control and Prevention, 1600 Clifton Road, Atlanta, GA, 30329, USA
| | - Lydia K Homandberg
- Sociology Department, Cornell University, 323 Uris Hall, Ithaca, NY, 14853, USA
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20
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Francis HM, Stevenson RJ, Tan LSY, Ehrenfeld L, Byeon S, Attuquayefio T, Gupta D, Lim CK. Kynurenic acid as a biochemical factor underlying the association between Western-style diet and depression: A cross-sectional study. Front Nutr 2022; 9:945538. [PMID: 36299996 PMCID: PMC9589270 DOI: 10.3389/fnut.2022.945538] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2022] [Accepted: 09/27/2022] [Indexed: 11/26/2022] Open
Abstract
Consumption of a Western-style diet (WS-diet), high in saturated fat and added sugar, is associated with increased depression risk. However, the physiological mechanisms underlying the relationship requires elucidation. Diet can alter tryptophan metabolism along the kynurenine pathway (KP), potentially linking inflammation and depression. This study aimed to examine whether urinary inflammatory markers and KP metabolites differed according to WS-diet consumption and depression severity. Depression symptoms and habitual WS-diet consumption were assessed in 169 healthy adults aged 17–35 recruited from two experimental studies. Targeted metabolomics profiling of seven KP metabolites, ELISA-based assays of interleukin-6 (IL-6) and C-reactive protein (CRP) were performed using urine samples collected from the participants. Parametric tests were performed for group comparison and associations analysis. Multilevel mixed-effect modelling was applied to control for biases. Higher intake of WS-diet was associated with lower levels of neuroprotective kynurenic acid (KA; R = −0.17, p = 0.0236). There were no differences in IL-6 or CRP across diet groups (p > 0.05). Physical activity had negative associations with most KP metabolites. Mixed-effects regression analysis showed the glutamatergic inhibitor, KA, was the only biomarker to have a significant association with depression symptoms in a model adjusted for demographic and lifestyle variables: a unit increase in KA was associated with 0.21 unit decrease in Depression Anxiety and Stress Scale-21 depression score (p = 0.009). These findings suggest that urinary KA is associated with both habitual WS-diet intake, and levels of depression symptoms, independent of inflammation. Findings support the role of neuroprotection and glutamatergic modulation in depression. We propose that KA may act as endogenous glutamatergic inhibition in regulating depression severity in the absence of inflammation. Further comparison with blood-based markers will assist in validating the utility of non-invasive urine samples for measuring KP metabolites.
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Affiliation(s)
- Heather M. Francis
- Department of Psychology, Faculty of Medicine, Health and Human Sciences, Macquarie University, North Ryde, NSW, Australia,Department of Neurology, Royal North Shore Hospital, Sydney, NSW, Australia,*Correspondence: Heather M. Francis,
| | - Richard J. Stevenson
- Department of Psychology, Faculty of Medicine, Health and Human Sciences, Macquarie University, North Ryde, NSW, Australia
| | - Lorraine S. Y. Tan
- Department of Psychology, Faculty of Medicine, Health and Human Sciences, Macquarie University, North Ryde, NSW, Australia
| | - Lauren Ehrenfeld
- Department of Psychology, Faculty of Medicine, Health and Human Sciences, Macquarie University, North Ryde, NSW, Australia
| | - Sooin Byeon
- Macquarie Medical School, Faculty of Medicine, Health and Human Sciences, Macquarie University, North Ryde, NSW, Australia
| | - Tuki Attuquayefio
- Department of Psychology, Faculty of Medicine, Health and Human Sciences, Macquarie University, North Ryde, NSW, Australia
| | - Dolly Gupta
- Department of Psychology, Faculty of Medicine, Health and Human Sciences, Macquarie University, North Ryde, NSW, Australia
| | - Chai K. Lim
- Macquarie Medical School, Faculty of Medicine, Health and Human Sciences, Macquarie University, North Ryde, NSW, Australia,Chai K. Lim,
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21
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Fang X, Davis X, Flack KD, Duncan C, Li F, White M, Grilo C, Small DM. Dietary adaptation for weight loss maintenance at Yale (DAWLY): Protocol and predictions for a randomized controlled trial. Front Nutr 2022; 9:940064. [PMID: 35967820 PMCID: PMC9369668 DOI: 10.3389/fnut.2022.940064] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2022] [Accepted: 07/08/2022] [Indexed: 11/13/2022] Open
Abstract
Background Current therapies for obesity treatment are effective at producing short-term weight loss, but weight loss maintenance remains a significant challenge. Here we investigate the impact of pre-intervention dietary fat intake on the efficacy of a dietary supplement to support weight loss maintenance. Preclinical work demonstrates that a vagal afferent pathway critical for sensing dietary lipids is blunted by a high-fat diet (HFD), resulting in a reduced preference for a low-fat emulsion and severe blunting of the dopamine (DA) response to the gastric infusion of lipids. Infusion of the gut lipid messenger oleoylethanolamide (OEA), which is also depleted by HFD, immediately reverses this DA blunting and restores preference for the low-fat emulsion. Studies of OEA supplementation for weight loss in humans have had limited success. Given the strong effect of HFD on this pathway, we designed a study to test whether the efficacy of OEA as a weight loss treatment is related to pre-intervention habitual intake of dietary fat. Methods/Design We employed a randomized, double-blind, placebo-controlled trial in which 100 adults with overweight/obesity (OW/OB) were randomized to receive either OEA or placebo daily for 16 months. Following a baseline evaluation of diet, metabolic health, adiposity, and brain response to a palatable an energy dense food, participants in both groups underwent a 4-month behavioral weight loss intervention (LEARN®) followed by a 1-year maintenance period. The study aims are to (1) determine if pre-intervention dietary fat intake moderates the ability of OEA to improve weight loss and weight loss maintenance after a gold standard behavioral weight loss treatment; (2) identify biomarkers that predict outcome and optimize a stratification strategy; and (3) test a model underlying OEA's effectiveness. Discussion Focusing on interventions that target the gut-brain axis is supported by mounting evidence for the role of gut-brain signaling in food choice and the modulation of this circuit by diet. If successful, this work will provide support for targeting the gut-brain pathway for weight loss maintenance using a precision medicine approach that is easy and inexpensive to implement. Clinical Trial Registration [www.ClinicalTrials.gov], identifier [NCT04614233].
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Affiliation(s)
- Xi Fang
- Modern Diet and Physiology Research Center, New Haven, CT, United States,Department of Psychiatry, Yale University School of Medicine, New Haven, CT, United States
| | - Xue Davis
- Modern Diet and Physiology Research Center, New Haven, CT, United States,Department of Psychiatry, Yale University School of Medicine, New Haven, CT, United States
| | - Kyle D. Flack
- Department of Dietetics and Human Nutrition, College of Agriculture, Foods, and Environment, University of Kentucky, Lexington, KY, United States
| | - Chavonn Duncan
- Modern Diet and Physiology Research Center, New Haven, CT, United States,Department of Psychiatry, Yale University School of Medicine, New Haven, CT, United States
| | - Fangyong Li
- Yale Center for Analytical Sciences, Yale School of Public Health, New Haven, CT, United States
| | - Marney White
- Department of Psychiatry, Yale University School of Medicine, New Haven, CT, United States,Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT, United States
| | - Carlos Grilo
- Department of Psychiatry, Yale University School of Medicine, New Haven, CT, United States
| | - Dana M. Small
- Modern Diet and Physiology Research Center, New Haven, CT, United States,Department of Psychiatry, Yale University School of Medicine, New Haven, CT, United States,*Correspondence: Dana M. Small,
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22
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Exploring Mindfulness and Mindful Eating and Visual Attention Towards Food Cues: Preliminary Findings. JOURNAL OF COGNITIVE ENHANCEMENT 2022. [DOI: 10.1007/s41465-022-00246-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
AbstractContinual exposure to energy dense foods is suggested to promote overeating and obesity. The aim of the present research was to explore whether or not mindfulness could reduce visual attention towards food cues. In two laboratory studies, participants with a normal weight range completed an eye-tracking paradigm, and their eye-movements were recorded. In study 1, participants were exposed to either mindfulness meditation or a control condition, and their eye-movements towards low energy density (LED) vs high energy density (HED) food cues were measured. In study 2, participants were assigned to a mindful eating condition using a Mindful Construal Diary (MCD) or a control condition, and their eye-movements towards LED or HED food vs. non-food cues were recorded. In study 1, participants in the mindfulness meditation condition had greater attention duration towards LED food cues, whilst those in the control condition exhibited greater attention duration towards HED food cues. In study 2, there were no significant differences in the maintenance of attentional biases towards food cues between the two conditions. Mindfulness meditation may be beneficial in increasing attention towards LED food cues. Future research should further explore the effect of mindfulness and mindful eating on visual attention towards food cues with people who suffer from excess weight or have obesity, and also within naturalistic settings.
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23
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Grant JE, Valle S, Chamberlain SR. Nutrition in Skin Picking Disorder and Trichotillomania. Front Psychiatry 2021; 12:761321. [PMID: 34887788 PMCID: PMC8650212 DOI: 10.3389/fpsyt.2021.761321] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/19/2021] [Accepted: 10/29/2021] [Indexed: 12/15/2022] Open
Abstract
Objective: Excessive calorie intake constitutes a global public health concern, due to its associated range of untoward outcomes. Impulsivity and compulsivity have been linked to dietary intake. However, nothing is known about dietary intake and body-focused repetitive behaviors, despite their classification as obsessive-compulsive related conditions, and high co-morbidity with impulsive and compulsive conditions. Methods: One hundred and ninety six adults with trichotillomania or skin picking disorder were recruited. Dietary intake over the preceding year was quantified using the Dietary Fat and Free Sugar Short questionnaire. Relationships between dietary fat/sugar intake and behaviors were evaluated using regression modeling. Results: Sugar intake was significantly related to higher trans-diagnostic compulsivity (p = 0.011) and higher non-planning impulsivity (p = 0.013) In terms of saturated fat intake, there was no significant relationship to the explanatory variables. A combination high fat/high sugar diet was significantly associated with higher motor impulsivity (p = 0.005). Conclusions: Past-year nutrition appears to be significantly associated with trans-diagnostic impulsivity and compulsivity. The role of poor nutrition in these disorders and related conditions, and its link with impulsivity and compulsivity, requires longitudinal research attention; and clinical work should address not only psychiatric symptoms but also impact of lifestyle of overall health.
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Affiliation(s)
- Jon E. Grant
- Department of Psychiatry and Behavioral Neuroscience, University of Chicago, Chicago, IL, United States
| | - Stephanie Valle
- Department of Psychiatry and Behavioral Neuroscience, University of Chicago, Chicago, IL, United States
| | - Samuel R. Chamberlain
- Department of Psychiatry, Faculty of Medicine, University of Southampton, Southampton, United Kingdom
- Southern Health NHS Foundation Trust, Southampton, United Kingdom
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Taylor ZB, Stevenson RJ, Ehrenfeld L, Francis HM. The impact of saturated fat, added sugar and their combination on human hippocampal integrity and function: A systematic review and meta-analysis. Neurosci Biobehav Rev 2021; 130:91-106. [PMID: 34400179 DOI: 10.1016/j.neubiorev.2021.08.008] [Citation(s) in RCA: 24] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2021] [Revised: 07/29/2021] [Accepted: 08/09/2021] [Indexed: 01/18/2023]
Abstract
Paralleling animal research, there is emerging evidence that a Western-style (WS) diet - high in saturated fat and added sugar - impairs human hippocampal functioning. However, the conditions under which this occurs are not fully understood and there have been published failures to detect such effects. To date, there has been no systematic review or meta-analysis of relevant human studies. We undertook a systematic database search and review. Twenty studies were identified, two experimental, with the remainder correlational. The latter were included in a meta-analyses on the impact of WS-diet and its macronutrient components on human hippocampal function. Effects of age and sex were also examined. A WS-diet adversely impacted human hippocampal volume and functioning, with a small-pooled effect size. No effects were found for individual macronutrients. There was a high-level of study heterogeneity, which was not fully explained by study/sample characteristics. This may arise via the wide range of assessment tools used to measure both dietary intake and hippocampal functioning. Overall, a WS-diet clearly impacts human hippocampal functioning as in animals.
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Affiliation(s)
- Zoe B Taylor
- Department of Psychology, Macquarie University, Sydney, NSW, 2109, Australia
| | - Richard J Stevenson
- Department of Psychology, Macquarie University, Sydney, NSW, 2109, Australia.
| | - Lauren Ehrenfeld
- Department of Psychology, Macquarie University, Sydney, NSW, 2109, Australia
| | - Heather M Francis
- Department of Psychology, Macquarie University, Sydney, NSW, 2109, Australia
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25
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Bramorska A, Zarzycka W, Podolecka W, Kuc K, Brzezicka A. Age-Related Cognitive Decline May Be Moderated by Frequency of Specific Food Products Consumption. Nutrients 2021; 13:2504. [PMID: 34444664 PMCID: PMC8399560 DOI: 10.3390/nu13082504] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2021] [Revised: 07/18/2021] [Accepted: 07/18/2021] [Indexed: 02/06/2023] Open
Abstract
Our study aimed to evaluate whether the type of food products and the frequency of their consumption are associated with cognitive functioning in younger and older adults. The impact of diets that are high in added sugars and saturated fat on cognitive functioning, especially on memory, was at the center of our interest. Participants in the study were 204 healthy adults (aged 20-55) who performed a multitasking cognitive test and completed dietary and psychological questionnaires. Stepwise regression analysis with age and food consumption patterns as predictors, and the cognitive task performance as a dependent variable, revealed that cognitive task performance worsened with age. However, we found that the frequency of consuming different types of foods (healthy versus unhealthy dietary patterns) moderates the effects of age on cognitive functioning. Red meat and animal fat consumption were negatively correlated with cognitive performance, and this relation was dependent on the age of our participants. Conversely, white meat and fish consumption were positively related to memory. Different indices of dietary patterns (both positive and negative) were stronger predictors of cognitive performance in the older adult group. We interpret our results as evidence that diet may be a protective (or worsening) factor in age-related cognitive decline.
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Affiliation(s)
- Aleksandra Bramorska
- SWPS Institute of Psychology, University of Social Sciences and Humanities, 03-815 Warsaw, Poland; (W.Z.); (W.P.); (K.K.); (A.B.)
- Faculty of Information Technology, Polish-Japanese Academy of Information Technology, 02-008 Warsaw, Poland
| | - Wanda Zarzycka
- SWPS Institute of Psychology, University of Social Sciences and Humanities, 03-815 Warsaw, Poland; (W.Z.); (W.P.); (K.K.); (A.B.)
| | - Wiktoria Podolecka
- SWPS Institute of Psychology, University of Social Sciences and Humanities, 03-815 Warsaw, Poland; (W.Z.); (W.P.); (K.K.); (A.B.)
| | - Katarzyna Kuc
- SWPS Institute of Psychology, University of Social Sciences and Humanities, 03-815 Warsaw, Poland; (W.Z.); (W.P.); (K.K.); (A.B.)
| | - Aneta Brzezicka
- SWPS Institute of Psychology, University of Social Sciences and Humanities, 03-815 Warsaw, Poland; (W.Z.); (W.P.); (K.K.); (A.B.)
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26
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Shah RV, Grennan G, Zafar-Khan M, Alim F, Dey S, Ramanathan D, Mishra J. Personalized machine learning of depressed mood using wearables. Transl Psychiatry 2021; 11:338. [PMID: 34103481 PMCID: PMC8187630 DOI: 10.1038/s41398-021-01445-0] [Citation(s) in RCA: 28] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/17/2021] [Revised: 05/04/2021] [Accepted: 05/13/2021] [Indexed: 02/05/2023] Open
Abstract
Depression is a multifaceted illness with large interindividual variability in clinical response to treatment. In the era of digital medicine and precision therapeutics, new personalized treatment approaches are warranted for depression. Here, we use a combination of longitudinal ecological momentary assessments of depression, neurocognitive sampling synchronized with electroencephalography, and lifestyle data from wearables to generate individualized predictions of depressed mood over a 1-month time period. This study, thus, develops a systematic pipeline for N-of-1 personalized modeling of depression using multiple modalities of data. In the models, we integrate seven types of supervised machine learning (ML) approaches for each individual, including ensemble learning and regression-based methods. All models were verified using fourfold nested cross-validation. The best-fit as benchmarked by the lowest mean absolute percentage error, was obtained by a different type of ML model for each individual, demonstrating that there is no one-size-fits-all strategy. The voting regressor, which is a composite strategy across ML models, was best performing on-average across subjects. However, the individually selected best-fit models still showed significantly less error than the voting regressor performance across subjects. For each individual's best-fit personalized model, we further extracted top-feature predictors using Shapley statistics. Shapley values revealed distinct feature determinants of depression over time for each person ranging from co-morbid anxiety, to physical exercise, diet, momentary stress and breathing performance, sleep times, and neurocognition. In future, these personalized features can serve as targets for a personalized ML-guided, multimodal treatment strategy for depression.
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Affiliation(s)
- Rutvik V Shah
- Department of Psychiatry, University of California, San Diego, CA, USA
- Neural Engineering and Translation Labs, University of California, San Diego, CA, USA
| | - Gillian Grennan
- Department of Psychiatry, University of California, San Diego, CA, USA
- Neural Engineering and Translation Labs, University of California, San Diego, CA, USA
| | - Mariam Zafar-Khan
- Department of Psychiatry, University of California, San Diego, CA, USA
- Neural Engineering and Translation Labs, University of California, San Diego, CA, USA
| | - Fahad Alim
- Department of Psychiatry, University of California, San Diego, CA, USA
- Neural Engineering and Translation Labs, University of California, San Diego, CA, USA
| | - Sujit Dey
- Mobile Systems Design Lab, Dept. of Electrical and Computer Engineering, University of California, San Diego, CA, USA
| | - Dhakshin Ramanathan
- Department of Psychiatry, University of California, San Diego, CA, USA
- Neural Engineering and Translation Labs, University of California, San Diego, CA, USA
- Department of Mental Health, VA San Diego Medical Center, San Diego, CA, USA
| | - Jyoti Mishra
- Department of Psychiatry, University of California, San Diego, CA, USA.
- Neural Engineering and Translation Labs, University of California, San Diego, CA, USA.
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27
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Fat and Carbohydrate Interact to Potentiate Food Reward in Healthy Weight but Not in Overweight or Obesity. Nutrients 2021; 13:nu13041203. [PMID: 33917347 PMCID: PMC8067354 DOI: 10.3390/nu13041203] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2021] [Revised: 03/31/2021] [Accepted: 04/02/2021] [Indexed: 01/30/2023] Open
Abstract
Prior work suggests that actual, but not estimated, energy density drives the reinforcing value of food and that energy from fat and carbohydrate can interact to potentiate reward. Here we sought to replicate these findings in an American sample and to determine if the effects are influenced by body mass index (BMI). Thirty participants with healthy weight (HW; BMI 21.92 ± 1.77; M ± SD) and 30 participants with overweight/obesity (OW/OB; BMI 29.42 ± 4.44) rated pictures of common American snacks in 120-kcal portions for liking, familiarity, frequency of consumption, expected satiety, healthiness, energy content, energy density, and price. Participants then completed an auction task where they bid for the opportunity to consume each food. Snacks contained either primarily carbohydrate, primarily fat, or roughly equal portions of fat and carbohydrate (combo). Replicating prior work, we found that participants with HW bid the most for combo foods in linear mixed model analyses. This effect was not observed among individuals with OW/OB. Additionally, in contrast with previous reports, our linear regression analyses revealed a negative relationship between the actual energy density of the snacks and bid amount that was mediated by food price. Our findings support altered macronutrient reinforcement in obesity and highlight potential influences of the food environment on the regulation of food reward.
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Hartmann H, Pauli LK, Janssen LK, Huhn S, Ceglarek U, Horstmann A. Preliminary evidence for an association between intake of high-fat high-sugar diet, variations in peripheral dopamine precursor availability and dopamine-dependent cognition in humans. J Neuroendocrinol 2020; 32:e12917. [PMID: 33270945 DOI: 10.1111/jne.12917] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/12/2019] [Revised: 09/30/2020] [Accepted: 10/30/2020] [Indexed: 12/16/2022]
Abstract
Obesity is associated with alterations in dopaminergic transmission and cognitive function. Rodent studies suggest that diets rich in saturated fat and refined sugars (HFS), as opposed to diets diets low in saturated fat and refined sugars (LFS), change the dopamine system independent of excessive body weight. However, the impact of HFS on the human brain has not been investigated. Here, we compared the effect of dietary dopamine depletion on dopamine-dependent cognitive task performance between two groups differing in habitual intake of dietary fat and sugar. Specifically, we used a double-blind within-subject cross-over design to compare the effect of acute phenylalanine/tyrosine depletion on a reinforcement learning and a working memory task, in two groups that are on opposite ends of the spectrum of self-reported HFS intake (low vs high intake: LFS vs HFS group). We tested 31 healthy young women matched for body mass index (mostly normal weight to overweight) and IQ. Depletion of peripheral precursors of dopamine reduced the working memory specific performance on the operation span task in the LFS, but not in the HFS group (P = 0.016). Learning from positive- and negative-reinforcement (probabilistic selection task) was increased in both diet groups after dopamine depletion (P = 0.049). As a secondary exploratory research question, we measured peripheral dopamine precursor availability (pDAP) at baseline as an estimate for central dopamine levels. The HFS group had a significantly higher pDAP at baseline compared to the LFS group (P = 0.025). Our data provide the first evidence indicating that the intake of HFS is associated with changes in dopamine precursor availability, which is suggestive of changes in central dopamine levels in humans. The observed associations are present in a sample of normal to overweight participants (ie, in the absence of obesity), suggesting that the consumption of a HFS might already be associated with altered behaviours. Alternatively, the effects of HFS diet and obesity might be independent.
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Affiliation(s)
- Hendrik Hartmann
- Collaborative Research Centre 1052 'Obesity Mechanisms', Leipzig University Medical Center, Leipzig, Germany
- Department of Neurology, MaxPlanck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany
| | - Larissa K Pauli
- Department of Neurology, MaxPlanck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany
- Integrated Research and Treatment Center AdiposityDiseases, Leipzig University Medical Center, Leipzig, Germany
| | - Lieneke K Janssen
- Department of Neurology, MaxPlanck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany
- Integrated Research and Treatment Center AdiposityDiseases, Leipzig University Medical Center, Leipzig, Germany
| | - Sebastian Huhn
- Department of Neurology, MaxPlanck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany
- Department of Molecular Systems Biology, Helmholtz Centre for Environmental Research - UFZ, Leipzig, Germany
| | - Uta Ceglarek
- Institute for Laboratory Medicine, Clinical Chemistry and Molecular Diagnostics, University Hospital Leipzig, Leipzig, Germany
| | - Annette Horstmann
- Collaborative Research Centre 1052 'Obesity Mechanisms', Leipzig University Medical Center, Leipzig, Germany
- Department of Neurology, MaxPlanck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany
- Integrated Research and Treatment Center AdiposityDiseases, Leipzig University Medical Center, Leipzig, Germany
- Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Helsinki, Finland
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29
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Fromm S, Perszyk EE, Kanyamibwa A, Wall KM, Hutelin Z, Trinh J, Davis XS, Green BG, Flack KD, DiFeliceantonio A, Small DM. Development of MacroPics: A novel food picture set to dissociate the effects of carbohydrate and fat on eating behaviors. Appetite 2020; 159:105051. [PMID: 33242580 DOI: 10.1016/j.appet.2020.105051] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2020] [Accepted: 11/12/2020] [Indexed: 10/22/2022]
Abstract
Emerging evidence suggests that fat and carbohydrate interact to potentiate the reward value of food (DiFeliceantonio et al., 2018). The primary goal of the current study was to develop a novel picture set to facilitate research into the effects of macronutrient composition on food choice and eating behavior. Toward this aim, we developed "MacroPics." In Experiment 1, we photographed 120-kcal portions of 60 snack foods falling into one of the three macronutrient categories: (1) mostly carbohydrate, (2) mostly fat, or (3) a combination of fat and carbohydrate. Sixty-one participants rated the images for liking, familiarity, frequency of consumption, healthiness, estimated energy content (in kcal), and expected satiation. A subset of these images consisting of 36 items was then selected in an iterative process to minimize differences in ratings between the macronutrient categories while simultaneously ensuring similar within-category variability on a number of food characteristics (e.g., energy density, portion size, retail price) and visual properties (e.g., color, complexity, visual area). In Experiment 2, an independent sample of 67 participants rated the pictures of the final 36-item MacroPics. Both experiments reveal similar participant ratings across categories for item liking, familiarity, frequency, healthiness, and estimated energy content. Protein content was higher in the fat compared to the carbohydrate and combination categories, leading to higher ratings of estimated satiety and energy density for fatty foods. Item and macronutrient category characteristics of the final MacroPics set are reported.
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Affiliation(s)
- Sophie Fromm
- Modern Diet and Physiology Research Center, New Haven, CT, USA; Yale University School of Medicine, Department of Psychiatry, New Haven, CT, USA
| | - Emily E Perszyk
- Modern Diet and Physiology Research Center, New Haven, CT, USA; Yale University School of Medicine, Department of Psychiatry, New Haven, CT, USA
| | - Arsene Kanyamibwa
- Modern Diet and Physiology Research Center, New Haven, CT, USA; Yale University School of Medicine, Department of Psychiatry, New Haven, CT, USA
| | - Kathryn M Wall
- Modern Diet and Physiology Research Center, New Haven, CT, USA; Yale University School of Medicine, Department of Psychiatry, New Haven, CT, USA
| | - Zach Hutelin
- Modern Diet and Physiology Research Center, New Haven, CT, USA; Yale University School of Medicine, Department of Psychiatry, New Haven, CT, USA
| | - Jessica Trinh
- Modern Diet and Physiology Research Center, New Haven, CT, USA
| | - Xue S Davis
- Modern Diet and Physiology Research Center, New Haven, CT, USA; Yale University School of Medicine, Department of Psychiatry, New Haven, CT, USA
| | - Barry G Green
- Yale University School of Medicine, Department of Surgery, New Haven, CT, USA; The John B. Pierce Laboratory, New Haven, CT, USA
| | - Kyle D Flack
- University of Kentucky, College of Agriculture, Food, and Environment, Department of Dietetics and Human Nutrition, Lexington, KY, USA
| | - Alexandra DiFeliceantonio
- Virginia Tech, College of Agriculture and Life Sciences, Department of Human Nutrition, Foods and Exercise, VA, USA; Center for Transformative Research on Health Behaviors, Fralin Biomedical Research Institute at Virginia Tech, Roanoke, VA, USA
| | - Dana M Small
- Modern Diet and Physiology Research Center, New Haven, CT, USA; Yale University, Department of Psychology, New Haven, CT, USA; Yale University School of Medicine, Department of Psychiatry, New Haven, CT, USA.
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30
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The Aetiology of Olfactory Dysfunction and Its Relationship to Diet Quality. Brain Sci 2020; 10:brainsci10110769. [PMID: 33114032 PMCID: PMC7690664 DOI: 10.3390/brainsci10110769] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2020] [Revised: 10/19/2020] [Accepted: 10/20/2020] [Indexed: 11/25/2022] Open
Abstract
People with olfactory loss may choose foods rich in sugar, salt and fat to compensate their loss—foods that constitute a Western-style diet (WSD). However, olfactory dysfunction has not been consistently linked to any particular type of dietary change. Here we considered whether the aetiology of olfactory dysfunction may affect consumption of a WSD. Two-hundred and twenty-two people with olfactory dysfunction of varying cause, were tested for chemosensory performance and their frequency of consumption of a WSD. There was no evidence of a link between a WSD and olfactory dysfunction at the aggregate level, but an aetiology-based approach revealed various patterns, showing both positive and negative associations between olfactory performance and consumption of a WSD. We suggest a number of reasons why, in certain cases, greater olfactory dysfunction may be linked to lower intakes of a WSD, and the role that different aetiologies may have in affecting choices for foods that may appeal following olfactory impairment.
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31
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Wall KM, Farruggia MC, Perszyk EE, Kanyamibwa A, Fromm S, Davis XS, Dalenberg JR, DiFeliceantonio AG, Small DM. No evidence for an association between obesity and milkshake liking. Int J Obes (Lond) 2020; 44:1668-1677. [PMID: 32398755 PMCID: PMC7387147 DOI: 10.1038/s41366-020-0583-x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/08/2019] [Revised: 03/18/2020] [Accepted: 04/29/2020] [Indexed: 11/09/2022]
Abstract
BACKGROUND Prevailing models of obesity posit that hedonic signals override homeostatic mechanisms to promote overeating in today's food environment. What researchers mean by "hedonic" varies considerably, but most frequently refers to an aggregate of appetitive events including incentive salience, motivation, reinforcement, and perceived pleasantness. Here we define hedonic as orosensory pleasure experienced during eating and set out to test whether there is a relationship between adiposity and the perceived pleasure of a palatable and energy-dense milkshake. METHODS The perceived liking, wanting, and intensity of two palatable and energy-dense milkshakes were assessed using the Labeled Hedonic Scale (1), visual analog scale (VAS), and Generalized Labeled Magnitude Scale (2) in 110 individuals ranging in body mass index (BMI) from 19.3 to 52.1 kg/m2. Waist circumference, waist-hip ratio, and percent body fat were also measured. Importantly, unlike the majority of prior studies, we attempted to standardize internal state by instructing participants to arrive to the laboratory neither hungry nor full and at least 1-h fasted. Data were analyzed with general linear and linear mixed effects models (GLMs). Hunger ratings were also examined prior to hedonic measurement and included as covariates in our analyses. RESULTS We identified a significant association between ratings of hunger and milkshake liking and wanting. By contrast, we found no evidence for a relationship between any measure of adiposity and ratings of milkshake liking, wanting, or intensity. CONCLUSIONS We conclude that adiposity is not associated with the pleasure experienced during consumption of our energy-dense and palatable milkshakes. Our results provide further evidence against the hypothesis that heightened hedonic signals drive weight gain.
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Affiliation(s)
- Kathryn M Wall
- Department of Psychiatry, Yale University School of Medicine, 300 George Street, New Haven, CT, 06511, USA.,Modern Diet and Physiology Research Center, New Haven, CT, 06519, USA
| | - Michael C Farruggia
- Department of Psychiatry, Yale University School of Medicine, 300 George Street, New Haven, CT, 06511, USA.,Modern Diet and Physiology Research Center, New Haven, CT, 06519, USA.,Interdepartmental Neuroscience Program, Yale University, 333 Cedar Street, New Haven, CT, USA
| | - Emily E Perszyk
- Department of Psychiatry, Yale University School of Medicine, 300 George Street, New Haven, CT, 06511, USA.,Modern Diet and Physiology Research Center, New Haven, CT, 06519, USA.,Interdepartmental Neuroscience Program, Yale University, 333 Cedar Street, New Haven, CT, USA
| | - Arsene Kanyamibwa
- Department of Psychiatry, Yale University School of Medicine, 300 George Street, New Haven, CT, 06511, USA.,Modern Diet and Physiology Research Center, New Haven, CT, 06519, USA
| | - Sophie Fromm
- Department of Psychiatry, Yale University School of Medicine, 300 George Street, New Haven, CT, 06511, USA.,Modern Diet and Physiology Research Center, New Haven, CT, 06519, USA
| | - Xue S Davis
- Department of Psychiatry, Yale University School of Medicine, 300 George Street, New Haven, CT, 06511, USA.,Modern Diet and Physiology Research Center, New Haven, CT, 06519, USA
| | - Jelle R Dalenberg
- Department of Psychiatry, Yale University School of Medicine, 300 George Street, New Haven, CT, 06511, USA.,Modern Diet and Physiology Research Center, New Haven, CT, 06519, USA
| | - Alexandra G DiFeliceantonio
- Department of Psychiatry, Yale University School of Medicine, 300 George Street, New Haven, CT, 06511, USA.,Modern Diet and Physiology Research Center, New Haven, CT, 06519, USA
| | - Dana M Small
- Department of Psychiatry, Yale University School of Medicine, 300 George Street, New Haven, CT, 06511, USA. .,Modern Diet and Physiology Research Center, New Haven, CT, 06519, USA. .,Interdepartmental Neuroscience Program, Yale University, 333 Cedar Street, New Haven, CT, USA. .,Department of Psychology, Yale University, New Haven, CT, USA.
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32
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Fürtjes S, King JA, Goeke C, Seidel M, Goschke T, Horstmann A, Ehrlich S. Automatic and Controlled Processing: Implications for Eating Behavior. Nutrients 2020; 12:nu12041097. [PMID: 32326623 PMCID: PMC7230536 DOI: 10.3390/nu12041097] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2020] [Revised: 04/05/2020] [Accepted: 04/12/2020] [Indexed: 12/14/2022] Open
Abstract
It is a widely held view that humans have control over their food choices and consumption. However, research also suggests that eating behavior is often triggered by contextual cues and guided by automaticities and habits. Interestingly, the dichotomy between automatic and controlled processing has recently been challenged, suggesting that they may be intertwined. In a large female sample (n = 567), we investigated the hypothesis that task-based and self-reported measures of automatic and controlled processing would interact and impact self-reported eating behavior. Results analyzed via structural equation modeling suggest that automatic, but not controlled processing, during a modified flanker task, including a context-specific proportion congruent (CSPC) manipulation, was inversely associated with self-reported self-control. The influence of self-control on unhealthy eating behavior (i.e., uncontrolled and emotional eating, heightened consumption of fat and sugar) was only indirect via habitual behavior, which itself had a strong direct impact. Unhealthy eating was further associated with real-life outcomes (e.g., body mass index (BMI)). Our findings suggest that eating behavior may indeed be guided primarily by automaticities and habits, whereas self-control might facilitate this association. Having self-control over eating might therefore be most effective by avoiding contextual cues eliciting undesired automatic behavior and establishing habits that serve long-term goals.
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Affiliation(s)
- Sophia Fürtjes
- Division of Psychological and Social Medicine and Developmental Neuroscience, Faculty of Medicine, Technische Universität Dresden, 01069 Dresden, Germany; (S.F.); (J.A.K.); (M.S.)
| | - Joseph A. King
- Division of Psychological and Social Medicine and Developmental Neuroscience, Faculty of Medicine, Technische Universität Dresden, 01069 Dresden, Germany; (S.F.); (J.A.K.); (M.S.)
| | - Caspar Goeke
- Institute of Cognitive Science, University of Osnabrück, 49074 Osnabrück, Germany;
| | - Maria Seidel
- Division of Psychological and Social Medicine and Developmental Neuroscience, Faculty of Medicine, Technische Universität Dresden, 01069 Dresden, Germany; (S.F.); (J.A.K.); (M.S.)
| | - Thomas Goschke
- Department of Psychology, Technische Universität Dresden, 01069 Dresden, Germany;
| | - Annette Horstmann
- Department of Psychology, Faculty of Medicine, University of Helsinki, 00100 Helsinki, Finland;
- Leipzig University Medical Center, Universität Leipzig, 04109 Leipzig, Germany
| | - Stefan Ehrlich
- Division of Psychological and Social Medicine and Developmental Neuroscience, Faculty of Medicine, Technische Universität Dresden, 01069 Dresden, Germany; (S.F.); (J.A.K.); (M.S.)
- Correspondence:
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33
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Stevenson RJ, Francis HM, Attuquayefio T, Gupta D, Yeomans MR, Oaten MJ, Davidson T. Hippocampal-dependent appetitive control is impaired by experimental exposure to a Western-style diet. ROYAL SOCIETY OPEN SCIENCE 2020; 7:191338. [PMID: 32257311 PMCID: PMC7062097 DOI: 10.1098/rsos.191338] [Citation(s) in RCA: 43] [Impact Index Per Article: 10.8] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/02/2019] [Accepted: 01/09/2020] [Indexed: 05/05/2023]
Abstract
Animals fed a Western-style diet (WS-diet) demonstrate rapid impairments in hippocampal function and poorer appetitive control. We examined if this also occurs in humans. One-hundred and ten healthy lean adults were randomized to either a one-week WS-diet intervention or a habitual-diet control group. Measures of hippocampal-dependent learning and memory (HDLM) and of appetitive control were obtained pre- and post-intervention. HDLM was retested at three-week follow-up. Relative to controls, HDLM performance declined in the WS-diet group (d = 0.43), but was not different at follow-up. Appetitive control also declined in the WS-diet group (d = 0.47) and this was strongly correlated with HDLM decline (d = 1.01). These findings demonstrate that a WS-diet can rapidly impair appetitive control in humans-an effect that could promote overeating in consumers of a WS-diet. The study also suggests a functional role for the hippocampus in appetitive control and provides new evidence for the adverse neurocognitive effects of a WS-diet.
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Affiliation(s)
- Richard J. Stevenson
- Department of Psychology, Macquarie University, Sydney, New South Wales 2109, Australia
- Author for correspondence: Richard J. Stevenson e-mail:
| | - Heather M. Francis
- Department of Psychology, Macquarie University, Sydney, New South Wales 2109, Australia
| | | | - Dolly Gupta
- Department of Psychology, Macquarie University, Sydney, New South Wales 2109, Australia
| | | | - Megan J. Oaten
- School of Applied Psychology, Griffith University, Gold Coast, Australia
| | - Terry Davidson
- Center for Behavioral Neuroscience, American University, Washington, WA, USA
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Francis HM, Stevenson RJ, Chambers JR, Gupta D, Newey B, Lim CK. A brief diet intervention can reduce symptoms of depression in young adults - A randomised controlled trial. PLoS One 2019; 14:e0222768. [PMID: 31596866 PMCID: PMC6784975 DOI: 10.1371/journal.pone.0222768] [Citation(s) in RCA: 103] [Impact Index Per Article: 20.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2019] [Accepted: 09/01/2019] [Indexed: 01/06/2023] Open
Abstract
There is strong epidemiological evidence that poor diet is associated with depression. The reverse has also been shown, namely that eating a healthy diet rich in fruit, vegetables, fish and lean meat, is associated with reduced risk of depression. To date, only one randomised controlled trial (RCT) has been conducted with elevated depression symptoms being an inclusion criterion, with results showing that a diet intervention can reduce clinical levels of depression. No such RCTs have been performed in young adults. Young adults with elevated levels of depression symptoms and who habitually consume a poor diet were randomly allocated to a brief 3-week diet intervention (Diet Group) or a habitual diet control group (Control Group). The primary and secondary outcome measures assessed at baseline and after the intervention included symptoms of depression (Centre for Epidemiological Studies Depression Scale; CESD-R; and Depression Anxiety and Stress Scale- 21 depression subscale; DASS-21-D), current mood (Profile of Mood States), self-efficacy (New General Self-Efficacy Scale) and memory (Hopkins Verbal Learning Test). Diet compliance was measured via self-report questionnaires and spectrophotometry. One-hundred-and-one individuals were enrolled in the study and randomly assigned to the Diet Group or the Control Group. Upon completion of the study, there was complete data for 38 individuals in each group. There was good compliance with the diet intervention recommendations assessed using self-report and spectrophotometry. The Diet group had significantly lower self-reported depression symptoms than the Control Group on the CESD-R (p = 0.007, Cohen's d = 0.65) and DASS-21 depression subscale (p = 0.002, Cohen's d = 0.75) controlling for baseline scores on these scales. Reduced DASS-21 depression subscale scores were maintained on follow up phone call 3 months later (p = .009). These results are the first to show that young adults with elevated depression symptoms can engage in and adhere to a diet intervention, and that this can reduce symptoms of depression. The findings provide justification for future research into the duration of these benefits, the impacts of varying diet composition, and their biological basis.
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Affiliation(s)
| | | | - Jaime R. Chambers
- Sydney Integrative Medicine, Level 1, Sydney, NSW, Australia
- Cooper St Clinic, Sydney, NSW, Australia
| | - Dolly Gupta
- Psychology Department, Macquarie University, Sydney, NSW, Australia
| | - Brooklyn Newey
- Psychology Department, Macquarie University, Sydney, NSW, Australia
| | - Chai K. Lim
- Biomedical Sciences, Macquarie University, Sydney, NSW, Australia
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Fromm SP, Horstmann A. Psychometric Evaluation of the German Version of the Dietary Fat and Free Sugar-Short Questionnaire. Obes Facts 2019; 12:518-528. [PMID: 31553993 PMCID: PMC6876588 DOI: 10.1159/000501969] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/01/2018] [Accepted: 07/08/2019] [Indexed: 12/26/2022] Open
Abstract
BACKGROUND The Dietary Fat and Free Sugar-Short Questionnaire (DFS) is a cost- and time-efficient self-report screening instrument to estimate dietary intake of saturated fat and free sugar. To date, only the English version has been psychometrically evaluated. We assessed the psychometric characteristics of the German version of the DFS in individuals with normal weight, overweight, and obesity. METHOD Sixty-five adult participants completed a German translation of the DFS and a validated food frequency questionnaire (FFQ). We correlated participants' percentage of energy intake from saturated fat and free sugar from the FFQ with the DFS scores. To establish test-retest reliability, participants completed the DFS a second time. To investigate convergent validity, we correlated participants' DFS scores with self-reported eating behavior and sensitivity to reward. RESULTS DFS scores correlated with percentage of energy from free sugar (rs = 0.443) and saturated fatty acids (rs =0.258) but not with non-target nutrients. The correlation between DFS scores and percentage energy from free sugar was not moderated by body mass index (BMI), whereas the correlation with percentage energy from saturated fat slightly decreased with BMI. Intra-class correlation as an indicator of test-retest reliability was 0.801. DFS scores correlated significantly with restraint of eating behavior (rs = -0.380) and feelings of hunger (rs = 0.275). Correlations of the DFS score with disinhibited eating and sensitivity to rewards failed to be significant. CONCLUSION Our data indicate that the German version of the DFS might be a psychometrically sound self-report instrument to estimate saturated fat and free sugar intake of German adults.
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Affiliation(s)
- Sophie Pauline Fromm
- Department of Neurology, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany
- Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, The Netherlands
| | - Annette Horstmann
- Department of Neurology, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany,
- IFB AdiposityDiseases, Leipzig University, Leipzig, Germany,
- Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Helsinki, Finland,
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Mantzios M, Egan H, Hussain M, Keyte R, Bahia H. Mindfulness, self-compassion, and mindful eating in relation to fat and sugar consumption: an exploratory investigation. Eat Weight Disord 2018; 23:833-840. [PMID: 30066255 DOI: 10.1007/s40519-018-0548-4] [Citation(s) in RCA: 31] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/29/2017] [Accepted: 07/09/2018] [Indexed: 11/29/2022] Open
Abstract
While much research has focused on overeating when exploring constructs of mindfulness, mindful eating, and self-compassion, there is limited research on the specific relationship of these constructs with consumption of energy-dense foods that have a large impact on weight regulation. In a cross-sectional study, university students (n = 546) were recruited to explore the relationship between mindfulness, mindful eating, self-compassion, and fat and/or sugar consumption. Results indicated that all constructs were negatively related to fat and sugar consumption, but self-compassion did not do so in a univariate fashion. When investigating subscales, negative aspects such as isolation and over-identification show a significant positive relationship to fat and sugar consumption. Possible explanations and future directions are discussed further with an emphasis on the need for more empirical work. Level of Evidence: Level V, cross-sectional descriptive study.
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Affiliation(s)
- Michail Mantzios
- Department of Psychology, Faculty of Business, Law and Social Sciences, Birmingham City University, Room C307, The Curzon Building, 4 Cardigan St., Birmingham, B4 7BD, UK.
| | - Helen Egan
- Department of Psychology, Faculty of Business, Law and Social Sciences, Birmingham City University, Room C307, The Curzon Building, 4 Cardigan St., Birmingham, B4 7BD, UK
| | - Misba Hussain
- Department of Psychology, Faculty of Business, Law and Social Sciences, Birmingham City University, Room C307, The Curzon Building, 4 Cardigan St., Birmingham, B4 7BD, UK
| | - Rebecca Keyte
- Department of Psychology, Faculty of Business, Law and Social Sciences, Birmingham City University, Room C307, The Curzon Building, 4 Cardigan St., Birmingham, B4 7BD, UK
| | - Henna Bahia
- Department of Psychology, Faculty of Business, Law and Social Sciences, Birmingham City University, Room C307, The Curzon Building, 4 Cardigan St., Birmingham, B4 7BD, UK
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Investigation and Comparison of Nutritional Supplement Use, Knowledge, and Attitudes in Medical and Non-Medical Students in China. Nutrients 2018; 10:nu10111810. [PMID: 30463386 PMCID: PMC6267366 DOI: 10.3390/nu10111810] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2018] [Revised: 11/09/2018] [Accepted: 11/15/2018] [Indexed: 02/07/2023] Open
Abstract
The objective of this study is to investigate and compare the prevalence, knowledge, and attitudes of Chinese university students with respect to nutritional supplements. We conducted a cross-sectional study in several universities around China from January to December 2017, and enrolled a total of 8752 students. Of these, 4252 were medical students and 4500 were non-medical students. The use of nutritional supplements was reported by 58.9% in universities students, with a higher rate for medical students as compared to non-medical students. It was found 24.2% of participants had taken supplements in the past year. Medical students had a higher level of knowledge on nutritional supplements than non-medical students (p < 0.001). The most commonly used nutritional supplements were vitamin C, calcium, and vitamin B. Gender (p < 0.001), household income (p < 0.001), and health status (p < 0.001) were related to the nutritional supplement use after adjustment for related factors. In conclusion, in China, nutritional supplement use was found to be more common in medical students than those studying other disciplines, and was associated with sex, income, and health status. The attitude towards nutritional supplements by medical students was positive. Students’ knowledge levels about nutritional supplements need to be improved
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Grazing, motives to eat palatable foods, and fat and sugar consumption: an exploratory investigation. J Public Health (Oxf) 2018. [DOI: 10.1007/s10389-018-0944-2] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
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Chamberlain SR, A Redden S, Grant JE. Calorie Intake and Gambling: Is Fat and Sugar Consumption 'Impulsive'? J Gambl Stud 2018; 33:783-793. [PMID: 27766464 DOI: 10.1007/s10899-016-9647-1] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
Excessive calorie intake constitutes a global public health concern, due to its associated range of untoward outcomes. Gambling is commonplace and gambling disorder is now considered a behavioral addiction in DSM-5. The relationships between calorie intake, gambling, and other types of putatively addictive and impulsive behaviors have received virtually no research attention. Two-hundred twenty-five young adults who gamble were recruited from two Mid-Western university communities in the United States using media advertisements. Dietary intake over the preceding year was quantified using the Dietary Fat and Free Sugar Short questionnaire (DFS). Clinician rating scales, questionnaires, and cognitive tests germane to impulsivity were completed. Relationships between dietary fat/sugar intake and gambling behaviors, as well as other measures of psychopathology and cognition germane to addiction, were evaluated using correlational analyses controlling for multiple comparisons. Greater dietary fat and sugar intake were associated with lower educational levels and with male gender. Controlling for these variables, higher dietary fat and sugar intake were correlated significantly with worse gambling pathology and anxiety scores. Dietary sugar intake was also significantly associated with higher depressive scores, more alcohol intake, lower self-esteem, and with greater risk of having one or more mental disorders in general. Dietary intake did not correlate significantly with ADHD symptoms, presence of one or more impulse control disorders, Barratt impulsiveness, or cognitive functioning. These data suggest a particularly strong relationship between fat/sugar intake and symptoms of gambling pathology, but not most other forms of impulsivity and behavioral addiction (excepting alcohol intake). Providing education about healthy diet may be especially valuable in gamblers and in community settings where gambling advertisements feature prominently. Future work should explore the mediating mechanisms between calorie intake and gambling symptoms, such as whether this could be driven by environmental factors (e.g. advertising) or common dysfunction of brain reward pathways.
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Affiliation(s)
- Samuel R Chamberlain
- Department of Psychiatry, University of Cambridge, Cambridge, UK.,Cambridge and Peterborough NHS Foundation Trust (CPFT), Cambridge, UK
| | - Sarah A Redden
- Department of Psychiatry and Behavioral Neuroscience, Pritzker School of Medicine, University of Chicago, 5841 S. Maryland Avenue, MC 3077, Chicago, IL, 60637, USA
| | - Jon E Grant
- Department of Psychiatry and Behavioral Neuroscience, Pritzker School of Medicine, University of Chicago, 5841 S. Maryland Avenue, MC 3077, Chicago, IL, 60637, USA.
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Stevenson RJ, Francis HM, Oaten MJ, Schilt R. Hippocampal dependent neuropsychological tests and their relationship to measures of cardiac and self-report interoception. Brain Cogn 2018; 123:23-29. [PMID: 29505942 DOI: 10.1016/j.bandc.2018.02.008] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2017] [Revised: 02/15/2018] [Accepted: 02/22/2018] [Indexed: 12/17/2022]
Abstract
The hippocampus is involved in interoceptive processing (i.e., perceiving internal bodily states), with much of this evidence relating to hunger and fullness. Here we examine whether cardiac and self-report measures of interoception are related to two measures of hippocampal dependent learning and memory (HDLM) - the Rey Auditory Verbal Learning Test (RAVLT) and Logical Memory. Healthy adults completed a neuropsychological test battery including all of these measures, along with assessments of intelligence and executive function. Biographical, medical and psychological-related data that might confound detecting an HDLM-interoception relationship was also collected. Both measures of HDLM were associated with cardiac interoception after controlling for confounding variables. More accurate cardiac interoception was linked to better HDLM performance. On the self-report measure of interoception, better performance on the RAVLT was associated with better-reported attention regulation, consistent with the hippocampus's known role in mindfulness. Overall, these findings suggest hippocampal involvement in cardiac and self-report interoceptive capacity. The broader functional role of the hippocampus in interoception is discussed.
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Affiliation(s)
| | | | - Megan J Oaten
- School of Applied Psychology, Griffiths University, Gold Coast, Australia
| | - Rebecca Schilt
- Department of Psychology, Macquarie University, Sydney, Australia
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41
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Adherence to Diabetes Dietary Guidelines Assessed Using a Validated Questionnaire Predicts Glucose Control in Adults With Type 2 Diabetes. Can J Diabetes 2018. [DOI: 10.1016/j.jcjd.2017.04.006] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
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Francis HM, Stevenson RJ, Oaten MJ, Mahmut MK, Yeomans MR. The Immediate and Delayed Effects of TV: Impacts of Gender and Processed-Food Intake History. Front Psychol 2017; 8:1616. [PMID: 28979225 PMCID: PMC5611398 DOI: 10.3389/fpsyg.2017.01616] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2017] [Accepted: 09/04/2017] [Indexed: 12/11/2022] Open
Abstract
Eating while watching TV has generally been found to increase both immediate and delayed energy intake. Here we examine two factors – gender and habitual processed-food intake – that may moderate these effects. Participants [n = 153; 95 women, 58 men; Mage = 19.7 (SD = 2.9); MBMI = 22.4 (SD = 3.1)] ate an ad libitum snack either with or without TV, followed around 1 h later by lunch. There was an interaction between TV and gender for both meals. Women tended to consume more snack food in the TV condition, with men consuming more in the no-TV condition. Participants who habitually consumed more processed food also ate more snacks, independent of any other variable, including rated liking. At lunch, men who had earlier snacked with TV ate more than men who had snacked without TV, but this effect was not evident in women. On memory recall, all participants underestimated how much snack food they had eaten, and this was a function of how much they had actually consumed, with greater error only predicted by greater consumption. The results indicate that the effects of TV on eating can vary with gender and that processed-food history can predict snack food intake. While previous findings suggest memory of prior-intake may be impaired by eating while watching TV, the current results suggest this is not necessarily because of TV per se, but because people sometimes consume more food under such conditions.
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Affiliation(s)
- Heather M Francis
- Department of Psychology, Macquarie University, SydneyNSW, Australia
| | | | - Megan J Oaten
- School of Applied Psychology, Griffith University, Gold CoastQLD, Australia
| | - Mehmet K Mahmut
- Department of Psychology, Macquarie University, SydneyNSW, Australia
| | - Martin R Yeomans
- School of Psychology, University of SussexBrighton, United Kingdom
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43
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Adverse effects of consuming high fat–sugar diets on cognition: implications for understanding obesity. Proc Nutr Soc 2017; 76:455-465. [DOI: 10.1017/s0029665117000805] [Citation(s) in RCA: 54] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
There is increasing evidence for important roles of key cognitive processes, including attention, memory and learning, in the short-term decision making about eating. There is parallel evidence that people who are overweight or obese tend to perform worse on a variety of cognitive tasks. In this review, the evidence for these two ideas is summarised and then the idea that overconsumption of Western-style high-fat (HF)–high-sugar diets may underlie the association between obesity and poorer cognitive performance is explored. In particular, evidence in animals and human subjects that repeated consumption of HF or HF and sugar (HFS) diets leads to specific impairments in the functioning of the hippocampus, which underpin the consequent changes in cognition is summarised. These findings lead into the vicious cycle model (VCM), which suggests that these cognitive changes have knock-on negative effects for future appetite control, and evidence that altered hippocampal function is also associated with impaired appetite control is explored. The review concludes that there is consistent evidence in the animal literature and emerging evidence from human studies that supports this VCM. It is also noted, however, that to date studies lack the nutritional specificity needed to be able to translate these basic research findings into clear nutritional effects, and concludes that there is an urgent need for additional research to clarify the precise nature of the apparent effects of consuming HFS diets on cognition.
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44
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Attuquayefio T, Stevenson RJ, Oaten MJ, Francis HM. A four-day Western-style dietary intervention causes reductions in hippocampal-dependent learning and memory and interoceptive sensitivity. PLoS One 2017; 12:e0172645. [PMID: 28231304 PMCID: PMC5322971 DOI: 10.1371/journal.pone.0172645] [Citation(s) in RCA: 77] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2016] [Accepted: 02/07/2017] [Indexed: 12/19/2022] Open
Abstract
In animals, a Western style diet-high in saturated fat and added sugar-causes impairments in hippocampal-dependent learning and memory (HDLM) and perception of internal bodily state (interoception). In humans, while there is correlational support for a link between Western-style diet, HDLM, and interoception, there is as yet no causal data. Here, healthy individuals were randomly assigned to consume either a breakfast high in saturated fat and added sugar (Experimental condition) or a healthier breakfast (Control condition), over four consecutive days. Tests of HDLM, interoception and biological measures were administered before and after breakfast on the days one and four, and participants completed food diaries before and during the study. At the end of the study, the Experimental condition showed significant reductions in HDLM and reduced interoceptive sensitivity to hunger and fullness, relative to the Control condition. The Experimental condition also showed a markedly different blood glucose and triglyceride responses to their breakfast, relative to Controls, with larger changes in blood glucose across breakfast being associated with greater reductions in HDLM. The Experimental condition compensated for their energy-dense breakfast by reducing carbohydrate intake, while saturated fat intake remained consistently higher than Controls. This is the first experimental study in humans to demonstrate that a Western-style diet impacts HDLM following a relatively short exposure-just as in animals. The link between diet-induced HDLM changes and blood glucose suggests one pathway by which diet impacts HDLM in humans.
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Affiliation(s)
- Tuki Attuquayefio
- Department of Psychology, Macquarie University, Sydney, New South Wales, Australia
| | - Richard J. Stevenson
- Department of Psychology, Macquarie University, Sydney, New South Wales, Australia
- * E-mail:
| | - Megan J. Oaten
- School of Applied Psychology, Gold Coast, Griffiths University, Queensland, Australia
| | - Heather M. Francis
- Department of Psychology, Macquarie University, Sydney, New South Wales, Australia
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45
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Effect of high-fat diets on mood and learning performance in adolescent mice. Behav Brain Res 2016; 311:167-172. [DOI: 10.1016/j.bbr.2016.04.052] [Citation(s) in RCA: 35] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2016] [Revised: 04/21/2016] [Accepted: 04/25/2016] [Indexed: 01/05/2023]
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46
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Lumley J, Stevenson RJ, Oaten MJ, Mahmut M, Yeomans MR. Individual differences in impulsivity and their relationship to a Western-style diet. PERSONALITY AND INDIVIDUAL DIFFERENCES 2016. [DOI: 10.1016/j.paid.2016.03.055] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
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47
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Stevenson RJ, Boakes RA, Oaten MJ, Yeomans MR, Mahmut M, Francis HM. Chemosensory Abilities in Consumers of a Western-Style Diet. Chem Senses 2016; 41:505-13. [DOI: 10.1093/chemse/bjw053] [Citation(s) in RCA: 36] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022] Open
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48
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van Kooten MJ, Veldhuizen MG, de Araujo IE, O'Malley SS, Small DM. Fatty acid amide supplementation decreases impulsivity in young adult heavy drinkers. Physiol Behav 2015; 155:131-40. [PMID: 26656766 DOI: 10.1016/j.physbeh.2015.11.032] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2015] [Revised: 10/31/2015] [Accepted: 11/28/2015] [Indexed: 10/22/2022]
Abstract
Compromised dopamine signaling in the striatum has been associated with the expression of impulsive behaviors in addiction, obesity and alcoholism. In rodents, intragastric infusion of the fatty acid amide oleoylethanolamide increases striatal extracellular dopamine levels via vagal afferent signaling. Here we tested whether supplementation with PhosphoLean™, a dietary supplement that contains the precursor of the fatty acid amide oleoylethanolamide (N-oleyl-phosphatidylethanolamine), would reduce impulsive responding and alcohol use in heavy drinking young adults. Twenty-two individuals were assigned to a three-week supplementation regimen with PhosphoLean™ or placebo. Impulsivity was assessed with self-report questionnaires and behavioral tasks pre- and post-supplementation. Although self-report measures of impulsivity did not change, supplementation with PhosphoLean™, but not placebo, significantly reduced false alarm rate on a Go/No-Go task. In addition, an association was found between improved sensitivity on the Go/No-Go task and reduced alcohol intake. These findings provide preliminary evidence that promoting fatty acid derived gut-brain dopamine communication may have therapeutic potential for reducing impulsivity in heavy drinkers.
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Affiliation(s)
- Maria J van Kooten
- The John B Pierce Laboratory, 290 Congress Ave, New Haven, CT 06519, USA; Department of Psychiatry, Yale University School of Medicine, 300 George St, New Haven, CT 06511, USA; University of Groningen, Faculty of Medical Sciences, Antonius Deusinglaan 1, 9713 AV Groningen, The Netherlands
| | - Maria G Veldhuizen
- The John B Pierce Laboratory, 290 Congress Ave, New Haven, CT 06519, USA; Department of Psychiatry, Yale University School of Medicine, 300 George St, New Haven, CT 06511, USA
| | - Ivan E de Araujo
- The John B Pierce Laboratory, 290 Congress Ave, New Haven, CT 06519, USA; Department of Psychiatry, Yale University School of Medicine, 300 George St, New Haven, CT 06511, USA
| | - Stephanie S O'Malley
- Department of Psychiatry, Yale University School of Medicine, 300 George St, New Haven, CT 06511, USA
| | - Dana M Small
- The John B Pierce Laboratory, 290 Congress Ave, New Haven, CT 06519, USA; Department of Psychiatry, Yale University School of Medicine, 300 George St, New Haven, CT 06511, USA; University of Cologne, Albertus-Magnus-Platz, 09235 Köln, Germany.
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49
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The Reliability and Validity of the Perceived Dietary Adherence Questionnaire for People with Type 2 Diabetes. Nutrients 2015. [PMID: 26198247 PMCID: PMC4517008 DOI: 10.3390/nu7075231] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023] Open
Abstract
Nutrition therapy is essential for diabetes treatment, and assessment of dietary intake can be time consuming. The purpose of this study was to develop a reliable and valid instrument to measure diabetic patients’ adherence to Canadian diabetes nutrition recommendations. Specific information derived from three, repeated 24-h dietary recalls of 64 type 2 diabetic patients, aged 59.2 ± 9.7 years, was correlated with a total score and individual items of the Perceived Dietary Adherence Questionnaire (PDAQ). Test-retest reliability was completed by 27 type 2 diabetic patients, aged 62.8 ± 8.4 years. The correlation coefficients for PDAQ items versus 24-h recalls ranged from 0.46 to 0.11. The intra-class correlation (0.78) was acceptable, indicating good reliability. The results suggest that PDAQ is a valid and reliable measure of diabetes nutrition recommendations. Because it is quick to administer and score, it may be useful as a screening tool in research and as a clinical tool to monitor dietary adherence.
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50
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A systematic review of brief dietary questionnaires suitable for clinical use in the prevention and management of obesity, cardiovascular disease and type 2 diabetes. Eur J Clin Nutr 2015; 69:977-1003. [DOI: 10.1038/ejcn.2015.6] [Citation(s) in RCA: 38] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2014] [Revised: 12/04/2014] [Accepted: 01/05/2015] [Indexed: 11/08/2022]
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