Objective:We therefore investigated whether insulin modulates brain responses to food and nonfood pictures in a functional magnetic resonance imaging study.
Design and Patients:Nine healthy, normal-weight subjects underwent two functional magnetic resonance imaging measurements to compare the effects of insulin and placebo administration during a visual recognition task with food and nonfood pictures. Insulin was administered intranasally to raise insulin concentrations in the cerebrospinal fluid without altering systemic effects in the periphery. Metabolic parameters were continuously determined during the experiments.
Main Outcome Measure:We measured the changes in brain activity after intranasal insulin administration.Results: Food pictures were detected faster when compared to nonfood pictures in all conditions without any effect of placebo or insulin. After insulin application, functional magnetic resonance imaging measurements showed a significantly reduced activity in the presence of food pictures compared to placebo in the right and left fusiform gyrus, the right hippocampus, the right temporal superior cortex, and the right frontal middle cortex. The brain activation induced by nonfood pictures remained unaffected by insulin.
Conclusion:We demonstrate that intranasal insulin led to a reduction of activity in brain areas related to object processing and memory and may have an effect on brain activation with regard to the processing of food pictures. This effect might be part of a mechanism that terminates food intake in the postprandial state. (J Clin Endocrinol Metab 95: 748 -755, 2010) H uman eating behavior is controlled by homeostatic and hedonic mechanisms to regulate energy homeostasis and keep body weight constant (1, 2). Regulation of energy homeostasis involves metabolic/nutritional and hormonal feedback signals from the periphery to the brain like glucose, leptin, insulin, and gastrointestinal hormones (3-9). Although the homeostatic mechanisms limit food intake, decrease body weight, and are dependent on peripheral adiposity and availability of nutrients, hedonic mechanisms respond to the sensory input associated with