2020
DOI: 10.1073/pnas.2007918117
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Nucleus accumbens cytoarchitecture predicts weight gain in children

Abstract: The prevalence of obesity in children and adolescents worldwide has quadrupled since 1975 and is a key predictor of obesity later in life. Previous work has consistently observed relationships between macroscale measures of reward-related brain regions (e.g., the nucleus accumbens [NAcc]) and unhealthy eating behaviors and outcomes; however, the mechanisms underlying these associations remain unclear. Recent work has highlighted a potential role of neuroinflammation in the NAcc in animal models of diet-induced… Show more

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Cited by 56 publications
(86 citation statements)
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“…Accumbens, a structure associated with motivation and reward, and part of the dopamine motivation system 36 , showed the strongest positive associations. This is generally in line with prior studies documenting larger accumbens volume in children with increased genetic risk for obesity 37 , and in predominantly adult obesity across patients with major depressive disorders and healthy controls 11 , and increased accumbens cell density in obese children 38 , and supports the assumption of a critical role of brain mechanisms for reward and reinforcement learning for lifestyle and dietary choices and obesity.…”
Section: Discussionsupporting
confidence: 90%
“…Accumbens, a structure associated with motivation and reward, and part of the dopamine motivation system 36 , showed the strongest positive associations. This is generally in line with prior studies documenting larger accumbens volume in children with increased genetic risk for obesity 37 , and in predominantly adult obesity across patients with major depressive disorders and healthy controls 11 , and increased accumbens cell density in obese children 38 , and supports the assumption of a critical role of brain mechanisms for reward and reinforcement learning for lifestyle and dietary choices and obesity.…”
Section: Discussionsupporting
confidence: 90%
“…However, multicompartment diffusion MRI models such as DBSI are capable of providing more accurate data about specific tissue microstructural changes than traditional DTI (21,34). Using restriction spectrum imaging (RSI), Rapuano et al showed that NAcc cellular density (i.e., restricted isotropic component fraction) is higher in children with obesity, and NAcc microstructure is a significant predictor of weight gain after 1 year (16). The authors suggested that this finding could be related to increased glial cells (e.g., astrocytes, microglia), which is suggestive of local neuroinflammation.…”
Section: Discussionmentioning
confidence: 99%
“…Higher adipose tissue levels as indexed by waist circumference (WC), waist-to-hip ratio (WHR), body mass index (BMI), and increased subcutaneous (ASAT) and visceral (VAT) adipose tissue measures have all been associated with global brain volume decreases (Debette & Markus, 2010;Gunstad et al, 2005;Mulugeta et al, 2021;Ward et al, 2005). Moreover, regional findings have consistently shown negative associations between obesity and brain grey matter volume (Gurholt et al, 2020;Pannacciulli et al, 2006;Taki et al, 2008;Walther et al, 2010) and white matter microstructure, including reduced white matter tract coherence (Friedman et al, 2014;Willette & Kapogiannis, 2015), white matter integrity (Marks et al, 2011;Stanek et al, 2011;Xu et al, 2013), microstructural changes in childhood (Rapuano et al, 2020), and increased axonal and myelin damage (Mueller et al, 2011;Xu et al, 2013) based on diffusion MRI. White matter volumetric studies have revealed less consistent findings, reporting both positive (Walther et al, 2010), negative (Raji et al, 2010) and no (Gunstad et al, 2005) significant associations between brain white matter volume and adiposity.…”
Section: Introductionmentioning
confidence: 99%