Evidence map›Paper›PMID 18191425›Full record

ReviewPhysiology & behavior2008

De-stabilization of the positive vago-vagal reflex in bulimia nervosa.

Patricia L Faris, Randall D Hofbauer, Randall Daughters, Erin Vandenlangenberg, Laureen Iversen, Robert L Goodale, Robert Maxwell, Elke D Eckert, Boyd K Hartman

Open access · greenAbstract readReview
In one paragraph

Review in Physiology & behavior, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.8field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 37 citations in OpenAlex.

  1. Review
  2. Review
  3. Multi-method assessment of palatable food exposure in women with and without eating disorders.European eating disorders review : the journal of the Eating Disorders Association · 2020
    Article
  4. Article
  5. Vagal afferent controls of feeding: a possible role for gastrointestinal BDNF.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2013
    Review
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Review
  12. Cranial Nerves IX, X, XI, and XII.Psychiatry (Edgmont (Pa. : Township)) · 2010
    Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Patricia L FarisDepartment of Psychiatry, Division of Neuroscience Research, University of Minnesota Medical School, Minneapolis MN 55455, United States. faris001@umn.edu
Randall D Hofbauer
Randall Daughters
Erin Vandenlangenberg
Laureen Iversen
Robert L Goodale
Robert Maxwell
Elke D Eckert
Boyd K Hartman
University of Minnesota Medical Center · US

Funding

NOCICEPTION IN BULIMIA NERVOSAR01DK052291 · NIDDK · UNIVERSITY OF MINNESOTA TWIN CITIES · PI FARIS, PATRICIA L · 1996 to 2004
$1.3M
Implanted Vagus Nerve Stimulators for Severe BulimiaR03DK065167 · NIDDK · UNIVERSITY OF MINNESOTA TWIN CITIES · PI FARIS, PATRICIA L · 2003 to 2004
$277k
NIDDK NIH HHS R01 DK052291NIDDK NIH HHS R01 DK5229103NIDDK NIH HHS R03 DK065167
6 · The paper itself

Abstract

Bulimia nervosa is characterized by consuming large amounts of food over a defined period with a loss of control over the eating. This is followed by a compensatory behavior directed at eliminating the consumed calories, usually vomiting. Current treatments include antidepressants and/or behavioral therapies. Consensus exists that these treatments are not very effective and are associated with high relapse rates. We review evidence from literature and present original data to evaluate the hypothesis that bulimia involves alterations in vago-vagal function. Evidence in support of this include (1) laboratory studies consistently illustrate deficits in meal size, meal termination, and satiety in bulimia; (2) basic science studies indicate that meal size and satiation are under vagal influences; (3) anatomical, behavioral and physiological data suggest that achieving satiety and the initiation of emesis involve common neural substrates; (4) abnormal vagal and vago-vagal reflexive functions extend to non-eating activational stimuli; and (5) studies from our laboratory modulating vagal activation have shown significant effects on binge/vomit frequencies and suggest a return of normal satiation. We propose a model for the pathophysiology of bulimia based upon de-stabilization of a bi-stable positive vago-vagal feedback loop. This model is not meant to be complete, but rather to stimulate anatomical, psychobiological, and translational neuroscience experiments aimed at elucidating the pathophysiology of bulimia and developing novel treatment strategies.

Indexed as

Bulimia NervosaFeeding and Eating DisordersHumansReflexSynaptic TransmissionVagus Nerve

Identifiers

PMID18191425
PMCPMC2449820
OpenAlexW1980256423

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.