Evidence map›Paper›PMID 30450124›Full record

ArticleBioPsychoSocial medicine2018

Neural correlates of body comparison and weight estimation in weight-recovered anorexia nervosa: a functional magnetic resonance imaging study.

Naoki Kodama, Yoshiya Moriguchi, Aya Takeda, Motonari Maeda, Tetsuya Ando, Hiroe Kikuchi, Motoharu Gondo, Hiroaki Adachi, Gen Komaki

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BioPsychoSocial medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06152640 (A New Neuroregulatory Technology for the Therapy of AN Based on the Pathological Neural Network of ACC), which is not on this map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 19% 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.

NCT06152640 naunknown statusnot on this mapstarted 2024, after this paper: background citation

A New Neuroregulatory Technology for the Therapy of AN Based on the Pathological Neural Network of ACC: A Multicenter Randomized Controlled Study

TypeinterventionalSponsorShanghai Mental Health CenterRan2024 to 2026Enrolled80ConditionsFeeding and Eating DisordersArmsDeep transcranial magnetic stimulation, Sham deep transcranial magnetic stimulation, Basic treatment
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Recovery From Anorexia Nervosa: A Concept Analysis.Journal of advanced nursing · 2026
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  15. Observational
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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 7 institutions in 1 country.

Naoki Kodama1Division of Psychosomatic Medicine, Department of Neurology, University of Occupational and Environmental Health, Kitakyushu, 807-8555 Japan.ORCID 0000-0002-6701-8470
Yoshiya Moriguchi2Department of Psychophysiology, National Institute of Mental Health, National Center of Neurology and Psychiatry, Tokyo, 187-8553 Japan.
Aya TakedaNPO Corporation Nobinokai, Yokohama, 236-0014 Japan.
Motonari Maeda4College of Art and Design, Joshibi University of Art and Design, Sagamihara, 252-8538 Japan.
Tetsuya Ando5Department of Psychosomatic Research, National Institute of Mental Health, National Center of Neurology and Psychiatry, Tokyo, 187-8553 Japan.
Hiroe Kikuchi6Department of Psychosomatic Medicine, Center Hospital of the National Center for Global Health and Medicine, Tokyo, 162-8655 Japan.
Motoharu Gondo7Department of Psychosomatic Medicine, Graduate School of Medical Sciences, Kyushu University, Fukuoka, 812-8582 Japan.
Hiroaki Adachi8Department of Neurology, University of Occupational and Environmental Health, Kitakyushu, 807-8555 Japan.
Gen Komaki9School of Health Sciences Fukuoka, International University of Health and Welfare, Fukuoka, 831-8501 Japan.
National Center of Neurology and Psychiatry · JPUniversity of Occupational and Environmental Health Japan · JPFukuoka International University · JPJoshibi University of Art and Design · JPKishokai Medical Corporation · JPKyushu University · JPNational Center for Global Health and Medicine · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe neural mechanisms underlying body dissatisfaction and emotional problems evoked by social comparisons in patients with anorexia nervosa (AN) are currently unclear. Here, we elucidate patterns of brain activation among recovered patients with AN (recAN) during body comparison and weight estimation with functional magnetic resonance imaging (fMRI).

methodsWe used fMRI to examine 12 patients with recAN and 13 healthy controls while they performed body comparison and weight estimation tasks with images of underweight, healthy weight, and overweight female bodies. In the body comparison task, participants rated their anxiety levels while comparing their own body with the presented image. In the weight estimation task, participants estimated the weight of the body in the presented image. We used between-group region of interest (ROI) analyses of the blood oxygen level dependent (BOLD) signal to analyze differences in brain activation patterns between the groups. In addition, to investigate activation outside predetermined ROIs, we performed an exploratory whole-brain analysis to identify group differences.

resultsWe found that, compared to healthy controls, patients with recAN exhibited significantly greater activation in the pregenual anterior cingulate cortex (pgACC) when comparing their own bodies with images of underweight female bodies. In addition, we found that, compared with healthy controls, patients with recAN exhibited significantly smaller activation in the middle temporal gyrus corresponding to the extrastriate body area (EBA) when comparing their own bodies, irrespective of weight, during self-other comparisons of body shape.

conclusionsOur findings from a group of patients with recAN suggest that the pathology of AN may lie in an inability to regulate negative affect in response to body images via pgACC activation during body comparisons. The findings also suggest that altered body image processing in the brain persists even after recovery from AN.

Indexed as

Anorexia nervosaAnterior cingulate cortexBody dissatisfactionBody imageExtrastriate body areafMRI

Identifiers

PMID30450124
PMCPMC6208027
OpenAlexW2898111043

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.