Evidence map›Paper›PMID 34147511›Full record

ArticlePhysiology & behavior2021

Reassessing relationships between appetite and adiposity in people at risk of obesity: A twin study using fMRI.

Leticia E Sewaybricker, Susan J Melhorn, Jennifer L Rosenbaum, Mary K Askren, Vidhi Tyagi, Mary F Webb, Mary Rosalynn B De Leon, Thomas J Grabowski, Ellen A Schur

Open access · greenAbstract readTwin Study
In one paragraph

Article in Physiology & behavior, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.7field-weighted citation impact, top 26% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. Review
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.

Leticia E SewaybrickerDepartment of Medicine, University of Washington, 1959 NE Pacific St. Box 356420, Seattle, WA, 98195 USA.
Susan J MelhornDepartment of Medicine, University of Washington, 1959 NE Pacific St. Box 356420, Seattle, WA, 98195 USA.
Jennifer L RosenbaumDepartment of Medicine, University of Washington, 1959 NE Pacific St. Box 356420, Seattle, WA, 98195 USA.
Mary K AskrenDepartments of Radiology and Neurology, University of Washington, 1959 NE Pacific St. Seattle, WA, 98195 USA.
Vidhi TyagiDepartment of Medicine, University of Washington, 1959 NE Pacific St. Box 356420, Seattle, WA, 98195 USA.
Mary F WebbDepartment of Medicine, University of Washington, 1959 NE Pacific St. Box 356420, Seattle, WA, 98195 USA.
Mary Rosalynn B De LeonDepartment of Medicine, University of Washington, 1959 NE Pacific St. Box 356420, Seattle, WA, 98195 USA.
Thomas J GrabowskiDepartments of Radiology and Neurology, University of Washington, 1959 NE Pacific St. Seattle, WA, 98195 USA.
Ellen A SchurDepartment of Medicine, University of Washington, 1959 NE Pacific St. Box 356420, Seattle, WA, 98195 USA. Electronic address: ellschur@u.washington.edu.
University of Washington · US

Funding

Institute of Translational Health SciencesUL1TR000423 · NCATS · UNIVERSITY OF WASHINGTON · PI DISIS, MARY L. · 2012 to 2016
$49.4M
Vector and Transgenic Mouse CoreP30DK017047 · NIDDK · UNIVERSITY OF WASHINGTON · PI Karin E Bornfeldt · 1986 to 2026
$41.4M
PILOT STUDY--CLINICAL NUTRITION RESEARCHP30DK035816 · NIDDK · UNIVERSITY OF WASHINGTON · PI Ellen A Schur · 1986 to 2026
$30.4M
Nutrition, Obesity and Atherosclerosis Training ProgramT32HL007028 · NHLBI · UNIVERSITY OF WASHINGTON · PI Karin E Bornfeldt · 1985 to 2026
$6.4M
A twin study of obesity pathogenesis using fMRIR01DK089036 · NIDDK · UNIVERSITY OF WASHINGTON · PI SCHUR, ELLEN A · 2011 to 2022
$6.2M
Brain systems and behaviors underlying response to obesity treatment in childrenR01DK098466 · NIDDK · SEATTLE CHILDREN'S HOSPITAL · PI ROTH, CHRISTIAN LUDWIG · 2014 to 2023
$5.6M
Impact of hypothalamic gliosis on appetite regulation and obesity risk in childrenR01DK117623 · NIDDK · UNIVERSITY OF WASHINGTON · PI SCHUR, ELLEN A · 2019 to 2023
$3.7M
A twin study of obesity pathogenesis using fMRIR56DK089036 · NIDDK · UNIVERSITY OF WASHINGTON · PI SCHUR, ELLEN A · 2010 to 2010
$228k
NCATS NIH HHS UL1 TR000423NHLBI NIH HHS T32 HL007028NIDDK NIH HHS P30 DK017047NIDDK NIH HHS P30 DK035816NIDDK NIH HHS R01 DK089036NIDDK NIH HHS R01 DK098466NIDDK NIH HHS R01 DK117623NIDDK NIH HHS R56 DK089036
6 · The paper itself

Abstract

backgroundNeuroimaging studies suggest that appetitive drive is enhanced in obesity.

objectiveTo test if appetitive drive varies in direct proportion to the level of body adiposity after accounting for genetic factors that contribute to both brain response and obesity risk. SUBJECTS/

methodsParticipants were adult monozygotic (n = 54) and dizygotic (n = 30) twins with at least one member of the pair with obesity. Body composition was assessed by dual-energy X-ray absorptiometry. Hormonal and appetite measures were obtained in response to a standardized meal that provided 20% of estimated daily caloric needs and to an ad libitum buffet meal. Pre- and post-meal functional magnetic resonance imaging (fMRI) assessed brain response to visual food cues in a set of a priori appetite-regulating regions. Exploratory voxelwise analyses outside a priori regions were performed with correction for multiple comparisons.

resultsIn a group of 84 adults, the majority with obesity (75%), body fat mass was not associated with hormonal responses to a meal (glucose, insulin, glucagon-like peptide-1 and ghrelin, all P>0.40), subjective feelings of hunger (β=-0.01 mm [95% CI -0.35, 0.34] P = 0.97) and fullness (β=0.15 mm [-0.15, 0.44] P = 0.33), or buffet meal intake in relation to estimated daily caloric needs (β=0.28% [-0.05, 0.60] P = 0.10). Body fat mass was also not associated with brain response to high-calorie food cues in appetite-regulating regions (Pre-meal β=-0.12 [-0.32, 0.09] P = 0.26; Post-meal β=0.18 [-0.02, 0.37] P = 0.09; Change by a meal β=0.29 [-0.02, 0.61] P = 0.07). Conversely, lower fat mass was associated with being weight reduced (β=-0.05% [-0.07, -0.03] P<0.001) and greater pre-meal activation to high-calorie food cues in the dorsolateral prefrontal cortex (Z = 3.63 P = 0.017).

conclusionsIn a large study of adult twins, the majority with overweight or obesity, the level of adiposity was not associated with excess appetitive drive as assessed by behavioral, hormonal, or fMRI measures.

Indexed as

AppetiteMagnetic Resonance ImagingAdiposityAdultBody Mass IndexEnergy IntakeGhrelinHumansMealsObesityGhrelinAdiposityAppetiteFood cuesHungerNeuroimagingObesity

Identifiers

PMID34147511
PMCPMC8440478
OpenAlexW3176076759

What OpenQuestion holds

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Registered trials

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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.