Neural activation during anticipated peer evaluation and laboratory meal intake in overweight girls with and without loss of control eating
Open accessAbstract
The interpersonal model of loss of control (LOC) eating proposes that socially distressing situations lead to anxious states that trigger excessive food consumption. Self-reports support these links, but the neurobiological underpinnings of these relationships remain unclear. We therefore examined brain regions associated with anxiety in relation to LOC eating and energy intake in the laboratory. Twenty-two overweight and obese (BMIz: 1.9±0.4) adolescent (15.8±1.6y) girls with LOC eating (LOC+, n=10) and without LOC eating (LOC-, n=12) underwent functional magnetic resonance imaging (fMRI) during a simulated peer interaction chatroom paradigm. Immediately after the fMRI scan, girls consumed lunch ad libitum from a 10,934-kcal laboratory buffet meal with the instruction to "let yourself go and eat as much as you want." Pre-specified hypotheses regarding activation of five regions of interest were tested. Analysis of fMRI data revealed a significant group by peer feedback interaction in the ventromedial prefrontal cortex (vmPFC), such that LOC+ had less activity following peer rejection (vs. acceptance), while LOC- had increased activity (p<.005). Moreover, functional coupling between vmPFC and striatum for peer rejection (vs. acceptance) interacted with LOC status: coupling was positive for LOC+, but negative in LOC- (p<.005). Activity of fusiform face area (FFA) during negative peer feedback from high-value peers also interacted with LOC status (p<.005). A positive association between FFA activation and intake during the meal was observed among only those with LOC eating. In conclusion, overweight and obese girls with LOC eating may be distinguished by a failure to engage regions of prefrontal cortex implicated in emotion regulation in response to social distress. The relationship between FFA activation and food intake supports the notion that heightened sensitivity to incoming interpersonal cues and perturbations in socio-emotional neural circuits may lead to overeating in order to cope with negative affect elicited by social discomfort in susceptible youth.
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In a small sample of overweight to obese females with LOC, fictitious peer evaluation based on photographs was associated with increased activation of anxiety-related brain regions and failure to engage prefrontal cortex regions involved in emotion regulation attempts.
“In this study, the fictitious evaluation by peers based on photographs of the participants was associated with increased activation of anxiety related brain regions and failure to engage prefrontal cortex regions involved in emotion regulation attempts, all of which might be alleviated by overeating [27].”
From Correlates of interpersonal emotion regulation problems in Loss of Control eating (LOC) in youth: study protocol of the combined online and App based questionnaire, laboratory and randomized controlled online intervention i-BEAT trial (2021) · cites this paper as [27]
The Methods (section 2.3) describe fictitious peer feedback based on photographs, and the Results (section 3.1) report reduced prefrontal activation after negative feedback in the 10 girls with LOC eating. The Discussion interprets this cautiously as a possible failure to engage emotion-regulation mechanisms. The paper does not report a general increase in activation of anxiety-related brain regions in those girls; its fusiform finding is an association between activation and subsequent food intake under a specific feedback condition. (LLM, conf=0.86)
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- [20]Elliott CA Tanofsky-Kraff M Shomaker LB An examination of the interpersonal model of loss of control eating in children and adolescents Behaviour research and therapy 5 2010 48 5 424 428 20074702 PMC2862778
- [47]Sonneville KR Horton NJ Micali N Longitudinal associations between binge eating and overeating and adverse outcomes among adolescents and young adults: does loss of control matter? JAMA Pediatr 2 2013 167 2 149 155 23229786 PMC3654655
- [51]Jarcho JM Romer AL Shechner T Predicting the worst and forgetting the best: unique neural circuits promote social anxiety in adolescents under review
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“They are introduced to the adapted Cyberball task [27] (developed using the Unity 3D Game Engine) based on our pilot BEAT study and are informed that they will play with 2 peers and are shown pictures of these peers.”
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Loss of Control (LOC) Eating in Children
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- Authors
- Jarcho, J. M., Tanofsky-Kraff, M., Nelson, E. E., Engel, S. G., Vannucci, A., Field, S. E., Romer, A. L., Hannallah, L., Brady, S. M., Demidowich, A. P., Shomaker, L. B., Courville, A. B., Pine, D. S., & Yanovski, J. A.
- Affiliations
- National Institutes of Health (US)
- University of North Dakota (US)
- United States Department of Health and Human Services (US)
- ORCID
- Venue
- NeuroImage
- Publisher
- Elsevier BV
- Published
- 2015-03
- Volume
- 108
- Pages
- 343-353
- ISSN
- 1053-8119 (ISSN-L)
- PMC
- PMC4323624
- OpenAlex
- W1990215926
- Cited by
- 43
- References
- 121
- Citations by year
- 2025: 3 · 2024: 2 · 2023: 4 · 2022: 1 · 2021: 6 · 2020: 2 · 2019: 3 · 2018: 11 · 2017: 2 · 2016: 3 · 2015: 5 · 2012: 1
- FWCI
- 3.93
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- NeuroImage (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- NIDDK (1R01DK080906)
- USUHS (R072IC)
- NIH Intramural Research Program (Z99 MH999999, Z99 HD999999)
- NIH (1ZIAHD000641)
- Center for Neuroscience and Regenerative Medicine
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
- Keywords
- loss of control eating, peer rejection, peer feedback, ventromedial prefrontal cortex, striatum, fusiform face area, emotion regulation, dietary intake, energy intake, adolescent girls, overweight and obesity, social distress, overeating
- MeSH terms
- Peer Influence, Adolescent, Brain, Child, Eating, Female, Humans, Nerve Net, Obesity, Overweight
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