Cited by 375Sleep and Wakefulness ResearchRegulation of Appetite and ObesitySleep and Work-Related Fatigue

The impact of sleep deprivation on food desire in the human brain

Open access
Greer, Stephanie M., Goldstein, Andrea N., Walker, Matthew P.·2013·Nature Communications

Abstract

Epidemiological evidence supports a link between sleep loss and obesity. However, the detrimental impact of sleep deprivation on central brain mechanisms governing appetitive food desire remains unknown. Here we report that sleep deprivation significantly decreases activity in appetitive evaluation regions within the human frontal cortex and insular cortex during food desirability choices, combined with a converse amplification of activity within the amygdala. Moreover, this bi-directional change in the profile of brain activity is further associated with a significant increase in the desire for weight-gain promoting high-calorie foods following sleep deprivation, the extent of which is predicted by the subjective severity of sleep loss across participants. These findings provide an explanatory brain mechanism by which insufficient sleep may lead to the development/maintenance of obesity through diminished activity in higher-order cortical evaluation regions, combined with excess subcortical limbic responsivity, resulting in the selection of foods most capable of triggering weight-gain. Insufficient sleep is a known risk factor for obesity. Greeret al.show that sleep deprivation amplifies mesolimbic brain responses to food stimuli, yet impairs activity in higher cortical areas, which, together, are associated with an increased desire for high-calorie food items.

AI snapshot

Written from the paper’s full text.

TL;DR

Sleep deprivation altered brain responses during food-desirability choices, reducing activity in cortical appetitive evaluation regions while increasing amygdala reactivity. These neural changes accompanied increased desire for high-calorie foods, predicted by subjective sleepiness.

Key findings

Sleep deprivation reduced activity in all three cortical ROIs as food desire increased: anterior cingulate cortex (T=3.87; p=0.0008), lateral orbitofrontal cortex (T=2.08; p=0.0491), and anterior insula cortex (T=2.63; p=0.0154); after correction across five ROIs, lateral OFC and anterior insula no longer survived, while anterior cingulate remained significant. Amygdala responsivity to food desirability increased after sleep deprivation (T=3.08; p=0.0055), whereas ventral striatum did not differ (T=−0.28; p=0.7852). Sleep deprivation increased the proportion of “wanted” high-calorie foods (T=2.21, p=0.04) but not low-calorie foods (T=1.15, p=0.26), and total wanted-item calories were greater (T=2.07, p=0.05), representing an additional 600 ±289 s.d. Cal average increase. Calorie content predicted increased desirability after sleep deprivation (Spearman’s r=0.23, p=0.04), and subjective sleepiness correlated with percentage of wanted high-calorie foods, remaining significant when controlling for BMI (T=3.41, p=0.003); no such association appeared when rested (r=0.19; p=0.39). Self-reported hunger did not differ between conditions (p=0.28).

Methods

Twenty-three healthy participants (13 female; age 20.5±1.8 s.d. years; BMI 23.0±1.8 s.d.) completed a repeated-measures, counterbalanced crossover study with a night of normal rested sleep (average 8.2 hr asleep) and a night of monitored total sleep deprivation (average 24.6 hr awake), separated by at least 7 days. During fMRI, participants rated 80 food items on a 1–4 “want right now” scale; BOLD signal was correlated with trial-to-trial ratings, and ROIs were 5 mm spheres centered on literature-based coordinates for anterior cingulate, lateral orbitofrontal cortex, anterior insula, amygdala, and ventral striatum. Behavioral comparisons used paired t-tests and correlation analyses; fMRI used a general linear model with parametric want ratings.

Limitations

Stated: the controlled feeding schedule prevented assessment of actual calories consumed due to sleep deprivation or the relationship between neural responses and actual calorie intake; future ad libitum studies were suggested. Stated: all scans occurred in the morning, so circadian-phase interactions were not examined, and prior behavioral work suggests larger effects in the evening. Stated: findings were measured in healthy young lean participants (20.5±1.8 s.d. years; 23.0±1.8 s.d. BMI), so broader age and body-mass ranges remain untested. Evident from the text: ROI correction across five regions weakened lateral OFC and anterior insula findings, and the study measured food desire rather than actual intake.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1038/ncomms3259

Cites

44 of 44 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

0 of 26 cited sources checked · 0 supported · 0 flagged

  • Findingown data

    The total calorie content of all wanted items summed together in the sleep-deprived condition was significantly greater compared to the sleep rested state, representing an additional 600 ±289 s.d. Cal average increase.

    “the total calorie content of all wanted items (summed together) in the sleep-deprived condition was significantly greater compared to sleep rested state (T=2.07, p=0.05), representing an additional 600 ±289 s.d. Cal average increase.”
    Quote in the paperSubstantial claim
  • Findingown data

    Sleep deprivation did not significantly change ventral striatum responsivity to food desirability compared to the sleep rested state.

    “this profile of amplified subcortical activity was not observed in ventral striatum (T=−0.28; p=0.7852), showing no significant difference in responsivity between the sleep deprivation and rested conditions.”
    Quote in the paperSubstantial claim
  • Findingown data

    Compared to the sleep rested state, sleep deprivation significantly reduced lateral orbital frontal cortex activity as food desire progressively increased.

    “Compared to the sleep rested state, sleep deprivation significantly reduced activity in all three cortical regions of interest —the anterior cingulate cortex (T=3.87; p=0.0008), lateral orbital frontal cortex (T=2.08; p=0.0491) and anterior insula cortex (T=2.63; p=0.0154) —as food desire progressively increased (Fig 1A)”
    Quote in the paperSubstantial claim
  • Findingown data

    Increasing perceived severity of sleep deprivation across individuals, indexed by self-reported subjective sleepiness, was positively and significantly correlated with the percentage of wanted high-calorie foods.

    “increasing perceived severity of sleep deprivation across individuals, indexed by self-reported subjective sleepiness14, was positively and significantly correlated with the percentage of wanted high-calorie foods (Fig 3B)”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [14] Hoddes, E., Zarcone, V., Smythe, H., Phillips, R. & Dement, W. C. Quantification of sleepiness: a new approach. Psychophysiology 10, 431–436 (1973). source

      Not checked in the free run.

  • Findingown data

    Body mass index was not correlated with the percentage of high calorie choices in either the sleep rested or sleep deprived condition.

    “body mass index was not correlated with the percentage of high calorie choices in either the sleep rested or sleep deprived condition (r=−0.23, p=0.30, and r=−0.05, p=0.80, respectively)”
    Quote in the paperNot a substantial claim
  • May combine two claims. 14
  • Classified as probably not a substantial claim. 14
  • May combine two claims.

    Findingown data

    When all five regions of interest are considered as a family of independent tests and corrected for multiple tests, lateral orbital frontal cortex and anterior insula no longer survive the more stringent threshold, while anterior cingulate remains significant.

    “if all five regions of interest are considered as a family of independent tests and correcting for multiple tests we find that lateral orbital frontal cortex and anterior insula no longer survive this more stringent statistical threshold while the anterior cingulate remains significant.”
    Quote in the paperSubstantial claim
    • The authors state this as an assumption: The five regions of interest are independent for the purpose of multiple comparison correction.
  • May combine two claims.

    Premisecitation

    Sleep deprivation alters appetite-regulating hormones and increases caloric intake.

    “Moreover, sleep deprivation alters appetite-regulating hormones and increases caloric intake2,3.”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites [2] Hanlon, E. C. & Van Cauter, E. Quantification of sleep behavior and of its impact on the cross-talk between the brain and peripheral metabolism. Proc. Natl Acad. Sci. USA 108, (Suppl 3): 15609–15616 (2011). source

      Not checked in the free run.

    • cites [3] Brondel, L., Romer, M. A., Nougues, P. M., Touyarou, P. & Davenne, D. Acute partial sleep deprivation increases food intake in healthy men. Am. J. Clin. Nutr. 91, 1550–1559 (2010). source

      Not checked in the free run.

  • May combine two claims.

    Interpretationcitation

    The alteration in food desire observed here, coinciding with changes in brain activity, is consistent with previous behavioral findings describing increases in actual caloric intake following sleep loss when ad libitum food conditions are presented and increased cravings for higher caloric food categories.

    “the alteration in food desire observed here, coinciding with changes in brain activity, are consistent with previous behavioral findings describing increases in actual caloric intake following sleep loss when ad libitum food conditions are presented3,22 and increased cravings for higher caloric food categories (e.g. sweet, salty and starchy foods)23.”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites [3] Brondel, L., Romer, M. A., Nougues, P. M., Touyarou, P. & Davenne, D. Acute partial sleep deprivation increases food intake in healthy men. Am. J. Clin. Nutr. 91, 1550–1559 (2010). source

      Not checked in the free run.

    • cites [22] Markwald, R. R. et al. Impact of insufficient sleep on total daily energy expenditure, food intake, and weight gain. Proc. Natl Acad. Sci. USA 110, 5695–5700 (2013). source

      Not checked in the free run.

    • cites [23] Spiegel, K., Tasali, E., Penev, P. & Van Cauter, E. Brief communication: Sleep curtailment in healthy young men is associated with decreased leptin levels, elevated ghrelin levels, and increased hunger and appetite. Ann. Intern. Med. 141, 846–850 (2004). source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Interpretationcitation

    The brain areas examined have specific and recognized functional roles in appetitive food stimulus evaluation and choice but are not limited to performing such functions, so effects may extend beyond appetitive processes.

    “while these brain areas do have specific and recognized functional roles in the context of appetitive food stimulus evaluation and choice, as we examined using the current task, theses regions are not limited to performing such functions.”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites [16] Botvinick, M. M. Conflict monitoring and decision making: reconciling two perspectives on anterior cingulate function. Cogn. Affect. Behav. Neurosci. 7, 356–366 (2007). source

      Not checked in the free run.

    • cites [17] Critchley, H. D. et al. Human cingulate cortex and autonomic control: converging neuroimaging and clinical evidence. Brain 126, 2139–2152 (2003). source

      Not checked in the free run.

    • cites [18] Stuss, D. T. Functions of the frontal lobes: relation to executive functions. J. Int. Neuropsychol. Soc. 17, 759–765 (2011). source

      Not checked in the free run.

  • May combine two claims.

    Interpretationreasoning

    Sufficient sleep is an important mechanistic factor promoting weight control, one pathway of which appears to be the regulation of central brain mechanisms governing appropriate food choices.

    “They further support the proposal of sufficient sleep as an important mechanistic factor promoting weight control, one pathway of which appears to be the regulation of central brain mechanisms governing appropriate food choices.”
    Quote in the paperSubstantial claim
    • Rests on an assumption: The effects of one night of total sleep deprivation on brain and behavioral food desire generalize to the chronic, partial sleep restriction that is associated with obesity in population studies.
    • Rests on an assumption: The laboratory food desire ratings and brain responses predict real-world food choices and weight gain.
    • Rests on an assumption: The 80 food images used in the task are representative of foods available in real-world settings.
  • Classified as probably not a substantial claim. May combine two claims.

    Interpretationreasoning

    Changes in central nervous system disruption due to sleep loss, such as the alterations in appetitive brain signaling described in the current study, may contribute to decisions that lead to increased calorie consumption in excess of energy expenditure changes, one consequence of which is weight gain.

    “This finding leads to the hypothesis that changes in central nervous system disruption due to sleep loss, such as the alterations in appetitive brain signaling described in the current study, may contribute to decisions that lead to increased calorie consumption in excess of energy expenditure changes, one consequence of which is weight gain.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductown data

    Twenty-three participants were included in the analysis.

    “Twenty-three participants were included in analysis (13 female; mean age: 20.5± 1.8 s.d.; mean body mass index: 23.0±1.8 s.d.; 1 participant was left handed).”
    • Also stated in: § Experiment Overview · plain
      “twenty-three healthy participants (13 female; age: 20.5± 1.8 s.d.; body mass index: 23.0±1.8 s.d.) underwent a repeated measures, counterbalanced cross-over design”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    The current findings were measured in a group of healthy young and lean participants (20.5±1.8 s.d. years of age; 23.0±1.8 s.d. BMI).

    “the current findings were measured in a group of healthy young and lean participants (20.5±1.8 s.d. years of age; 23.0±1.8 s.d. BMI).”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim.

    Premisecitation

    Prior work has described peripheral body changes in appetite and metabolic regulating hormones following sleep loss that can lead to weight-gain.

    “elegant prior work has describe peripheral body changes in appetite and metabolic regulating hormones following sleep loss that can lead to weight-gain2,26,28.”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites [2] Hanlon, E. C. & Van Cauter, E. Quantification of sleep behavior and of its impact on the cross-talk between the brain and peripheral metabolism. Proc. Natl Acad. Sci. USA 108, (Suppl 3): 15609–15616 (2011). source

      Not checked in the free run.

    • cites [26] Knutson, K. L., Spiegel, K., Penev, P. & Van Cauter, E. The metabolic consequences of sleep deprivation. Sleep Med. Rev. 11, 163–178 (2007). source

      Not checked in the free run.

    • cites [28] Van Cauter, E. et al. Impact of sleep and sleep loss on neuroendocrine and metabolic function. Horm. Res. 67, (Suppl 1): 2–9 (2007).

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductown data

    Three participants (from 26 original) were excluded due to failure to keep the sleep schedule (>2 hours deviation), initiating a gluten free diet, or inability to stay awake during the deprivation scan session.

    “Three participants (from 26 original) were excluded due to, 1) failure to keep the sleep schedule (>2 hours deviation), 2) initiating a gluten free diet, 3) inability to stay awake during the deprivation scan session as evidence from online eye-tracking and omitting responses on 30% of trials.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductown data

    Subjects attained 8.08±1.0 hours time in bed across the three nights preceding sleep deprivation and 8.07±1.0 hours preceding the sleep rested condition.

    “Subjects attained 8.08±1.0 s.d. hours time in bed across the three nights proceeding the sleep deprivation and 8.07±1.0 s.d. hours preceding the sleep rested condition.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductown data

    The remaining participants omitted 3.9±4.3 trials under sleep deprivation and 0.2±0.4 trials when rested.

    “The remaining participants omitted 3.9± 4.3 s.d. trials under sleep deprivation and 0.2± 0.4 s.d trials when rested, all separately modeled as omitted trials in the fMRI analyses.”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim. May combine two claims.

    Study design and conductnone given

    Participants were not informed of the hypotheses of the study nor told that they would be seeing foods that experimentally varied in calorie content or food types.

    “Participants were not informed of the hypotheses of the study nor were they told that they would be seeing foods that experimentally varied in terms of calorie content or food types that could otherwise establish preconceived biases.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisecitation

    Appetite and sleep patterns are significantly influenced by circadian phase.

    “Since both appetite and sleep patterns are significantly influenced by circadian phase29”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [29] Saper, C. B. Staying awake for dinner: hypothalamic integration of sleep, feeding, and circadian rhythms. Prog. Brain Res. 153, 243–252 (2006). source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Interpretationreasoning

    This may reflect a progressive deterioration in the brain and body systems that regulate and maintain optimal energy balance, potentially reflected in the current study by increases in energy consumption through heightened desire for high calorie foods.

    “This may reflect a progressive deterioration in the brain and body systems that regulate and maintain optimal energy balance, potentially reflected in the current study by increases in energy consumption through heightened desire for high calorie foods.”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim.

    Study design and conductnone given

    All scan sessions for this study took place during the morning.

    “all scan sessions for this study took place during the morning.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    Concurrent eye tracking was utilized to verify wakefulness.

    “Concurrent eye tracking was utilized in order to further verify wakefulness.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductown data

    Scan-to-scan variance was assessed for quality assurance; individual scans with supra-threshold shifts were removed and replaced with the average of surrounding scans, affecting 6 subjects.

    “First, scan to scan variance was assessed for quality assurance using time-series difference analysis (http://imaging.mrc-cbu.cam.ac.uk/imaging/DataDiagnostics) and individual scans with supra-threshold shifts (indicating high subject movement) were removed and replaced with the average of surrounding scans, these time-points were modeled out with dummy regressors (this effected 6 subjects).”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationreasoning

    The findings raise the presence of a central nervous system dysfunction that stands alongside peripheral body changes following sleep deprivation, and together these may converge on a common impact of sleep loss on weight-gain potential.

    “Our findings raise the presence of a central nervous system dysfunction that stands along side these increasingly well-described peripheral body changes following sleep deprivation that together, may converge on a common impact sleep loss on weight-gain potential.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationown data

    The data provide indirect support linking the state of sleep deprivation, and the subjective severity of this state, to altered internal homeostasis following extended time awake, consistent with established alterations in metabolism and temperature regulation following sleep loss.

    “our data provide indirect support linking the state of sleep deprivation, and the subjective severity of this state, to altered internal homeostasis following extended time awake, and is consistent with already established alterations in metabolism and temperature regulation following sleep loss26,27.”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites [26] Knutson, K. L., Spiegel, K., Penev, P. & Van Cauter, E. The metabolic consequences of sleep deprivation. Sleep Med. Rev. 11, 163–178 (2007). source

      Not checked in the free run.

    • cites [27] Romeijn, N. et al. Cold hands, warm feet: sleep deprivation disrupts thermoregulation and its association with vigilance. Sleep 35, 1673–1683 (2012). source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductown data

    During the PSG rested session, subjects obtained an average of 8.2±0.84 hours time asleep.

    “During this PSG rested session, subjects obtained an average of 8.2± 0.84 s.d. hours time asleep (minutes and standard deviation): 48.68± 20.1 NREM Stage 1; 251.1± 39.6 NREM Stage 2; 83.58± 28.9 NREM slow wave sleep (Stages 3 & 4); 110.1± 28.7 REM sleep.”
    Quote in the paperNot a substantial claim
21 of 21
  • The paper relies on this without support.

    The central brain mechanisms explaining the impact of sleep deprivation on appetitive food desire that can lead to weight-gain remain unknown.

    “the central brain mechanisms explaining the impact of sleep deprivation on appetitive food desire that can lead to weight-gain remain unknown.”
  • The authors state this as an assumption.

    The five regions of interest are independent for the purpose of multiple comparison correction.

    “this approach makes an assumption of independence of these regions, which may not be the case considering their collective function in appetitive processing.”
  • The paper relies on this without support.

    The effects of one night of total sleep deprivation on brain and behavioral food desire generalize to the chronic, partial sleep restriction that is associated with obesity in population studies.

    “In summary, these findings contribute to a novel brain mechanism by which sleep loss may lead to the development and/or maintenance of obesity through the potentially maladaptive selection of foods carrying obesogenic (weight-gain) potential”
  • The paper relies on this without support.

    The laboratory food desire ratings and brain responses predict real-world food choices and weight gain.

    “In summary, these findings contribute to a novel brain mechanism by which sleep loss may lead to the development and/or maintenance of obesity through the potentially maladaptive selection of foods carrying obesogenic (weight-gain) potential”
  • The paper relies on this without support.

    The 80 food images used in the task are representative of foods available in real-world settings.

    “The task used 80 pictures of food with no packaging collected from internet searches and cropped to standardized circles. The items were evenly distributed across five categories (salty, sweet, starchy, fruit or dairy) and varied in calorie content (Range: 7.2 – 523.4; Mean: 139.8± 94.8 s.d. Cal per serving based on USDA database listings (ndb.nal.usda.gov)).”
5 of 5

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Sleep loss decreases activity in the appetite evaluation regions within human frontal cortex and insula cortex during food desirability choices combined with an increase or amplification of activity within the amygdala promoting a desire for high-calorie foods.

    “Another study showed sleep loss decreases activity in the appetite evaluation regions within human frontal cortex and insula cortex during food desirability choices combined with an increase or amplification of activity within the amygdala promoting a desire for high-calorie foods [62].”

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

  • In-plane voxel size does not match the reported field of view

    Minor

    A 96-pixel matrix with 2.5 mm in-plane voxels spans 240 mm, not the reported 224 mm field of view.

    Reported 224 · recomputed 240

1 of 1

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Authors
Greer, S. M., Goldstein, A. N., & Walker, M. P.
Affiliations
University of California, Berkeley (US)
Corresponding author
Walker, Matthew P.
Venue
Nature Communications
Published
2013-08-06
Volume
4
Issue
1
Pages
2259-2259
ISSN
2041-1723 (ISSN-L)
OpenAlex
W2143202366
Cited by
375
References
43
Citations by year
2026: 41 · 2025: 40 · 2024: 25 · 2023: 30 · 2022: 30 · 2021: 35 · 2020: 26 · 2019: 41 · 2018: 18 · 2017: 25 · 2016: 21 · 2015: 18 · 2014: 20 · 2013: 4
FWCI
11.47
Type
journal article
Language
en
Open access
Locations
  • Nature Communications (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
  • RePEc: Research Papers in Economics (submittedVersion)
Funders
  • National Institutes of Health
  • National Institute on Aging (R01AG031164)
  • National Institute of Mental Health (R01MH093537)
  • National Institute on Drug Abuse (F31DA035076, R21DA031939)
Topics
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
  • Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
Keywords
sleep deprivation, desire to eat, obesity, frontal cortex, insula, amygdala, mesolimbic system, high-calorie foods, food choice, brain activity
MeSH terms
Behavior, Brain, Female, Food, Humans, Hunger, Male, Sleep Deprivation, Task Performance and Analysis, Young Adult

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