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Brain scans

Adolescent brain scans reveal insights into weight loss

When high-calorie foods were shown, the group of formerly overweight teenagers showed the highest activity levels in the pre-frontal cortex

Researchers have found a new way to help adolescents trying to achieve a healthy weight after discovering that successful weight-losing (SWL) adolescents demonstrated greater activation in the dorsolateral prefrontal cortex (DLPFC) When viewing high-energy food images, compared with overweight (OW) and normal-weight (NW) controls.

"The promising piece is that it appears we can help people to learn how to make better choices about food," said Chad Jensen, a psychologist at Brigham Young University.

In the experiments, three groups of teenagers fasted for four hours before viewing images of healthy and unhealthy foods during a brain scan. One group consisted of overweight teens. A second group was comprised of formerly overweight teens who had lost weight and kept it off for at least a year. The third group of teens had historically maintained a healthy weight.

As the teens looked at the food pictures, neuroscientists looked at which areas of their brains lit up. Specifically, they measured activity in the pre-frontal cortex where a process known as ‘executive function’ resides, which is the ability to process and prioritize competing interests.

Brain activity for high-calorie foods (warm colours) vs low-calorie foods (cool colours)

When high-calorie foods were shown, the group of formerly overweight teenagers showed the highest activity levels in this region. That means they relied on the executive function processes more than the other groups, which may explain why they succeeded in losing weight.

It is thought that OW individuals' brain responses to food stimuli may indicate greater reward incentive processes than either SWL or NW groups.

"You can improve executive control," said Dr Brock Kirwan, a neuroscientist at BYU and study co-author. "Successful programmes involve repeated practice and ramping up the challenges to executive control, kind of like successful exercise programmes."

The study authors note that a variety of activities can improve children's executive functions: computerised training, games, aerobic physical activity, martial arts and yoga. In addition to challenges that increase over time, an emphasis on delayed rewards is also critical.

The study. ‘Functional brain response to food images in successful adolescent weight losers compared with normal-weight and overweight controls‘, which appears in the scientific journal Obesity, is the first publication to come from data collected at BYU's new MRI facility. Among many other ongoing projects, Jensen and Kirwan plan to do follow-up research on executive control and weight loss. Something they'd like to answer is how a generalised training on executive function compares to a food-specific regimen.

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