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. 2022 May 23:13:882532.
doi: 10.3389/fendo.2022.882532. eCollection 2022.

Thrifty-Eating Behavior Phenotype at the Food Court - Programming Goes Beyond Food Preferences

Affiliations

Thrifty-Eating Behavior Phenotype at the Food Court - Programming Goes Beyond Food Preferences

Roberta Dalle Molle et al. Front Endocrinol (Lausanne). .

Abstract

Introduction: Prenatal growth impairment leads to higher preference for palatable foods in comparison to normal prenatal growth subjects, which can contribute to increased body fat mass and a higher risk for developing chronic diseases in small-for-gestational-age (SGA) individuals throughout life. This study aimed to investigate the effect of SGA on feeding behavior in children and adolescents, as well as resting-state connectivity between areas related to reward, self-control, and value determination, such as orbitofrontal cortex (OFC), dorsolateral prefrontal cortex (DL-PFC), amygdala and dorsal striatum (DS).

Methods: Caregivers and their offspring were recruited from two independent cohorts in Brazil (PROTAIA) and Canada (MAVAN). Both cohorts included anthropometric measurements, food choice tasks, and resting-state functional magnetic resonance imaging (fMRI) data.

Results: In the Brazilian sample (17 ± 0.28 years, n=70), 21.4% of adolescents were classified as SGA. They exhibited lower monetary-related expenditure to buy a snack compared to controls in the food choice test. Decreased functional connectivity (n=40) between left OFC and left DL-PFC; and between right OFC and: left amygdala, right DS, and left DS were observed in the Brazilian SGA participants. Canadian SGA participants (14.9%) had non-significant differences in comparison with controls in a food choice task at 4 years old ( ± 0.01, n=315). At a follow-up brain scan visit (10.21 ± 0.140 years, n=49), SGA participants (28.6%) exhibited higher connectivity between the left OFC and left DL-PFC, also higher connectivity between the left OFC and right DL-PFC. We did not observe significant anthropometric neither nutrients' intake differences between groups in both samples.

Conclusions: Resting-state fMRI results showed that SGA individuals had altered connectivity between areas involved in encoding the subjective value for available goods and decision-making in both samples, which can pose them in disadvantage when facing food options daily. Over the years, the cumulative exposure to particular food cues together with the altered behavior towards food, such as food purchasing, as seen in the adolescent cohort, can play a role in the long-term risk for developing chronic non-communicable diseases.

Keywords: feeding behavior; functional connectivity; orbitofrontal cortex; resting state fMRI; small for gestational age (SGA).

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Sample size flowcharts from (A) PROTAIA and (B) MAVAN.
Figure 2
Figure 2
Brain areas depicting statistically significant differences in resting-state functional connectivity (rsFC) with the left and right orbital frontal cortex between SGA and controls in the PROTAIA and MAVAN cohorts. Blue color (left DL-PFC, left amygdala and right and left dorsal striatum) represents lower rsFC in SGA versus Controls. Red color (right and left DL-PFC) represents higher rsFC in SGA versus Controls.

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