Obesity
Conditions
Keywords
Roux-en-Y Bariatric surgery,, Gastric banding,, fMRI,, food cues
Brief summary
Utilizing fMRI, this study will examine changes in BOLD signal as a proxy measure of brain activation in response to highly palatable (high energy density \[kcal/g\]), less palatable and non-food stimuli in severely obese women pre, 1 month post and 3 months post undergoing bariatric surgery (in surgery patients) and at equivalent times for control groups in fed and fasted conditions at each time point. Two surgical groups: (i) laparoscopic Roux-en-Y gastric bypass (RYGB) and (ii) gastric banding (GB) will be compared with two control groups: (i)those enrolled on a 3-month formula weight loss program or (ii) those who qualify, but do not undergo bariatric surgery, and receive no weight loss treatment.
Interventions
Subjects will consume a 250ml liquid test meal (250kcal) before undergoing a 40min fMRI scan to assess the BOLD signal responses to visual and auditory responses to food and non-food cues.
Subjects will consume a 250ml control (water) before undergoing a 40min fMRI scan to assess BOLD signal response to visual and auditory food and non-food cues
Sponsors
Study design
Eligibility
Inclusion criteria
* Age \> 18 and \< 65 years * BMI \> 40 and \< 50kg/m2 * Right handed * Good comprehension of English
Exclusion criteria
* \> 5% weight fluctuation in the past 3 months * Presence of disease (including diabetes) * Pregnancy, lactation or planning to become pregnant in next 18mon * Smoking, or or recent (within past 12 month) smoking cessation * Consumption of \> 3 alcoholic beverages per day * Left handed
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| BOLD signal response to visual and auditory food cues | pre-surgery, 1mo post and 3mo post surgery | BOLD signal changes in the brain in response to highly palatable (high energy density \[kcal/g\]), less palatable (low energy density)and non-food, stimuli in severely obese women pre-surgery, 1 month post-surgery and 3 months post bariatric surgery |
Countries
United States