Different cerebral connectivity of obese and lean children studied with fMRI

摘要

In this work we studied the different fMRI brain activations and connections between normal weighted (NW) and obese (OB) infants for different types of food odours. A total of 30 right handed volunteers (infants 8.4±2 years) of both sexes were studied. Infants were divided in two group, one with BMI between 19 and 24 kg/m~2 and the other with BMI over 30 kg/m~2. The first part of this project consisted of a study in which fMRI BOLD activations to pleasant, neutral and healthy food was performed on both groups. Cerebellum regions were found to be more active in the NW group over the OB when presented with odour cues. OB volunteers in contrast showed larger activations in cingulate cortex structures than their NW counterparts when presented with food odours. The second part of this study performed connectivity studies (ROI to ROI) comparing both groups for each smell. The NW group presented for the onion smell a strong reward anticipation connection between the gustatory cortex and the cingulate cortex which the OB group did not have. In contrast the OB group presented strong orbitofrontal connections (decision making) with gustatory and somatosensory cortex when stimulated with the chocolate odour which the NW did not present. We can conclude that clear differences in fMRI BOLD activation as well as connectivity between the OB and NW groups were found. This points at a very different processing mechanisms of odour cues in infants. To our knowledge this study has never been performed before on infants.