Functional Magnetic Resonance Imaging (fMRI) Exploration of Neurocognitive Processes Involved in Food Addiction (FA) in Obese Patients: Towards New Phenotypic Markers for an Optimized Care Pathway

NCT03454711 — Phase 2 / Phase 3, Completed, 47 participants, Rennes University Hospital

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RegistryNCT03454711, acronym AddictO
StatusCompleted
PhasePhase 2 / Phase 3
Study typeInterventional; non randomized, parallel, masking: none, other
Enrollment47 (Actual)
SponsorRennes University Hospital (Other); collaborators: Institut NuMeCan, INRAE 1341
ConditionsObesity
InterventionsfMRI, Indirect calorimetry, Bioimpedance, Lipid profile, glucose, HBA1c, metabolomic analysis, YFAS questionnaire, Binge Eating Scale, Hospital Anxiety and Depression (HAD) scale, hedonic evaluation test (liking) (Device, biological, behavioral)
Datesstart 2018-04-26, primary completion 2021-09-08, completion 2021-09-08, first posted 2018-03-06, last updated 2023-08-01
Locations1 site in France

Related Papers Related Patents Related Grants Related Experts
All trials for Obesity All trials of fMRI All trials of Indirect calorimetry

-Summary

Identification of the cerebral fMRI phenotype of obese patients with FA in cognitive task context based on food choice making

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+Detailed description

Obesity is a worldwide epidemic associated with many complications. The treatment of obesity is a failure if it does not take into account eating disorders. Among them, food addictions seem to be frequent among obese patients. Clinical diagnosis and therapeutic approaches depend on presence of these FA. Moreover, eating disorders are associated with visible brain abnormalities in fMRI but the cerebral fMRI phenotype of FA is not known.

+Arms and interventions

ArmTypeInterventionsDescription
Patient with food addcitionsExperimentalDevice: fMRI; Device: Indirect calorimetry; Device: Bioimpedance; Biological: Lipid profile, glucose, HBA1c, metabolomic analysis; Behavioral: YFAS questionnaire, Binge Eating Scale, Hospital Anxiety and Depression (HAD) scale, hedonic evaluation test (liking)Patients (20) will be selected from the Yale Food Addiction Scale (YFAS): a validated screening of FA questionnaire. Three clinical visits will be realized in less than two months
Patients without food addictionsExperimentalDevice: fMRI; Device: Indirect calorimetry; Device: Bioimpedance; Biological: Lipid profile, glucose, HBA1c, metabolomic analysis; Behavioral: YFAS questionnaire, Binge Eating Scale, Hospital Anxiety and Depression (HAD) scale, hedonic evaluation test (liking)Patients (20) will be selected from the Yale Food Addiction Scale (YFAS): a validated screening of FA questionnaire. Three clinical visits will be realized in less than two months
  • fMRI (Device): Brain MRI
  • Indirect calorimetry (Device): Resting energy expenditure
  • Bioimpedance (Device): Measurement of body composition
  • Lipid profile, glucose, HBA1c, metabolomic analysis (Biological): Blood sample
  • YFAS questionnaire, Binge Eating Scale, Hospital Anxiety and Depression (HAD) scale, hedonic evaluation test (liking) (Behavioral): Questionnaires to characterize eating habits and depression

+Outcome measures

Primary outcomes

  • Significant change in brain activity of the prefrontal cortex (area involved in the inhibitory control of food intake) measured by modification of BOLD (Blood-Oxygen-Level-Dependent) signal in fMRI during a cognitive task based on food choice making [Month 2]

+Eligibility

Sex: Female, ages: 30 Years to 50 Years

Inclusion Criteria:

* female
* right-handed
* grade 1 and 2 obesity
* aged between 20 and 50
* no other addictions including smoking
* no contraindications to fMRI
* affiliated to French Social Security
* having given a written informed consent

Exclusion Criteria:

* abdominal circumference + upper limbs along the body > 200cm
* addiction to alcohol or other psychoactive substances
* daily smoker
* sleep Apnea Syndrome paired
* psychotic psychiatric disorders
* history of bariatric surgery
* medical care in the nutrition unit
* inability to comprehend or complete questionnaires
* pregnant or breastfeeding woman
* persons subject to major legal protection (safeguarding justice, guardianship, trusteeship), persons deprived of liberty.

+Locations (1)

FacilityCityCountryStatus
CHU de RennesRennesFrance

+Investigators