MedPath

Translating Neuroscience to Population Health

Not Applicable
Completed
Conditions
Overweight and Obesity
Interventions
Behavioral: Guided Imagery
Registration Number
NCT03976427
Lead Sponsor
University of Kansas Medical Center
Brief Summary

The current study will examine the relationship between brain responses and a guided imagery exercise in overweight and obese individuals. Results of this work are highly relevant to public health because they employ neuroimaging methods to understand food decision-making. Findings from this study will inform health decision making and holds great potential for future translation across multiple health behaviors and scalable interventions to impact population health

Detailed Description

Negative health behaviors (e.g. overeating, smoking) are associated with increased negative health outcomes. Engaging in healthy behaviors is not always rewarding (e.g. carrot vs. cake). Neural models of healthy behaviors focus on the balance between reward and regulation brain regions. The current pilot application examines the engagement of these regions during the evaluation of food and nonfood cues before and after a guided imagery exercise targeting positive associations with food and regulation.

The long-term goal is to understand the interaction between positive associations with healthy foods and thinking about future rewards may influence healthy decision-making. The objective of the current study is to empirically test the combined effects of positive affect and positive episodic future thinking on brain activation.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
20
Inclusion Criteria
  • body mass index 25 to 55 kg/m2
  • right-handed
  • not currently dieting or attempting to lose weight.
Exclusion Criteria
  • serious medical illness unsuitable for the magnetic resonance imaging scanner based on best clinical judgment
  • any neurologic or current psychiatric diagnosis
  • currently taking anti-seizure medication
  • history of concussion
  • left-handedness
  • risk for hazard due to magnetic fields such as metal in the body surgically or accidentally
  • pregnancy

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Guided ImageryGuided ImageryParticipants will listen to a guided imagery recording
Primary Outcome Measures
NameTimeMethod
Brain Activation in Self-Regulation Brain Regions1 hour

Functional Magnetic Resonance Imaging will measure brain activation changes in self-regulation brain regions including the dorsolateral prefrontal cortex, dorsomedial prefrontal cortex and anterior cingulate cortex when participants view healthy compared to unhealthy food images before and after the guided imagery exercise

Brain Activation in Reward Brain Regions1 hour

Functional Magnetic Resonance Imaging will measure brain activation changes in reward brain regions including the ventromedial prefrontal cortex and striatum when participants view healthy compared to unhealthy food images before and after the guided imagery exercise

Secondary Outcome Measures
NameTimeMethod
Food Choice1 hour

Observational preference for healthy compared to unhealthy food choices measured by the number of healthy and unhealthy foods selected following the guided imagery exercise

Food Demand1 hour

Behavioral changes in demand for healthy compared to unhealthy foods will be measured by asking participants to indicate how healthy and unhealthy food items they would eat in a day if the items were freely available

Trial Locations

Locations (1)

University of Kansas Medical Center

🇺🇸

Kansas City, Kansas, United States

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