Is there a role for higher cognitive processes in the development of obesity in humans?
Is there a role for higher cognitive processes in the development of obesity in humans?
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DOI：
10.1098/rstb.2022.0208
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发表时间：
2023-09-11
期刊：
影响因子：
--
通讯作者：
Higgs S
中科院分区：
文献类型：
--
作者：
Higgs S
认知支持人类饮食的灵活性和对更高认知过程的破坏，如抑制控制和记忆，并可能导致食物摄入量增加，从长远来看可能导致体重增加。这篇综述的目的是提供一个关于认知作为人类肥胖发展的因果因素的现有证据的概述。来自荟萃分析的证据支持这样的建议，即认知功能与肥胖是横截面相关的，即使控制了一系列混杂变量。然而，这种关联可以用反向因果关系来解释，因为也有证据表明代谢综合征和过量西方饮食消费史会改变大脑结构和认知功能。来自纵向和干预性研究以及非人类动物模型的数据表明，肥胖和认知功能之间存在相互关系，但高级认知过程的中断是否是人类肥胖的主要原因仍不清楚。这篇文章是讨论会议议题“肥胖的原因：理论，图表和证据（第一部分）”的一部分。
Cognition underpins the flexibility of human eating and disruption to higher cognitive processes, such as inhibitory control and memory, and can result in increased food intake, which in the long term could result in weight gain. The aim of this review is to provide an overview of the current evidence on cognition as a causal factor in the development of obesity in humans. Evidence from meta-analyses supports the suggestion that cognitive function is cross-sectionally associated with obesity even when controlling for a range of confounding variables. However, this association could be explained by reverse causality because there is also evidence that the metabolic syndrome and a history of excess western diet consumption alters brain structure and cognitive function. Data from longitudinal and interventional studies and from non-human animal models suggest a reciprocal relationship between obesity and cognitive function exists but whether disruption to higher cognitive processes is a primary cause of obesity in humans remains unclear. This article is part of a discussion meeting issue ‘Causes of obesity: theories, conjectures and evidence (Part I)’.
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