Blood sugar drives brain's response to the sight of food

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Blood sugar drives brain's response to the sight of food

In study of identical twins, influence of genetics and upbringing appear to have limits
Michael McCarthy

Our brain’s response to the sight of food appears driven more by our blood sugar level at the moment than our upbringing or genetics, research from the University of Washington suggests. 

“The finding suggests our brains have a way to override genetic inheritance, upbringing and habits to respond to our immediate nutritional needs,” said Dr. Ellen Schur, UW assistant professor of medicine. She presented the data at the annual meeting of the Society for the Study of Ingestive Behavior, in Seattle. 


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Scans courtesy of Ellen Schur
Click to enlarge.
Brain regions are activated as study subjects are shown pictures of fattening foods

Schur and colleagues at Harborview Medical Center used brain scans to compare how appetite centers in the brains of identical twins responded to images of high- and low-calorie foods. Functional magnetic resonance imaging (fMRI) detected activity in different brain centers by measuring changes in blood flow.

Studies of identical twins have shown that genetics and upbringing play major roles in a person’s body-weight regulation. In this study, the researchers wanted to determine what role inherited similarities in brain function had on appetite.

The researchers hypothesized that because identical twins have nearly identical genetic inheritance, their brain appetite centers would respond similarly to images of high- and low-calorie foods.

The researchers enrolled 21 pairs of identical (monozygotic) twins who had been raised together. The twins ate a standardized breakfast and, three and half hours later, underwent a baseline fMRI brain scan.
 
After the first scan, they were fed a filling meal of macaroni and cheese, calibrated to satiate their appetites. The twins then had a second fMRI during which they were shown photographs of non-fattening foods, such as fruits and vegetables, and fattening foods, such as pizza and french fries.

With fMRI, the researchers assessed how activity of appetite-regulating centers in their brains changed in response to the images. Afterward the twins were offered to eat their fill from a buffet; how much they ate was recorded.


Twins-food.Schur
Ellen Schur, a UW assistant professor of medicine, led the study.
picture of Ellen Schur

 At regular intervals during the experiment the twins were asked to rate their feelings of hunger, fullness and satisfaction, using a standardized scale, and blood samples were taken to measure levels of glucose and regulatory hormones, such as insulin, leptin and ghrelin. 

The twin pairs gave similar responses when asked to rate their appetites before and after meals, and had similar hormonal responses, and even ate similar amounts from the buffet — findings that suggest these responses were influenced by their shared upbringing and genetics.
 
But brain activation in response to the food images differed: Response tended to be greater in the twin with lower blood-glucose levels.

The findings, Schur said, suggest that while genetics and upbringing play a big role in how much we weigh and how much we normally eat, our immediate response to food is driven by our bodies' need for nutrition at the time.