The aim of this study is to gain insight into brain structure and the neural networks that control taste and eating behaviour in patients with severe obesity undergoing a primary sleeve gastrectomy (SG) or a lifestyle intervention for weight loss compared with normal weight individuals, using functional magnetic resonance imaging (fMRI).
This is an observational study aiming to gain insight into brain structure and the neural networks that control taste and eating behaviour in patients with severe obesity undergoing a primary sleeve gastrectomy (SG) or a lifestyle intervention for weight loss compared with normal weight individuals using functional magnetic resonance imaging (fMRI). Drops of liquid foods and a control solution will be delivered to the participants' mouth during fMRI scanning. Body weight, gut hormones from serial blood samples, appetite scores and taste will be assessed at each study visit.
Study Type
OBSERVATIONAL
Enrollment
75
University College London Hospital
London, United Kingdom
BOLD signal change after SG
To determine the effect of SG, at 10% weight loss, upon whole-brain neural response to taste, in the fed and fasted state, detected through blood-oxygen-level dependent (BOLD) signal, in patients with severe obesity.
Time frame: approximately 6 weeks
BOLD signal change after lifestyle intervention
The effect of 10% weight loss in patients with severe obesity induced by a lifestyle intervention on BOLD signal to taste in the fed and fasted state and compared to SG.
Time frame: average of 12 weeks
BOLD signal in response to taste in severe obesity compared to normal weight
Brain responses, as BOLD signal, to taste in the fed and fasted state in severe obesity compared to normal weight
Time frame: baseline
BOLD signal change post-SG
Whole brain neural response in BOLD signal to taste, in the fed and fasted state, 6 months following SG versus normal weight
Time frame: 6 months
Correlation of taste responses and gut hormones
The relationship between the neural correlates of taste and levels of circulating gut hormones in severe obesity compared to normal weight
Time frame: baseline
Correlation of taste responses and gut hormones
The relationship between the neural correlates of taste and levels of circulating gut hormones after 10% weight loss by SG compared to lifestyle intervention
Time frame: approximately 6 weeks for SG group and approximately 12 weeks for lifestyle intervention group
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Correlation of taste responses and gut hormones
The relationship between the neural correlates of taste and circulating gut hormone levels
Time frame: 6 months post-SG compared to baseline
Correlation of taste responses and gut hormones
The relationship between the neural correlates of taste and levels of circulating gut hormones post-SG compared to normal weight
Time frame: 6 months
Brain structure
Comparison of brain structure in severe obesity and normal weight
Time frame: Baseline
Brain structure 6 months following SG
Comparison of brain structure 6 months following SG to baseline
Time frame: 6 months
Brain structure after 10% weight loss
Comparison of brain structure following 10% weight loss induced by SG versus lifestyle intervention
Time frame: approximately 6 weeks for SG group and approximately 12 weeks for lifestyle intervention group