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The addictive dimensionality of obesity
Nora D Volkow1, Gene-Jack Wang, Dardo Tomasi
1National Institute on Drug Abuse, National Institutes of Health, Bethesda, Maryland 20892, USA. nvolkow@nida.nih.gov
Biological Psychiatry
|February 5, 2013
Summary
Our brains seek immediate rewards, leading to overeating and obesity or drug use and addiction. Understanding the overlap between reward and homeostatic systems offers new treatment opportunities for both conditions.
Area of Science:
- Neuroscience
- Addiction Research
- Obesity Studies
Background:
- The brain's reward system drives seeking immediate gratification, influencing behaviors like overeating and drug consumption.
- While food intake is homeostatically regulated, resisting palatable foods and regulating drug intake heavily relies on self-control.
- Disruptions in reward sensitivity and inhibitory control can lead to compulsive behaviors, including overeating and drug addiction.
Purpose of the Study:
- To explore the neurobiological commonalities between obesity and addiction.
- To investigate the crosstalk between homeostatic and reward systems in compulsive behaviors.
- To identify potential new avenues for the prevention and treatment of obesity and drug addiction.
Main Methods:
- Review of current evidence on the neurobiological underpinnings of reward sensitivity and inhibitory control.
- Analysis of research linking energy homeostasis disruption to reward circuitry changes.
- Examination of commonalities in neural substrates between addiction and obesity phenotypes.
Main Results:
- Compulsive food intake, similar to addiction, can arise from disruptions in energy homeostasis affecting reward circuitry.
- Significant overlap exists in the neural substrates underlying addiction and certain forms of obesity.
- Self-control plays a crucial role in regulating intake when highly palatable foods are available and in managing drug consumption.
Conclusions:
- Obesity and addiction share common neurobiological pathways related to reward and self-control.
- Understanding the interplay between homeostatic and reward systems is key to addressing both disorders.
- Further research into this crosstalk may unlock novel therapeutic strategies for obesity and addiction.
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