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Published on: October 22, 2015
Nutritional Status Affects Cortical Folding: Lessons Learned From Anorexia Nervosa.
Fabio Bernardoni1, Joseph A King1, Daniel Geisler1
1Division of Psychological and Social Medicine and Developmental Neuroscience, Faculty of Medicine, Technische Universität Dresden, Dresden, Germany.
Cortical folding changes in anorexia nervosa (AN) are primarily linked to nutritional status, not permanent brain alterations. Recovery through weight restoration normalizes these structural brain differences.
Area of Science:
- Neuroscience
- Radiology
- Psychiatry
Background:
- Cortical folding patterns are generally stable post-birth, making deviations in psychiatric disorders potential biomarkers.
- Anorexia nervosa (AN) exhibits rapid brain structure changes, offering a model to study environmental impacts on cortical folding.
Purpose of the Study:
- To investigate the impact of nutritional status on cortical folding in anorexia nervosa.
- To reconcile discordant findings from previous studies on cortical folding in AN.
Main Methods:
- Vertexwise analysis of local gyrification index and mean curvature in acutely ill AN patients, recovered AN patients, and controls.
- Longitudinal assessment of cortical folding changes following partial weight restoration in AN patients.
Main Results:
- Acutely ill AN patients showed reduced gyrification, which normalized after partial weight restoration.
- Weight restoration significantly predicted the restoration of normal gyrification.
- Mean curvature analyses supported the findings from gyrification index.
Conclusions:
- Nutritional status significantly influences cortical folding in anorexia nervosa.
- Cortical organization changes in AN reflect nutritional state rather than permanent traits.
- Future gyrification studies should account for environmental factors like nutritional status.
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