Neural and Behavioral Correlates of Binge Eating in 9- to 10-Year-Old Children
Kathryn E Smith1, Eustace Hsu1, Tyler B Mason1
1University of Southern California, Los Angeles, California.
Insights
Children with binge eating (BE) show blunted neural responses to reward anticipation. This suggests altered reward processing may contribute to binge eating pathophysiology in youth.
Area of Science:
- Neuroscience
- Developmental Psychology
- Eating Disorders
Background:
- Binge eating disorder (BED) is a prevalent eating disorder with significant psychosocial consequences.
- Understanding the neurobiological underpinnings of BED in youth is crucial for early intervention.
- Previous research on BED neurobiology may be confounded by weight status.
Purpose of the Study:
- To compare biobehavioral measures of reward responsiveness, inhibitory control, and emotion processing in children with and without binge eating (BE).
- To investigate the impact of weight status as a covariate and moderator in these comparisons.
- To explore the role of neural activation patterns in the pathophysiology of binge eating in children.
Main Methods:
- Utilized data from the Adolescent Brain Cognitive Development (ABCD) Study, including 316 children with BE and 7,681 without BE (ages 9-10).
- Administered neuroimaging tasks: Monetary Incentive Delay (MID), Stop Signal Task (SST), and Emotional N-Back (EN-Back).
- Analyzed task performance and neural signals in regions of interest (ROIs), controlling for weight status.
Main Results:
- Children with BE exhibited significantly lower neural activation in reward-related brain regions (dorsal striatum, nucleus accumbens, OFG, amygdala, insula) during anticipation of large rewards compared to controls.
- No significant differences were found between groups in other behavioral or neural outcomes.
- Weight status did not moderate the observed group differences.
Conclusions:
- Blunted anticipatory responses to monetary reward in peri-adolescence are associated with binge eating.
- These findings suggest that altered reward processing may be a key factor in binge eating pathophysiology.
- This study highlights the need for future prospective research on BED across different stages of illness, accounting for weight status.
Objective:
This observational study compared children with and without binge eating (BE) on biobehavioral measures of reward responsiveness, inhibitory control, and emotion processes, while accounting for the impact of weight.
Method:
Children aged 9 to 10 years completed the baseline wave of the Adolescent Brain Cognitive Development Study (316 with BE; 7,681 without BE [no-BE]). The prevalence of binge-eating disorder in the BE group was 17.0%; clinically significant internalizing and externalizing symptoms were endorsed by 8.5% and 4.5% of the sample, respectively. The monetary incentive delay (MID) task, stop signal task (SST), and emotional N-Back (EN-Back) task were administered during neuroimaging. Analyses assessed effects of group (BE vs no-BE) on task performance and corresponding neural signal in regions of interest (ROIs). Weight status was evaluated as a covariate and as a moderator of effects.
Results:
Adjusting for weight status, the BE group (vs no-BE) group showed lower activation during anticipation of reward, specifically large reward (vs no reward), in the composite ROI consisting of the dorsal striatum, nucleus accumbens, orbital frontal gyrus, amygdala, and insula. Groups did not differ significantly in other behavioral or neural outcomes. No interactions between group and weight status were observed.
Conclusion:
Blunted anticipatory responses to monetary reward were associated with binge eating during peri-adolescence and may play a role in binge eating pathophysiology. Results challenge prior findings in BE that may be confounded by weight, and highlight the importance of future prospective research across binge-eating disorder stage of illness.
Plain Language Summary:
Binge eating disorder, the most common eating disorder, is associated with several negative psychosocial consequences. This study used data from the Adolescent Brain Cognitive Development (ABCD) Study and compared children (ages 9-10) with and without binge eating on neurobiological and behavioral measures of reward responsiveness, inhibitory control, and emotion processes. Children with binge eating showed lower neural activation during anticipation of reward, specifically large reward, compared to youth without binge eating. These findings suggest that blunted anticipatory response during peri-adolescence may play a role in binge eating pathophysiology.
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