Neurobiomarkers of Real-World Dietary Success

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Parsons, John-Dennis

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thesis

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eng

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dietary decision-making , functional magnetic resonance imaging (fMRI) , neuroanatomy and neural function , body mass index (BMI) , baseline and regulatory food choices

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Why do some people regularly eat healthy foods, while many others suffer poor health outcomes due to maladaptive dietary choices? Empirical work suggests that functional and structural properties of the brain contain meaningful information about a person's ability to align their dietary behaviours with higher health goals. In previous magnetic resonance imaging (MRI) studies, brain structure and function in two regions of prefrontal cortex (PFC) were linked to individual differences in 'dietary success' in laboratory food tasks (Han et al., 2018; Schmidt et al., 2018; Tusche and Hutcherson, 2018). These regions were dorsolateral prefrontal cortex (dlPFC) and ventromedial prefrontal cortex (vmPFC). Both regions have long been known to play a role in food choices (Hare et al., 2009; 2011) by influencing valuation and self-control processes during dietary decision-making (Motoki and Suzuki, 2020). Function and structure in dlPFC and vmPFC are indicators of people's choice behaviour in laboratory food tasks, and so are construed as 'neurobiomarkers' of dietary success. But to what extent can these neurobiomarkers predict real-world dieting outcomes, and which are the strongest predictors? In the current study, we tested whether brain function and structure in these 'dietary success' regions could predict a proxy measure of successful dietary behaviour, namely body mass index (BMI). In a novel approach, we estimated subjects' BMI scores in an out-of-sample predictive analysis. In a single model, we combined neural activity and cortical thickness in dlPFC and vmPFC and tested the relationship between these neurobiomarkers and subjects' BMI scores. We found that the best prediction of BMI relied exclusively on neural activity in dlPFC and vmPFC. Moreover, the prediction was strongest when subjects made natural, autonomous food choices without any task-imposed goals or considerations. These results shed new light on how brain function and structure related to food choices in the laboratory can extend to predict BMI, an outcome of real-world dietary behaviour.

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