date: 2019-04-18T10:14:41Z pdf:PDFVersion: 1.5 pdf:docinfo:title: Unhealthy yet Avoidable?How Cognitive Bias Modification Alters Behavioral and Brain Responses to Food Cues in Individuals with Obesity xmp:CreatorTool: LaTeX with hyperref package access_permission:can_print_degraded: true subject: Obesity is associated with automatically approaching problematic stimuli, such as unhealthy food. Cognitive bias modification (CBM) could beneficially impact problematic approach behavior. However, it is unclear which mechanisms are targeted by CBM in obesity. Candidate mechanisms include: (1) altering reward value of food stimuli; and (2) strengthening inhibitory abilities. Thirty-three obese adults completed either CBM or sham training during functional magnetic resonance imaging (fMRI) scanning. CBM consisted of implicit training to approach healthy and avoid unhealthy foods. At baseline, approach tendencies towards food were present in all participants. Avoiding vs. approaching food was associated with higher activity in the right angular gyrus (rAG). CBM resulted in a diminished approach bias towards unhealthy food, decreased activation in the rAG, and increased activation in the anterior cingulate cortex. Relatedly, functional connectivity between the rAG and right superior frontal gyrus increased. Analysis of brain connectivity during rest revealed training-related connectivity changes of the inferior frontal gyrus and bilateral middle frontal gyri. Taken together, CBM strengthens avoidance tendencies when faced with unhealthy foods and alters activity in brain regions underpinning behavioral inhibition. dc:format: application/pdf; version=1.5 pdf:docinfo:creator_tool: LaTeX with hyperref package access_permission:fill_in_form: true pdf:encrypted: false dc:title: Unhealthy yet Avoidable?How Cognitive Bias Modification Alters Behavioral and Brain Responses to Food Cues in Individuals with Obesity modified: 2019-04-18T10:14:41Z cp:subject: Obesity is associated with automatically approaching problematic stimuli, such as unhealthy food. Cognitive bias modification (CBM) could beneficially impact problematic approach behavior. However, it is unclear which mechanisms are targeted by CBM in obesity. Candidate mechanisms include: (1) altering reward value of food stimuli; and (2) strengthening inhibitory abilities. Thirty-three obese adults completed either CBM or sham training during functional magnetic resonance imaging (fMRI) scanning. CBM consisted of implicit training to approach healthy and avoid unhealthy foods. At baseline, approach tendencies towards food were present in all participants. Avoiding vs. approaching food was associated with higher activity in the right angular gyrus (rAG). CBM resulted in a diminished approach bias towards unhealthy food, decreased activation in the rAG, and increased activation in the anterior cingulate cortex. Relatedly, functional connectivity between the rAG and right superior frontal gyrus increased. Analysis of brain connectivity during rest revealed training-related connectivity changes of the inferior frontal gyrus and bilateral middle frontal gyri. Taken together, CBM strengthens avoidance tendencies when faced with unhealthy foods and alters activity in brain regions underpinning behavioral inhibition. pdf:docinfo:subject: Obesity is associated with automatically approaching problematic stimuli, such as unhealthy food. Cognitive bias modification (CBM) could beneficially impact problematic approach behavior. However, it is unclear which mechanisms are targeted by CBM in obesity. Candidate mechanisms include: (1) altering reward value of food stimuli; and (2) strengthening inhibitory abilities. Thirty-three obese adults completed either CBM or sham training during functional magnetic resonance imaging (fMRI) scanning. CBM consisted of implicit training to approach healthy and avoid unhealthy foods. At baseline, approach tendencies towards food were present in all participants. Avoiding vs. approaching food was associated with higher activity in the right angular gyrus (rAG). CBM resulted in a diminished approach bias towards unhealthy food, decreased activation in the rAG, and increased activation in the anterior cingulate cortex. Relatedly, functional connectivity between the rAG and right superior frontal gyrus increased. Analysis of brain connectivity during rest revealed training-related connectivity changes of the inferior frontal gyrus and bilateral middle frontal gyri. Taken together, CBM strengthens avoidance tendencies when faced with unhealthy foods and alters activity in brain regions underpinning behavioral inhibition. pdf:docinfo:creator: Nora Mehl, Filip Morys, Arno Villringer and Annette Horstmann PTEX.Fullbanner: This is pdfTeX, Version 3.14159265-2.6-1.40.18 (TeX Live 2017/W32TeX) kpathsea version 6.2.3 meta:author: Nora Mehl, Filip Morys, Arno Villringer and Annette Horstmann trapped: False meta:creation-date: 2019-04-18T10:14:41Z created: 2019-04-18T10:14:41Z access_permission:extract_for_accessibility: true Creation-Date: 2019-04-18T10:14:41Z Author: Nora Mehl, Filip Morys, Arno Villringer and Annette Horstmann producer: pdfTeX-1.40.18 pdf:docinfo:producer: pdfTeX-1.40.18 pdf:unmappedUnicodeCharsPerPage: 17 Keywords: cognitive bias modification; obesity; approach?avoidance task; fMRI access_permission:modify_annotations: true dc:creator: Nora Mehl, Filip Morys, Arno Villringer and Annette Horstmann dcterms:created: 2019-04-18T10:14:41Z Last-Modified: 2019-04-18T10:14:41Z dcterms:modified: 2019-04-18T10:14:41Z title: Unhealthy yet Avoidable?How Cognitive Bias Modification Alters Behavioral and Brain Responses to Food Cues in Individuals with Obesity Last-Save-Date: 2019-04-18T10:14:41Z pdf:docinfo:keywords: cognitive bias modification; obesity; approach?avoidance task; fMRI pdf:docinfo:modified: 2019-04-18T10:14:41Z meta:save-date: 2019-04-18T10:14:41Z pdf:docinfo:custom:PTEX.Fullbanner: This is pdfTeX, Version 3.14159265-2.6-1.40.18 (TeX Live 2017/W32TeX) kpathsea version 6.2.3 Content-Type: application/pdf X-Parsed-By: org.apache.tika.parser.DefaultParser creator: Nora Mehl, Filip Morys, Arno Villringer and Annette Horstmann dc:subject: cognitive bias modification; obesity; approach?avoidance task; fMRI access_permission:assemble_document: true xmpTPg:NPages: 17 pdf:charsPerPage: 3071 access_permission:extract_content: true access_permission:can_print: true pdf:docinfo:trapped: False meta:keyword: cognitive bias modification; obesity; approach?avoidance task; fMRI access_permission:can_modify: true pdf:docinfo:created: 2019-04-18T10:14:41Z