Neural structural abnormalities behind altered brain activation in obesity: Evidence from meta-analyses of brain activation and morphometric data.

Obesity represents a risk factor for disability with a major bearing on life expectancy. Neuroimaging techniques are contributing to clarify its neurobiological underpinnings. Here, we explored whether structural brain abnormalities might accompany altered brain activations in obesity. We combined and compared data from brain activation studies for food stimuli and the data reported in structural voxel-based morphometry studies. We found that obese individuals have reduced grey matter density and functional activations in the thalamus and midbrain. A functional connectivity analysis based on these two clusters and its quantitative decoding showed that these regions are part of the reward system functional brain network. Moreover, we found specific grey matter hypo-densities in prefrontal cortex for the obese subjects, regions involved in controlled behaviour. These results support theories of obesity that point to reduced bottom-up reward processes (i.e., the Reward Deficit Theory), but also top-down theories postulating a deficit in cognitive control (i.e., the Inhibitory Control Deficit Theory). The same results also warrant a more systematic exploration of obesity whereby the reward of food and the intentional control over consummatory behaviour is manipulated.

Neurofunctional correlates of body-ownership and sense of agency: A meta-analytical account of self-consciousness.

Self-consciousness consists of several dissociable experiences, including the sense of ownership of one's body and the sense of agency over one's action consequences. The relationship between body-ownership and the sense of agency has been described by different neurocognitive models, each providing specific neurofunctional predictions. According to an "additive" model, the sense of agency entails body-ownership, while an alternative "independence" hypothesis suggests that they represent two qualitatively different processes, underpinned by distinct brain systems. We propose a third "interactive" model, arguing the interdependence between body-ownership and the sense of agency: these constructs might represent different experiences with specific and exclusive brain correlates, but they also could partly overlap at the neurofunctional level. Here we test these three neurocognitive models by reviewing the available neurofunctional literature of body-ownership and the sense of agency, with a quantitative meta-analytical approach that allowed us to compare their neural correlates statistically. We identified (i) a body-ownership-specific network including the left inferior parietal lobule and the left extra-striate body area, (ii) a sense-of-agency-specific network including the left SMA, the left posterior insula, the right postcentral gyrus, and the right superior temporal lobe and (iii) a shared network in the left middle insula. These results provide support for the interactive neurocognitive model of body-ownership and the sense of agency. Body-ownership involves a sensory network in which multisensory inputs are integrated to be self-attributed. On the other hand, the sense of agency is specifically associated with premotor and sensory-motor areas, typically involved in generating motor predictions and in action monitoring. Finally, body-ownership and the sense of agency interact at the level of the left middle insula, a high-level multisensory hub engaged in body and action awareness in general.