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A study of the effect that a psychologic factors give to an appetite and eating regulatory substances

Research Project

Project/Area Number 18590655
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field General internal medicine (including Psychosomatic medicine)
Research InstitutionKyushu University

Principal Investigator

KAWAI Keisuke  Kyushu University, Hospital, assistant professor (80325521)

Co-Investigator(Kenkyū-buntansha) KUBO Chiharu  Kyushu University, Faculty of Medical Sciences, Professor (80117100)
YAMADA Yu  Kyushu University, Hospital, Clinical Fellow (90423590)
Project Period (FY) 2006 – 2007
Project Status Completed (Fiscal Year 2007)
Budget Amount *help
¥3,650,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥450,000)
Fiscal Year 2007: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Fiscal Year 2006: ¥1,700,000 (Direct Cost: ¥1,700,000)
Keywordsanorexia nervosa / BMI / ghrelin / leptin / psychological factors / hypnotic image / fullness feeling / 食事量 / 心理テスト
Research Abstract

The central nervous system sites that control food intake in animals are the hypothalamus and brainstem. In addition, higher-cortical brain function such as cognition, emotion and reward, are assumed to have been added to these brain regions in humans. We studied the effect that a psychological factors and regulatory substances gave to an appetite.
(Study 1)
We examined factors that affect body mass index (BMI) using multiple linear regression analysis of anorexia nervosa (AN). The somatic factors analyzed were daily food intake, eating regulatory substances in blood (acylated ghrelin, desacyl ghrelin, leptin), serum cortisol, and insulin. The psychological factors analyzed were depression, anxiety , EDI (Eating disorder inventory), and hunger/fullness feeling.
In AN, appetite may be regulated by maturity fears (β -0.375), not leptin or active ghrelin. Psychological distress was high for AN patients whose BMI was low, the opposite of normal subjects. This suggested that psychological factors are important in AN patients, in addition to the actions of substances such as leptin and ghrelin.
(Study 2)
In addition, we examined relationship between the influence of a hypnotic image in which eating a meal gave a feeling of fullness and electrogastrogram and the eating regulatory substances of normal subjects. The fullness feeling increased significantly, but no change in the eating regulatory substances or electrogastrogram was found during hypnosis. This suggested that the fullness feeling created by the image was caused by a mechanism that did not go through the ghrelin, leptin pathway of normal subjects.

Report

(3 results)
  • 2007 Annual Research Report   Final Research Report Summary
  • 2006 Annual Research Report
  • Research Products

    (14 results)

All 2007 2006

All Journal Article (4 results) Presentation (10 results)

  • [Journal Article] 神経性食欲不振症への心療内科的アプローチ2007

    • Author(s)
      河合 啓介, 久保 千春
    • Journal Title

      Medicina 11

      Pages: 2086-2087

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] 摂食量を規定する身体的因子・心理的因子2007

    • Author(s)
      河合 啓介
    • Journal Title

      Medical Science Digest 33

      Pages: 1113-1115

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Annual Research Report 2007 Final Research Report Summary
  • [Journal Article] 神経性食欲不振症への心療内科的アプローチ2007

    • Author(s)
      河合 啓介、久保 千春
    • Journal Title

      Medicina 11

      Pages: 2086-2087

    • Related Report
      2007 Annual Research Report
  • [Journal Article] 神経性食思不振症のメカニズム2006

    • Author(s)
      河合 啓介, 久保 千春
    • Journal Title

      CLINICAL NEUROSCIENCE別冊 24

      Pages: 932-935

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] Factors Regulation of BMI and caloric intake in Patients with Anorexia Nervosa Intervention of the somatic and the psychological factors2007

    • Author(s)
      Keisuke Kawai, et. al.
    • Organizer
      19th World Congress on Psychosomatic Medicine
    • Place of Presentation
      Quebec Canada
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] 神経性食欲不振症患者のBMI・食事摂取に影響を与える身体的・心理的因子2007

    • Author(s)
      河合 啓介, ら
    • Organizer
      第48回日本心身医学学会総会
    • Place of Presentation
      福岡
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Annual Research Report 2007 Final Research Report Summary
  • [Presentation] 強迫傾向を有する神経性食欲不振症患者の臨床的特徴-完全主義との関連について2007

    • Author(s)
      山形 俊, 野崎 剛弘, 瀧井 正人, 河合 啓介, ら
    • Organizer
      第三回日本摂食障害学会
    • Place of Presentation
      京都
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Annual Research Report 2007 Final Research Report Summary
  • [Presentation] Factors Regulation of BMI and caloric intake in Patients with Anorexia Nervosa. -Intervention of the somatic and the psychological factors2007

    • Author(s)
      Keisuke, Kawai, et. al.
    • Organizer
      9th World Congress on Psychosomatic Medicine
    • Place of Presentation
      Quebec Canada
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] Factors Regulation of BMI and caloric intake in Patients with AnorexiaNervosa Intervention of the somatic and the psychological factors2007

    • Author(s)
      Keisuke Kawai, et. al.
    • Organizer
      19^<th> World Congress on Psychosomatic Medicine
    • Place of Presentation
      Quebec Canada
    • Related Report
      2007 Annual Research Report
  • [Presentation] Facotors regiation of apetite in patinets with anorexia nervosa-intervention of eating regulation molecules and the psychological facors2006

    • Author(s)
      Keisuke Kawai, et. al.
    • Organizer
      The 12th southeast asian-westren pacific regional meetillg of pharmacologysts
    • Place of Presentation
      Melborune
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] 神経性食欲不振症患者(AN)の食欲モデルの構築-ANの食事に関与する高次中枢と末梢摂食調節因子の連関2006

    • Author(s)
      河合 啓介, ら
    • Organizer
      第47回日本心身医学会総会
    • Place of Presentation
      東京
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] 催眠による摂食イメージは血漿グレリン濃度を上昇させる2006

    • Author(s)
      松原 慎、河合 啓介, ら
    • Organizer
      第47回日本心身医学会総会
    • Place of Presentation
      東京
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] 摂食障害の身体管理と合併症2006

    • Author(s)
      河合 啓介
    • Organizer
      第2回日本摂食障害学会
    • Place of Presentation
      東京
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] Facotors regilation of apetite in patinets with anorexia nervosa-intervention of eating regulation molecules and the psychological facors2006

    • Author(s)
      Keisuke, Kawai, et. al.
    • Organizer
      The 12 th southeast asian-westren pacific regional meeting of pharmacologysts
    • Place of Presentation
      Melborune
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary

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Published: 2006-04-01   Modified: 2016-04-21  

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