Adherence
Long-term participation in an intensive lifestyle intervention (ILI) for type 2 diabetes reduces reward-related neural reactivity to high-calorie food cues and enhances attention/visual processing compared to standard diabetes support.
If you have type 2 diabetes and are overweight, sticking to a structured lifestyle program (diet and exercise) for a long period can physically change how your brain reacts to high-calorie foods. Specifically, it may reduce the 'reward' signal and increase your brain's ability to pay attention to and process food cues consciously, which might support long-term weight management.
These findings suggest there may be legacy effects of participation in a behavioral weight loss intervention, with reduced reward-related activity and enhanced attention or visual processing in response to high-calorie foods.
Why this rating
Randomized controlled trial design with a large sample size (n=232) and long-term follow-up (~10 years).
Source
Impact of Intensive Lifestyle Intervention on Neural Food Cue Reactivity: Action for Health in Diabetes Brain Ancillary Study
Kathryn E. Demos et al. · Obesity · 2019
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