RT Journal Article T1 Brain Functional Connectivity Is Modified by a Hypocaloric Mediterranean Diet and Physical Activity in Obese Women A1 Garcia-Casares, Natalia A1 Bernal-Lopez, Maria R. A1 Roe-Vellve, Nuria A1 Gutierrez-Bedmar, Mario A1 Fernandez-Garcia, Jose C. A1 Garcia-Arnes, Juan A. A1 Ramos-Rodriguez, Jose R. A1 Alfaro, Francisco A1 Santamaria-Fernandez, Sonia A1 Steward, Trevor A1 Jimenez-Murcia, Susana A1 Garcia-Garcia, Isabel A1 Valdivielso, Pedro A1 Fernandez-Aranda, Fernando A1 Tinahones, Francisco J. A1 Gomez-Huelgas, Ricardo K1 Mediterranean diet K1 physical activity K1 connectivity K1 obesity K1 inferior parietal lobe K1 temporal lobe K1 insula K1 prefrontal cortex K1 posterior cingulate K1 somatosensory cortex K1 functional MRI K1 resting state AB Functional magnetic resonance imaging (fMRI) in the resting state has shown altered brain connectivity networks in obese individuals. However, the impact of a Mediterranean diet on cerebral connectivity in obese patients when losing weight has not been previously explored. The aim of this study was to examine the connectivity between brain structures before and six months after following a hypocaloric Mediterranean diet and physical activity program in a group of sixteen obese women aged 46.31 +/- 4.07 years. Before and after the intervention program, the body mass index (BMI) (kg/m(2)) was 38.15 +/- 4.7 vs. 34.18 +/- 4.5 (p< 0.02), and body weight (kg) was 98.5 ± 13.1 vs. 88.28 ± 12.2 (p < 0.03). All subjects underwent a pre- and post-intervention fMRI under fasting conditions. Functional connectivity was assessed using seed-based correlations. After the intervention, we found decreased connectivity between the left inferior parietal cortex and the right temporal cortex (p < 0.001), left posterior cingulate (p < 0.001), and right posterior cingulate (p < 0.03); decreased connectivity between the left superior frontal gyrus and the right temporal cortex (p < 0.01); decreased connectivity between the prefrontal cortex and the somatosensory cortex (p < 0.025); and decreased connectivity between the left and right posterior cingulate (p < 0.04). Results were considered significant at a voxel-wise threshold of p ≤ 0.05, and a cluster-level family-wise error correction for multiple comparisons of p ≤ 0.05. In conclusion, functional connectivity between brain structures involved in the pathophysiology of obesity (the inferior parietal lobe, posterior cingulate, temporo-insular cortex, prefrontal cortex) may be modified by a weight loss program including a Mediterranean diet and physical exercise. PB MDPI YR 2017 FD 2017-07-01 LK http://hdl.handle.net/10668/19315 UL http://hdl.handle.net/10668/19315 LA en NO García-Casares N, Bernal-López MR, Roé-Vellvé N, Gutiérrez-Bedmar M, Fernández-García JC, García-Arnés JA, et al. Brain Functional Connectivity Is Modified by a Hypocaloric Mediterranean Diet and Physical Activity in Obese Women. Nutrients. 2017 Jul 1;9(7):685 NO This study was supported by the Instituto de Salud Carlos III (FIS PI12/01373) and by the University of Málaga. DS RISalud RD Apr 5, 2025