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The effects of repetitive transcranial magnetic stimulation on body weight and food consumption in obese adults: A randomized controlled study.

Abstract：

BACKGROUND:Although some studies have reported significant reductions in food cravings following the single-session of repetitive transcranial magnetic stimulation (rTMS), there is little research on the effects of multi-session of rTMS on food consumption and body weight in obese subjects. OBJECTIVE:We conducted 4-week randomized, sham-controlled, single-blind, parallel-group trial to examine the effect of rTMS on body weight in obese adults. METHODS:Forty-three obese patients (body mass index [BMI] ≥25 kg/m2) aged between 18 and 70 years were randomized to the sham or real treatment group (21 in the TMS group and 22 in the sham treatment group). A total of 8 sessions of rTMS targeting the left dorsolateral prefrontal cortex (DLPFC) was provided over a period of 4 weeks. The primary outcome measure was weight change in kilograms from baseline to 4 weeks. Secondary endpoints included changes in anthropometric measures, cardiovascular risk factors, food intake, and appetite. RESULTS:Participants in the rTMS group showed significantly greater weight loss from baseline following the 8 session of rTMS (-2.75 ± 2.37 kg vs. 0.38 ± 1.0 kg, p < 0.01). Consistent with weight loss, there was a significant reduction in fat mass and visceral adipose tissue at week 4 in the rTMS group compared with the control group (p < 0.01). After the 8 sessions of rTMS, the TMS group consumed fewer total kilocalories and carbohydrates per day than the control group (p < 0.05). CONCLUSIONS:8 sessions of HF rTMS delivered to the left DLPFC were effective in inducing weight loss and decreasing food intake in obese patients. TRIAL REGISTRATION:Clinical trial registered with the Clinical Trials Registry at http://cris.cdc.go.kr (KCT0002548).

journal_name

Brain Stimul

journal_title

Brain stimulation

authors

Kim SH,Chung JH,Kim TH,Lim SH,Kim Y,Eun YM,Lee YA

doi

10.1016/j.brs.2019.07.020

subject

Has Abstract

pub_date

2019-01-01 00:00:00

pages

1556-1564

issue

6

eissn

1935-861X

issn

1876-4754

pii

S1935-861X(19)30304-3

journal_volume

12

pub_type

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