Greater reward-related neuronal response to hedonic foods in women compared to men

OBJECTIVE: The current study aimed to identify how sex influences neurobiological responses to food cues, particularly those related to hedonic eating, and how this relates to obesity propensity, using functional magnetic resonance imaging (fMRI). METHODS: Adult men and women who were either obesity-resistant (OR) or obesity-prone (OP) underwent fMRI while viewing visual food cues (hedonic foods, neutral foods, and non-food objects) in both fasted and fed states. RESULTS: When fasted, a significant sex effect on the response to hedonic vs. neutral foods was observed, with greater responses in women than men in the nucleus accumbens (p=0.0002) and insula (p=0.010). Sex-based differences were not observed in the fed state. No significant group effects (OP vs. OR) or group by sex interactions were observed in fasted or fed states. CONCLUSIONS: Greater fasted responses to hedonic food cues in reward-related brain regions were observed in women compared to men, suggesting that women may be more sensitive to reward value of hedonic foods than men when fasted. This may indicate sex-dependent neurophysiology underlying eating behaviors.