Evidence map›Paper›PMID 30406883›Full record

Trial reportEndocrine2019

High frequency deep transcranial magnetic stimulation acutely increases β-endorphins in obese humans.

Anna Ferrulli, Concetta Macrì, Ileana Terruzzi, Federico Ambrogi, Valentina Milani, Michela Adamo, Livio Luzi

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Endocrine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.0field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 13 citations in OpenAlex.

  1. Trial
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  4. Article
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  7. The Other Obesity Epidemic-Of Drugs and Bugs.Frontiers in endocrinology · 2020
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Anna FerrulliEndocrinology and Metabolism Division and Metabolism Research Center, IRCCS Policlinico San Donato, San Donato Milanese, Italy.ORCID 0000-0002-8518-5547
Concetta MacrìEndocrinology and Metabolism Division and Metabolism Research Center, IRCCS Policlinico San Donato, San Donato Milanese, Italy.
Ileana TerruzziLaboratory of Nutrigenomics, Metabolism and Cell Differentiation, Diabetes Research Institute, San Raffaele Hospital, Milan, Italy.
Federico AmbrogiDepartment of Clinical Sciences and Community Health, University of Milan, Milan, Italy.
Valentina MilaniScientific Directorate, IRCCS Policlinico San Donato, Milan, Italy.
Michela AdamoEndocrinology and Metabolism Division and Metabolism Research Center, IRCCS Policlinico San Donato, San Donato Milanese, Italy.
Livio LuziEndocrinology and Metabolism Division and Metabolism Research Center, IRCCS Policlinico San Donato, San Donato Milanese, Italy. livio.luzi@unimi.it.
IRCCS Policlinico San Donato · ITUniversity of Milan · ITVita-Salute San Raffaele University · IT

Funding

Ministero della Salute RF-2011-02349303
6 · The paper itself

Abstract

purposeIn obesity, metabolic and voluntary factors regulate appetite, and a dysregulation of the reward pathway was demonstrated in all addiction disorders. Deep transcranial magnetic stimulation (dTMS) is already used to modulate cerebral dopamine activation in neuro-psychiatric diseases. We presently assess the acute effect of high frequency (HF) and low frequency (LF) dTMS on the modulation of the main neuropeptides and neurotransmitters involved in the reward pathway in obese subjects.

methodsThis study was designed as a double-blind, sham-controlled, randomized clinical trial. Thirty-three obese patients (9 males, 24 females, age 48.1 ± 10.6, BMI 36.4 ± 4.7) were enrolled in the study. All patients were studied during a single dTMS session and blood aliquots were drawn before and after a single dTMS session. Metabolic and neuro-endocrine parameters were evaluated before and after: (1) 18 Hz dTMS (HF, 13 patients); (2) 1 Hz dTMS (LF, 10 patients); (3) Sham treatment (Sham, 10 patients).

resultsNo statistically significant variations in metabolic parameters, systolic and diastolic blood pressure, and heart rate were shown acutely. HF showed a significant increase of β-endorphin compared to other groups (p = 0.048); a significant increase of ghrelin in LF (p = 0.041) was also demonstrated.

conclusionsA single session of HF dTMS treatment determines in obese subjects an acute increase of β-endorphin level, indicating an activation of the reward pathway. The present findings constitute proof of principle for a potential application of this methodology in obesity treatment.

Indexed as

Adultbeta-EndorphinBlood GlucoseBlood PressureDouble-Blind MethodFemaleGhrelinHeart RateHumansLeptinMaleMiddle AgedObesityTranscranial Magnetic Stimulationbeta-EndorphinBlood GlucoseGhrelinLeptinFood cravingGhrelinObesityTranscranial magnetic stimulationβ-endorphin

Identifiers

PMID30406883
OpenAlexW2900385779

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.