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Effect of transcranial direct current stimulation (tDCS) on food craving and eating when using a control method that minimizes guessing of the real vs. control condition

Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity volume 26, pages 1669–1674 (2021)Cite this article

Abstract

Purpose

Validation of transcranial direct current stimulation (tDCS) to treat obesity is hampered by evidence that participants can distinguish real from the traditional-control condition. Correctly guessing the real condition precludes knowing if it is neuromodulation or expectation that suppresses food craving and eating. Therefore, this study tested the putative efficacy of tDCS to the dorsolateral prefrontal cortex (DLPFC) to reduce food craving and eating when an alternative control condition was used that would be difficult to distinguish from the real condition.

Methods

N = 28 adults with a 26–50 BMI range received a typical 20-min 2 mA current session of tDCS targeting the DLPFC as the real condition and a same duration/current tDCS session targeting the sensorimotor cortex (SMC), a region not expected to affect appetite, as the control. Food image craving ratings, in-lab food consumption, and momentary ratings of physical sensations were measured.

Results

DLPFC failed to reduce food craving and consumption compared to SMC stimulation. When interviewed, 71% of participants were unable to guess real from control conditions. Those who guessed DLPFC tDCS as real attributed their guess to increased number and frequency of sensations. However, their sensation ratings during tDCS did not differ between conditions.

Conclusions

The results question if tDCS suppresses craving and eating at all, or if the DLPFC is the best target to do so. The results also indicate that alternate-site constant stimulation as the control method may strengthen the scientific evaluation of tDCS to treat obesity.

Level of evidence

Level I, experimental study.

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Availability of data material and code

Raw data were generated at UAB. Derived data supporting the findings of this study are available from the corresponding author (MMB) on request.

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Funding

The study was supported by the UAB Nutrition Obesity Research Center (NIH- P30 DK056336).

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Affiliations

  1. Department of Psychology, The University of Alabama at Birmingham, 415 Campbell Hall, 1300 University Blvd., Birmingham, AL, 35294-1170, USA

    Carl E. Stevens Jr, Marissa A. Lausen, Laura E. Wagstaff, Tommy R. McRae III, Bethany R. Pittman, Franklin R. Amthor & Mary M. Boggiano

Authors
  1. Carl E. Stevens Jr
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  2. Marissa A. Lausen
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  3. Laura E. Wagstaff
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  4. Tommy R. McRae III
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  5. Bethany R. Pittman
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  6. Franklin R. Amthor
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  7. Mary M. Boggiano
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Corresponding author

Correspondence to Mary M. Boggiano.

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The authors declare that they have no conflict of interest.

Ethics approval

All procedures involving human participants were approved by the UAB Institutional Review Board for Human Use in accordance with the 1964 Helsinki declaration and later amendments.

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Informed consent was obtained from all individual participants in the study.

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Stevens, C.E., Lausen, M.A., Wagstaff, L.E. et al. Effect of transcranial direct current stimulation (tDCS) on food craving and eating when using a control method that minimizes guessing of the real vs. control condition. Eat Weight Disord 26, 1669–1674 (2021). https://doi.org/10.1007/s40519-020-00970-z

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  • DOI: https://doi.org/10.1007/s40519-020-00970-z

Keywords

  • Eating behavior
  • Obesity
  • Neuromodulation
  • DLPFC
  • Sham tDCS
  • Treatment