“…The gut satiety hormones produced by the gastrointestinal tract send satiety signals to the brain via the gut-brain axis ( Kuhne and Stengel, 2019 ), and abnormal brain response to satiety signals or high-fat feeding may play an important role in obesity pathogenesis ( Smith et al, 2018 , Covasa et al, 2000 ). Moreover, neuroimaging studies have shown that obesity is accompanied by focal structural alternations in many brain regions ( Pannacciulli et al, 2006 , Dekkers et al, 2019 , Taki et al, 2008 , Kennedy et al, 2019 , Raji, 2010 , Hamer and Batty, 2019 ), including the thalamus ( Dekkers et al, 2019 , Taki et al, 2008 , Kennedy et al, 2019 , Raji, 2010 ), caudate ( Dekkers et al, 2019 , Taki et al, 2008 , Hamer and Batty, 2019 ), putamen ( Pannacciulli et al, 2006 , Dekkers et al, 2019 , Hamer and Batty, 2019 ), pallidum ( Dekkers et al, 2019 , Hamer and Batty, 2019 ), hippocampus ( Dekkers et al, 2019 , Raji, 2010 , Horstmann et al, 2013 ), nucleus accumbens ( Dekkers et al, 2019 , Hamer and Batty, 2019 ), medial prefrontal cortex ( Kennedy et al, 2019 ), temporal lobe ( Taki et al, 2008 , Gustafson et al, 2004 ), cerebral spinal fluid ( Dekkers et al, 2019 ) and brainstem ( Dekkers et al, 2019 , Kennedy et al, 2019 ). These altered brain regions are involved in functions including decision-making ( Hare et al, 2009 ), emotion processing ( Locke et al, 2015 ), reward processing ( Pannacciulli et al, 2006 , Kennedy et al, 2019 ), and appetite regulation ( Pannacciulli et al, 2006 , Kennedy et al, 2019 , Papageorgiou et al, 2017 ).…”