Neural responsivity to food cues varies with food fussiness in adolescents

Abstract Food fussiness (picky eating) increases risk for poor nutrition and eating disorders but its biological underpinnings are not understood. We aimed to investigate behavioral (observed as well as parent- and self-reported), and neural (using functional Magnetic Resonance Imaging (fMRI)) corre...

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Main Authors: Sarah Ann Duck, Elena Jansen, Liuyi Chen, Shuxian Hua, Allison Ahn, Leora Benson, Afroditi Papantoni, Susan Carnell
Format: Article
Language:English
Published: Nature Portfolio 2025-07-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-11410-2
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author Sarah Ann Duck
Elena Jansen
Liuyi Chen
Shuxian Hua
Allison Ahn
Leora Benson
Afroditi Papantoni
Susan Carnell
author_facet Sarah Ann Duck
Elena Jansen
Liuyi Chen
Shuxian Hua
Allison Ahn
Leora Benson
Afroditi Papantoni
Susan Carnell
author_sort Sarah Ann Duck
collection DOAJ
description Abstract Food fussiness (picky eating) increases risk for poor nutrition and eating disorders but its biological underpinnings are not understood. We aimed to investigate behavioral (observed as well as parent- and self-reported), and neural (using functional Magnetic Resonance Imaging (fMRI)) correlates of food fussiness. Adolescents completed an fMRI task during which they viewed photos of fruits and vegetables [F&V], high energy-density [High-ED] foods, and Non-foods. Following scanning, they completed a multi-item ad libitum meal [ALM], then an Eating in the Absence of Hunger [EAH] test. Parents completed the Child Eating Behavior Questionnaire [CEBQ]. Adolescents reported habitual dietary intake using a 24-hour dietary recall (ASA24). Adolescents were categorized based on CEBQ Food Fussiness [FF] scores, such that scores ≥ 3 = high FF (n = 23), and scores ≤ 2 = low FF (n = 28). The high vs. low FF group reported lower wanting for F&V stimuli in the fMRI task and consumed lower absolute and relative intake of F&V at the ALM, while ASA24 data also demonstrated greater % total kcal intake from added sugar. Adolescents with high FF demonstrated activation that was consistent with decreased approach toward F&V and increased approach toward High-ED foods. Neuroimaging results demonstrated differential responses to F&V and high-ED stimuli among adolescents with high food fussiness, providing preliminary evidence for a neural signature of food fussiness.
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spelling doaj-art-c2eb743bc27e450689ea4f312f80345e2025-08-20T03:42:45ZengNature PortfolioScientific Reports2045-23222025-07-0115111210.1038/s41598-025-11410-2Neural responsivity to food cues varies with food fussiness in adolescentsSarah Ann Duck0Elena Jansen1Liuyi Chen2Shuxian Hua3Allison Ahn4Leora Benson5Afroditi Papantoni6Susan Carnell7Division of Child and Adolescent Psychiatry, Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of MedicineDivision of Child and Adolescent Psychiatry, Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of MedicineDivision of Child and Adolescent Psychiatry, Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of MedicineDivision of Child and Adolescent Psychiatry, Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of MedicineDivision of Child and Adolescent Psychiatry, Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of MedicineDivision of Child and Adolescent Psychiatry, Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of MedicineDivision of Child and Adolescent Psychiatry, Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of MedicineDivision of Child and Adolescent Psychiatry, Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of MedicineAbstract Food fussiness (picky eating) increases risk for poor nutrition and eating disorders but its biological underpinnings are not understood. We aimed to investigate behavioral (observed as well as parent- and self-reported), and neural (using functional Magnetic Resonance Imaging (fMRI)) correlates of food fussiness. Adolescents completed an fMRI task during which they viewed photos of fruits and vegetables [F&V], high energy-density [High-ED] foods, and Non-foods. Following scanning, they completed a multi-item ad libitum meal [ALM], then an Eating in the Absence of Hunger [EAH] test. Parents completed the Child Eating Behavior Questionnaire [CEBQ]. Adolescents reported habitual dietary intake using a 24-hour dietary recall (ASA24). Adolescents were categorized based on CEBQ Food Fussiness [FF] scores, such that scores ≥ 3 = high FF (n = 23), and scores ≤ 2 = low FF (n = 28). The high vs. low FF group reported lower wanting for F&V stimuli in the fMRI task and consumed lower absolute and relative intake of F&V at the ALM, while ASA24 data also demonstrated greater % total kcal intake from added sugar. Adolescents with high FF demonstrated activation that was consistent with decreased approach toward F&V and increased approach toward High-ED foods. Neuroimaging results demonstrated differential responses to F&V and high-ED stimuli among adolescents with high food fussiness, providing preliminary evidence for a neural signature of food fussiness.https://doi.org/10.1038/s41598-025-11410-2Picky eatingNeuroimagingDietary compositionFood choiceFood rewardFood decision-making
spellingShingle Sarah Ann Duck
Elena Jansen
Liuyi Chen
Shuxian Hua
Allison Ahn
Leora Benson
Afroditi Papantoni
Susan Carnell
Neural responsivity to food cues varies with food fussiness in adolescents
Scientific Reports
Picky eating
Neuroimaging
Dietary composition
Food choice
Food reward
Food decision-making
title Neural responsivity to food cues varies with food fussiness in adolescents
title_full Neural responsivity to food cues varies with food fussiness in adolescents
title_fullStr Neural responsivity to food cues varies with food fussiness in adolescents
title_full_unstemmed Neural responsivity to food cues varies with food fussiness in adolescents
title_short Neural responsivity to food cues varies with food fussiness in adolescents
title_sort neural responsivity to food cues varies with food fussiness in adolescents
topic Picky eating
Neuroimaging
Dietary composition
Food choice
Food reward
Food decision-making
url https://doi.org/10.1038/s41598-025-11410-2
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