Neuropsychological profile of leptin
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Abstract
Leptin is an anorexigenic hormone that has a wide range of actions in our body, both peripherally and centrally. Its levels have been studied in multiple metabolic and neuropsychological diseases, the latter including depression, anxiety, obsessive-compulsive disorder, gambling disorder, and food addiction. So far, the relationship has been positive. All these pathologies are correlated with a high body mass index (overweight and obesity). Increased leptin levels cause resistance due to receptor dysfunction, alteration of neural pathways, or peripheral tissue. Leptin affects dopaminergic activity, as the neurons in this pathway have receptors to communicate with this hormone. When these receptors are dysfunctional and leptin levels increase, there is a reduction in dopamine release, and humans, in their eagerness to increase their levels, begin to consume highly palatable and rewarding foods excessively, which promotes food addiction. Various studies have found an association between increased leptin levels and phobic anxiety, impulsivity, emotional dysregulation, poorer cognitive flexibility, and inhibitory control. This is explained by the impact of this hormone on the limbic system. However, further research is needed to deepen and clarify this association.
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