Anatomy & Physiology: Current Research
Open Access

A Study of the Effect of Auditory Stimuli on GLP1, Insulin, Liptin and Body Weight of Crowded Adult Albino Rats

Ahmed A.Abd El-Rhman^1*, Mohamed Z.Al-Etreby², Ali A.Khalil¹, Mohamed Fawzy³ and Abd El-Megeed Mansour^{4 *}Correspondence: Ahmed A.Abd El-Rhman, Department of Physiology, Al-Azhar University, Assuit, Egypt, Email:

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Introduction

Music is the art of combining vocal or instrumental sounds or both to produce beauty of form, harmony, and expression of emotion [1]. Rhythm is the basic character of music. In addition, almost all physiological functions go in arrhythmic pattern. Rhythm can be felt e.g. in the heart beats, walking and breathing etc. the essence of rhythm is a recurring pattern of tension and release. This has to be regulated in music by harmony which means that the rhythmicity of different sounds has to go together and follow each other changing in the tone color create variety and contrast the sounds more [2]. Response to music is multifactorial according to objective characteristics of music e.g. Intensity of sound, type of sound, tone…..etc. and subjective factors on individual e.g. preferences, mood or emotions [3,4]. Music has consistent physiological responses e.g. cardiovascular, respiratory, hormonal and nervous responses with different styles [5]. Fast music may increase arterial blood pressure, heart rate and breathing rate, and reduced baro-reflex sensitivity. Slow music, on the other hand, may cause a significant fall in heart rate and breathing frequency compared with the baseline [6]. The physiological effects exerted on nervous system may be relaxing or exciting [7,8]. Stress is a state in which the brain interprets the quantity of stimulation as excessive or its quality as threatening [9]. Stress may be physical, chemical or emotional to which an individual fail to adapt [10]. Stress consequences occur when living organism fails to cope with emotional or physical threats [11]. Stress is a multifactorial phenomenon. Psychological, physiological and environmental factors, stress affect homeostasis through the Hypothalamic-Pituitary-Adrenal (HPA) and the hypothalmao-sympathetic axes [12]. Appetite is the desire to eat and it's essential for food intake and for maintaining weight and health in general [13]. Appetite includes conscious and unconscious urges to eat and affected by preceding meals, environment and learning than by BW [14,15]. Nutrition is the food intake in relation to body needs and it is fundamental for all life processes including growth and health. It is important even in patients with chronic diseases who are affected by abnormal inflammatory and metabolic processes that can lead to malnutrition [16,17]. Chronic stress may increase or decrease appetite, which is a common clinical problem in patients with chronic diseases. Various definitions can be used to explain decreased appetite, such as anorexia that in turn is commonly referred to loss of appetite and reduction or lack of the sensation of hunger or lack of desire to consume food and/or decreased food intake [18-20] also appetite is controlled by Intestinal peptides and hormones like ghrelin, Glucagon Like Peptide 1(GLP1), Peptide YY (PYY), leptin, cholecystokinin and glucose dependent insulinotropic polypeptide [21,22].

Materials and Methods

Experimental animals

Forty-five adult male albino rats were chosen as an animal model for this study with initial body weights ranging from 140-160 g. Rats were purchased from animal house of Al-Azher University, Cairo, Egypt. They were maintained on standard diet of known composition, and water supply in clean containers and the animals were housed in standard polypropylene cages with stainless steel base, good aerated conditions and maintained under room temperature with normal light-dark cycle [23]. They were fed on the standard food prepared from commercial rat food formula (El-Nasr-Pharmaceutical Co.) in addition to bread and green vegetables with free water supply. They were kept for two weeks to adapt to the laboratory conditions before the start of the experiment in faculty of medicine, Al-Azhar University (Cairo branch), Physiology Department.

Kits

Glucagon Like Peptide 1 (GLP1) level was determined by using specific ELISA kit, (EZGLP1T 36K; Merck Millipore, Darmstadt, Germany) according to the manufacturer instructions. Insulin levels were determined by using specific ELISA kits (AKRIN-010T; Shibayagi Company Limited, Gunma, Japan). Leptin levels were determined by using sandwich ELISA kit (Germany), according to the manufacturer instructions.

Study design

The experimental animals were divided into five groups; each group is comprised of nine rats as follows:

Group 1: Served as normal control rats 3 rat/cage (25 ×30 × 25 cm).

Group 2: Rats exposed to crowding 9 rat/cage (25 × 30 × 25 cm) only for 90 consecutive days.

Group 3: Rats exposed to crowding and was listening to instrumental music (Samaei Agam) for 90 consecutive days, 1 h/day.

Group 4: Rats exposed to crowding and was listen to soft song (Zoroni Kol Sana Mara, Fayrouz-Maqam Agam) for 90 consecutive days, 1 h/day.

Group 5: Rats exposed to crowding and was listen to rallying song (Anthem Allah Akbar-Maqam Agam) for 90 consecutive days, 1 h/day.

Application of crowding S

Crowding was induced by multiplication of normal density × 3 i.e. 9 rat/cage. A group of 9 rats put in a cage (25 ×30 × 25 cm) [24].

Induction of music

Music was induced by exposure of the tested animals to a prerecorded instrumental music, soft song and rallying song of sound intensity 60 db delivered via speaker placed one meter from the cages one hour daily. Every group was put in a separate room away from other rats for 90 consecutive days [25].

Statistical methods

The mean, the standard deviation, and percentage were calculated. The obtained data were subjected to analysis of variance one-way and three-way according to the procedures outlined by Snedecor, et al. [26]. The mean value of treatments was compared according to Least Significant Difference (LSD). The data was analyzed using CoStat software for windows (version 6.3).

Results

Water and food intake

Table 1 shows significant (P<0.01) difference of the amount of food and water consumption between uncrowded and crowded rat groups. Music shows no significant (P<0.05) difference of the amount of food and water consumption between all groups

Table 1: Water and food amount.

Body weight level among different groups as compared with control group in the 1^st and 13^th week.

Table 2 shows that at the 1st weak, body weight of control uncrowded group was 152.17 ± 7.05, body weight of control crowded group was 151.67 ± 4.87, body weight of crowded group listening to instrumental music was 157.89 ± 11.83, body weight of crowded group listening to soft song was 151.22 ± 5.67 and body weight of crowded group listening to rallying song was 151 ± 12.82 with insignificant (P<0.05) difference between all rat groups. After 13^th weak, body weight of control uncrowded group was 231.17 ± 18.83, body weight of control crowded group was 154.7 ± 9.46, body weight of crowded group listening to instrumental music was 186.5 ± 13.57, body weight of crowded group listening to soft song was 178.7 ± 13.82 and body weight of crowded group listening to rallying song was 164.8 ± 18.29 with significant (P<0.01) difference between all rat groups.

Table 2: Body weight.

Hormones

Table 3 shown that Body Mass Index (BMI), S GLP1 mol/L, S insulin IU/ML and S leptin ng/ml of rats were significantly affected by crowding and music whereas (P-value<0.01).

Table 3: Body Mass Index (BMI), S GLP mol/L, S insulin IU/ML and S leptin ng/ml of rats among different groups as compared with control group.

Histopathology

Examining tissues under a microscope (Figures 1-9).

Figure 1: (Control uncrowded): Pancreas showing average-sized pale-staining islets of Langerhans (black arrow), average exocrine areas (blue arrow), and average ducts (red arrow) (H&E X200).

Figure 2: (Control crowded): Pancreas showing scattered small-sized pale-staining islets of Langerhans (black arrow), and average exocrine areas (blue arrow) (H&E X200).

Figure 3: (Control crowded): High power view showing average beta cells with pale blue cytoplasm (black arrow), average alpha cells with pink cytoplasm (blue arrow), average intervening blood capillaries (red arrow), and average exocrine area (yellow arrow) (H&E X400).

Figure 4: (Crowded instrumental music): Pancreas showing average-sizedpale-staining islets of Langerhans(black arrow), and average exocrine areas (blue arrow) (H&E X200)

Figure 5: (Crowded instrumental music): High power view showing average beta cells (black arrow), average alpha cells (blue arrow), mildly dilated intervening blood capillaries (red arrow), and average exocrine area (yellow arrow) (H&E X400).

Figure 6: (Crowded soft song): Pancreas showing average-sizedpale-staining islets of Langerhans (blackarrow), average duct (blue arrow) and average exocrine area (red arrow) (H&E X200).

Figure 7: (Crowded soft song): High power view showing average beta cells (black arrow), average alpha cells (blue arrow), mildly dilated intervening blood capillaries (red arrow), and average exocrine area (yellow arrow) (H&E X400).

Figure 8: (Crowded rallying song): Pancreas showing average-sizedpale-staining islets of Langerhans (black arrow), average ducts (blue arrow), and average exocrine areas (yellow arrow) (H&E X200).

Figure 9: (Crowded rallying song): High power view showing average beta cells (black arrow), average alpha cells (blue arrow), mildly congested intervening blood capillaries (red arrow), and average exocrine area (yellow arrow) (H&E X400).

Discussion

The current study was designed to clarify the possible effect of enhancing the quality of environment to alleviate the stressful environmental condition. Stress in general particularly crowding is considered as problems of many modern communities and work environments [27]. Crowding exposure activates the autonomic and hormonal systems leading to temporary changes such as increased blood pressure, heart rate and vasoconstriction. After prolonged exposure susceptible individuals may develop permanent effects such as increase or decrease body weight, hypertension and ischemic heart disease due to cumulative effect of stress, Tomoyuki, Eid, et al. Liu, et al. and Karapetsa, et al. mentioned that music enables a person to gain valued emotional experiences and may affect eating behavior [28-31]. Also Popa, et al. and Situmorang, et al. mentioned that music can be used as an adjuvant therapy in the medical field to improve health and behavior due to its good emotional effect [32,33], Goldschmidt, et al. and Paoli, et al. mentioned that food intake and eating behavior are influenced by internal physiological factors and external environmental factors [34,35]. Regarding to food consumption of developing rats in our study the food consumption increased in rats with increasing age and remained constant thereafter in all groups. The food consumption is increased significantly (P<0.01) in uncrowded group in comparison with the crowded groups. These finding are in agreement with the finding of Zouridis, et al. who reported that food consumption significantly increases during growth then remains constant [36]. The results of the present study demonstrated that neither type of musical template appeared to have an effect on food intake in all groups consistent with the results of Stroebele, et al. and Hauck, et al. who reported that neither volume nor speed of music appeared to have an effect on food intake on rats [37,38]. Previous studies have reported significant effects of volume and speed of music on food intake were in human in a restaurant environment [39,40]. The results of the present study demonstrated that body weight of crowded control rat group decreased significantly (P<0.01) in comparison with the control uncrowded rats and body weight of crowded rat groups listening to instrumental music, soft song, and rallying song respectively. The most decrease of body weight was in crowded control rat group followed by crowded rat groups listening to rallying song, soft song and instrumental music respectively in comparison with control rat group. These results are in agreement with the findings of Caine, Standley and Russo, et al. [41-43] who found that music increased significantly body weight of rats contradicting this result with Teckenberg, et al. Malloch, et al. and Standley, et al. who found that no significance in weight changes effected by music therapy [44-46]. Also Finger, et al., Slattery, et al. and Geiker, et al. reported that body weight was reduced during the presence of stressor [47-49]. Also Slattery, et al., Melhorn, et al. and Cassidy, et al. reported that increased body weight gain upon termination of the stressors [48,50,51]. The present study’s observations showed that there was a significant (P<0.01) reduction in food and water consumption behavior in all experimental animals when exposed to crowding stress in comparison with uncrowded rat group and it lead to a reduction in body weight in the same duration. So, the reduction in weight loss could be associated with the reduced intake of food and water during that specific duration. Our results were correlated to the reported finding of Hariram, et al., Sundar, et al. and Jacques, et al. [52-54] who reported that reduced food and water consumption could be a reason for sudden weight loss during stress. The loss of body weight in animals and decreased food consumption in the present study may be attributed to decrease insulin level which is an anabolic hormone that leads to decrease body weight. Our results were correlated to the reported finding of Valencia, et al. and Gądek-Michalska, et al. who reported that exposure of rats to crowding stress showed activation of HPA with subsequent release of adrenocorticotrophic hormone, cortisol and catecholamines leading to increased glucose level and decreased insulin level [55,56]. Also our results showed an increase in the level of leptin hormone in all crowded rat groups which in turn lead to decrease appetite and food intake leading to decreased body weight. Our results were correlated to the reported finding of Wang, et al. and Sze, et al. who reported that crowding stress stimulating the synthesis and secretion of adipocyte derived leptin which regulates food intake and energy expenditure [57,58]. Also there is an increase in the level of GLP1 hormone level in all crowded rat groups which decrease food intake leading to loss of body weight. Our results were correlated to the reported finding of Reiner, et al. and Zizzari, et al. [59,60] who reported that GLP-1 controls food intake and modulating the energetic balance by acting on GLP-1R in a multitude of energy balance-relevant nuclei in the hypothalamus but also in other mesolimbic brain areas involved in reward system. Also, Williams, et al., Décarie-Spain, et al. and Samms, et al. mentioned that GLP1 reduces meal size in rats and humans and increases inter meal intervals accounting for its suppressive effect on food intake [61-63]. Music template appeared to be an important potential moderator in our study where the effect of listening to rallying song differs from soft song and instrumental music respectively. In general, the food consumption rate seems to be influenced by the template of music as reported by Spence, et al. and Huang, et al [64,65] who reported that drinking and eating faster when fast music was played than in a slow music. Wilczek, et al. and Wang, et al. reported that diners who ate while they were listening to classical music enjoyed more their dinner in comparison to diners that ate without back-ground music [66,67]. Kantono, et al. and Mathiesen, et al. mentioned that food intake may be affected by volume dynamics of music and high volume music increases food and drink consumption [68,69]. Moreover, Wansink, et al. and Biswas, et al. mentioned that music genre is another factor that affects eating behavior [40,70]. This can explain the significant difference in results between different rat's groups conducted in our study due to different music template. Pancreas morphology was in accordance with Pan Anderson, et al. and Kasajima, et al. described that pancreas is composed of average-sized islets of Langerhans composed of predominating beta cells in center and alpha cells in the periphery separated by average thin-walled blood capillaries, average exocrine areas and average ducts as in Figure 1 [71,72]. These results are in agreement with those of Pan Anderson, et al. and Raghav, et al. who reported that stress induced free radicals readily damage the beta cells of the islets and pancreatic islets cells showed lymphocytic infiltration as in Figures 2 and 3 [71,73]. These findings are important because pancreatic β-cell dysfunction, characterized by decreased insulin secretory capacity due to insufficient β-cell mass and/or functional defects of the β-cells [74-76]. These morphological changes of pancreatic tissue in different rat groups can explain different insulin level among these groups.

Conclusion

Biochemical and histological findings of the present study indicate that crowding stress is dangerous psychosocial problem that affect the health and quality of the life. In addition, music may alleviate and prevent the complication of crowding stress. In conclusion it seems that music has a great benefit on human health. Moreover, our study revealed that different music template can exert different cumulative effects on body weight and may have no effect on food and water consumption. Response of albino rats to auditory stimulus in general and music may be biological in nature.

Recommendations

Further studies are required for further evaluation and establishment of the beneficial effects of different music template in alleviation and prevention of hazards of crowding stress and stress in general and enhancement of the quality of environment.

References

1. Zhou N. Analysis on the aesthetic characteristics of sports music and its communication channels. J Front Archit Res. 2021;1(3):43-50.

   [Google scholar]

2. Townsend C. The very music of the name” uncertainty as aesthetic principle in keats’s endymion. Ninet Century Lit.2021;75(4):441-472.

   [Cross Ref][Google scholar]

3. Reybrouck M. Music as environment: Biological and ecological constraints on coping with the sounds. RSSI. 2018;38(3):79-95.

   [Cross Ref] [Google scholar]

4. Broughton MC, Dimmick J, Dean RT. Affective and cognitive responses to musical performances of early 20th century classical solo piano compositions. Interdiscip J. 2021;38(3):245-266.

   [Cross Ref] [Google scholar]

5. Adamou LN. The effect of music on stress parameters in acute stroke.

   [Google scholar]

6. de Witte M, Spruit A, van Hooren S, Moonen X, Stams GJ. Effects of music interventions on stress-related outcomes. Syst Rev. 2020;14(2):294-324.

   [Cross Ref][Google scholar][PubMed]

7. Umbrello M, Sorrenti T, Mistraletti G, Formenti P, Chiumello D, Terzoni S. Music therapy reduces stress and anxiety in critically ill patients: J Genet Couns.

   [Cross Ref][Google scholar][PubMed]

8. Antonelli M, Donelli D, Carlone L, Maggini V, Firenzuoli F, Bedeschi E. Effects of forest bathing (shinrin-yoku) on individual well-being: an umbrella review. Int J Environ Health Res. 2022;32(8):1842-1867.

   [Cross Ref][Google scholar][PubMed]

9. Smits FM, Schutter DJ, van Honk J, Geuze E. Does non-invasive brain stimulation modulate emotional stress reactivity? Soc Cogn Affect Neurosci. 2020;15(1):23-51.

   [Cross Ref] [Google scholar] [PubMed]

10. Perrotta G. Maladaptive stress:Theoretical, neurobiological and clinical profiles. Arch Depress Anxiety. 2021;7(1):001-007.

    [Cross Ref] [Google scholar]

11. Onochie LA. The challenges affecting stress management within organizations and its consequences on employees’ performance:'Concepts and theoretical models'. Onochie, Lawrence A, the challenges affecting stress management within organizations and its consequences on employees’ performance:“ SSRN 2020 30.

    [Cross Ref] [Google scholar]

12. Wohleb ES. Stress and neuroimmunology. Oxford Res Encyc Neurosci. 2021.

    [Cross Ref] [Google scholar]

13. Beaulieu K, Blundell JE, van Baak MA, Battista F, Busetto L, Carraça EV, et al. Effect of exercise training interventions on energy intake and appetite control in adults with overweight or obesity: A systematic review and meta‐analysis. Obes Rev. 2021;22:e13251. [Cross Ref]

    [Google Scholar] [PubMed]

14. Hopkins M, Blundell J, Halford J, King N, Finlayson G. The regulation of food intake in humans. Endotext [internet]. 2016.

    [Google Scholar] [PubMed]

15. Geary N. Control-theory models of body-weight regulation and body-weight-regulatory appetite. Appetite.2020;144:104440.

    [Cross Ref] [Google Scholar] [PubMed]

16. Barbagallo M, Veronese N, Dominguez LJ. Magnesium in aging, health and diseases. Nutrients. 2021;13(2):463. 

    [Cross Ref] [Google Scholar] [PubMed]

17. Conti MV, Guzzetti L, Panzeri D, De Giuseppe R, Coccetti P, Labra M, Cena H. Bioactive compounds in legumes: Implications for sustainable nutrition and health in the elderly population .Trends Food Sci Technol. 2021;117:139-147.

    [Cross Ref]  [Google Scholar]

18. Cederholm T, Barazzoni RO, Austin P, Ballmer P, Biolo GI, Bischoff SC, et al. ESPEN guidelines on definitions and terminology of clinical nutrition. Clin Nutr. 2017;36(1):49-64.

    [Cross Ref] [Google Scholar] [PubMed]

19. Sun Y. Analysis and countermeasure of Sow’s Postnatal. Insights Vet Sci. 2018;1(1)

    [Cross Ref] [Google Scholar]

20. Galmiche M, Achamrah N, Déchelotte P, Ribet D, Breton J. Role of microbiota-gut-brain axis dysfunctions induced by infections in the onset of anorexia nervosa. Nutr Rev. 2022;80(3):381-391.

    [Cross Ref] [Google Scholar] [PubMed]

21. Freire RH, Alvarez-Leite JI. Appetite control: Hormones or diet strategies?. Curr Opin Clin Nutr Metab Care. 2020;23(5):328-335.

    [Cross Ref] [Google Scholar] [PubMed]

22. Guzzardi MA, Pugliese G, Bottiglieri F, Pelosini C, Muscogiuri G, Barrea L, et al. Obesity-related gut hormones and cancer: Novel insight into the pathophysiology Int J Obes (Lond). 2021;45(9):1886-1898.

    [Cross Ref] [Google Scholar] [PubMed].

23. Olfert ED, Cross BM, McWilliam AA, editors. Guide to the care and use of experimental animals. Ottawa: Canadian Council on Animal Care; 1993.

    [Google Scholar]

24. Gaskill BN, Pritchett-Corning KR. Effect of cage space on behavior and reproduction in Crl: CD (SD) and BN/Crl laboratory rats. J Am Assoc Lab Anim Sci. 2015;54(5):497-506.

    [Cross Ref]  [Google Scholar] [PubMed].

25. Angelucci F, Ricci E, Padua L, Sabino A, Tonali PA. Music exposure differentially alters the levels of brain-derived neurotrophic factor and nerve growth factor in the mouse hypothalamus. Neurosci Lett. 2007;429(2-3):152-155.

    [Cross Ref] [Google Scholar] [PubMed].

26. Snedecor GW, Cochran WG. Statistical methods Iowa State University Press, Ames, 7th ed. 1980. [Google Scholar]
27. Eriksson J, Gellerstedt L, Hillerås P, Craftman ÅG. Registered nurses’ perceptions of safe care in overcrowded emergency departments. J Clin Nurs. 2018;27(5-6):e1061-e1067.

    [Cross Ref] [Google Scholar] [PubMed].

28. Tomoyuki H. Effect of noise on the health of children. J Nippon Med School. 2004;71(1):5-10.

    [Cross Ref] [Google Scholar] [PubMed].

29. Eid F, Helal EG, Taha NM. Effect of crowding stress and/or sulpiride treatment on some physiological and histological parameters in female albino rats. Egypt J Hosp Med. 2010;41(1):566-589.

    [Cross Ref][Google Scholar].

30. Liu F, Jiang C, Wang B, Xu Y, Patel AD. A music perception disorder (congenital amusia) influences speech comprehension. Neuropsychologia. 2015;66:111-118.

    [Cross Ref] [Google Scholar] [PubMed].

31. Karapetsa AA, Karapetsas AV, Maria B, Laskaraki IR. The role of music on eating behavior. Encephalos. 2015;52:59-63.

    [Google Scholar]

32. Popa LC, Manea MC, Velcea D, Șalapa I, Manea M, Ciobanu AM. Impact of Alzheimer’s Dementia on caregivers and quality improvement through art and music therapy. InHealthcare. 2021;9(6):698.

    [Cross Ref] [Google Scholar] [PubMed].

33. Situmorang DD. “When the first session may be the last!”: A case report of the implementation of “rapid tele-psychotherapy” with single-session music therapy in the COVID-19 outbreak. Palliat Support Care; PA.2022;20(2):290-295.

    [Cross Ref] [Google Scholar] [PubMed].

34. Goldschmidt AB, Smith KE, Crosby RD, Boyd HK, Dougherty E, Engel SG, et al. Ecological momentary assessment of maladaptive eating in children and adolescents with overweight or obesity. Int J Eat Disord. 2018;51(6):549-557.

    [Cross Ref] [Google Scholar] [PubMed].

35. Paoli A, Tinsley G, Bianco A, Moro T. The influence of meal frequency and timing on health in humans: the role of fasting. Nutrients.2019;11(4):719.

    [Cross Ref] [Google Scholar] [PubMed].

36. Zouridis A, Manousopoulou A, Potiris A, Sarli PM, Aravantinos L, Pervanidou P, et al. Impact of maternal food restriction on heart proteome in appropriately grown and growth-restricted wistar—rat offspring. Nutrients. 2021;13(2):466.

    [Cross Ref] [Google Scholar] [PubMed].

37. Stroebele N, de Castro JM. Listening to music while eating is related to increases in people's food intake and meal duration. Appetite. 2006;47(3):285-289.

    [Cross Ref] [Google Scholar] [PubMed]

38. Hauck P, Hecht H. Having a drink with Tchaikovsky: the crossmodal influence of background music on the taste of beverages. Multisens Res. 2019;32(1):1-24.

    [Cross Ref] [Google Scholar] [PubMed]

39. Guéguen N, Jacob C, Le Guellec H, Morineau T, Lourel M. Sound level of environmental music and drinking behavior: a field experiment with beer drinkers. Alcohol Clin Exp Res.2008;32(10):1795-1798.

    [Cross Ref] [Google Scholar] [PubMed]

40. Wansink B, Van Ittersum K. Fast food restaurant lighting and music can reduce calorie intake and increase satisfaction. Psychological Reports. 2012;111(1):228-232.

    [Cross Ref] [Google Scholar] [PubMed]

41. Caine J. The effects of music on the selected stress behaviors, weight, caloric and formula intake, and length of hospital stay of premature and low birth weight neonates in a newborn intensive care unit. J Music Ther. 1991;28(4):180-192.

    [Cross Ref] [Google Scholar] [PubMed]

42. Standley J. Music therapy research in the NICU: an updated meta-analysis. Neonatal Netw.2012;31(5):311-316.

    [Cross Ref] [Google Scholar] [PubMed]

43. Russo C, Patanè M, Pellitteri R, Stanzani S, Russo A. Prenatal music exposure influences weight, ghrelin expression, and morphology of rat hypothalamic neuron cultures. Int J Dev Neurosci. 2021;81(2):151-158.

    [Cross Ref] [Google Scholar] [PubMed]

44. Teckenberg-Jansson P, Huotilainen M, Pölkki T, Lipsanen J, Järvenpää AL. Rapid effects of neonatal music therapy combined with kangaroo care on prematurely-born infants. JBI Libr Syst Rev. 2011;20(1):22-42

    [Cross Ref][Google Scholar]

45. Malloch S, Shoemark H, Črnčec R, Newnham C, Paul C, Prior M, et al. Music therapy with hospitalized infants—the art and science of communicative musicality. Infant Ment Health J. 2012;33(4):386-399.

    [Cross Ref] [Google Scholar] [PubMed]

46. Standley JM. A meta-analysis of the efficacy of music therapy for premature infants. J Pediatr Nurs. 2002;17(2):107-113.

    [Cross Ref] [Google Scholar] [PubMed]

47. Finger BC, Dinan TG, Cryan JF. The temporal impact of chronic intermittent psychosocial stress on high-fat diet-induced alterations in body weight. Psychoneuroendocrinology.2012;37(6):729-741.

    [Cross Ref] [Google Scholar] [PubMed]

48. Slattery DA, Uschold N, Magoni M, Bär J, Popoli M, Neumann ID, et al. Behavioural consequences of two chronic psychosocial stress paradigms: anxiety without depression. Psychoneuroendocrinology. 2012;37(5):702-714.

    [Cross Ref] [Google Scholar] [PubMed]

49. Geiker NR, Astrup A, Hjorth MF, Sjödin A, Pijls L, Markus CR. Does stress influence sleep patterns, food intake, weight gain, abdominal obesity and weight loss interventions and vice versa?. Obes Rev. 2018;19(1):81-97.

    [Cross Ref] [Google Scholar] [PubMed]

50. Melhorn SJ, Krause EG, Scott KA, Mooney MR, Johnson JD, Woods SC, et al. Meal patterns and hypothalamic NPY expression during chronic social stress and recovery. Am J Physiol Regul Integr Comp Physiol. 2010;299(3):R813-R822.

    [Cross Ref] [Google Scholar] [PubMed]

51. Cassidy T. Diet, exercise and motivation in weight reduction: The role of psychological capital and stress. JOJ Nurs Health Care. 2018;9:1-6.

    [Cross Ref][Google Scholar] . Res J Pharm Biol Chem. 2012;3:1029-1034.

52. Hariram SB, Meenakshi K, Deepika B, GayathriK, Sekar M. Effect of noise pollution on psycopharmacological and in-life parameter changes in Wistar rats. Res J Pharm Biol Chem. 2012.
53. Sundar T, Radha VK. Effect of noise stress on adrenal glands of albino rats. Int J Sci Res. 2015;4:18-19.
54. Jacques A, Chaaya N, Beecher K, Ali SA, Belmer A, Bartlett S. The impact of sugar consumption on stress driven, emotional and addictive behaviors. Neurosci Biobehav Rev. 2019;103:178-199.

    [Cross Ref] [Google Scholar] [PubMed]

55. Valencia NA, Thompson Jr DL,  Mitcham PB. Changes in plasma melanocyte-stimulating hormone, ACTH, prolactin, GH, LH, FSH, and thyroid-stimulating hormone in response to injection of sulpiride, thyrotropin-releasing hormone, or vehicle in insulin-sensitive and-insensitive mares. Domest Anim Endocrinol. 2013;44(4):204-212.

    [Cross Ref] [Google Scholar] [PubMed]

56. Gądek-Michalska A, Tadeusz J, Bugajski A, Bugajski J. Chronic isolation stress affects subsequent crowding stress-induced brain Nitric Oxide Synthase (NOS) isoforms and hypothalamic-pituitary-adrenal (HPA) axis responses Neurotox Res. 2019;36(3):523-539.

    [Cross Ref] [Google Scholar] [PubMed]

57. Wang Y, Xu P, Nie Z, Li Q, Shao N, Xu G. Growth, digestive enzymes activities, serum biochemical parameters and antioxidant status of juvenile genetically improved farmed tilapia (Oreochromis niloticus) reared at different stocking densities in in‐pond raceway recirculating culture system. Aquac Res. 2019;50(4):1338-1347.

    [Cross Ref] [Google Scholar]

58. Sze Y, Brunton PJ. Sex, stress and steroids. Eur J Neurosci. 2020;52(1):2487-2515.

    [Cross Ref] [Google Scholar] [PubMed]

59. Reiner DJ, Leon RM, McGrath LE, Koch-Laskowski K, Hahn JD, Kanoski SE, et al. Glucagon-like peptide-1 receptor signaling in the lateral dorsal tegmental nucleus regulates energy balance. Neuropsychopharmacology. 2018;43(3):627-637.

    [Cross Ref] [Google Scholar] [PubMed]

60. Zizzari P, He R, Falk S, Bellocchio L, Allard C, Clark S, et al. CB1 and GLP-1 receptors cross talk provides new therapies for obesity. Diabetes. 2021;70(2):415-422.

    [Cross Ref] [Google Scholar] [PubMed]

61. Williams DL, Baskin DG, Schwartz MW. Evidence that intestinal glucagon-like peptide-1 plays a physiological role in satiety. Endocrinology. 2009;150(4):1680-1687.

    [Cross Ref] [Google Scholar] [PubMed]

62. Decarie-Spain L, Fisette A, Zhu Z, Yang B, DiMarchi RD, Tschoep MH, et al. GLP-1/dexamethasone inhibits food reward without inducing mood and memory deficits in mice. Neuropharmacology. 2019;151:55-63.

    [Cross Ref] [Google Scholar] [PubMed]

63. Samms RJ, Coghlan MP and Sloop KW. How may GIP enhance the therapeutic efficacy of GLP-1? Trends Endocrinol Metab. 2020;31(6):410-421.

    [Cross Ref] [Google Scholar] [PubMed]

64. Spence C, Reinoso-Carvalho F, Velasco C, Wang QJ. Extrinsic auditory contributions to food perception and consumer behaviour: An interdisciplinary review.  Multisens Res. 32 (4-5), 275-318.

    [Cross Ref] [Google Scholar] [PubMed]

65. Huang X, Labroo AA. Cueing morality: The effect of high-pitched music on healthy choice. J Mark. 2020;84(6):130-143.

    [Cross Ref[ [Google Scholar]

66. Wilczek T, Steffens J, Weinzierl S.  Room acoustics, soundscapes and customer satisfaction in restaurants-a field study.  Universitätsbibliothek der RWTH Aachen. 2019.

    [Google Scholar]

67. Wang QJ, Barbosa Escobar F, Mathiesen SL, Alves Da Mota P. Can Eating Make Us More Creative? A Multisensory Perspective. Foods. 2021;10(2):469.

    [Cross Ref] [Google Scholar] [PubMed]

68. Kantono K, Hamid N, Shepherd D, Lin YH, Skiredj S, Carr BT. Emotional and electrophysiological measures correlate to flavour perception in the presence of music. Physiol Behav. 2019;199:154-164.

    [Cross Ref] [Google Scholar] [PubMed]

69. Mathiesen SL, Mielby LA, Byrne DV, Wang QJ. Music to eat by: A systematic investigation of the relative importance of tempo and articulation on eating time. Appetite. 2020;155:104801.

    [Cross Ref] [Google Scholar] [PubMed]

70. Biswas D, Lund K, Szocs C. Sounds like a healthy retail atmospheric strategy: effects of ambient music and background noise on food sales.  J Acad Mark Sci. 2019;47(1):37-55.

    [Google Scholar]

71. Pan Anderson JR. Muir's textbook of pathology. Twelfth ed. ELBS. 1985. 20-63.
72. Kasajima A, Klöppel G. Neuroendocrine neoplasms of lung, pancreas and gut: A morphology-based comparison. Endocr Relat Cancer. 2020;27(11):R417-R432.

    [Cross Ref] [Google Scholar] [PubMed]

73. Raghav A, Ahmad J, Naseem I. Chronic unpredictable environmental stress impair biochemical and physiological homeostasis: Role in diabetes mellitus. Diabetes Metab Syndr.2019;13(2):1021-1030.

    [Cross Ref] [Google Scholar] [PubMed]

74. Clark A, Jones LC, de Koning E, Hansen BC, Matthews DR. Decreased insulin secretion in type 2 diabetes: A problem of cellular mass or function? Diabetes. 2001;50(1):S169.

    [Cross Ref] [Google Scholar] [PubMed]

75. Boland BB, Brown Jr C, Boland ML, Cann J, Sulikowski M, Hansen G, et al. Pancreatic β-cell rest replenishes insulin secretory capacity and attenuates diabetes in an extreme model of obese type 2 diabetes. Diabetes. 2019;68(1):131-140.

    [Cross Ref] [Google Scholar] [PubMed]

76. Karapetsa AA, Karapetsas AV, Maria B, Laskaraki IR. The role of music on eating behavior. Encephalos. 2015;52:59-63

    [Google Scholar]