Evidence map›Paper›PMID 24891029›Full record

ArticleObesity (Silver Spring, Md.)2014

Preliminary evidence of cognitive and brain abnormalities in uncomplicated adolescent obesity.

Po Lai Yau, Esther H Kang, David C Javier, Antonio Convit

Registry-linked trialAbstract read
In one paragraph

Article in Obesity (Silver Spring, Md.), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03461510 (Dysglycemia & Obesity), which is not on this map. Cited by 79 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
79citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03461510 nacompletednot on this mapstarted 2017, after this paper: background citation

Dysglycemia & Obesity: Impact on the Brain in Adolescents With Type 2 Diabetes

TypeinterventionalSponsorNemours Children's ClinicRan2017 to 2019Enrolled18ConditionsType 2 Diabetes Mellitus, Obesity, Pediatric Obesity, Insulin ResistanceArmsHyperglycemic clamp, Hyperinsulinemic Euglycemic clamp
3 · Its place in the literature

Who cites it

79 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. Review
  18. Article
  19. Article
  20. Article

19 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Po Lai YauDepartment of Psychiatry, New York University School of Medicine, New York, New York, USA.
Esther H Kang
David C Javier
Antonio Convit

Funding

INSTITUTIONAL CLINICAL AND TRANSLATIONAL SCIENCE AWARDUL1RR029893 · NCRR · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI CRONSTEIN, BRUCE NEIL · 2009 to 2011
$17.7M
Obesity, Insulin Resistance and Brain in AdolescenceR01DK083537 · NIDDK · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI CONVIT, ANTONIO · 2010 to 2014
$2.7M
NCRR NIH HHS 1UL1RR029893NCRR NIH HHS UL1 RR029893NIDDK NIH HHS DK 083537NIDDK NIH HHS R01 DK083537
6 · The paper itself

Abstract

objectiveTo ascertain whether pediatric obesity without clinically significant insulin resistance (IR) impacts brain structure and function.

methodsThirty obese and 30 matched lean adolescents, all without clinically significant IR or a diagnosis of metabolic syndrome (MetS), received comprehensive endocrine, neuropsychological, and MRI evaluations.

resultsRelative to lean adolescents, obese non-IR adolescents had significantly lower academic achievement (i.e., arithmetic and spelling) and tended to score lower on working memory, attention, psychomotor efficiency, and mental flexibility. In line with our prior work on adolescent MetS, memory was unaffected in uncomplicated obesity. Reductions in the thickness of the orbitofrontal and anterior cingulate cortices as well as reductions of microstructural integrity in major white matter tracts without gross volume changes were also uncovered.

conclusionsIt was documented, for the first time, that adolescents with uncomplicated obesity already have subtle brain alterations and lower performance in selective cognitive domains. When interpreting these preliminary data in the context of our prior reports of similar, but more extensive brain findings in obese adolescents with MetS and T2DM, it was concluded that "uncomplicated" obesity may also result in subtle brain alterations, suggesting a possible dose effect with more severe metabolic dysregulation giving rise to greater abnormalities.

Indexed as

CognitionAdolescentAttentionBrainExecutive FunctionFemaleHumansInsulin ResistanceIntelligenceMagnetic Resonance ImagingMaleMemoryMetabolic SyndromeNeuropsychological TestsPediatric ObesityPilot Projects

Identifiers

PMID24891029
PMCPMC4114991

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.