Evidence map›Paper›PMID 27123868›Full record

ArticleObesity (Silver Spring, Md.)2016

Fitness, insulin sensitivity, and frontal lobe integrity in adults with overweight and obesity.

Mary Grace Castro, Christopher Venutolo, Po Lai Yau, Antonio Convit

Abstract read
In one paragraph

Article in Obesity (Silver Spring, Md.), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Trial
  2. Article
  3. Sex modifies the association between cardiorespiratory fitness and insulin resistance in adults at risk for Alzheimer's disease.Applied physiology, nutrition, and metabolism = Physiologie appliquee, nutrition et metabolisme · 2025
    Observational
  4. Article
  5. Observational
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Demographic and Socioeconomic Determinants of Body Mass Index in People of Working Age.International journal of environmental research and public health · 2020
    Article
  12. Review
  13. Article
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.

Mary Grace CastroDepartment of Psychiatry, New York University School of Medicine, New York, New York, USA.
Christopher VenutoloDepartment of Psychiatry, New York University School of Medicine, New York, New York, USA.
Po Lai YauDepartment of Psychiatry, New York University School of Medicine, New York, New York, USA.
Antonio ConvitDepartment of Psychiatry, New York University School of Medicine, New York, New York, USA.

Funding

Project-005UL1TR001445 · NCATS · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI BREDELLA, MIRIAM ANTOINETTE, HOCHMAN, JUDITH S · 2015 to 2025
$103.5M
INSTITUTIONAL CLINICAL AND TRANSLATIONAL SCIENCE AWARDUL1RR029893 · NCRR · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI CRONSTEIN, BRUCE NEIL · 2009 to 2011
$17.7M
Diabetes, Cognition and the BrainR01DK064087 · NIDDK · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI CONVIT, ANTONIO · 2003 to 2014
$4.2M
NCATS NIH HHS UL1 TR001445NCRR NIH HHS UL1 RR029893NIDDK NIH HHS R01 DK064087
6 · The paper itself

Abstract

objectiveTo formally test whether insulin sensitivity mediates the relationship between fitness and brain integrity.

methodsEighty-four middle-aged participants without diabetes received a 6-min walk test from which maximal oxygen uptake (VO2 max) was derived, a structural magnetic resonance scan, and a medical evaluation including fasting glucose and insulin levels.

resultsThis study showed significant associations between fitness, abdominal obesity, and insulin sensitivity and anterior cingulate cortex (ACC) volume as well as between ACC thickness and quantitative insulin-sensitivity check index (QUICKI). The relationship between ACC volume and VO2 max was completely mediated through QUICKI. Further, this strong association was confirmed by a single and very significant cluster on the ACC linking gray matter volume and QUICKI in a voxel-based morphometry analysis.

conclusionsAs expected, increased abdominal obesity was associated with reductions in fitness, ACC volumes, and insulin sensitivity. Importantly, this study demonstrated a significant mediation of the relationship between VO2 max and ACC volume by QUICKI. This suggests that the links between impaired insulin sensitivity and brain abnormalities in adults carrying excess weight could be alleviated through increased physical activity and fitness.

Indexed as

Insulin ResistancePhysical FitnessBlood GlucoseBody Mass IndexC-Reactive ProteinExerciseFastingFemaleFrontal LobeHumansInsulinLinear ModelsMaleMiddle AgedObesityOverweightBlood GlucoseC-Reactive ProteinInsulin

Identifiers

PMID27123868
PMCPMC4882260

What OpenQuestion holds

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Registered trials

None linked

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.