Evidence map›Paper›PMID 28894291›Full record

ArticleInternational journal of obesity (2005)2018

Neural predictors of 12-month weight loss outcomes following bariatric surgery.

L M Holsen, P Davidson, H Cerit, T Hye, P Moondra, F Haimovici, S Sogg, S Shikora, J M Goldstein, A E Evins and 1 more

Open access · greenAbstract read
In one paragraph

Article in International journal of obesity (2005), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
8.4field-weighted citation impact, top 2% of its field
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

38 citing papers in PubMed, 1 synthesis or guideline pooled it, 74 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Early Impact of Bariatric Surgery on Brain Functionality.Journal of metabolic and bariatric surgery · 2025
    Review
  5. Article
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  7. Article
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  9. Observational
  10. Review
  11. Article
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  17. Impaired Brain Satiety Responses After Weight Loss in Children With Obesity.The Journal of clinical endocrinology and metabolism · 2022
    Article
  18. Article
  19. Article
  20. Review
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

11 authors at 4 institutions in 1 country.

L M HolsenDivision of Women's Health, Department of Medicine, Brigham & Women's Hospital, Boston, MA, USA.
P DavidsonDepartment of Psychiatry, Brigham & Women's Hospital, Boston, MA, USA.
H CeritDivision of Women's Health, Department of Medicine, Brigham & Women's Hospital, Boston, MA, USA.
T HyeDivision of Women's Health, Department of Medicine, Brigham & Women's Hospital, Boston, MA, USA.
P MoondraDivision of Women's Health, Department of Medicine, Brigham & Women's Hospital, Boston, MA, USA.
F HaimoviciDepartment of Psychiatry, Brigham & Women's Hospital, Boston, MA, USA.
S SoggHarvard Medical School, Boston, MA, USA.
S ShikoraHarvard Medical School, Boston, MA, USA.
J M GoldsteinDivision of Women's Health, Department of Medicine, Brigham & Women's Hospital, Boston, MA, USA.
A E EvinsHarvard Medical School, Boston, MA, USA.
L E StoeckelHarvard Medical School, Boston, MA, USA.
Brigham and Women's Hospital · USHarvard University · USAthinoula A. Martinos Center for Biomedical Imaging · USMassachusetts General Hospital · US

Funding

HARVARD CLINICAL AND TRANSLATIONAL SCIENCE CENTER (UL1)UL1RR025758 · NCRR · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2008 to 2011
$91.4M
ROLE OF DIETARY CONSTITUENTS ON GENE EXPRESSION IN INTESTINAL EPITHELIUMP30DK040561 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI Takara Leah Stanley · 1994 to 2026
$31.6M
Ghrelin Modulation of Mesolimbic Reward Signaling in Stress-induced HyperphagiaR01DK104772 · NIDDK · BRIGHAM AND WOMEN'S HOSPITAL · PI HOLSEN, LAURA MCGRATH · 2016 to 2020
$2.7M
Neural mechanisms underlying abnormal food reward processing in depressed womenK01MH091222 · NIMH · BRIGHAM AND WOMEN'S HOSPITAL · PI HOLSEN, LAURA MCGRATH · 2011 to 2014
$694k
NCRR NIH HHS UL1 RR025758NIDDK NIH HHS P30 DK040561NIDDK NIH HHS R01 DK104772NIMH NIH HHS K01 MH091222
6 · The paper itself

Abstract

BACKGROUND/

objectivesDespite the effectiveness of bariatric surgery, there is still substantial variability in long-term weight outcomes and few factors with predictive power to explain this variability. Neuroimaging may provide a novel biomarker with utility beyond other commonly used variables in bariatric surgery trials to improve prediction of long-term weight-loss outcomes. The purpose of this study was to evaluate the effects of sleeve gastrectomy (SG) on reward and cognitive control circuitry postsurgery and determine the extent to which baseline brain activity predicts weight loss at 12-month postsurgery. SUBJECTS/

methodsUsing a longitudinal design, behavioral, hormone and neuroimaging data (during a desire for palatable food regulation paradigm) were collected from 18 patients undergoing SG at baseline (<1 month prior) and 12-month post-SG.

resultsSG patients lost an average of 29.0% of their weight (percentage of total weight loss (%TWL)) at 12-month post-SG, with significant variability (range: 16.0-43.5%). Maladaptive eating behaviors (uncontrolled, emotional and externally cued eating) improved (P<0.01), in parallel with reductions in fasting hormones (acyl ghrelin, leptin, glucose, insulin; P<0.05). Brain activity in the nucleus accumbens (NAcc), caudate, pallidum and amygdala during desire for palatable food enhancement vs regulation decreased from baseline to 12 months (P (family-wise error (FWE))<0.05). Dorsolateral and dorsomedial prefrontal cortex activity during desire for palatable food regulation (vs enhancement) increased from baseline to 12 months (P(FWE)<0.05). Baseline activity in the NAcc and hypothalamus during desire for palatable food enhancement was significantly predictive of %TWL at 12 months (P (FWE)<0.05), superior to behavioral and hormone predictors, which did not significantly predict %TWL (P>0.10). Using stepwise linear regression, left NAcc activity accounted for 54% of the explained variance in %TWL at 12 months.

conclusionsConsistent with previous obesity studies, reward-related neural circuit activity may serve as an objective, relatively robust predictor of postsurgery weight loss. Replication in larger studies is necessary to determine true effect sizes for outcome prediction.

Indexed as

AdultBariatric SurgeryBrainFeeding BehaviorFemaleHumansLongitudinal StudiesMagnetic Resonance ImagingMaleMiddle AgedNeuroimagingTreatment OutcomeWeight Loss

Identifiers

PMID28894291
PMCPMC6319374
OpenAlexW2747184753

What OpenQuestion holds

Textmetadata
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Read underepoch 390

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.