Evidence map›Paper›PMID 29596854›Full record

Trial reportHormones and behavior2019

Brain and behavioral correlates of insulin resistance in youth with depression and obesity.

Manpreet K Singh, Sara M Leslie, Mary Melissa Packer, Yevgeniya V Zaiko, Owen R Phillips, Elizabeth F Weisman, Danielle M Wall, Booil Jo, Natalie Rasgon

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in Hormones and behavior, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
9.9field-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

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 91 citations in OpenAlex.

  1. Pooled it
  2. Is abnormal brain insulin action implicated in the biology of depression? A pilot neuroimaging study in adolescents.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Article
  3. Low socioeconomic status, insulin resistance, asthma, and depression: A syndemic framework in Brazilian adolescents.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2026
    Article
  4. Article
  5. Obesity and Depression.Advances in experimental medicine and biology · 2026
    Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. Review
  15. Review
  16. Review
  17. Article
  18. Review
  19. Article
  20. 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

9 authors at 1 institution in 1 country.

Manpreet K SinghStanford University School of Medicine, Department of Psychiatry and Behavioral Sciences, United States. Electronic address: mksingh@stanford.edu.
Sara M LeslieStanford University School of Medicine, Department of Psychiatry and Behavioral Sciences, United States.
Mary Melissa PackerStanford University School of Medicine, Department of Psychiatry and Behavioral Sciences, United States.
Yevgeniya V ZaikoStanford University School of Medicine, Department of Psychiatry and Behavioral Sciences, United States.
Owen R PhillipsStanford University School of Medicine, Department of Psychiatry and Behavioral Sciences, United States.
Elizabeth F WeismanStanford University School of Medicine, Department of Psychiatry and Behavioral Sciences, United States.
Danielle M WallStanford University School of Medicine, Department of Psychiatry and Behavioral Sciences, United States.
Booil JoStanford University School of Medicine, Department of Psychiatry and Behavioral Sciences, United States.
Natalie RasgonStanford University School of Medicine, Department of Psychiatry and Behavioral Sciences, United States.
Stanford University · US

Funding

Neurobehavioral Trajectories of Pediatric Depression and Insulin SensitivityR01MH106581 · NIMH · STANFORD UNIVERSITY · PI SUPPES, TRISHA · 2015 to 2019
$2.8M
NIMH NIH HHS R01 MH106581
6 · The paper itself

Abstract

Depression, together with insulin resistance, is increasingly prevalent among youth. These conditions have traditionally been compartmentalized, but recent evidence suggests that a shared brain motivational network underlies their co-occurrence. We posit that, in the context of depressive symptoms, insulin resistance is associated with aberrant structure and functional connectivity in the Anterior Cingulate Cortex (ACC) and hippocampus. This motivational neural circuit underlies dysfunctional behavioral responses and increased sensitivity to rewarding aspects of ingesting high calorie food that lead to disinhibition of eating even when satiated. To investigate this shared mechanism, we evaluated a sample of forty-two depressed and overweight (BMI > 85th%) youth aged 9 to 17. Using ACC and hippocampus structural and seed-based regions of interest, we investigated associations between insulin resistance, depression, structure (ACC thickness, and ACC and hippocampal area), and resting-state functional connectivity (RSFC). We predicted that aberrant associations among these neural and behavioral characteristics would be stronger in insulin resistant compared to insulin sensitive youth. We found that youth with greater insulin resistance had higher levels of anhedonia and more food seeking behaviors, reduced hippocampal and ACC volumes, and greater levels of ACC and hippocampal dysconnectivity to fronto-limbic reward networks at rest. For youth with high levels of insulin resistance, thinner ACC and smaller hippocampal volumes were associated with more severe depressive symptoms, whereas the opposite was true for youth with low levels of insulin resistance. The ACC-hippocampal motivational network that subserves depression and insulin resistance separately, may represent a critical neural interaction that link these syndromes together.

Indexed as

AdolescentAdolescent BehaviorAge of OnsetBrainBrain MappingChildChild BehaviorDepressionFemaleGlucose Tolerance TestGyrus CinguliHumansInsulin ResistanceMagnetic Resonance ImagingMaleMotivationInsulin resistanceNeural structureObesityPediatric depressionResting state functional connectivity

Identifiers

PMID29596854
PMCPMC6173667
OpenAlexW2801365707

What OpenQuestion holds

Textmetadata
LicenceTDM
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.