Evidence map›Paper›PMID 30418574›Full record

ArticleThe Journal of clinical endocrinology and metabolism2019

Central Nervous System and Peripheral Hormone Responses to a Meal in Children.

Christian L Roth, Susan J Melhorn, Clinton T Elfers, Kelley Scholz, Mary Rosalynn B De Leon, Maya Rowland, Sue Kearns, Elizabeth Aylward, Thomas J Grabowski, Brian E Saelens and 1 more

Abstract read
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 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.

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

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Structural and Functional Brain Changes in Children and Adolescents With Obesity.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
    Review
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Impaired Brain Satiety Responses After Weight Loss in Children With Obesity.The Journal of clinical endocrinology and metabolism · 2022
    Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Article
  16. 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

11 authors.

Christian L RothSeattle Children's Research Institute, Seattle, Washington.
Susan J MelhornDepartment of Medicine, General Internal Medicine, University of Washington, Seattle, Washington.
Clinton T ElfersSeattle Children's Research Institute, Seattle, Washington.
Kelley ScholzSeattle Children's Research Institute, Seattle, Washington.
Mary Rosalynn B De LeonDepartment of Medicine, General Internal Medicine, University of Washington, Seattle, Washington.
Maya RowlandSeattle Children's Research Institute, Seattle, Washington.
Sue KearnsSeattle Children's Research Institute, Seattle, Washington.
Elizabeth AylwardSeattle Children's Research Institute, Seattle, Washington.
Thomas J GrabowskiDepartment of Radiology, Magnetic Resonance Research Laboratory, University of Washington, Seattle, Washington.
Brian E SaelensSeattle Children's Research Institute, Seattle, Washington.
Ellen A SchurDepartment of Medicine, General Internal Medicine, University of Washington, Seattle, Washington.

Funding

Transform Dissemination and Implementation Science in CTSA ProgramsUL1TR002319 · NCATS · UNIVERSITY OF WASHINGTON · PI John K. Amory · 2017 to 2026
$100.0M
Institute of Translational Health SciencesUL1TR000423 · NCATS · UNIVERSITY OF WASHINGTON · PI DISIS, MARY L. · 2012 to 2016
$49.4M
Vector and Transgenic Mouse CoreP30DK017047 · NIDDK · UNIVERSITY OF WASHINGTON · PI Julie Mathieu · 1986 to 2026
$41.4M
PILOT STUDY--CLINICAL NUTRITION RESEARCHP30DK035816 · NIDDK · UNIVERSITY OF WASHINGTON · PI Ellen A Schur · 1986 to 2026
$30.4M
NCCIH Supplement to NCATS/CTSA Program for KL2 Scholars - M. SoddersKL2TR002317 · NCATS · UNIVERSITY OF WASHINGTON · PI Christy Michelle McKinney · 2017 to 2026
$14.5M
Institute of Translational Health SciencesKL2TR000421 · NCATS · UNIVERSITY OF WASHINGTON · PI DISIS, MARY L. · 2012 to 2016
$12.6M
NRSA Training CoreTL1TR002318 · NCATS · UNIVERSITY OF WASHINGTON · PI Megan Moore · 2017 to 2026
$8.4M
A twin study of obesity pathogenesis using fMRIR01DK089036 · NIDDK · UNIVERSITY OF WASHINGTON · PI SCHUR, ELLEN A · 2011 to 2022
$6.2M
Brain systems and behaviors underlying response to obesity treatment in childrenR01DK098466 · NIDDK · SEATTLE CHILDREN'S HOSPITAL · PI ROTH, CHRISTIAN LUDWIG · 2014 to 2023
$5.6M
Institute of Translational Health SciencesTL1TR000422 · NCATS · UNIVERSITY OF WASHINGTON · PI DISIS, MARY L. · 2012 to 2016
$2.1M
Glucagon-like peptide-1 agonist effects on energy balance in hypothalamic obesityR01DK104936 · NIDDK · SEATTLE CHILDREN'S HOSPITAL · PI ABUZZAHAB, M. JENNIFER, ROTH, CHRISTIAN LUDWIG · 2015 to 2018
$1.8M
NCATS NIH HHS KL2 TR000421NCATS NIH HHS KL2 TR002317NCATS NIH HHS TL1 TR000422NCATS NIH HHS TL1 TR002318NCATS NIH HHS UL1 TR000423NCATS NIH HHS UL1 TR002319NIDDK NIH HHS P30 DK017047NIDDK NIH HHS P30 DK035816NIDDK NIH HHS R01 DK089036NIDDK NIH HHS R01 DK098466NIDDK NIH HHS R01 DK104936
6 · The paper itself

Abstract

contextBehavioral studies suggest that responses to food consumption are altered in children with obesity (OB).

objectiveTo test central nervous system and peripheral hormone response by functional MRI and satiety-regulating hormone levels before and after a meal. DESIGN AND

settingCross-sectional study comparing children with OB and children of healthy weight (HW) recruited from across the Puget Sound region of Washington.

participantsChildren (9 to 11 years old; OB, n = 54; HW, n = 22), matched for age and sex. INTERVENTION AND OUTCOME MEASURES: Neural activation to images of high- and low-calorie food and objects was evaluated across a set of a priori appetite-processing regions that included the ventral and dorsal striatum, amygdala, substantia nigra/ventral tegmental area, insula, and medial orbitofrontal cortex. Premeal and postmeal hormones (insulin, peptide YY, glucagon-like peptide-1, active ghrelin) were measured.

resultsIn response to a meal, average brain activation by high-calorie food cues vs objects in a priori regions was reduced after meals in children of HW (Z = -3.5, P < 0.0001), but not in children with OB (z = 0.28, P = 0.78) despite appropriate meal responses by gut hormones. Although premeal average brain activation by high-calorie food cues was lower in children with OB vs children of HW, postmeal activation was higher in children with OB (Z = -2.1, P = 0.04 and Z = 2.3, P = 0.02, respectively). An attenuated central response to a meal was associated with greater degree of insulin resistance.

conclusionsOur data suggest that children with OB exhibit an attenuated central, as opposed to gut hormone, response to a meal, which may predispose them to overconsumption of food or difficulty with weight loss.

Indexed as

AppetiteMealsSatiationBiomarkersBrainCase-Control StudiesChildCross-Sectional StudiesFemaleFollow-Up StudiesGhrelinGlucagon-Like Peptide 1HumansInsulinMagnetic Resonance ImagingMaleBiomarkersGhrelinGlucagon-Like Peptide 1InsulinPeptide YY

Identifiers

PMID30418574
PMCPMC6435098

What OpenQuestion holds

Textmetadata
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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.