Evidence map›Paper›PMID 30782863›Full record

Trial reportBMJ open2019

Do changes in weight status affect cognitive function in children and adolescents with obesity? A secondary analysis of a clinical trial.

Yvonne C Anderson, Kaye Kirkpatrick, Gerard M S Dolan, Trecia A Wouldes, Cameron C Grant, Tami L Cave, Cervantée E K Wild, José G B Derraik, Wayne S Cutfield, Paul L Hofman

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.2field-weighted citation impact, top 13% 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

8 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Fitness, Fatness, and Academic Attainment in Male Schoolchildren from a Soccer Academy.International journal of environmental research and public health · 2022
    Article
  5. Article
  6. Article
  7. Review
  8. 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

10 authors at 2 institutions in 1 country.

Yvonne C AndersonDepartment of Paediatrics, Taranaki District Health Board, New Plymouth, New Zealand.ORCID 0000-0003-2054-338X
Kaye KirkpatrickDepartment of Paediatrics, Taranaki District Health Board, New Plymouth, New Zealand.
Gerard M S DolanTaranaki District Health Board, New Plymouth, New Zealand.
Trecia A WouldesFaculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.
Cameron C GrantDepartment of Paediatrics, Child and Youth Health, University of Auckland, Auckland, New Zealand.
Tami L CaveLiggins Institute, University of Auckland, Auckland, New Zealand.
Cervantée E K WildLiggins Institute, University of Auckland, Auckland, New Zealand.
José G B DerraikLiggins Institute, University of Auckland, Auckland, New Zealand.ORCID 0000-0003-1226-1956
Wayne S CutfieldLiggins Institute, University of Auckland, Auckland, New Zealand.
Paul L HofmanLiggins Institute, University of Auckland, Auckland, New Zealand.
University of Auckland · NZTaranaki Base Hospital · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesIt is unclear whether an association exists between obesity in children/adolescents and cognitive function, and whether the latter can be altered by body mass index (BMI) standard deviation score (SDS) reductions. We aimed to determine whether an association exists between BMI SDS and cognitive function in children/adolescents with obesity engaged in an obesity intervention. Second, we sought to determine if BMI SDS reduction at 12 months was associated with improved cognitive function.

designSecondary analysis of a clinical trial.

participantsParticipants (n=69) were recruited from an obesity intervention. Eligible participants (recruited June 2013 to June 2015) were aged 6-16 years, with a BMI ≥98th centile or BMI >91st centile with weight-related comorbidities. OUTCOME MEASURES: Primary outcome measure was change in BMI SDS from baseline at 12 months. Dependent variables of cognitive functioning and school achievement were assessed at baseline and 12 months, using dependent variables of cognitive functioning (elements of Ravens Standard Progressive Matrices, Wide Range Achievement Test-fourth edition and Wechsler Intelligence Scale for Children-fourth edition).

resultsAt baseline, BMI SDS was not associated with all aspects of cognitive function tested (n=69). Reductions in BMI SDS over time did not alter cognitive function overall. However, there was a greater reduction in comprehension standard scores in participants who increased their BMI SDS (adjusted estimated difference -6.1, 95% CI -11.6 to -0.6; p=0.03).

conclusionsThere were no observed associations between BMI SDS and cognitive function in participants, apart from comprehension in the exploratory analyses, which may have been a random finding. Further studies need to include larger longitudinal cohorts incorporating a wider BMI range at entry to determine whether our findings persist. TRIAL REGISTRATION NUMBER: ANZCTR12611000862943; Pre-results.

Indexed as

CognitionExecutive FunctionAdolescentBody Mass IndexChildFemaleHumansLinear ModelsMaleNew ZealandPediatric ObesityWeight Lossadolescentscognitive functionlifestyle modificationsobesitypaediatrics

Identifiers

PMID30782863
PMCPMC6367974
OpenAlexW2911482302

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.