Evidence map›Paper›PMID 33084253›Full record

ArticlePediatric obesity2021

Pilot multi-site and reproducibility study of hypothalamic gliosis in children.

Leticia E Sewaybricker, Susan J Melhorn, Afroditi Papantoni, Mary F Webb, Jun Hua, Christian L Roth, Susan Carnell, Ellen A Schur

Open access · greenAbstract read
In one paragraph

Article in Pediatric obesity, 2021. 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
0.8field-weighted citation impact, top 24% 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, 10 citations in OpenAlex.

  1. 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
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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

8 authors at 4 institutions in 1 country.

Leticia E SewaybrickerDepartment of Medicine, University of Washington, Seattle, Washington State, USA.ORCID 0000-0003-1904-9499
Susan J MelhornDepartment of Medicine, University of Washington, Seattle, Washington State, USA.
Afroditi PapantoniDepartment of Psychiatry and Behavioral Sciences, Division of Child and Adolescent Psychiatry, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Mary F WebbDepartment of Medicine, University of Washington, Seattle, Washington State, USA.
Jun HuaNeurosection, Division of MRI Research, Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Christian L RothDepartment of Pediatrics, Seattle Children's Research Institute, Seattle, Washington State, USA.
Susan CarnellDepartment of Psychiatry and Behavioral Sciences, Division of Child and Adolescent Psychiatry, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Ellen A SchurDepartment of Medicine, University of Washington, Seattle, Washington State, USA.
University of Washington · USJohns Hopkins University · USKennedy Krieger Institute · USSeattle Children's Hospital · US

Funding

PILOT STUDY--CLINICAL NUTRITION RESEARCHP30DK035816 · NIDDK · UNIVERSITY OF WASHINGTON · PI Ellen A Schur · 1986 to 2026
$30.4M
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
Impact of hypothalamic gliosis on appetite regulation and obesity risk in childrenR01DK117623 · NIDDK · UNIVERSITY OF WASHINGTON · PI SCHUR, ELLEN A · 2019 to 2023
$3.7M
Neurobehavioral Correlates of Familial/genetic obesity risk in adolescentsR00DK088360 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI CARNELL, SUSAN · 2013 to 2015
$731k
NIDDK NIH HHS P30 DK035816NIDDK NIH HHS R00 DK088360NIDDK NIH HHS R01 DK098466NIDDK NIH HHS R01 DK117623NIH HHS R00DK088360NIH HHS R01DK098466NIH HHS R01DK117623
6 · The paper itself

Abstract

objectiveQuantitative magnetic resonance imaging (MRI) evidence of mediobasal hypothalamic (MBH) gliosis positively correlates with body mass index (BMI) in adults. This has neither been well explored in children nor have other brain regions involved in appetitive processing been tested for evidence of gliosis.

methodsMulti-site cross-sectional study in children to test for differences in quantitative T2 signal (measure of gliosis) by region and to assess relationships with age and BMI. Participants underwent brain MRI using the same equipment and protocol to quantify T2 relaxation time in six bilateral regions of interest (ROIs): putamen, caudate, ventral striatum, amygdala, hippocampus and MBH, and three control regions: white matter, motor cortex and dorsal hypothalamus.

resultsThirty-one participants (61% female) were included in a combined sample from the University of Washington (N = 9) and John Hopkins University (N = 22). Mean age was 14 ± 3 years, and BMI z-score was 0.7 ± 1.1 (26% with obesity). No study site-related differences were seen in T2 relaxation time across all nine regions (chi

conclusionsIn a multi-site study, pilot data suggest that quantitative MRI detected normal maturation-related brain variation as well as evidence that MBH gliosis is associated with increased adiposity in children.

Indexed as

GliosisHypothalamusAdultBrainChildCross-Sectional StudiesFemaleHumansMagnetic Resonance ImagingMaleReproducibility of ResultsgliosishypothalamusMRIobesitypaediatric obesity

Identifiers

PMID33084253
PMCPMC8096323
OpenAlexW3093932053

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.