Evidence map›Paper›PMID 34173157›Full record

Trial reportEndocrine2021

Reduction of impulsivity in patients receiving deep transcranial magnetic stimulation treatment for obesity.

Livio Luzi, Sara Gandini, Stefano Massarini, Federica Bellerba, Ileana Terruzzi, Pamela Senesi, Concetta Macrì, Anna Ferrulli

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Endocrine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.1field-weighted citation impact, top 12% 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

11 citing papers in PubMed, 16 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Review
  6. Review
  7. Article
  8. Article
  9. Applying psycho-behavioural phenotyping in obesity characterization.Reviews in endocrine & metabolic disorders · 2023
    Review
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  11. 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

8 authors at 3 institutions in 1 country.

Livio LuziDepartment of Biomedical Sciences for Health, University of Milan, Milan, Italy. livio.luzi@multimedica.it.ORCID http://orcid.org/0000-0003-3183-0552
Sara GandiniDepartment of Experimental Oncology, European Institute of Oncology IRCCS, Milan, Italy.
Stefano MassariniDepartment of Endocrinology, Nutrition and Metabolic Diseases, IRCCS MultiMedica, Sesto San Giovanni, Milan, Italy.
Federica BellerbaDepartment of Experimental Oncology, European Institute of Oncology IRCCS, Milan, Italy.
Ileana TerruzziDepartment of Biomedical Sciences for Health, University of Milan, Milan, Italy.
Pamela SenesiDepartment of Biomedical Sciences for Health, University of Milan, Milan, Italy.
Concetta MacrìDepartment of Endocrinology, Nutrition and Metabolic Diseases, IRCCS MultiMedica, Sesto San Giovanni, Milan, Italy.
Anna FerrulliDepartment of Biomedical Sciences for Health, University of Milan, Milan, Italy.
University of Milan · ITEuropean Institute of Oncology · ITMultiMedica · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAims of the present study were to investigate a wide array of psychological symptoms through validated psychometric tests, before and after 5 weeks of deep Transcranial Magnetic Stimulation (dTMS) in individuals with obesity, and to identify possible relationships with neuroendocrine parameters.

methodsForty-five patients with obesity (33 F, 12 M; age 48.8 ± 9.9 years; body wt 97.6 ± 14.2 Kg; BMI 36.2 ± 4.2) were randomized into two groups: 26 received high frequency (HF) dTMS and 19 Sham stimulation for 5 weeks. At baseline and after the 5-week treatment, all patients underwent the following psychometric evaluations: Food Cravings Questionnaire-Trait (FCQ-T) and its subscales, Barratt Impulsiveness Scale-11 (BIS-11), State and Trait Anxiety Inventory (STAI-y1 and STAI-y2), and Beck Depression Inventory (BDI). Hormonal and neuroendocrine markers were assessed at the first and last dTMS session.

resultsBy adjusting for baseline variables and treatment arms, a significant decrease in body wt and BMI was found in HF group, both with univariate (p = 0.019) and multivariate analyses (p = 0.012). Impulsivity significantly decreased in HF group, both with univariate (p = 0.031) and multivariate analyses (p = 0.011). A positive association between the impulsivity score change and the leptin level variation (p = 0.031) was found.

conclusionThe decrease of impulsivity together with the BMI reduction in individuals with obesity, treated with real stimulation, suggests that impulsivity may be a risk factor for obesity. Treatment with dTMS revealed to be effective in reducing both BMI and impulsivity by enhancing inhibitory capacity of Pre-Frontal Cortex (PFC), and modulating neuroendocrine system, especially leptin.

Indexed as

ObesityTranscranial Magnetic StimulationAdultHumansImpulsive BehaviorLeptinMiddle AgedTreatment OutcomeLeptinImpulsivityLeptinObesityPsychological traitsTranscranial Magnetic Stimulation

Identifiers

PMID34173157
PMCPMC8571225
OpenAlexW3176686642

What OpenQuestion holds

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LicenceCC BY
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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.