Evidence map›Paper›PMID 37202148›Full record

ReviewPediatric obesity2023

Paediatric obesity and metabolic syndrome associations with cognition and the brain in youth: Current evidence and future directions.

Jennifer R Sadler, Gita Thapaliya, Kushi Ranganath, Andrea Gabay, Liuyi Chen, Kimberly R Smith, Ricardo S Osorio, Antonio Convit, Susan Carnell

Abstract readReview
In one paragraph

Review in Pediatric obesity, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing 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

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

  1. Pooled it
  2. Effects of obesity on brain health and cognition.Nature reviews. Neurology · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Foundations of Pediatric Lifestyle Medicine.Children (Basel, Switzerland) · 2025
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. 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

9 authors.

Jennifer R SadlerDivision of Child and Adolescent Psychiatry, Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.ORCID 0000-0001-6641-2196
Gita ThapaliyaDivision of Child and Adolescent Psychiatry, Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.ORCID 0000-0002-9586-8851
Kushi RanganathDivision of Child and Adolescent Psychiatry, Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Andrea GabayDepartment of Psychiatry, New York University School of Medicine, New York, New York, USA.
Liuyi ChenDepartment of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Kimberly R SmithDepartment of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Ricardo S OsorioDepartment of Psychiatry, New York University School of Medicine, New York, New York, USA.
Antonio ConvitDepartment of Psychiatry, New York University School of Medicine, New York, New York, USA.
Susan CarnellDivision of Child and Adolescent Psychiatry, Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.ORCID 0000-0001-6200-3635

Funding

Research Education ComponentP30AG066512 · NIA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI REBECCA A. BETENSKY · 2020 to 2026
$28.4M
The Developing Brain: Influences and OutcomesUH3OD023313 · OD · WOMEN AND INFANTS HOSPITAL-RHODE ISLAND · PI Viren Andrew D'Sa, Daphne Koinis Mitchell · 2018 to 2026
$20.7M
The Developing Brain: Influences and OutcomesUG3OD023313 · OD · UNIVERSITY OF COLORADO DENVER · PI D'SA, VIREN ANDREW, KOINIS MITCHELL, DAPHNE · 2016 to 2024
$11.6M
Modifiable cardiovascular factors linking type 2 diabetes and Alzheimer's diseaseR01AG055624 · NIA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI CONVIT, ANTONIO · 2018 to 2022
$4.1M
Early Brain Development and Childhood ObesityR01DK113286 · NIDDK · WOMEN AND INFANTS HOSPITAL-RHODE ISLAND · PI CARNELL, SUSAN, D'SA, VIREN ANDREW · 2018 to 2023
$2.5M
Longitudinal Assessment of Eating-related Anxiety in Anorexia NervosaK01MH127178 · NIMH · JOHNS HOPKINS UNIVERSITY · PI Kimberly Smith · 2022 to 2026
$975k
Neurobehavioral Correlates of Familial/genetic obesity risk in adolescentsR00DK088360 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI CARNELL, SUSAN · 2013 to 2015
$731k
NIA NIH HHS P30 AG066512NIA NIH HHS R01 AG055624NIA NIH HHS R01AG055624NIDDK NIH HHS R00 DK088360NIDDK NIH HHS R00DK088360NIDDK NIH HHS R01 DK113286NIH HHS UG3 OD023313NIH HHS UG3OD023313NIH HHS UH3 OD023313NIMH NIH HHS K01 MH127178
6 · The paper itself

Abstract

Obesity and components of the metabolic syndrome (MetS) are associated with differences in brain structure and function and in general and food-related cognition in adults. Here, we review evidence for similar phenomena in children and adolescents, with a focus on the implications of extant research for possible underlying mechanisms and potential interventions for obesity and MetS in youth. Current evidence is limited by a relative reliance on small cross-sectional studies. However, we find that youth with obesity and MetS or MetS components show differences in brain structure, including alterations in grey matter volume and cortical thickness across brain regions subserving reward, cognitive control and other functions, as well as in white matter integrity and volume. Children with obesity and MetS components also show some evidence for hyperresponsivity of food reward regions and hyporesponsivity of cognitive control circuits during food-related tasks, altered brain responses to food tastes, and altered resting-state connectivity including between cognitive control and reward processing networks. Potential mechanisms for these findings include neuroinflammation, impaired vascular reactivity, and effects of diet and obesity on myelination and dopamine function. Future observational research using longitudinal measures, improved sampling strategies and study designs, and rigorous statistical methods, promises to further illuminate dynamic relationships and causal mechanisms. Intervention studies targeted at modifiable biological and behavioural factors associated with paediatric obesity and MetS can further inform mechanisms, as well as test whether brain and behaviour can be altered for beneficial outcomes.

Indexed as

Metabolic SyndromePediatric ObesityAdolescentBrainChildCognitionCross-Sectional StudiesHumansMagnetic Resonance Imagingbrain functionbrain structureDiffusion Tensor Imaging (DTI)food motivationfood rewardfunctional MRI (fMRI)glucoseinhibitory controlinsulinMagnetic Resonance Imaging (MRI)neuroimagingtype 2 diabetes

Identifiers

PMID37202148
PMCPMC10826337

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.