Evidence map›Paper›PMID 40384491›Full record

Trial reportObesity (Silver Spring, Md.)2025

Exercise and diet effects on delay discounting and related neurobiology in adults with overweight or obesity: A randomized trial.

Kelly T Cosgrove, Marc-Andre Cornier, Maureen McHugo, Edward L Melanson, Allison Hild, Eugene Kronberg, Elizabeth A Thomas, Keith Dodd, Eric D Claus, Jason R Tregellas and 1 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Obesity (Silver Spring, Md.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

1 citing paper in PubMed.

  1. 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.

Kelly T CosgroveDepartment of Psychiatry, University of Colorado School of Medicine, Anschutz Medical Campus, Aurora, Colorado, USA.ORCID https://orcid.org/0000-0002-5560-1183
Marc-Andre CornierDivision of Endocrinology, Diabetes, and Metabolic Diseases, Medical University of South Carolina, Charleston, South Carolina, USA.
Maureen McHugoDepartment of Psychiatry, University of Colorado School of Medicine, Anschutz Medical Campus, Aurora, Colorado, USA.
Edward L MelansonDivision of Endocrinology, Metabolism, and Diabetes, Department of Medicine, University of Colorado School of Medicine, Anschutz Medical Campus, Aurora, Colorado, USA.ORCID https://orcid.org/0000-0001-9151-9745
Allison HildDepartment of Psychiatry, University of Colorado School of Medicine, Anschutz Medical Campus, Aurora, Colorado, USA.
Eugene KronbergDepartment of Psychiatry, University of Colorado School of Medicine, Anschutz Medical Campus, Aurora, Colorado, USA.
Elizabeth A ThomasDivision of Endocrinology, Metabolism, and Diabetes, Department of Medicine, University of Colorado School of Medicine, Anschutz Medical Campus, Aurora, Colorado, USA.
Keith DoddDepartment of Psychiatry, University of Colorado School of Medicine, Anschutz Medical Campus, Aurora, Colorado, USA.
Eric D ClausDepartment of Biobehavioral Health, The Pennsylvania State University, University Park, Pennsylvania, USA.
Jason R TregellasDepartment of Psychiatry, University of Colorado School of Medicine, Anschutz Medical Campus, Aurora, Colorado, USA.
Kristina T LeggetDepartment of Psychiatry, University of Colorado School of Medicine, Anschutz Medical Campus, Aurora, Colorado, USA.ORCID https://orcid.org/0000-0002-2948-506X

Funding

Colorado Clinical and Translational Sciences InstituteUL1TR001082 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2013 to 2017
$48.0M
PILOT STUDY--SUBSTRATE METABOLISM IN EXTREMELY LOW BIRTH WEIGHT INFANTSP30DK048520 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI JANINE A HIGGINS · 1995 to 2026
$32.6M
Development of Psychopathology, Psychobiology, & BehaviorT32MH015442 · NIMH · UNIVERSITY OF COLORADO DENVER · PI JASON R TREGELLAS · 1985 to 2026
$10.2M
Sex-based differences in the neuronal mechanisms of food intake behaviorR01DK119236 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI LEGGET, KRISTINA T · 2019 to 2023
$2.6M
3T MRIS10OD018435 · OD · UNIVERSITY OF COLORADO DENVER · PI TREGELLAS, JASON R · 2014 to 2014
$2.0M
Effects of Exercise on Neuronal Activity in Obese IndividualsK01DK100445 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI LEGGET, KRISTINA T · 2014 to 2018
$691k
Effects of Exercise on Neurobiology, Social Cognition, and Systemic Inflammation in AutismF32HD117473 · NICHD · UNIVERSITY OF COLORADO DENVER · PI COSGROVE, KELLY THERESA · 2025 to 2025
$57k
American Diabetes Association 1-14-TS-07CSRD VA I01 CX001949CSRD VA IK6 CX002178NCATS NIH HHS UL1 TR001082NICHD NIH HHS F32 HD117473NIDDK NIH HHS K01 DK100445NIDDK NIH HHS P30 DK048520NIDDK NIH HHS R01 DK119236NIH HHS S10 OD018435NIMH NIH HHS T32 MH015442ODCDC CDC HHS S10 OD018435U.S. Department of Veterans Affairs I01CX001949U.S. Department of Veterans Affairs IK6CX002178
6 · The paper itself

Abstract

objectiveThis study compared effects of exercise training and diet on impulsivity-related behaviors as measured by delay discounting and related neurobiology in adults with overweight or obesity. We hypothesized that exercise versus diet would be associated with reduced delay discounting propensity (k) and increased response in brain regions involved in cognitive control (medial prefrontal cortex, anterior cingulate cortex, and bilateral anterior insulae).

methodsParticipants (N = 40) were randomized to 12 weeks of exercise training or diet intervention. At baseline and postintervention, they completed a delay discounting task during functional magnetic resonance imaging (fMRI) in fasted and fed (post-meal) conditions. Linear mixed effects models assessed fasted-fed intervention effects on k and brain response in regions of interest. Exploratory analyses assessed whole-brain, satiety-state-specific, and reaction time effects.

resultsAcross groups, k and reaction time during delay discounting decreased and weight decreased from baseline to postintervention (p values ≤ 0.010). In exploratory fed-state whole-brain analyses, a group × session effect was observed in the right dorsolateral prefrontal cortex (p < 0.005), driven by exercise-associated changes. A similar group × session interaction effect was observed in the anterior cingulate cortex (p = 0.006), also driven by reductions in fed-state response.

conclusionsBoth interventions altered delay discounting behaviors. Exercise training was associated with reduced fed-state engagement of brain regions involved in self-referential processing and regulation during decision-making.

Indexed as

Delay DiscountingDietExerciseExercise TherapyObesityOverweightAdultBrainFemaleGyrus CinguliHumansImpulsive BehaviorMagnetic Resonance ImagingMaleMiddle AgedPrefrontal Cortex

Identifiers

PMID40384491
PMCPMC12213160

What OpenQuestion holds

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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.