Obesity

Altered effective connectivity between the prefrontal cortex and caudate in children with overweight and obesity

Int J Obes (Lond)Published Mechanistic study

Authors' conclusion

The current study provides novel evidence for the neural hierarchical basis of childhood obesity (especially the caudate→SFG, SFG→vmPFC and vmPFC→SFG connectivity), suggesting that interventions targeting reward processing and inhibition control may have important implications for childhood obesity.

Study context

Population
Children with overweight/obesity and normal-weight children
Participants
38 vs 68
Comparison
Children with overweight/obesity vs normal weight
  • OW/OBn = 38
  • Normal weight (NW)n = 68reference
Outcome
Functional and effective connectivity between reward and inhibitory control systems
Follow-up
Baseline
Methodological detailsresting-state fMRI, spectral dynamic causal modeling, machine learning, one-year follow-up
  • Resting-state fMRI
  • Spectral dynamic causal modeling
  • Machine learning
  • One-year follow-up

Main finding

As reported in the abstract

  • Stronger functional connectivity (FC) between left superior frontal gyrus (SFG) and left caudate in OW/OB vs NW (adjusted for age, sex, head motion)
  • Weaker FC between left SFG and right ventromedial prefrontal cortex (vmPFC) in OW/OB vs NW (adjusted for age, sex, head motion)
  • Stronger negative effective connectivity (EC) from left caudate to left SFG in OW/OB vs NW (Bayesian contrasts)
  • Weaker negative EC from left SFG to right vmPFC in OW/OB vs NW (Bayesian contrasts)
  • Weaker positive EC from right vmPFC to left SFG in OW/OB vs NW (Bayesian contrasts)

Further findings

Prediction of eating behaviour change by baseline connectivity · one year

Baseline caudate→caudate and vmPFC→SFG connectivity predicted changes in children's eating behaviours one year later

Original publication

Altered effective connectivity between the prefrontal cortex and caudate in children with overweight and obesity. Int J Obes (Lond). Published 13 May 2026. doi:10.1038/s41366-025-01973-5

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