Obesity

Obesity is associated with progressive brain structural changes

Obesity (Silver Spring)Published Cross-sectional study

Authors' conclusion

These findings suggest that changes in gray matter volume in individuals with OB may originate from reward/motivation processing regions, subsequently progressing to inhibitory control/learning memory regions, providing a new reference direction for clinical intervention and treatment of OB.

Study context

Population
Participants with overweight (OW) or obesity (OB) and participants with normal weight undergoing T1-weighted MRI
Participants
258 vs 74
Exposure
OW or OB vs normal weight
  • OW or OBn = 258
  • Normal weightn = 74reference
Outcome
Brain structural changes (gray matter volume) with OB progression
Methodological detailscausal structural covariance network analysis
  • Causal structural covariance network analysis

Main finding

As reported in the abstract

Gray matter volume reductions with increasing BMI
Reductions originated in left caudate nucleus, medial orbitofrontal cortex and left insula, expanded to right hippocampus and left lateral orbitofrontal cortex, then to right parahippocampal gyrus, left precuneus and left dorsolateral prefrontal cortex
p < 0.05, false discovery rate corrected

Observational data: associations, not effects.

Original publication

Obesity is associated with progressive brain structural changes. Obesity (Silver Spring). Published 2 March 2025. doi:10.1002/oby.24251

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