Obesity and Metabolic Syndrome and Functional and Structural Brain Impairments in Adolescence

Pediatrics, 10/05/2012

Yau PL et al. – The authors document lower cognitive performance and reductions in brain structural integrity among adolescents with MetS, thus suggesting that even relatively short–term impairments in metabolism, in the absence of clinically manifest vascular disease, may give rise to brain complications. In view of these alarming results, it is plausible that obesity–associated metabolic disease, short of type 2 diabetes mellitus, may be mechanistically linked to lower the academic and professional potential of adolescents. Although obesity may not be enough to stir clinicians or even parents into action, these results in adolescents strongly argue for an early and comprehensive intervention.

Methods

  • Forty-nine adolescents with and 62 without MetS, matched on age, socioeconomic status, school grade, gender, and ethnicity, received endocrine, MRI, and neuropsychological evaluations.

Results

  • Adolescents with MetS showed significantly lower arithmetic, spelling, attention, and mental flexibility and a trend for lower overall intelligence.
  • They also had, in a MetS-dose–related fashion, smaller hippocampal volumes, increased brain cerebrospinal fluid, and reductions of microstructural integrity in major white matter tracts.

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