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For: Custers E, Vreeken D, Kaufmann LK, Pujol-Gualdo N, Asbreuk M, Wiesmann M, Aarts E, Hazebroek EJ, Kiliaan AJ. Cognitive Control and Weight Loss After Bariatric Surgery: the BARICO Study. Obes Surg 2023;33:2799-2807. [PMID: 37477832 PMCID: PMC10435598 DOI: 10.1007/s11695-023-06744-7] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2023] [Revised: 07/05/2023] [Accepted: 07/14/2023] [Indexed: 07/22/2023]

For:	Custers E, Vreeken D, Kaufmann LK, Pujol-Gualdo N, Asbreuk M, Wiesmann M, Aarts E, Hazebroek EJ, Kiliaan AJ. Cognitive Control and Weight Loss After Bariatric Surgery: the BARICO Study. Obes Surg 2023;33:2799-2807. [PMID: 37477832 PMCID: PMC10435598 DOI: 10.1007/s11695-023-06744-7] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2023] [Revised: 07/05/2023] [Accepted: 07/14/2023] [Indexed: 07/22/2023]

Number

Cited by Other Article(s)

Kaufmann LK, Custers E, Vreeken D, Snabel J, Morrison MC, Kleemann R, Wiesmann M, Hazebroek EJ, Aarts E, Kiliaan AJ. Additive effects of depression and obesity on neural correlates of inhibitory control. J Affect Disord 2024;362:174-185. [PMID: 38960334 DOI: 10.1016/j.jad.2024.06.093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/21/2024] [Revised: 06/04/2024] [Accepted: 06/25/2024] [Indexed: 07/05/2024]

Abstract

BACKGROUND

Depression and obesity are associated with impaired inhibitory control. Behavioral evidence indicates an exacerbating additive effect when both conditions co-occur. However, the underlying neural mechanisms remain unclear. Moreover, systemic inflammation affects neurocognitive performance in both individuals with depression and obesity. Here, we investigate additive effects of depression and obesity on neural correlates of inhibitory control, and examine inflammation as a connecting pathway.

METHODS

We assessed inhibitory control processing in 64 individuals with obesity and varying degrees of depressed mood by probing neural activation and connectivity during an fMRI Stroop task. Additionally, we explored associations of altered neural responses with individual differences in systemic inflammation. Data were collected as part of the BARICO (Bariatric surgery Rijnstate and Radboudumc neuroimaging and Cognition in Obesity) study.

RESULTS

Concurrent depression and obesity were linked to increased functional connectivity between the supplementary motor area and precuneus and between the inferior occipital and inferior parietal gyrus. Exploratory analysis revealed that circulating inflammation markers, including plasma leptin, IL-6, IL-8, and CCL-3 correlated with the additive effect of depression and obesity on altered functional connectivity.

LIMITATIONS

The observational design limits causal inferences. Future research employing longitudinal or intervention designs is required to validate these findings and elucidate causal pathways.

CONCLUSION

These findings suggest increased neural crosstalk underlying impaired inhibitory control in individuals with concurrent obesity and depressed mood. Our results support a model of an additive detrimental effect of concurrent depression and obesity on neurocognitive functioning, with a possible role of inflammation.

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Affiliation(s)

Lisa-Katrin Kaufmann Donders Institute for Brain Cognition and Behaviour, Radboud University, Nijmegen, the Netherlands
Emma Custers Department of Medical Imaging, Anatomy, Radboud university medical center, Nijmegen, the Netherlands; Donders Institute for Brain, Cognition, and Behavior and Radboudumc Alzheimer Center, Radboud university medical center, Nijmegen, the Netherlands; Department of Bariatric Surgery, Vitalys, part of Rijnstate hospital, Arnhem, the Netherlands
Debby Vreeken Department of Medical Imaging, Anatomy, Radboud university medical center, Nijmegen, the Netherlands; Donders Institute for Brain, Cognition, and Behavior and Radboudumc Alzheimer Center, Radboud university medical center, Nijmegen, the Netherlands; Department of Bariatric Surgery, Vitalys, part of Rijnstate hospital, Arnhem, the Netherlands
Jessica Snabel Department of Metabolic Health Research, The Netherlands Organisation for Applied Scientific Research (TNO), Leiden, the Netherlands
Martine C Morrison Department of Metabolic Health Research, The Netherlands Organisation for Applied Scientific Research (TNO), Leiden, the Netherlands
Robert Kleemann Department of Metabolic Health Research, The Netherlands Organisation for Applied Scientific Research (TNO), Leiden, the Netherlands
Maximilian Wiesmann Department of Medical Imaging, Anatomy, Radboud university medical center, Nijmegen, the Netherlands; Donders Institute for Brain, Cognition, and Behavior and Radboudumc Alzheimer Center, Radboud university medical center, Nijmegen, the Netherlands
Eric J Hazebroek Department of Bariatric Surgery, Vitalys, part of Rijnstate hospital, Arnhem, the Netherlands; Division of Human Nutrition and Health, Wageningen University, Wageningen, the Netherlands
Esther Aarts Donders Institute for Brain Cognition and Behaviour, Radboud University, Nijmegen, the Netherlands.
Amanda J Kiliaan Department of Medical Imaging, Anatomy, Radboud university medical center, Nijmegen, the Netherlands; Donders Institute for Brain, Cognition, and Behavior and Radboudumc Alzheimer Center, Radboud university medical center, Nijmegen, the Netherlands.

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Costache AD, Ignat BE, Grosu C, Mastaleru A, Abdulan I, Oancea A, Roca M, Leon MM, Badescu MC, Luca S, Jigoranu AR, Chetran A, Mitu O, Costache II, Mitu F. Inflammatory Pathways in Overweight and Obese Persons as a Potential Mechanism for Cognitive Impairment and Earlier Onset Alzeihmer's Dementia in the General Population: A Narrative Review. Biomedicines 2023;11:3233. [PMID: 38137454 PMCID: PMC10741501 DOI: 10.3390/biomedicines11123233] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2023] [Revised: 11/29/2023] [Accepted: 12/04/2023] [Indexed: 12/24/2023] Open

Affiliation(s)

Alexandru Dan Costache Faculty of Medicine, University of Medicine and Pharmacy “Grigore T. Popa”, 700115 Iasi, Romania; (A.D.C.); (A.M.); (I.A.); (A.O.); (M.R.); (M.M.L.); (M.C.B.); (S.L.); (A.R.J.); (A.C.); (O.M.); (I.I.C.); (F.M.) Clinical Rehabilitation Hospital, 700661 Iasi, Romania
Bogdan Emilian Ignat Faculty of Medicine, University of Medicine and Pharmacy “Grigore T. Popa”, 700115 Iasi, Romania; (A.D.C.); (A.M.); (I.A.); (A.O.); (M.R.); (M.M.L.); (M.C.B.); (S.L.); (A.R.J.); (A.C.); (O.M.); (I.I.C.); (F.M.) Clinical Rehabilitation Hospital, 700661 Iasi, Romania
Cristina Grosu Faculty of Medicine, University of Medicine and Pharmacy “Grigore T. Popa”, 700115 Iasi, Romania; (A.D.C.); (A.M.); (I.A.); (A.O.); (M.R.); (M.M.L.); (M.C.B.); (S.L.); (A.R.J.); (A.C.); (O.M.); (I.I.C.); (F.M.) Clinical Rehabilitation Hospital, 700661 Iasi, Romania
Alexandra Mastaleru Faculty of Medicine, University of Medicine and Pharmacy “Grigore T. Popa”, 700115 Iasi, Romania; (A.D.C.); (A.M.); (I.A.); (A.O.); (M.R.); (M.M.L.); (M.C.B.); (S.L.); (A.R.J.); (A.C.); (O.M.); (I.I.C.); (F.M.) Clinical Rehabilitation Hospital, 700661 Iasi, Romania
Irina Abdulan Faculty of Medicine, University of Medicine and Pharmacy “Grigore T. Popa”, 700115 Iasi, Romania; (A.D.C.); (A.M.); (I.A.); (A.O.); (M.R.); (M.M.L.); (M.C.B.); (S.L.); (A.R.J.); (A.C.); (O.M.); (I.I.C.); (F.M.) Clinical Rehabilitation Hospital, 700661 Iasi, Romania
Andra Oancea Faculty of Medicine, University of Medicine and Pharmacy “Grigore T. Popa”, 700115 Iasi, Romania; (A.D.C.); (A.M.); (I.A.); (A.O.); (M.R.); (M.M.L.); (M.C.B.); (S.L.); (A.R.J.); (A.C.); (O.M.); (I.I.C.); (F.M.) Clinical Rehabilitation Hospital, 700661 Iasi, Romania
Mihai Roca Faculty of Medicine, University of Medicine and Pharmacy “Grigore T. Popa”, 700115 Iasi, Romania; (A.D.C.); (A.M.); (I.A.); (A.O.); (M.R.); (M.M.L.); (M.C.B.); (S.L.); (A.R.J.); (A.C.); (O.M.); (I.I.C.); (F.M.) Clinical Rehabilitation Hospital, 700661 Iasi, Romania
Maria Magdalena Leon Faculty of Medicine, University of Medicine and Pharmacy “Grigore T. Popa”, 700115 Iasi, Romania; (A.D.C.); (A.M.); (I.A.); (A.O.); (M.R.); (M.M.L.); (M.C.B.); (S.L.); (A.R.J.); (A.C.); (O.M.); (I.I.C.); (F.M.) Clinical Rehabilitation Hospital, 700661 Iasi, Romania
Minerva Codruta Badescu Faculty of Medicine, University of Medicine and Pharmacy “Grigore T. Popa”, 700115 Iasi, Romania; (A.D.C.); (A.M.); (I.A.); (A.O.); (M.R.); (M.M.L.); (M.C.B.); (S.L.); (A.R.J.); (A.C.); (O.M.); (I.I.C.); (F.M.) “St. Spiridon” Emergency County Hospital, 700111 Iasi, Romania
Stefana Luca Faculty of Medicine, University of Medicine and Pharmacy “Grigore T. Popa”, 700115 Iasi, Romania; (A.D.C.); (A.M.); (I.A.); (A.O.); (M.R.); (M.M.L.); (M.C.B.); (S.L.); (A.R.J.); (A.C.); (O.M.); (I.I.C.); (F.M.) “St. Spiridon” Emergency County Hospital, 700111 Iasi, Romania
Alexandru Raul Jigoranu Faculty of Medicine, University of Medicine and Pharmacy “Grigore T. Popa”, 700115 Iasi, Romania; (A.D.C.); (A.M.); (I.A.); (A.O.); (M.R.); (M.M.L.); (M.C.B.); (S.L.); (A.R.J.); (A.C.); (O.M.); (I.I.C.); (F.M.) “St. Spiridon” Emergency County Hospital, 700111 Iasi, Romania
Adriana Chetran Faculty of Medicine, University of Medicine and Pharmacy “Grigore T. Popa”, 700115 Iasi, Romania; (A.D.C.); (A.M.); (I.A.); (A.O.); (M.R.); (M.M.L.); (M.C.B.); (S.L.); (A.R.J.); (A.C.); (O.M.); (I.I.C.); (F.M.) “St. Spiridon” Emergency County Hospital, 700111 Iasi, Romania
Ovidiu Mitu Faculty of Medicine, University of Medicine and Pharmacy “Grigore T. Popa”, 700115 Iasi, Romania; (A.D.C.); (A.M.); (I.A.); (A.O.); (M.R.); (M.M.L.); (M.C.B.); (S.L.); (A.R.J.); (A.C.); (O.M.); (I.I.C.); (F.M.) “St. Spiridon” Emergency County Hospital, 700111 Iasi, Romania
Irina Iuliana Costache Faculty of Medicine, University of Medicine and Pharmacy “Grigore T. Popa”, 700115 Iasi, Romania; (A.D.C.); (A.M.); (I.A.); (A.O.); (M.R.); (M.M.L.); (M.C.B.); (S.L.); (A.R.J.); (A.C.); (O.M.); (I.I.C.); (F.M.) “St. Spiridon” Emergency County Hospital, 700111 Iasi, Romania
Florin Mitu Faculty of Medicine, University of Medicine and Pharmacy “Grigore T. Popa”, 700115 Iasi, Romania; (A.D.C.); (A.M.); (I.A.); (A.O.); (M.R.); (M.M.L.); (M.C.B.); (S.L.); (A.R.J.); (A.C.); (O.M.); (I.I.C.); (F.M.) Clinical Rehabilitation Hospital, 700661 Iasi, Romania Romanian Academy of Medical Sciences, 927180 Bucharest, Romania Romanian Academy of Scientists, 050044 Bucharest, Romania

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Pouwels S. Response to: 'Cognitive Control and Weight Loss after Bariatric Surgery: the BARICO Study'. Obes Surg 2023;33:4176-4177. [PMID: 37919531 DOI: 10.1007/s11695-023-06894-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2023] [Revised: 09/26/2023] [Accepted: 10/26/2023] [Indexed: 11/04/2023]