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Fetal exposure to gestational diabetes severity and postnatal infant feeding in the first year of life associated with preadolescent obesity: a prospective cohort 胎儿妊娠期糖尿病严重程度和出生后第一年婴儿喂养与青春期前肥胖的关系:前瞻性队列。
IF 4.2 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-03-12 DOI: 10.1002/oby.24261
Baiyang Sun, Joan C. Lo, Louise C. Greenspan, Alexis S. King, Jaimie N. Davis, Myles S. Faith, Patricia Wakimoto, Jami L. Josefson, Tamanjit Basi, Charles P. Quesenberry Jr., Erin A. Hudson, William Lowe, Boyd Metzger, Erica P. Gunderson

Objective

This study sought to evaluate the distinct impact of fetal exposure to gestational diabetes (GDM) severity, as well as the impact of infant breastfeeding (BF) and sugary beverage intake, on preadolescent overweight and obesity, accounting for other established risk factors.

Methods

This analysis included 850 mother-infant dyads exposed to GDM who reported monthly infant BF duration and intensity, as well as sugary beverage intake (sugar-sweetened beverages [SSB] and 100% fruit juice [FJ]) during the first year of life, BMI measured at ages 6 to 11 years, and GDM severity variables (i.e., diagnosis time, treatment, and glycemic control). Preadolescent weight and height from electronic health records classified the following BMI percentiles: normal weight, <85th percentile (referent); overweight (85th to <95th percentile); obesity (≥95th percentile); moderate obesity (100 to <120% of 95th percentile); and severe obesity (≥120% of 95th percentile). Log-binomial regression models estimated adjusted relative risk (aRR) and 95% CI of BMI categories associated with fetal exposure to GDM severity and infant diet (inadequate BF, <6 months or adequate BF, ≥6 months, combined with or without SSB/FJ intake).

Results

Among preadolescents, 17.6% had overweight, 18.2% had moderate obesity, and 7.6% had severe obesity. Compared with adequate BF with no SSB/FJ, aRR (95% CI) of developing obesity was 1.55 (95% CI: 1.05–2.30) for inadequate BF with SSB/FJ intake and 1.50 (95% CI: 1.01–2.21) for adequate BF with SSB/FJ intake, independent of GDM severity and covariates. The aRR (95% CI) of developing severe obesity was 3.80 (95% CI: 1.55–9.29) for inadequate BF with SSB/FJ intake versus adequate BF without SSB/FJ intake.

Conclusions

BF adequacy and avoidance of sugary beverages in early life are modifiable lifestyle behaviors that may combat preadolescent obesity in infants exposed to GDM, suggesting potential longer-term benefits on child cardiometabolic health.

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引用次数: 0
Estimating energy requirements from Dietary Reference Intakes for pregnant people with obesity using wearables
IF 4.2 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-03-12 DOI: 10.1002/oby.24256
Alexandra M. Niclou, Emily W. Flanagan, Jasper Most, Abby D. Altazan, Lillian H. Wilder, Leanne M. Redman

Objective

Estimating physical activity levels (PAL) is difficult outside of the laboratory, and patient-reported PAL are often overestimated. Herein, we determine the importance of selecting the correct PAL when computing estimated energy requirements (EER) to determine gestational weight gain (GWG). Then, we examine whether data from a wearable can be used to select PAL and predict EER.

Methods

PAL were measured at early and late pregnancy among 53 pregnant female individuals (BMI > 30 kg/m2) in the laboratory and from wearables. To simulate overreporting physical activity, PAL in early pregnancy were used to compute EER in late pregnancy and assess the effect on GWG.

Results

PAL decreased from early to late pregnancy (p = 0.01). When simulating the effect of overestimating physical activity on EER in late pregnancy, excess GWG occured in all individuals (p < 0.001) with decreased PAL during pregnancy. Average daily step counts and activity minutes in early and late pregnancy overlapped across PAL and are not recommended for use.

Conclusions

Step count and activity minute data from wearables cannot be used to determine PAL in pregnant individuals with obesity. To minimize excess GWG risks, our outcomes suggest assuming “inactive” physical activity when estimating EER for pregnant people with obesity.

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引用次数: 0
Weight-loss interventions for adolescents with Down syndrome: a systematic review
IF 4.2 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-03-10 DOI: 10.1002/oby.24233
Thessa I.M. Hilgenkamp, Emily Davidson, Keith M. Diaz, Richard Fleming, Rachel Foster Kirk, Mary Hastert, Judy Kim, Sarah Mann, John Usseglio, Andrea Videlefsky, Lauren Ptomey

Objective

Youth with Down syndrome (DS) experience high rates of overweight and obesity; therefore, weight-loss interventions are warranted. We aimed to systematically review weight-loss interventions for adolescents with DS to better understand the most effective strategies and identify the current gaps in the literature.

Methods

This systematic review followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines (International Prospective Register of Systematic Reviews [PROSPERO] #CRD42022303781). Databases were searched through July 28, 2023, and screening, evaluation, and data extraction were performed by two independent reviewers. Change scores for weight or BMI were presented by study design and intervention components.

Results

The 26 included papers describing 24 unique studies included a total of n = 1171 participants, of whom n = 393 were participants with DS. Eleven studies focused on physical activity, one on diet, and two on physical activity and diet; seven studies used multicomponent interventions; and three studies investigated laparoscopic sleeve gastrectomy. Thirteen studies using either a multicomponent intervention, a physical activity intervention, or surgery resulted in weight loss or a decrease in BMI in adolescents with DS.

Conclusions

Weight-loss interventions can be effective for adolescents with DS and could benefit from increasing duration/intensity to meet the existing weight-loss intervention recommendations. More research on surgery and weight-loss medications is needed.

{"title":"Weight-loss interventions for adolescents with Down syndrome: a systematic review","authors":"Thessa I.M. Hilgenkamp,&nbsp;Emily Davidson,&nbsp;Keith M. Diaz,&nbsp;Richard Fleming,&nbsp;Rachel Foster Kirk,&nbsp;Mary Hastert,&nbsp;Judy Kim,&nbsp;Sarah Mann,&nbsp;John Usseglio,&nbsp;Andrea Videlefsky,&nbsp;Lauren Ptomey","doi":"10.1002/oby.24233","DOIUrl":"10.1002/oby.24233","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Youth with Down syndrome (DS) experience high rates of overweight and obesity; therefore, weight-loss interventions are warranted. We aimed to systematically review weight-loss interventions for adolescents with DS to better understand the most effective strategies and identify the current gaps in the literature.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This systematic review followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines (International Prospective Register of Systematic Reviews [PROSPERO] #CRD42022303781). Databases were searched through July 28, 2023, and screening, evaluation, and data extraction were performed by two independent reviewers. Change scores for weight or BMI were presented by study design and intervention components.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The 26 included papers describing 24 unique studies included a total of <i>n</i> = 1171 participants, of whom <i>n</i> = 393 were participants with DS. Eleven studies focused on physical activity, one on diet, and two on physical activity and diet; seven studies used multicomponent interventions; and three studies investigated laparoscopic sleeve gastrectomy. Thirteen studies using either a multicomponent intervention, a physical activity intervention, or surgery resulted in weight loss or a decrease in BMI in adolescents with DS.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Weight-loss interventions can be effective for adolescents with DS and could benefit from increasing duration/intensity to meet the existing weight-loss intervention recommendations. More research on surgery and weight-loss medications is needed.</p>\u0000 </section>\u0000 </div>","PeriodicalId":215,"journal":{"name":"Obesity","volume":"33 4","pages":"632-658"},"PeriodicalIF":4.2,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/oby.24233","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Vascular remodeling of adipose tissue in lipedema: endothelial dysfunction as an emerging culprit in a mysterious disease
IF 4.2 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-03-10 DOI: 10.1002/oby.24281
Timothy D. Allerton
{"title":"Vascular remodeling of adipose tissue in lipedema: endothelial dysfunction as an emerging culprit in a mysterious disease","authors":"Timothy D. Allerton","doi":"10.1002/oby.24281","DOIUrl":"10.1002/oby.24281","url":null,"abstract":"","PeriodicalId":215,"journal":{"name":"Obesity","volume":"33 4","pages":"629-631"},"PeriodicalIF":4.2,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Validation of a novel approach to assess metabolic flexibility to a high-fat meal in a whole-body room calorimeter
IF 4.2 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-03-06 DOI: 10.1002/oby.24245
David H. McDougal, Guillermo Sanchez-Delgado, Emily W. Flanagan, Kara L. Marlatt, Joshua R. Sparks, Shengping Yang, Leanne M. Redman, Eric Ravussin

Objective

Metabolic inflexibility to Western high-fat diets may contribute to the obesity epidemic. However, validated methods for assessing metabolic flexibility (MetFlex) to high-fat meals are currently lacking. The purpose of this study was to evaluate the reliability of a novel approach for determining MetFlex to a high-fat meal and to compare it with the gold standard for measuring MetFlex to high-carbohydrate loads.

Methods

Eight healthy adults were enrolled in our study, which consisted of the following two assessments of MetFlex: 1) MetFlex to fat, via two overnight stays in a metabolic chamber separated by 5 to 7 days; and 2) Metflex to carbohydrates, via a two-step hyperinsulinemic-euglycemic clamp measured >5 days later.

Results

Participants were predominantly White and male, with mean (SD) age of 29.4 (6.3) years and BMI of 25.4 (4.1) kg/m2. MetFlex to fat displayed satisfactory test–retest reliability (intraclass correlation coefficient > 0.70) for several outcomes but showed no correlation to MetFlex measured during the clamp.

Conclusions

Overnight changes in substrate oxidation following a high-fat dinner meal represent a unique aspect of MetFlex that cannot be captured using more conventional methods. Our findings warrant prospective studies to determine whether these parameters are predictive of the development of obesity or metabolic dysfunction.

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引用次数: 0
Food-related implicit associations predict self-reported eating behaviors and dietary habits in large US samples
IF 4.2 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-03-04 DOI: 10.1002/oby.24247
Matt B. Siroty, Julia M. P. Bittner, Jennifer L. Howell, Bobby K. Cheon

Objective

Implicit associations, i.e., automatically activated attitudes and intuitions, may contribute to isolated food choices and body weight. Studies of food-related implicit associations have yielded mixed results and have not explored their role in eating behaviors or dietary patterns. We examined implicit associations toward the palatability and acceptability (vs. shame) of healthy food and their relationships with self-reported eating behaviors (eating in absence of hunger) and dietary patterns (fruit, vegetable, and sugar-sweetened beverage consumption) and socioeconomic indicators.

Methods

Two US samples (i.e., Palatable Food, n = 11,504; and Acceptable Food, n = 12,128) from Project Implicit Health were analyzed. Implicit associations were measured with Implicit Association Tests. Linear and logistic regressions examined associations of implicit and related explicit self-reported responses (perceived healthy eating and acceptability of healthy food, respectively) with eating behaviors, dietary patterns, and socioeconomic indicators.

Results

One-sample t tests revealed health-favoring implicit palatability and acceptability associations. Implicit associations predicted healthier self-reported eating behaviors and dietary patterns independent of explicit responses. There were inconsistent associations with socioeconomic indicators.

Conclusions

Health-favoring implicit food-related associations uniquely contribute to healthier eating behaviors and dietary patterns. These health-favoring associations could be a promising, yet underrecognized, target to promote healthier diets in the United States.

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引用次数: 0
Critical analysis of dual-energy x-ray absorptiometry—measured body composition changes with voluntary weight loss
IF 4.2 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-03-03 DOI: 10.1002/oby.24255
Steven B. Heymsfield, Sophia Ramirez, Shengping Yang, Diana M. Thomas, Justin C. Brown, Stephanie L. E. Compton, John M. Schuna Jr., Steven R. Smith, David S. Ludwig, Cara B. Ebbeling

Objective

When treated with a macronutrient-balanced hypocaloric diet, do male individuals who have overweight and obesity lose relatively more dual-energy x-ray absorptiometry (DXA)-measured lean soft tissue (LST) mass than female individuals? Are there changes in bone mineral content (BMC), and if so, how do they impact relative reductions in LST compared to fat-free mass (FFM; LST plus BMC)? Are decrements in fat, LST, and FFM predictable from the magnitude of weight loss or baseline body composition?

Methods

To answer these questions, DXA studies were conducted before and after a 9- to 12-week calorie-restriction period in 43 male and 97 female individuals who lost a mean (SD) of 10.8% (2.2%) and 10.7% (1.6%) of their baseline weight, respectively.

Results

The proportion of weight loss as LST was significantly (p < 0.001) larger in male (mean [SD], 0.33 [0.11] kg) than female individuals (0.25 [0.11] kg); BMC paradoxically increased, thereby leading to a significantly smaller reduction in FFM than LST in the male (−3.87 [1.73] kg vs. −3.92 [1.74] kg; p < 0.001) and female individuals (−2.22 [1.18] kg vs. −2.24 [1.18] kg; p < 0.001), and three different analyses showed that the composition of weight loss tracked as predicted a priori from weight change and baseline body composition.

Conclusions

These observations provide insights into and future guidance for analyzing the DXA-measured body composition changes associated with newer pharmacotherapies for weight loss.

{"title":"Critical analysis of dual-energy x-ray absorptiometry—measured body composition changes with voluntary weight loss","authors":"Steven B. Heymsfield,&nbsp;Sophia Ramirez,&nbsp;Shengping Yang,&nbsp;Diana M. Thomas,&nbsp;Justin C. Brown,&nbsp;Stephanie L. E. Compton,&nbsp;John M. Schuna Jr.,&nbsp;Steven R. Smith,&nbsp;David S. Ludwig,&nbsp;Cara B. Ebbeling","doi":"10.1002/oby.24255","DOIUrl":"10.1002/oby.24255","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>When treated with a macronutrient-balanced hypocaloric diet, do male individuals who have overweight and obesity lose relatively more dual-energy x-ray absorptiometry (DXA)-measured lean soft tissue (LST) mass than female individuals? Are there changes in bone mineral content (BMC), and if so, how do they impact relative reductions in LST compared to fat-free mass (FFM; LST plus BMC)? Are decrements in fat, LST, and FFM predictable from the magnitude of weight loss or baseline body composition?</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>To answer these questions, DXA studies were conducted before and after a 9- to 12-week calorie-restriction period in 43 male and 97 female individuals who lost a mean (SD) of 10.8% (2.2%) and 10.7% (1.6%) of their baseline weight, respectively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The proportion of weight loss as LST was significantly (<i>p</i> &lt; 0.001) larger in male (mean [SD], 0.33 [0.11] kg) than female individuals (0.25 [0.11] kg); BMC paradoxically increased, thereby leading to a significantly smaller reduction in FFM than LST in the male (−3.87 [1.73] kg vs. −3.92 [1.74] kg; <i>p</i> &lt; 0.001) and female individuals (−2.22 [1.18] kg vs. −2.24 [1.18] kg; <i>p</i> &lt; 0.001), and three different analyses showed that the composition of weight loss tracked as predicted a priori from weight change and baseline body composition.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These observations provide insights into and future guidance for analyzing the DXA-measured body composition changes associated with newer pharmacotherapies for weight loss.</p>\u0000 </section>\u0000 </div>","PeriodicalId":215,"journal":{"name":"Obesity","volume":"33 4","pages":"685-694"},"PeriodicalIF":4.2,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143545515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Loss of lysyl oxidase in adipose tissue ameliorates metabolic inflexibility induced by high-fat diet
IF 4.2 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-03-02 DOI: 10.1002/oby.24253
Yun-Qian Zhou, Xin-Yue Chang, Lei Yang, Dongning Pan, Hai-Yan Huang

Objective

Systemic administration of β-aminopropionitrile to inhibit lysyl oxidase (Lox) activity improves metabolism, but it exhibits a broad spectrum of effects. Clarification of the role of Lox in adipose tissue metabolism under high-fat diet (HFD) conditions is needed.

Methods

Mice with adipose tissue knockout of Lox (LoxAKO) and wild-type mice were subjected to a 16-week HFD regimen. A detailed evaluation encompassing adipose tissue, hepatic function, and systemic metabolism was conducted. RNA sequencing analysis was used to unravel the intricate mechanisms behind the metabolic enhancements in LoxAKO mice.

Results

Compared with the control, although there was no difference in body weight, LoxAKO mice exhibited an improved metabolic phenotype, including enhanced insulin sensitivity, improved glucose tolerance, and reduced liver steatosis, along with reduced adipose tissue inflammation and fibrosis. LoxAKO mice showed increased thermogenic activity in brown adipose tissue with increased uncoupling protein 1 (UCP1) expression and oxygen consumption rate. Additionally, RNA sequencing analysis revealed that adipose deletion of Lox might facilitate the metabolic processing of glucose, branched-chain amino acids, and fatty acids in brown adipose tissue.

Conclusions

These findings indicate that adipocyte Lox deletion improves metabolic adaptability under an HFD, highlighting Lox as a promising therapeutic target for obesity-associated metabolic disorders.

{"title":"Loss of lysyl oxidase in adipose tissue ameliorates metabolic inflexibility induced by high-fat diet","authors":"Yun-Qian Zhou,&nbsp;Xin-Yue Chang,&nbsp;Lei Yang,&nbsp;Dongning Pan,&nbsp;Hai-Yan Huang","doi":"10.1002/oby.24253","DOIUrl":"10.1002/oby.24253","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Systemic administration of β-aminopropionitrile to inhibit lysyl oxidase (Lox) activity improves metabolism, but it exhibits a broad spectrum of effects. Clarification of the role of Lox in adipose tissue metabolism under high-fat diet (HFD) conditions is needed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Mice with adipose tissue knockout of <i>Lox</i> (Lox<sup>AKO</sup>) and wild-type mice were subjected to a 16-week HFD regimen. A detailed evaluation encompassing adipose tissue, hepatic function, and systemic metabolism was conducted. RNA sequencing analysis was used to unravel the intricate mechanisms behind the metabolic enhancements in Lox<sup>AKO</sup> mice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Compared with the control, although there was no difference in body weight, Lox<sup>AKO</sup> mice exhibited an improved metabolic phenotype, including enhanced insulin sensitivity, improved glucose tolerance, and reduced liver steatosis, along with reduced adipose tissue inflammation and fibrosis. Lox<sup>AKO</sup> mice showed increased thermogenic activity in brown adipose tissue with increased uncoupling protein 1 (UCP1) expression and oxygen consumption rate. Additionally, RNA sequencing analysis revealed that adipose deletion of <i>Lox</i> might facilitate the metabolic processing of glucose, branched-chain amino acids, and fatty acids in brown adipose tissue.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These findings indicate that adipocyte <i>Lox</i> deletion improves metabolic adaptability under an HFD, highlighting Lox as a promising therapeutic target for obesity-associated metabolic disorders.</p>\u0000 \u0000 <div>\u0000 <figure>\u0000 <div><picture>\u0000 <source></source></picture><p></p>\u0000 </div>\u0000 </figure>\u0000 </div>\u0000 </section>\u0000 </div>","PeriodicalId":215,"journal":{"name":"Obesity","volume":"33 4","pages":"720-731"},"PeriodicalIF":4.2,"publicationDate":"2025-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143538278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Obesity is associated with progressive brain structural changes
IF 4.2 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-03-02 DOI: 10.1002/oby.24251
Huiling Zhou, Yang Hu, Guanya Li, Wenchao Zhang, Weibin Ji, Yonghuan Feng, Zaichen La, Mengshan Li, Zhao Yan, Peter Manza, Dardo Tomasi, Nora D. Volkow, Gene-Jack Wang, Yi Zhang

Objective

The aim of this study was to investigate the relationship between obesity (OB) progression and brain structural changes.

Methods

T1-weighted magnetic resonance images were acquired from 258 participants with overweight (OW) or OB and 74 participants with normal weight. Participants with OW or OB were divided into four groups according to BMI grades. Two-sample t tests compared disparities between the four subgroups and the participants with normal weight. We used causal structural covariance networks to examine the progressive impact of OB on brain structure.

Results

With increasing BMI values, reductions in gray matter volume originated in the left caudate nucleus, medial orbitofrontal cortex, and left insula and expanded to the right hippocampus and left lateral orbitofrontal cortex and then to the right parahippocampal gyrus, left precuneus, and left dorsolateral prefrontal cortex (p < 0.05, false discovery rate corrected). The left caudate nucleus and medial orbitofrontal cortex are the primary hubs of the directional network, exhibiting positive causality to the right hippocampus and left dorsolateral prefrontal cortex. Moreover, the right hippocampus is identified as an important transition hub.

Conclusions

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.

{"title":"Obesity is associated with progressive brain structural changes","authors":"Huiling Zhou,&nbsp;Yang Hu,&nbsp;Guanya Li,&nbsp;Wenchao Zhang,&nbsp;Weibin Ji,&nbsp;Yonghuan Feng,&nbsp;Zaichen La,&nbsp;Mengshan Li,&nbsp;Zhao Yan,&nbsp;Peter Manza,&nbsp;Dardo Tomasi,&nbsp;Nora D. Volkow,&nbsp;Gene-Jack Wang,&nbsp;Yi Zhang","doi":"10.1002/oby.24251","DOIUrl":"10.1002/oby.24251","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The aim of this study was to investigate the relationship between obesity (OB) progression and brain structural changes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>T1-weighted magnetic resonance images were acquired from 258 participants with overweight (OW) or OB and 74 participants with normal weight. Participants with OW or OB were divided into four groups according to BMI grades. Two-sample <i>t</i> tests compared disparities between the four subgroups and the participants with normal weight. We used causal structural covariance networks to examine the progressive impact of OB on brain structure.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>With increasing BMI values, reductions in gray matter volume originated in the left caudate nucleus, medial orbitofrontal cortex, and left insula and expanded to the right hippocampus and left lateral orbitofrontal cortex and then to the right parahippocampal gyrus, left precuneus, and left dorsolateral prefrontal cortex (<i>p</i> &lt; 0.05, false discovery rate corrected). The left caudate nucleus and medial orbitofrontal cortex are the primary hubs of the directional network, exhibiting positive causality to the right hippocampus and left dorsolateral prefrontal cortex. Moreover, the right hippocampus is identified as an important transition hub.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 </div>","PeriodicalId":215,"journal":{"name":"Obesity","volume":"33 4","pages":"709-719"},"PeriodicalIF":4.2,"publicationDate":"2025-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143538279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Impact of Western diet on milk miRNAs and target genes in offspring adipose tissue: modulation by betaine during suckling
IF 4.2 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-03-02 DOI: 10.1002/oby.24246
Rocío A. Martín-Chamorro, Catalina A. Pomar, Andreu Palou, Catalina Picó, Ana M. Rodríguez

Objective

We investigated how a maternal Western diet (WD) affects milk microRNA (miRNA) profile and associates with metabolic programming in adipose tissues in pups. We also explored the impact of betaine supplementation during suckling, as betaine levels are reported to be reduced in WD-fed dams' milk.

Methods

A microarray analysis was performed to profile miRNA expression in dams' milk. Betaine levels were measured in the milk of dams and the plasma of their offspring. We also analyzed the expression of miRNA target genes in white and brown adipose tissues through gene expression analysis.

Results

Our findings confirm decreased betaine levels in the milk of WD-fed dams and the plasma of their offspring. The miRNA screening identified 37 deregulated miRNAs (36 downregulated), with the following 6 as the most relevant: miR-223-3p; miR-32-5p; let-7i-5p; miR-140-5p; miR-29a-3p; and miR-29c-3p (downregulated). Some of their target genes were upregulated in brown and white adipose tissues, particularly those related to thermogenesis and browning. Betaine supplementation in pups demonstrated a slight protective effect in females by enhancing thermogenic capacity.

Conclusions

Our results underscore the profound impact of a maternal WD on milk miRNA composition, potentially influencing gene expression, thermogenesis, and adiposity in the offspring, with sex-related differences.

{"title":"Impact of Western diet on milk miRNAs and target genes in offspring adipose tissue: modulation by betaine during suckling","authors":"Rocío A. Martín-Chamorro,&nbsp;Catalina A. Pomar,&nbsp;Andreu Palou,&nbsp;Catalina Picó,&nbsp;Ana M. Rodríguez","doi":"10.1002/oby.24246","DOIUrl":"10.1002/oby.24246","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>We investigated how a maternal Western diet (WD) affects milk microRNA (miRNA) profile and associates with metabolic programming in adipose tissues in pups. We also explored the impact of betaine supplementation during suckling, as betaine levels are reported to be reduced in WD-fed dams' milk.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A microarray analysis was performed to profile miRNA expression in dams' milk. Betaine levels were measured in the milk of dams and the plasma of their offspring. We also analyzed the expression of miRNA target genes in white and brown adipose tissues through gene expression analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Our findings confirm decreased betaine levels in the milk of WD-fed dams and the plasma of their offspring. The miRNA screening identified 37 deregulated miRNAs (36 downregulated), with the following 6 as the most relevant: miR-223-3p; miR-32-5p; let-7i-5p; miR-140-5p; miR-29a-3p; and miR-29c-3p (downregulated). Some of their target genes were upregulated in brown and white adipose tissues, particularly those related to thermogenesis and browning. Betaine supplementation in pups demonstrated a slight protective effect in females by enhancing thermogenic capacity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Our results underscore the profound impact of a maternal WD on milk miRNA composition, potentially influencing gene expression, thermogenesis, and adiposity in the offspring, with sex-related differences.</p>\u0000 \u0000 <div>\u0000 <figure>\u0000 <div><picture>\u0000 <source></source></picture><p></p>\u0000 </div>\u0000 </figure>\u0000 </div>\u0000 </section>\u0000 </div>","PeriodicalId":215,"journal":{"name":"Obesity","volume":"33 4","pages":"732-742"},"PeriodicalIF":4.2,"publicationDate":"2025-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/oby.24246","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143538276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Obesity
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