Weight loss, behavioral change, and structural neuroplasticity in children with obesity through a multidisciplinary treatment program

Augustijn, Mireille; D’Hondt, Eva; Leemans, Alexander; Acker, Lore Van; Guchtenaere, Ann De; Lenoir, Matthieu; Deconinck, Frederik; Caeyenberghs, Karen

doi:10.1002/hbm.24360

Cited by 22 publications

(21 citation statements)

References 77 publications

(174 reference statements)

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“…This is perhaps not surprising, because excess (fat) mass leads to greater inertial forces, which are harder to control and coordinate and therefore hamper movement. Indeed, we found that weight loss after a multidisciplinary treatment is accompanied with an increase in motor competence and may explain up to around 25% of the improvement in gross motor skills (12,13). It is important to note, however, that the motor impairment found in children with obesity cannot solely be attributed to the presence of excess (fat) mass.…”

Section: Introductionmentioning

confidence: 74%

Peer Review #1 of "The association between mental rotation capacity and motor impairment in children with obesity—an exploratory study (v0.2)"

2019

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Background.Motor impairments are relatively common in children with obesity and evidence suggests that these difficulties go beyond those expected based on the extra weight. This study aimed to investigate the mental rotation capacity in children with obesity, i.e. the ability to mentally view and rotate spatial information, which is a function of both visual-spatial and action representation processes. More in particular, we examined whether children with obesity solved mental hand rotation tasks using an egocentric perspective (i.e. motor imagery) and if performance was related to their motor competence. Methods.Fifty children (age range: 7-11 y) of which 19 with obesity and motor impairments (OB-) as assessed by the Movement Assessment Battery for Children (2 nd version), 13 with obesity without motor impairments (OB+) and 18 control children with a healthy weight (HW) and normal motor competence, were submitted to a classic hand rotation task. Sitting at a desk the children were instructed to indicate the laterality of a picture of a hand as quickly and as accurately as possible. Results.The findings indicate no differences in response time between groups (2648ms, 2558ms, 2664ms for OB-, OB+ and HW respectively). The OB-group, however, had significantly lower accuracy rates and inverse efficiency scores than the HW group (Accuracy: 72% vs. 89%; Inverse efficiency: 4428 vs. 3238). No difference was observed in accuracy and inverse efficiency between the OB+ and HW group (Accuracy: 86%; Inverse efficiency: 3432). In all groups, slower and more error-prone responses were observed when the angle of rotation was larger and when the hand on display was incongruent with the posture of the participants, which indicates that judgments where made from an egocentric perspective and involved motor imagery. Conclusion.All children, including those with obesity, appear to engage in motor imagery. This notion needs to be investigated further in children with obesity and motor impairments, given their generally lower accuracy and decreased efficiency, which may

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Section: Introductionmentioning

confidence: 74%

Peer Review #1 of "The association between mental rotation capacity and motor impairment in children with obesity—an exploratory study (v0.2)"

2019

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“…This is perhaps not surprising, because excess (fat) mass leads to greater inertial forces, which are harder to control and coordinate and therefore hamper movement. Indeed, we found that weight loss after a multidisciplinary treatment is accompanied with an increase in motor competence and may explain up to around 25% of the improvement in gross motor skills (D’Hondt et al, 2011b; Augustijn et al, 2018c). It is important to note, however, that the motor impairment found in children with obesity cannot solely be attributed to the presence of excess (fat) mass.…”

Section: Introductionmentioning

confidence: 87%

The association between mental rotation capacity and motor impairment in children with obesity—an exploratory study

Deconinck

D’Hondt

Caeyenberghs

et al. 2019

PeerJ

Self Cite

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BackgroundMotor impairments are relatively common in children with obesity and evidence suggests that these difficulties go beyond those expected based on the extra weight. This study aimed to investigate the mental rotation capacity in children with obesity, i.e., the ability to mentally view and rotate spatial information, which is a function of both visual-spatial and action representation processes. In particular, we examined whether children with obesity solved mental hand rotation tasks using an egocentric perspective (i.e., motor imagery) and if performance was related to their motor competence.MethodsFifty children (age range: 7–11 y) of which 19 with obesity and motor impairments (OB-) as assessed by the Movement Assessment Battery for Children (2nd version), 13 with obesity without motor impairments (OB+) and 18 control children with a healthy weight (HW) and normal motor competence, were submitted to a classic hand rotation task. Sitting at a desk the children were instructed to indicate the laterality of a picture of a hand displayed on a monitor as quickly and as accurately as possible.ResultsThe results indicate no differences in response time between groups (2,648 ms, 2,558 ms, 2,664 ms for OB-, OB+ and HW respectively). The OB- group, however, had significantly lower accuracy rates and inverse efficiency scores than the HW group (Accuracy: 72% vs. 89%; Inverse efficiency: 4,428 vs. 3,238). No difference was observed in accuracy and inverse efficiency between the OB+ and HW group (Accuracy: 86%; Inverse efficiency: 3,432). In all groups, slower and more error-prone responses were observed when the angle of rotation was larger and when the hand on display was incongruent with the posture of the participants, which indicates that judgments were made from an egocentric perspective and involved motor imagery.ConclusionAll children, including those with obesity, appear to engage in motor imagery. This notion needs to be investigated further in children with obesity and motor impairments, given their generally lower accuracy and decreased efficiency, which may indicate a reduced mental rotation capacity.

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“…However, behavioral interventions without the involvement of cognitive methods, did not have any significant effect on weight loss. 34 Another study by Augustijn et al 35 on children showed that cognitive interventions, along with other interventions, could be effective in controlling weight and binge-eating behavior. A combination of cognitive interventions and other interventions such as physical activity promotion can lead to permanent changes in the behavior, habits and lifestyle of children.…”

Section: Cognitive Neurological Interventions In Metabolic Syndrome Amentioning

confidence: 99%

“…In addition, structural brain correlates of health-related behaviors provide a basis for designing more effective behavioral interventions by identifying the corresponding brain regions and using brain-targeted behavioral interventions. 33 - 35 …”

Section: Consideration Of Structural Brain Changes To Design Effectivmentioning

confidence: 99%

Cognitive Impairments and Associated Structural Brain Changes in Metabolic Syndrome and Implications of Neurocognitive Intervention

Kordestani-Moghadam

Assari

Nouriyengejeh

et al. 2020

Journal of Obesity & Metabolic Syndrome

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Currently, metabolic syndrome has become a global health problem. Alterations in neurocognitive functions among patients with metabolic syndrome are important issues in this disorder. In this paper, studies on metabolic syndrome were reviewed and their importance emphasized for the benefit of experts and policy makers. Metabolic syndrome activates inflammatory mediators that disrupt brain metabolism. These mediators can be activated by metabolic inflammation and microvascular disorders and may further cause damage to the white matter and impair cognitive function. These alterations can result in serious changes in cognitive abilities. The association between cognitive changes and metabolic syndrome has been independently evaluated in several studies. In addition, some areas of research in the field of metabolic syndrome include the effectiveness of neurocognitive interventions to enhance normal behaviors or reduce risky behaviors in patients. Structural brain correlates of health-related behaviors provide a basis for designing more effective behavioral interventions by identifying the corresponding brain regions and using behavioral interventions.

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Weight loss, behavioral change, and structural neuroplasticity in children with obesity through a multidisciplinary treatment program

Cited by 22 publications

References 77 publications

Peer Review #1 of "The association between mental rotation capacity and motor impairment in children with obesity—an exploratory study (v0.2)"

Peer Review #1 of "The association between mental rotation capacity and motor impairment in children with obesity—an exploratory study (v0.2)"

The association between mental rotation capacity and motor impairment in children with obesity—an exploratory study

Cognitive Impairments and Associated Structural Brain Changes in Metabolic Syndrome and Implications of Neurocognitive Intervention

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