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Sleeve Gastrectomy in Mice using Surgical Clips
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Published on: November 14, 2020

School and cognitive functioning problems in adolescent bariatric surgery candidates.

Eve Khlyavich Freidl1, Robyn Sysko, Michael J Devlin

  • 1New York State Psychiatric Institute and the Department of Psychiatry, Columbia University, New York, New York.

Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery
|August 13, 2013
PubMed
Summary

Adolescents with severe obesity seeking bariatric surgery showed impaired cognitive function and school performance. Higher body mass index correlated with lower IQ and vocabulary scores, highlighting the need for academic support.

Keywords:
AdolescentBariatric surgeryCognitive functionObesitySchool performance

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Area of Science:

  • Pediatric obesity
  • Neuropsychology
  • Educational psychology

Background:

  • Previous research indicates overweight/obesity negatively impacts cognitive abilities and school functioning.
  • Adolescents with severe obesity often face academic challenges compared to normal-weight peers.

Purpose of the Study:

  • To assess school and cognitive functioning in adolescents with severe obesity undergoing evaluation for bariatric surgery.
  • To investigate the relationship between body mass index (BMI) and cognitive/academic performance in this population.

Main Methods:

  • Psychiatric evaluations included clinical interviews and cognitive assessments.
  • Utilized the Wechsler Abbreviated Scale of Intelligence (WASI) vocabulary and matrix reasoning subtests.
  • Assessed school functioning through self-report measures.

Main Results:

  • A significant negative correlation was found between BMI and estimated WASI IQ (r = -.250, P = .005).
  • BMI was also associated with lower vocabulary subtest scores (r = -.241, P = .006).
  • No significant association was observed between BMI and matrix reasoning scores.

Conclusions:

  • Increased BMI in adolescents with severe obesity is linked to diminished cognitive function, specifically lower IQ and vocabulary.
  • Recognizing cognitive and academic difficulties in bariatric candidates is crucial for enhancing educational support.
  • Addressing educational system deficiencies is vital for students with overweight and obesity.