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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Central adiposity is negatively associated with hippocampal-dependent relational memory among overweight and obese
Naiman A Khan1, Carol L Baym2, Jim M Monti2
1Department of Kinesiology and Community Health, University of Illinois, Urbana, IL.
Insights
Excess abdominal fat negatively impacts relational memory in overweight children. Regional fat, not overall body fat, is linked to memory in prepubertal children.
Area of Science:
- Pediatric Endocrinology
- Neuroscience
- Child Psychology
Background:
- Childhood obesity is a growing public health concern.
- Adiposity may influence cognitive development, including memory functions.
- Understanding these links is crucial for early intervention strategies.
Purpose of the Study:
- To investigate the relationship between adiposity and different memory types in prepubertal children.
- To differentiate associations between hippocampal-dependent and independent memory forms.
- To explore how regional fat distribution affects memory performance.
Main Methods:
- A cohort of 126 prepubertal children (aged 7-9) were categorized as non-overweight or overweight/obese based on BMI-for-age.
- Relational (hippocampal-dependent) and item (hippocampal-independent) memory tasks were assessed using behavioral accuracy and preferential disproportionate viewing (PDV).
- Adiposity was measured using dual-energy X-ray absorptiometry, including regional fat depots. Backward regression analysis was employed.
Main Results:
- In overweight/obese children, increased total abdominal adipose tissue negatively predicted relational memory accuracy.
- For overweight/obese children, pubertal timing and socioeconomic status (SES) predicted the PDV measure of relational memory.
- In non-overweight children, male sex predicted item memory accuracy, while SES and BMI z-score predicted the PDV measure of relational memory.
Conclusions:
- Regional fat deposition, specifically abdominal fat, is negatively associated with hippocampal-dependent relational memory in overweight/obese prepubertal children.
- Whole-body fat mass did not show a similar selective association with memory performance.
- These findings highlight the specific impact of regional adiposity on cognitive functions in children.
Objective:
To assess associations between adiposity and hippocampal-dependent and hippocampal-independent memory forms among prepubertal children.
Study Design:
Prepubertal children (age 7-9 years; n = 126), classified as non-overweight (<85th percentile body mass index [BMI]-for-age [n = 73]) or overweight/obese (≥85th percentile BMI-for-age [n = 53]), completed relational (hippocampal-dependent) and item (hippocampal-independent) memory tasks. Performance was assessed with both direct (behavioral accuracy) and indirect (preferential disproportionate viewing [PDV]) measures. Adiposity (ie, percent whole-body fat mass, subcutaneous abdominal adipose tissue, visceral adipose tissue, and total abdominal adipose tissue) was assessed by dual-energy X-ray absorptiometry. Backward regression identified significant (P < .05) predictive models of memory performance. Covariates included age, sex, pubertal timing, socioeconomic status (SES), IQ, oxygen consumption, and BMI z-score.
Results:
Among overweight/obese children, total abdominal adipose tissue was a significant negative predictor of relational memory behavioral accuracy, and pubertal timing together with SES jointly predicted the PDV measure of relational memory. In contrast, among non-overweight children, male sex predicted item memory behavioral accuracy, and a model consisting of SES and BMI z-score jointly predicted the PDV measure of relational memory.
Conclusion:
Regional, but not whole-body, fat deposition was selectively and negatively associated with hippocampal-dependent relational memory among overweight/obese prepubertal children.
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