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Children at high familial risk for obesity show executive functioning deficits prior to development of excess weight
Alaina L Pearce1, Kyle Hallisky1, Barbara J Rolls1
1Department of Nutritional Science, Pennsylvania State University, University Park, Pennsylvania, USA.
Insights
Children with a high familial risk for obesity show impaired executive functioning, specifically in inhibitory control and working memory, even before obesity develops. This suggests executive function deficits may precede obesity in at-risk youth.
Area of Science:
- Child Psychology
- Obesity Research
- Neuroscience
Background:
- Familial risk for obesity is a significant predictor of childhood obesity.
- Executive functioning, encompassing inhibitory control and working memory, is crucial for cognitive development and behavior regulation.
- Understanding early markers of obesity risk is vital for timely intervention.
Purpose of the Study:
- To investigate whether children with healthy weight but varying familial risk for obesity exhibit differences in executive functioning.
- To compare executive functioning between children at high and low familial risk for obesity.
- To examine the association between familial risk, child adiposity, and executive function.
Main Methods:
- A cohort of 93 children (age 7-8 years) without obesity was assessed.
- Familial risk was determined by maternal weight status.
- Executive functioning was evaluated using go/no-go, stop-signal, and N-back tasks; adiposity was measured by DXA.
Main Results:
- Children at high familial risk demonstrated poorer inhibitory control compared to those at low risk.
- Both high familial risk and greater child adiposity were linked to worse working memory performance under high cognitive load.
- Familial risk had a substantially greater relative effect on executive functioning than percent body fat.
Conclusions:
- Deficits in executive functioning may precede the development of obesity in children with high familial risk.
- These findings highlight the role of familial factors in shaping early executive function and obesity risk.
- Further research is needed to clarify the mechanisms linking maternal obesity to child executive functioning and obesity risk.
Objective:
The objective of this study was to determine whether children with healthy weight who vary by familial risk for obesity differ in executive functioning.
Methods:
Children (age 7-8 years) without obesity (n = 93, 52% male) who differed by familial risk for obesity (based on maternal weight status) completed go/no-go and stop-signal tasks to assess inhibitory control and an N-back task to assess working memory. Dual energy x-ray absorptiometry measured adiposity. Linear and mixed-effect models assessed unique effects and relative importance analysis-quantified relative effects of familial risk and percent body fat.
Results:
Children at high compared with low familial risk showed worse inhibitory control; however, child adiposity was not associated with inhibitory control. Both high familial risk and greater child adiposity were associated with worse N-back performance when cognitive demand was high (2-back), but not low (0- and 1-back). The relative effect of familial risk on executive functioning was 2.7 to 16 times greater than the relative effect of percent body fat.
Conclusions:
These findings provide initial evidence that deficits in executive functioning may precede the development of obesity in children at high familial risk for this disease. Additional family risk studies are needed to elucidate the pathways through which maternal obesity influences child executive functioning and risk for obesity.
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