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Bidirectional Causal Relationships Between Obesity and Executive Function in Children and Adolescents: A Genetic
Jia Zheng1,2, Yanan Ma3, Xuxiu Zhuang1,4
1Institute of Health Science Shenyang, China Medical University, Shenyang, Liaoning Province, China.
Obesity in youth causally impairs executive functions like cognitive flexibility. However, executive function deficits do not cause obesity, indicating a one-way relationship. This highlights the need for obesity prevention to support cognitive health.
Area of Science:
- Neuroscience
- Developmental Psychology
- Genetics
Background:
- Obesity is a growing concern in youth, with potential impacts on cognitive development.
- Executive functions (EF) are crucial for goal-directed behavior and are complexly linked to overall health.
- Understanding the causal direction between obesity and EF is vital for targeted interventions.
Purpose of the Study:
- To investigate the causal relationship between childhood obesity and executive functions (EF).
- To determine if obesity influences EF, or if EF deficits contribute to obesity.
- To explore the specific domains of EF affected by obesity, including cognitive flexibility, inhibitory control, and working memory.
Main Methods:
- Employed genetic instrumental variable analysis, specifically bidirectional two-stage least squares (2SLS).
- Utilized polygenic risk scores as genetic instruments in a sample of 406 children and adolescents.
- Measured EF using standard cognitive tests and adjusted for relevant covariates.
Main Results:
- Higher Body Mass Index (BMI) causally impaired cognitive regulation, significantly impacting measures of cognitive flexibility and attention.
- Specific effects observed included increased perseverative responses and difficulties with task completion and switching.
- No evidence was found for a causal effect of executive function deficits on obesity development.
Conclusions:
- Obesity in youth causally impairs executive functions, particularly cognitive flexibility.
- The relationship is unidirectional, with obesity negatively impacting cognitive abilities, not vice versa.
- Obesity prevention is crucial for maintaining cognitive health in children and adolescents.
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