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脑皮质厚度变化与减重手术减肥的相关性。

Changes in Cerebral Cortical Thickness Related to Weight Loss Following Bariatric Surgery.

机构信息

School of Medicine, Section of Bariatric and Minimally Invasive Surgery, Stanford University, 900 Blake Wilbur Drive, Room W0048, Stanford, CA, 94305, USA.

出版信息

Obes Surg. 2018 Aug;28(8):2578-2582. doi: 10.1007/s11695-018-3317-6.

DOI:10.1007/s11695-018-3317-6
PMID:29876838
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6400222/
Abstract

Cerebral cortical thickness is associated with memory and intelligence test scores and serves as a measure for changes in cortical gray matter. Previous studies suggest reduced cortical thickness in patients with obesity. This study aimed to investigate changes in cortical thickness following bariatric surgery. Magnetic resonance imaging (MRI) data of five patients were analyzed preoperatively and 6 months postoperatively to assess changes in global measures of cortical thickness. No patients were lost to follow-up. This study provides preliminary evidence of brain change following surgery, suggests increases in cerebral cortical thickness in patients with greater excess weight loss, and indicates the need for further investigation using larger samples and correlation with neurocognitive measures, such as memory recall.

摘要

大脑皮质厚度与记忆和智力测试分数相关,可作为皮质灰质变化的衡量指标。先前的研究表明,肥胖患者的皮质厚度降低。本研究旨在探讨减肥手术后大脑皮质厚度的变化。对五名患者的磁共振成像(MRI)数据进行了术前和术后 6 个月的分析,以评估皮质厚度的整体变化。没有患者失访。本研究初步证明了手术后大脑的变化,提示体重减轻更多的患者大脑皮质厚度增加,并表明需要使用更大的样本量和与记忆等神经认知测量相关的进一步研究。

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本文引用的文献

1
Metabolism and Memory: Obesity, Diabetes, and Dementia.新陈代谢与记忆:肥胖、糖尿病和痴呆症
Biol Psychiatry. 2017 Dec 1;82(11):e81-e83. doi: 10.1016/j.biopsych.2017.09.025.
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Body-Brain Connections: The Effects of Obesity and Behavioral Interventions on Neurocognitive Aging.身体与大脑的联系:肥胖及行为干预对神经认知衰老的影响
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Neuroimage. 2016 Apr 15;130:214-222. doi: 10.1016/j.neuroimage.2016.02.003. Epub 2016 Feb 11.
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Neurocognitive Effects of Obesity and Bariatric Surgery.肥胖症与减肥手术的神经认知效应
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The Association Between Reduced Inflammation and Cognitive Gains After Bariatric Surgery.减肥手术后炎症减轻与认知改善之间的关联
Psychosom Med. 2015 Jul-Aug;77(6):688-96. doi: 10.1097/PSY.0000000000000125.
7
Global cortical thinning in acute anorexia nervosa normalizes following long-term weight restoration.急性神经性厌食症患者的全脑皮层变薄在长期体重恢复后恢复正常。
Biol Psychiatry. 2015 Apr 1;77(7):624-32. doi: 10.1016/j.biopsych.2014.09.005. Epub 2014 Sep 22.
8
Reduced cortical thickness associated with visceral fat and BMI.皮质厚度降低与内脏脂肪和体重指数相关。
Neuroimage Clin. 2014 Sep 26;6:307-11. doi: 10.1016/j.nicl.2014.09.013. eCollection 2014.
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Frontal cortical thinning and subcortical volume reductions in early adulthood obesity.成年早期肥胖与额皮质变薄和皮质下体积减少。
Psychiatry Res. 2013 Nov 30;214(2):109-15. doi: 10.1016/j.pscychresns.2013.06.004. Epub 2013 Sep 14.
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Improved memory function two years after bariatric surgery.体重管理手术后两年记忆功能改善。
Obesity (Silver Spring). 2014 Jan;22(1):32-8. doi: 10.1002/oby.20494. Epub 2013 Oct 15.