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通过认知训练和社交互动重新调整超重儿童的能量平衡。一项评估瘦素敏感性的研究方案。

Reprogramming energy homeostasis in children with overweight through cognitive training and social interaction. A study protocol to estimate leptin sensitivity.

作者信息

Russo Valentina, Menghini Deny, Mainardi Marco, Fintini Danilo, Aureli Alessia, Gianni Nicoletta, Ravà Lucilla, Rea Maria Alessia, Scozia Gabriele, Spiezia Chiara, Scabia Gaia, Furini Giulia, Vicari Stefano, Cianfarani Stefano, Maffei Margherita, Manco Melania

机构信息

Child and Adolescent Neuropsychiatry Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.

Department of Biomedical Sciences, University of Padua, Padua, Italy.

出版信息

Front Endocrinol (Lausanne). 2025 Jun 18;16:1606132. doi: 10.3389/fendo.2025.1606132. eCollection 2025.


DOI:10.3389/fendo.2025.1606132
PMID:40607230
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12213431/
Abstract

UNLABELLED: Leptin is a hormone secreted by adipocytes in proportion to the size of adipose tissue. By acting on its receptor, LepRb, primarily expressed in the hypothalamus, leptin promotes a negative energy balance by strongly suppressing appetite and stimulating energy expenditure. The majority of patients with obesity exhibit elevated leptin production, indicating that leptin becomes ineffective in regulating energy balance in this context. In the growing child, leptin modulates synaptic plasticity and thus leptin resistance may exert a key role in neurodevelopment. So far, studies in humans have investigated leptin secretion but not leptin resistance. We designed a research protocol (RESILIENT project) to study leptin sensitivity and ex vivo in growing children (6 to 11 years of age), and its association with neurodevelopmental features. The project will investigate the additive effects of Cognitive Training (CT) and Social Training (ST) on leptin sensitivity, compared to stand-alone Intensive Health Behaviour Treatment (IHBT) in children with obesity or overweight. investigation of leptin sensitivity may be particularly important for providing evidence of the metabolic and cognitive effects necessary for developing novel anti-obesity treatments. CLINICAL TRIAL REGISTRATION: https://clinicaltrials.gov/study/, identifier NCT06931730.

摘要

未标注:瘦素是一种由脂肪细胞分泌的激素,其分泌量与脂肪组织的大小成正比。通过作用于主要在下丘脑表达的受体LepRb,瘦素通过强烈抑制食欲和刺激能量消耗来促进负能量平衡。大多数肥胖患者的瘦素分泌量升高,这表明在这种情况下瘦素在调节能量平衡方面变得无效。在成长中的儿童中,瘦素调节突触可塑性,因此瘦素抵抗可能在神经发育中起关键作用。到目前为止,人类研究调查了瘦素分泌,但未研究瘦素抵抗。我们设计了一项研究方案(RESILIENT项目),以研究成长中儿童(6至11岁)的瘦素敏感性和体外情况,及其与神经发育特征的关联。该项目将研究认知训练(CT)和社交训练(ST)对肥胖或超重儿童瘦素敏感性的附加作用,并与单独的强化健康行为治疗(IHBT)进行比较。研究瘦素敏感性对于为开发新型抗肥胖治疗所需的代谢和认知效应提供证据可能尤为重要。 临床试验注册:https://clinicaltrials.gov/study/,标识符NCT06931730。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9df/12213431/601a75041d8b/fendo-16-1606132-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9df/12213431/853818642051/fendo-16-1606132-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9df/12213431/601a75041d8b/fendo-16-1606132-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9df/12213431/853818642051/fendo-16-1606132-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9df/12213431/601a75041d8b/fendo-16-1606132-g002.jpg

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本文引用的文献

[1]
Sustained effects after a multidisciplinary lifestyle modification program for children with excess weight and children affected with obesity.

Obes Res Clin Pract. 2024

[2]
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Commun Biol. 2024-5-28

[3]
Exploring the effects of adiponectin and leptin in correlating obesity with cognitive decline: a systematic review.

Ann Med Surg (Lond). 2023-5-4

[4]
Long-term beneficial impact of the randomised trial 'Train the Brain', a motor/cognitive intervention in mild cognitive impairment people: effects at the 14-month follow-up.

Age Ageing. 2023-5-1

[5]
A systematic review on the effectiveness of diet and exercise in the management of obesity.

Diabetes Metab Syndr. 2023-4

[6]
Clinical Practice Guideline for the Evaluation and Treatment of Children and Adolescents With Obesity.

Pediatrics. 2023-2-1

[7]
How physical and motor training affect cognitive performance: lessons from an inflammatory molecule.

Neural Regen Res. 2022-12

[8]
Obesity as a Risk Factor for Dementia and Alzheimer's Disease: The Role of Leptin.

Int J Mol Sci. 2022-5-6

[9]
The Obese Brain: Mechanisms of Systemic and Local Inflammation, and Interventions to Reverse the Cognitive Deficit.

Front Integr Neurosci. 2022-3-29

[10]
Predictive Validity of Image-Based Motivation-to-Eat Visual Analogue Scales in Normal Weight Children and Adolescents Aged 9-14 Years.

Nutrients. 2022-2-1

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