The relationship between executive function and obesity in children and adolescents: a systematic literature review.
The relationship between executive function and obesity in children and adolescents: a systematic literature review.
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DOI：
10.1155/2013/820956
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发表时间：
2013
影响因子：
3.3
通讯作者：
Barkin SL
中科院分区：
文献类型：
--
作者：
Reinert KR;Po'e EK;Barkin SL
本研究旨在探讨儿童青少年肥胖与执行功能发展的关系。我们回顾了1,065篇独特的摘要：31篇来自PubMed，87篇来自Google Scholar，16篇来自Science Direct，931篇来自PsycINFO。在这些摘要中，有28篇符合纳入标准并进行了审查。在综述的文献中，从参考文献中增加了另外3篇文献（N = 31）。23项研究涉及EF（2项还研究了前额叶和眶额皮质（OFC）; 6项还研究了认知功能），5项研究了肥胖与前额叶和眶额皮质之间的关系，3项评估了认知功能和肥胖。在儿童期（76.9%）和青少年期（72.7%）的研究中，抑制控制最常被研究，肥胖儿童在测量EF域的各种任务中的表现显著差于健康体重对照组（P < 0.05）。虽然有27.3%的青少年研究测量了心理灵活性，但没有儿童研究考察了这一EF域。具有较高BMI的青少年与OFC中明显的神经结构缺陷有很强的相关性。未来的研究应该是纵向的，并使用统一的EF测量方法，以更好地建立EF和肥胖之间的因果关系，从而指导未来的干预策略。
The objective of this paper is to examine the relationship between the development of executive function (EF) and obesity in children and adolescents. We reviewed 1,065 unique abstracts: 31 from PubMed, 87 from Google Scholar, 16 from Science Direct, and 931 from PsycINFO. Of those abstracts, 28 met inclusion criteria and were reviewed. From the articles reviewed, an additional 3 articles were added from article references (N = 31). Twenty-three studies pertained to EF (2 also studied the prefrontal and orbitofrontal cortices (OFCs); 6 also studied cognitive function), five studied the relationship between obesity and prefrontal and orbitofrontal cortices, and three evaluated cognitive function and obesity. Inhibitory control was most often studied in both childhood (76.9%) and adolescent (72.7%) studies, and obese children performed significantly worse (P < 0.05) than healthy weight controls on various tasks measuring this EF domain. Although 27.3% of adolescent studies measured mental flexibility, no childhood studies examined this EF domain. Adolescents with higher BMI had a strong association with neurostructural deficits evident in the OFC. Future research should be longitudinal and use a uniform method of EF measurement to better establish causality between EF and obesity and consequently direct future intervention strategies.