Severe Obesity in Women Can Lead to Worse Memory Function and Iron Dyshomeostasis Compared to Lower Grade Obesity

Objective. Obesity is one of the modifiable risk factors for dementia. Insulin resistance, the abundance of advanced glycated end-products, and inflammation are some of the mechanisms associated with the lower cognitive performance observed in obesity. This study aims to evaluate the cognitive funct...

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Main Authors: Jessica M. V. Pino, Vitória F. Silva, Marcos Mônico-Neto, Danielle C. Seva, Melissa Y. Kato, July N. Alves, Gabriela C. Pereira, Hanna Karen M. Antunes, Thales D. Galvao, Lia R. A. Bitterncourt, Sergio Tufik, Lysien I. Zambrano, Ana R. Dâmaso, Lila M. Oyama, David Thivel, Raquel M. S. Campos, Kil S. Lee
Format: Article
Language:English
Published: Wiley 2023-01-01
Series:International Journal of Endocrinology
Online Access:http://dx.doi.org/10.1155/2023/7625720
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author Jessica M. V. Pino
Vitória F. Silva
Marcos Mônico-Neto
Danielle C. Seva
Melissa Y. Kato
July N. Alves
Gabriela C. Pereira
Hanna Karen M. Antunes
Thales D. Galvao
Lia R. A. Bitterncourt
Sergio Tufik
Lysien I. Zambrano
Ana R. Dâmaso
Lila M. Oyama
David Thivel
Raquel M. S. Campos
Kil S. Lee
author_facet Jessica M. V. Pino
Vitória F. Silva
Marcos Mônico-Neto
Danielle C. Seva
Melissa Y. Kato
July N. Alves
Gabriela C. Pereira
Hanna Karen M. Antunes
Thales D. Galvao
Lia R. A. Bitterncourt
Sergio Tufik
Lysien I. Zambrano
Ana R. Dâmaso
Lila M. Oyama
David Thivel
Raquel M. S. Campos
Kil S. Lee
author_sort Jessica M. V. Pino
collection DOAJ
description Objective. Obesity is one of the modifiable risk factors for dementia. Insulin resistance, the abundance of advanced glycated end-products, and inflammation are some of the mechanisms associated with the lower cognitive performance observed in obesity. This study aims to evaluate the cognitive function of subjects with distinct degrees of obesity, comparing class I and II obesity (OBI/II) to class III obesity (OBIII), and to investigate metabolic markers that can distinguish OBIII from OBI/II. Study Design. This is a cross-sectional study, in which 45 females with BMI varying from 32.8 to 51.9 kg/m2 completed a set of 4 cognitive tests (verbal paired-associate test, stroop color, digit span, and Toulouse–Pieron cancellation test) and their plasma metabolites, enzymes, and hormones related to glycemia, dyslipidemia, and liver function, as well as the biomarkers of iron status, were concomitantly analyzed. Results. OBIII showed lower scores in the verbal paired-associate test compared to OBI/II. In other cognitive tests, both groups showed similar performance. OBIII presented a lower iron status compared to OBI/II based on total iron binding capacity, degree of transferrin saturation, hemoglobin, mean corpuscular volume, and mean corpuscular hemoglobin. The levels of indicators for glycemia, liver function, and lipid metabolism were similar in both groups. Analysis of plasma metabolites showed that OBIII had lower levels of pyroglutamic acid, myoinositol, and aspartic acid and higher levels of D-ribose than OBI/II. Conclusion. Iron is an essential micronutrient for several metabolic pathways. Thus, iron dyshomeostasis observed in severe obesity may aggravate the cognitive impairment by altering metabolic homeostasis and enhancing oxidative stress. These findings can contribute to searching for biomarkers that indicate cognitive performance in the population with obesity.
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spelling doaj-art-8ea9601f33c84fb9b31a38ae3ef5b1c32025-02-03T06:43:02ZengWileyInternational Journal of Endocrinology1687-83452023-01-01202310.1155/2023/7625720Severe Obesity in Women Can Lead to Worse Memory Function and Iron Dyshomeostasis Compared to Lower Grade ObesityJessica M. V. Pino0Vitória F. Silva1Marcos Mônico-Neto2Danielle C. Seva3Melissa Y. Kato4July N. Alves5Gabriela C. Pereira6Hanna Karen M. Antunes7Thales D. Galvao8Lia R. A. Bitterncourt9Sergio Tufik10Lysien I. Zambrano11Ana R. Dâmaso12Lila M. Oyama13David Thivel14Raquel M. S. Campos15Kil S. Lee16Department of BiochemistryDepartment of BiochemistryPost Graduated Program of Interdisciplinary Health SciencesPost Graduated Program of Interdisciplinary Health SciencesDepartment of BiochemistryDepartment of BiochemistryDepartment of BiochemistryPost Graduated Program of Interdisciplinary Health SciencesBariMais Clinic-Integrated MedicineDepartment of PsychobiologyDepartment of PsychobiologyInstitute for Research in Medical Sciences and Right to Health (ICIMEDES)/Scientific Research Unit (UIC), Faculty of Medical Sciences (FCM)Post Graduate Program of NutritionPost Graduate Program of NutritionClermont Auvergne UniversityPost Graduated Program of Interdisciplinary Health SciencesDepartment of BiochemistryObjective. Obesity is one of the modifiable risk factors for dementia. Insulin resistance, the abundance of advanced glycated end-products, and inflammation are some of the mechanisms associated with the lower cognitive performance observed in obesity. This study aims to evaluate the cognitive function of subjects with distinct degrees of obesity, comparing class I and II obesity (OBI/II) to class III obesity (OBIII), and to investigate metabolic markers that can distinguish OBIII from OBI/II. Study Design. This is a cross-sectional study, in which 45 females with BMI varying from 32.8 to 51.9 kg/m2 completed a set of 4 cognitive tests (verbal paired-associate test, stroop color, digit span, and Toulouse–Pieron cancellation test) and their plasma metabolites, enzymes, and hormones related to glycemia, dyslipidemia, and liver function, as well as the biomarkers of iron status, were concomitantly analyzed. Results. OBIII showed lower scores in the verbal paired-associate test compared to OBI/II. In other cognitive tests, both groups showed similar performance. OBIII presented a lower iron status compared to OBI/II based on total iron binding capacity, degree of transferrin saturation, hemoglobin, mean corpuscular volume, and mean corpuscular hemoglobin. The levels of indicators for glycemia, liver function, and lipid metabolism were similar in both groups. Analysis of plasma metabolites showed that OBIII had lower levels of pyroglutamic acid, myoinositol, and aspartic acid and higher levels of D-ribose than OBI/II. Conclusion. Iron is an essential micronutrient for several metabolic pathways. Thus, iron dyshomeostasis observed in severe obesity may aggravate the cognitive impairment by altering metabolic homeostasis and enhancing oxidative stress. These findings can contribute to searching for biomarkers that indicate cognitive performance in the population with obesity.http://dx.doi.org/10.1155/2023/7625720
spellingShingle Jessica M. V. Pino
Vitória F. Silva
Marcos Mônico-Neto
Danielle C. Seva
Melissa Y. Kato
July N. Alves
Gabriela C. Pereira
Hanna Karen M. Antunes
Thales D. Galvao
Lia R. A. Bitterncourt
Sergio Tufik
Lysien I. Zambrano
Ana R. Dâmaso
Lila M. Oyama
David Thivel
Raquel M. S. Campos
Kil S. Lee
Severe Obesity in Women Can Lead to Worse Memory Function and Iron Dyshomeostasis Compared to Lower Grade Obesity
International Journal of Endocrinology
title Severe Obesity in Women Can Lead to Worse Memory Function and Iron Dyshomeostasis Compared to Lower Grade Obesity
title_full Severe Obesity in Women Can Lead to Worse Memory Function and Iron Dyshomeostasis Compared to Lower Grade Obesity
title_fullStr Severe Obesity in Women Can Lead to Worse Memory Function and Iron Dyshomeostasis Compared to Lower Grade Obesity
title_full_unstemmed Severe Obesity in Women Can Lead to Worse Memory Function and Iron Dyshomeostasis Compared to Lower Grade Obesity
title_short Severe Obesity in Women Can Lead to Worse Memory Function and Iron Dyshomeostasis Compared to Lower Grade Obesity
title_sort severe obesity in women can lead to worse memory function and iron dyshomeostasis compared to lower grade obesity
url http://dx.doi.org/10.1155/2023/7625720
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