Exercise modifies hypothalamic connectivity and brain functional networks in women after bariatric surgery: a randomized clinical trial - International Journal of Obesity

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Exercise modifies hypothalamic connectivity and brain functional networks in women after bariatric surgery: a randomized clinical trial - International Journal of Obesity
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Study: Post-bariatricsurgery exercise modulates brainregions associated with regulation of food intake

The authors acknowledge the support by Sao Paulo Research Foundation , the Brazilian National Council for Scientific and Technological Development . The study is also partially supported by NIGMS U54GM104940, and NIGMS P20GM103528 from NIH, USA.

Rheumatology Division, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil Integrated Physiology and Molecular Medicine Laboratory, Pennington Biomedical Research Center, Baton Rouge, LA, USALaboratory of Magnetic Resonance Imaging in Neuroradiology , Hospital das Clinicas HCFMUSP, Faculdade de Medicina Universidade de São Paulo, São Paulo, Brazil

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Bayesian network modelling to identify on-ramps to childhood obesity - BMC MedicineBayesian network modelling to identify on-ramps to childhood obesity - BMC MedicineBackground When tackling complex public health challenges such as childhood obesity, interventions focused on immediate causes, such as poor diet and physical inactivity, have had limited success, largely because upstream root causes remain unresolved. A priority is to develop new modelling frameworks to infer the causal structure of complex chronic disease networks, allowing disease “on-ramps” to be identified and targeted. Methods The system surrounding childhood obesity was modelled as a Bayesian network, using data from The Longitudinal Study of Australian Children. The existence and directions of the dependencies between factors represent possible causal pathways for childhood obesity and were encoded in directed acyclic graphs (DAGs). The posterior distribution of the DAGs was estimated using the Partition Markov chain Monte Carlo. Results We have implemented structure learning for each dataset at a single time point. For each wave and cohort, socio-economic status was central to the DAGs, implying that socio-economic status drives the system regarding childhood obesity. Furthermore, the causal pathway socio-economic status and/or parental high school levels → parental body mass index (BMI) → child’s BMI existed in over 99.99% of posterior DAG samples across all waves and cohorts. For children under the age of 8 years, the most influential proximate causal factors explaining child BMI were birth weight and parents’ BMI. After age 8 years, free time activity became an important driver of obesity, while the upstream factors influencing free time activity for boys compared with girls were different. Conclusions Childhood obesity is largely a function of socio-economic status, which is manifest through numerous downstream factors. Parental high school levels entangle with socio-economic status, and hence, are on-ramp to childhood obesity. The strong and independent causal relationship between birth weight and childhood BMI suggests a biological link. Our study imp
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