Table 3.
Longitudinal Analysis of the Association of Overweight/Obesity Area Under the Curve with Neurocognitive Measurements During Treatment
| Cognitive Domain | Measurement | Induction | Consolidation | Early maintenance (Weeks 1–48) | Late maintenance (Weeks 49–120) | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
|
| |||||||||||||||||
| Estimate | SE | Std. Est | P | Estimate | SE | Std. Est | P | Estimate | SE | Std. Est | P | Estimate | SE | Std. Est | P | ||
| Executive function | |||||||||||||||||
| Abstraction | DKEFS Abstraction | −0.023 | 0.062 | −0.372 | 0.710 | −0.017 | 0.033 | −0.514 | 0.610 | −0.038 | 0.063 | −0.601 | 0.550 | −0.002 | 0.030 | −0.065 | 0.950 |
| Inhibitory control | DKEFS Inhibition | −0.099 | 0.058 | −1.702 | 0.091 | −0.038 | 0.031 | −1.219 | 0.220 | −0.019 | 0.060 | −0.313 | 0.750 | −0.038 | 0.029 | −1.331 | 0.180 |
| DKEFS Inhibition/Switching | 0.017 | 0.061 | 0.281 | 0.780 | 0.031 | 0.032 | 0.942 | 0.350 | 0.027 | 0.063 | 0.439 | 0.660 | −0.022 | 0.030 | −0.733 | 0.460 | |
| Cognitive flexibility | DKEFS Number-Letter Switching | −0.144 | 0.065 | −2.202 | 0.029 | −0.072 | 0.034 | −2.110 | 0.036 | −0.141 | 0.066 | −2.126 | 0.035 | −0.092 | 0.032 | −2.909 | 0.004 |
| WCST Perseverative Errors | −0.229 | 0.093 | −2.467 | 0.015 | −0.137 | 0.047 | −2.917 | 0.004 | −0.261 | 0.095 | −2.760 | 0.006 | −0.081 | 0.046 | −1.783 | 0.076 | |
| WCST Perseverative Response | −0.240 | 0.096 | −2.492 | 0.014 | −0.135 | 0.049 | −2.756 | 0.007 | −0.268 | 0.098 | −2.729 | 0.007 | −0.086 | 0.047 | −1.821 | 0.070 | |
| WCST Conceptual Level Response | −0.158 | 0.070 | −2.255 | 0.025 | −0.087 | 0.035 | −2.465 | 0.015 | −0.123 | 0.072 | −1.704 | 0.090 | −0.035 | 0.035 | −1.012 | 0.310 | |
| Planning | DKEFS Tower | 0.000 | 0.051 | −0.006 | 0.990 | 0.009 | 0.026 | 0.338 | 0.740 | 0.018 | 0.052 | 0.340 | 0.730 | −0.001 | 0.025 | −0.036 | 0.970 |
| Verbal fluency | DKEFS Letter Fluency | −0.080 | 0.057 | −1.395 | 0.160 | −0.041 | 0.029 | −1.386 | 0.170 | −0.043 | 0.059 | −0.735 | 0.460 | −0.072 | 0.027 | −2.637 | 0.009 |
| DKEFS Category Fluency | −0.066 | 0.063 | −1.040 | 0.300 | −0.040 | 0.033 | −1.211 | 0.230 | −0.093 | 0.064 | −1.451 | 0.150 | −0.052 | 0.031 | −1.675 | 0.096 | |
| DKEFS Category Switching | 0.010 | 0.054 | 0.191 | 0.850 | 0.017 | 0.028 | 0.586 | 0.560 | 0.020 | 0.055 | 0.356 | 0.720 | 0.001 | 0.026 | 0.046 | 0.960 | |
| Organization | Rey Complex Figure Copy | −0.183 | 0.148 | −1.232 | 0.220 | −0.100 | 0.078 | −1.282 | 0.200 | −0.271 | 0.151 | −1.795 | 0.074 | −0.106 | 0.072 | −1.466 | 0.140 |
| Working memory | WS Digit Span Backward | 0.004 | 0.061 | 0.072 | 0.940 | 0.019 | 0.031 | 0.601 | 0.550 | −0.014 | 0.062 | −0.217 | 0.830 | 0.000 | 0.030 | 0.015 | 0.990 |
| WS Spatial Span Backward | −0.033 | 0.058 | −0.563 | 0.570 | −0.001 | 0.030 | −0.042 | 0.970 | −0.042 | 0.059 | −0.706 | 0.480 | −0.040 | 0.028 | −1.412 | 0.160 | |
| Spatial construction | WASI Block Design | −0.093 | 0.058 | −1.605 | 0.110 | −0.069 | 0.030 | −2.275 | 0.024 | −0.130 | 0.059 | −2.222 | 0.028 | −0.049 | 0.028 | −1.734 | 0.085 |
| Attention | |||||||||||||||||
| Attention span | WS Digit Span Forward | −0.058 | 0.060 | −0.958 | 0.340 | −0.041 | 0.031 | −1.323 | 0.190 | −0.122 | 0.061 | −1.993 | 0.048 | −0.050 | 0.029 | −1.718 | 0.088 |
| WS Spatial Span Forward | 0.010 | 0.057 | 0.179 | 0.860 | 0.017 | 0.030 | 0.590 | 0.560 | 0.003 | 0.058 | 0.057 | 0.950 | 0.009 | 0.028 | 0.328 | 0.740 | |
| Risk taking | CPT II Beta | −0.082 | 0.051 | −1.611 | 0.110 | −0.047 | 0.025 | −1.899 | 0.059 | −0.092 | 0.053 | −1.755 | 0.081 | −0.062 | 0.025 | −2.487 | 0.014 |
| Commissions | CPT II Commissions | 0.001 | 0.067 | 0.009 | 0.990 | −0.017 | 0.035 | −0.485 | 0.630 | −0.034 | 0.069 | −0.489 | 0.630 | −0.008 | 0.033 | −0.233 | 0.820 |
| Detectability | CPT II d Prime | −0.037 | 0.066 | −0.562 | 0.570 | −0.046 | 0.034 | −1.360 | 0.180 | −0.059 | 0.069 | −0.863 | 0.390 | −0.010 | 0.033 | −0.315 | 0.750 |
| Omissions | CPT II Omissions | −0.124 | 0.088 | −1.404 | 0.160 | −0.107 | 0.047 | −2.251 | 0.026 | −0.165 | 0.091 | −1.810 | 0.072 | −0.063 | 0.043 | −1.457 | 0.150 |
| Perseveration | CPT II Perseveration | −0.106 | 0.111 | −0.957 | 0.340 | −0.100 | 0.060 | −1.670 | 0.097 | −0.097 | 0.115 | −0.845 | 0.400 | −0.003 | 0.055 | −0.053 | 0.960 |
| Response speed consistency | CPT II Hit Reaction Time Standard Error | −0.068 | 0.067 | −1.017 | 0.310 | −0.065 | 0.036 | −1.826 | 0.070 | −0.060 | 0.069 | −0.864 | 0.390 | −0.025 | 0.033 | −0.742 | 0.460 |
| CPT II Variability of Standard Error | −0.049 | 0.067 | −0.729 | 0.470 | −0.048 | 0.035 | −1.362 | 0.170 | −0.041 | 0.069 | −0.590 | 0.560 | −0.010 | 0.033 | −0.313 | 0.750 | |
| Processing speed | |||||||||||||||||
| Word reading | DKEFS Word Reading | 0.005 | 0.053 | 0.102 | 0.920 | 0.025 | 0.028 | 0.885 | 0.380 | 0.048 | 0.055 | 0.876 | 0.380 | −0.033 | 0.026 | −1.230 | 0.220 |
| Color naming | DKEFS Color Naming | −0.042 | 0.052 | −0.802 | 0.420 | −0.005 | 0.028 | −0.193 | 0.850 | 0.018 | 0.053 | 0.332 | 0.740 | −0.031 | 0.026 | −1.205 | 0.230 |
| Visual motor coordination | DKEFS Motor Speed | −0.027 | 0.058 | −0.471 | 0.640 | −0.010 | 0.031 | −0.318 | 0.750 | −0.011 | 0.058 | −0.188 | 0.850 | −0.032 | 0.028 | −1.126 | 0.260 |
| DKEFS Number Sequencing | −0.028 | 0.064 | −0.445 | 0.660 | −0.003 | 0.033 | −0.093 | 0.930 | −0.021 | 0.065 | −0.328 | 0.740 | −0.034 | 0.031 | −1.094 | 0.280 | |
| DKEFS Letter Sequencing | −0.044 | 0.069 | −0.642 | 0.520 | −0.023 | 0.035 | −0.656 | 0.510 | −0.035 | 0.070 | −0.499 | 0.620 | −0.050 | 0.034 | −1.494 | 0.140 | |
| WS Digit Symbol | −0.014 | 0.053 | −0.261 | 0.790 | 0.001 | 0.028 | 0.026 | 0.980 | −0.049 | 0.054 | −0.907 | 0.370 | −0.017 | 0.026 | −0.672 | 0.500 | |
| WS Processing Speed Index | −0.067 | 0.056 | −1.209 | 0.230 | −0.026 | 0.030 | −0.873 | 0.380 | −0.080 | 0.057 | −1.401 | 0.160 | −0.039 | 0.027 | −1.422 | 0.150 | |
| Visual speed | CPT II Hit Reaction Time | −0.087 | 0.060 | −1.460 | 0.150 | −0.053 | 0.032 | −1.663 | 0.098 | −0.057 | 0.062 | −0.923 | 0.360 | −0.060 | 0.029 | −2.054 | 0.041 |
| WS Symbol Search | −0.103 | 0.062 | −1.672 | 0.096 | −0.045 | 0.033 | −1.382 | 0.170 | −0.093 | 0.063 | −1.466 | 0.140 | −0.053 | 0.030 | −1.747 | 0.082 | |
| Motor speed | GPB Dominant Hand | −0.192 | 0.091 | −2.112 | 0.036 | −0.092 | 0.048 | −1.907 | 0.058 | −0.052 | 0.094 | −0.555 | 0.580 | −0.037 | 0.045 | −0.818 | 0.410 |
| GPB Non-Dominant Hand | −0.221 | 0.095 | −2.323 | 0.021 | −0.148 | 0.050 | −2.953 | 0.004 | −0.164 | 0.098 | −1.670 | 0.097 | −0.104 | 0.047 | −2.218 | 0.028 | |
Abbreviations: SE, standard error; Std. Est, standard estimate, DKEFS, Delis-Kaplan Executive Function System; WCST, Wisconsin Card Sorting Test; WS, Wechsler Intelligence Scale for Children/Wechsler Adult Intelligence Scale; WASI, Wechsler Abbreviated Scale of Intelligence; CPT II, Conners’ Continuous Performance Test II; GPB, Grooved Pegboard Test
All periods were adjusted for sex, time since diagnosis, Total XV treatment risk, parents’ highest education in years, and body mass index Z-score at diagnosis.
Standard estimate was calculated as estimate divided by standard error.