Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Original Article
  • Published:

Pediatrics

Inhibitory control in otherwise healthy overweight 10-year-old children

Abstract

Background:

Preventing obesity is a worldwide public health priority. In vulnerable children living in obesogenic environments, with easy access to high-caloric food, alterations in inhibitory control functions might favor excessive food intake and affect energy regulation. We hypothesized that overweight/obese children would present lower inhibitory control in comparison to normal weight children.

Methods:

We measured inhibitory control functions in 93 otherwise healthy overweight/obese and 92 normal weight 10-year-old children using the Stroop test and the Go/No-Go task. Event-related potentials were recorded during the Go/No-Go task.

Results:

Overweight/obese children showed slower reaction times (1248.6 ms (95% confidence interval (CI): 1182.9–1314.3) vs 1149.0 ms (95% CI: 1083.0–1215.1)) on the Stroop test, higher reaction time variability (0.25 (95% CI: 0.22–0.27) vs 0.21 (95% CI: 0.19–0.24)) on the Go/No-Go task and decreased P300 amplitude (4.1 μV (95% CI: 3.0–5.2) vs 6.4 μV (95% CI: 5.2–7.6)) on event-related potentials compared with normal weight children.

Conclusions:

Our results indicate altered inhibitory control functions in otherwise healthy overweight/obese children, which might contribute to their excessive food consumption.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1
Figure 2

Similar content being viewed by others

References

  1. Pietrobelli A, Espinoza MC, De Cristofaro P . Childhood obesity: looking into the future. Angiology 2008; 59: 30S–33S.

    Article  Google Scholar 

  2. Raj M, Kumar RK . Obesity in children & adolescents. Indian J Med Res 2010; 132: 598–607.

    PubMed  PubMed Central  Google Scholar 

  3. Berthoud HR . Metabolic and hedonic drives in the neural control of appetite: who is the boss? Curr Opin Neurobiol 2011; 21: 888–896.

    Article  CAS  Google Scholar 

  4. Nederkoorn C, Braet C, Van Eijs Y, Tanghe A, Jansen A . Why obese children cannot resist food: the role of impulsivity. Eat Behav 2006; 7: 315–322.

    Article  Google Scholar 

  5. Barkley R . Behavioral inhibition, sustained attention, and executive functions: constructing a unifying theory of ADHD. Psychol Bull 1997; 121: 65–94.

    Article  Google Scholar 

  6. Mostofsky SH, Simmonds DJ . Response inhibition and response selection: two sides of the same coin. J Cogn Neurosci 2008; 20: 751–761.

    Article  Google Scholar 

  7. Hwang K, Velanova K, Luna B . Strengthening of top-down frontal cognitive control networks underlying the development of inhibitory control: a functional magnetic resonance imaging effective connectivity study. J Neurosci 2010; 30: 15535–15545.

    Article  CAS  Google Scholar 

  8. Volkow ND, Wang G, Telang F, Fowler JS, Goldstein RZ, Alia-Klein N et al. Inverse association between BMI and prefrontal metabolic activity in healthy adults. Obesity 2009; 17: 60–65.

    Article  Google Scholar 

  9. Graziano PA, Calkins SD, Keane SP . Toddler self-regulation skills predict risk for pediatric obesity. Int J Obes (Lond) 2010; 34: 633–641.

    Article  CAS  Google Scholar 

  10. Cserjési R, Molnár D, Luminet O, Lénárd L . Is there any relationship between obesity and mental flexibility in children? Appetite 2007; 49: 675–678.

    Article  Google Scholar 

  11. Van den Berg L, Pieterse K, Malik J, Luman M, Willems van Dijk K, Oosterlaan J et al. Association between impulsivity, reward responsiveness and body mass index in children. Int J Obes (Lond) 2011; 35: 1301–1307.

    Article  CAS  Google Scholar 

  12. Rothbart MK, Posner MI . Genes and experience in the development of executive attention and effortful control. New Dir Child Adolesc Dev 2005; 109: 101–108.

    Article  Google Scholar 

  13. Luna B . Developmental changes in cognitive control through adolescence. Adv Child Dev Behav 2009; 37: 233–278.

    Article  Google Scholar 

  14. Braver TS, Cole MW, Yarkoni T . Vive les differences! Individual variation in neural mechanisms of executive control. Curr Opin Neurobiol 2010; 20: 242–250.

    Article  CAS  Google Scholar 

  15. Berthoud HR, Morrison C . The brain, appetite, and obesity. Annu Rev Psychol 2008; 59: 55–92.

    Article  Google Scholar 

  16. Volkow ND, Wang GJ, Telang F, Fowler JS, Thanos PK, Logan J et al. Low dopamine striatal D2 receptors are associated with prefrontal metabolism in obese subjects: possible contributing factors. Neuroimage 2008; 42: 1537–1543.

    Article  Google Scholar 

  17. Pauli-Pott U, Albayrak O, Hebebrand J, Pott W . Association between inhibitory control capacity and body weight in overweight and obese children and adolescents: dependence on age and inhibitory control component. Child Neuropsychol 2010; 16: 592–603.

    Article  Google Scholar 

  18. Moffitt TE, Arseneault L, Belsky D, Dickson N, Hancox RJ, Harrington H et al. A gradient of childhood self-control predicts health, wealth, and public safety. Proc Natl Acad Sci USA 2011; 108: 2693–2698.

    Article  CAS  Google Scholar 

  19. Tascilar ME, Turkkahraman D, Oz O, Yucel M, Taskesen M, Eker I et al. P300 auditory event-related potentials in children with obesity: is childhood obesity related to impairment in cognitive functions? Pediatr Diabetes 2011; 12: 589–595.

    Article  CAS  Google Scholar 

  20. Lozoff B, De Andraca I, Castillo M, Smith JB, Walter T, Pino P . Behavioral and developmental effects of preventing iron-deficiency anemia in healthy full-term infants. Pediatrics 2003; 112: 846–854.

    PubMed  Google Scholar 

  21. Roncagliolo M, Garrido M, Walter T, Peirano P, Lozoff B . Evidence of altered central nervous system development in infants with iron deficiency anemia at 6 mo: delayed maturation of auditory brainstem responses. Am J Clin Nutr 1998; 68: 683–690.

    Article  CAS  Google Scholar 

  22. Angulo-Kinzler RM, Peirano P, Lin E, Algarín C, Garrido M, Lozoff B . Twenty-four-hour motor activity in human infants with and without iron deficiency anemia. Early Hum Dev 2002; 70: 85–101.

    Article  CAS  Google Scholar 

  23. Algarín C, Peirano P, Garrido M, Pizarro F, Lozoff B . Iron deficiency anemia in infancy: long-lasting effects on auditory and visual system functioning. Pediatr Res 2003; 53: 217–223.

    Article  Google Scholar 

  24. Peirano P, Algarín C, Garrido M, Lozoff B . Iron deficiency anemia in infancy is associated with altered temporal organization of sleep states in childhood. Pediatr Res 2007; 62: 715–719.

    Article  CAS  Google Scholar 

  25. Peirano P, Algarín C, Garrido M, Algarín D, Lozoff B . Iron-deficiency anemia is associated with altered characteristics of sleep spindles in NREM sleep in infancy. Neurochem Res 2007; 32: 1665–1672.

    Article  CAS  Google Scholar 

  26. Congdon EL, Westerlund A, Algarín CR, Peirano PD, Gregas M, Lozoff B et al. Iron deficiency in infancy is associated with altered neural correlates of recognition memory at 10 years. J Pediatr 2012; 160: 1027–1033.

    Article  CAS  Google Scholar 

  27. Felt BT, Peirano P, Algarín C, Chamorro R, Sir T, Kaciroti N et al. Long-term neuroendocrine effects of iron-deficiency anemia in infancy. Pediatr Res 2012; 71: 707–712.

    Article  CAS  Google Scholar 

  28. Peirano P, Algarín C, Chamorro R, Manconi M, Lozoff B, Ferri R . Iron deficiency anemia in infancy exerts long-term effects on the tibialis anterior motor activity during sleep in childhood. Sleep Med 2012; 13: 1006–1012.

    Article  Google Scholar 

  29. Algarín C, Nelson CA, Peirano P, Westerlund A, Reyes S, Lozoff B . Iron-deficiency anemia in infancy and poorer cognitive inhibitory control at age 10 years. Dev Med Child Neurol 2013; 55: 453–458.

    Article  Google Scholar 

  30. Angulo-Barroso RM, Peirano P, Algarín C, Kaciroti N, Lozoff B . Motor activity and intra-individual variability according to sleep-wake states in preschool-aged children with iron-deficiency anemia in infancy. Early Hum Dev 2013; 89: 1025–1031.

    Article  CAS  Google Scholar 

  31. MacLeod C . Half a century of research on the Stroop effect: an integrative review. Psychol Bull 1991; 109: 163–203.

    Article  CAS  Google Scholar 

  32. Durston S . Parametric manipulation of conflict and response competition using rapid mixed-trial event-related fMRI. Neuroimage 2003; 20: 2135–2141.

    Article  CAS  Google Scholar 

  33. Puccioni O, Vallesi A . Conflict resolution and adaptation in normal aging: the role of verbal intelligence and cognitive reserve. Psychol Aging 2012; 27: 1018–1026.

    Article  Google Scholar 

  34. Davis EP, Bruce J, Snyder K, Nelson CA . The X-trials: neural correlates of an inhibitory control task in children and adults. J Cogn Neurosci 2003; 15: 432–443.

    Article  Google Scholar 

  35. Porjesz B, Rangaswamy M, Kamarajan C, Jones KA, Padmanabhapillai A, Begleiter H . The utility of neurophysiological markers in the study of alcoholism. Clin Neurophysiol 2005; 116: 993–1018.

    Article  Google Scholar 

  36. Polich J, Herbst KL . P300 as a clinical assay: rationale, evaluation, and findings. Int J Psychophysiol 2000; 38: 3–19.

    Article  CAS  Google Scholar 

  37. Tekok-Kilic A, Shucard JL, Shucard DW . Stimulus modality and Go/NoGo effects on P3 during parallel visual and auditory continuous performance tasks. Psychophysiology 2001; 38: 578–589.

    Article  CAS  Google Scholar 

  38. Stuss DT, Murphy KJ, Binns MA, Alexander MP . Staying on the job: the frontal lobes control individual performance variability. Brain 2003; 126: 2363–2380.

    Article  Google Scholar 

  39. Simmonds DJ, Fotedar SG, Suskauer SJ, Pekar JJ, Denckla MB, Mostofsky SH . Functional brain correlates of response time variability in children. Neuropsychologia 2007; 45: 2147–2157.

    Article  Google Scholar 

  40. World Health Organization. Growth reference 5–19 years. 2007. (http://www.who.int/growthref/who2007_bmi_for_age/en/).

  41. Claes L, Mitchell JE, Vandereycken W . Out of control? Inhibition processes in eating disorders from a personality and cognitive perspective. Int J Eat Disord 2012; 45: 407–414.

    Article  Google Scholar 

  42. Kim C, Johnson NF, Gold BT . Conflict adaptation in prefrontal cortex: now you see it, now you don’t. Cortex 2014; 50: 76–85.

    Article  Google Scholar 

  43. Egner T . Congruency sequence effects and cognitive control. Cogn Affect Behav Neurosci 2007; 7: 380–390.

    Article  Google Scholar 

  44. Polich J . Updating P300: an integrative theory of P3a and P3b. Clin Neurophysiol 2007; 118: 2128–2148.

    Article  Google Scholar 

  45. Perlman G, Markin A, Iacono WG . P300 amplitude reduction is associated with early-onset and late-onset pathological substance use in a prospectively studied cohort of 14-year-old adolescents. Psychophysiology 2013; 50: 974–982.

    PubMed  PubMed Central  Google Scholar 

  46. Kamarajan C, Porjesz B, Jones KA, Choi K, Chorlian DB, Padmanabhapillai A et al. Alcoholism is a disinhibitory disorder: neurophysiological evidence from a Go/No-Go task. Biol Psychol 2005; 69: 353–373.

    Article  Google Scholar 

  47. Bramon E, McDonald C, Croft RJ, Landau S, Filbey F, Gruzelier JH et al. Is the P300 wave an endophenotype for schizophrenia? A meta-analysis and a family study. Neuroimage 2005; 27: 960–968.

    Article  Google Scholar 

  48. Sumich AL, Kumari V, Heasman BC, Gordon E, Brammer M . Abnormal asymmetry of N200 and P300 event-related potentials in subclinical depression. J Affect Disord 2006; 92: 171–183.

    Article  Google Scholar 

  49. Burden MJ, Jacobson JL, Westerlund A, Lundahl LH, Morrison A, Dodge NC et al. An event-related potential study of response inhibition in ADHD with and without prenatal alcohol exposure. Alcohol Clin Exp Res 2010; 34: 617–627.

    Article  CAS  Google Scholar 

  50. Rosch KS, Hawk LW . The effects of performance-based rewards on neurophysiological correlates of stimulus, error, and feedback processing in children with ADHD. Psychophysiology 2013; 50: 1157–1173.

    Article  Google Scholar 

  51. Zlojutro M, Manz N, Rangaswamy M, Xuei X, Flury-Wetherill L, Koller D et al. Genoma-wide association study of theta band event-related oscillations identifies serotonin receptor gene HTR7 incluencing risk of alcohol dependence. Am J Med Genet B Neuropsychiatr Genet 2011; 156B: 44–58.

    Article  Google Scholar 

  52. Antolin T, Berman SM, Conner BT, Ozkaragoz TZ, Sheen CL, Ritchie TL et al. D2 dopamine receptor (DRD2) gene, P300, and personality in children of alcoholics. Psychiatry Res 2009; 166: 91–101.

    Article  CAS  Google Scholar 

  53. Burden MJ, Westerlund AJ, Armony-Sivan R, Nelson CA, Jacobson SW, Lozoff B et al. An event-related potential study of attention and recognition memory in infants with iron-deficiency anemia. Pediatrics 2007; 120: e336–e345.

    Article  Google Scholar 

  54. Maayan L, Hoogendoorn C, Sweat V, Convit A . Disinhibited eating in obese adolescents is associated with orbitofrontal volume reductions and executive dysfunction. Obesity 2011; 19: 1382–1387.

    Article  Google Scholar 

  55. Willeumier KC, Taylor DV, Amen DG . Elevated BMI is associated with decreased blood flow in the prefrontal cortex using SPECT imaging in healthy adults. Obesity 2011; 19: 1095–1097.

    Article  Google Scholar 

  56. Verdejo-García A, Pérez-Expósito M, Schmidt-Río-Valle J, Fernández-Serrano MJ, Cruz F, Pérez-García M et al. Selective alterations within executive functions in adolescents with excess weight. Obesity 2010; 18: 1572–1578.

    Article  Google Scholar 

  57. Dong G, Yang L, Hu Y, Jiang Y . Is N2 associated with successful suppression of behavior responses in impulse control processes? Neuroreport 2009; 20: 537–542.

    Article  Google Scholar 

  58. Cortese S, Ramos Olazagasti MA, Klein RG, Castellanos FX, Proal E, Mannuzza S . Obesity in men with childhood ADHD: a 33-year controlled, prospective, follow-up study. Pediatrics 2013; 131: e1731–e1738.

    Article  Google Scholar 

  59. Volkow ND, Wang GJ, Baler RD . Reward, dopamine and the control of food intake: implications for obesity. Trends Cogn Sci 2011; 15: 37–46.

    Article  CAS  Google Scholar 

  60. Kang Sim DE, Cappiello M, Castillo M, Lozoff B, Martinez S, Blanco E et al. Postnatal growth patterns in a Chilean cohort: the role of SES and family environment. Int J Pediatr 2012; 2012: 1–7.

    Article  Google Scholar 

  61. Conners C . Conners Rating Scales: Revised Technical Manual. Multi Health Systems: North Tonawand, NY, USA, 1997.

Download references

Acknowledgements

This study was supported by Fondecyt No. 1110513 and NIH HD33487 grants. We would like to express our gratitude to children and parents whose participation made this study possible. We also thank the technicians of the Sleep and Functional Neurobiology Laboratory of INTA, University of Chile, who contributed during the course of this study.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to C Algarin.

Ethics declarations

Competing interests

The authors declare no conflict of interest.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Reyes, S., Peirano, P., Peigneux, P. et al. Inhibitory control in otherwise healthy overweight 10-year-old children. Int J Obes 39, 1230–1235 (2015). https://doi.org/10.1038/ijo.2015.49

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/ijo.2015.49

This article is cited by

Search

Quick links