Cited by 221Gut microbiota and healthAdipokines, Inflammation, and Metabolic DiseasesNutritional Studies and Diet

Diet, inflammation and the gut microbiome: mechanisms for obesity-associated cognitive impairment

Open access
Leigh, Sarah-Jane, Morris, Margaret J.·2020·Biochimica et Biophysica Acta (BBA) - Molecular Basis of Disease

Abstract

Poor diet and obesity are associated with cognitive impairment throughout adulthood, and increased dementia risk in aging. Here we review the current literature interrogating the mechanisms by which diets high in fat, or fat and sugar lead to cognitive impairment, focusing on changes to gut microbiome composition, inflammatory signalling and blood-brain barrier integrity. Preclinical studies indicate weight gain is not necessary for diet-induced cognitive impairment. Rather, gut microbiome composition, and systemic and central inflammatory processes appear to contribute to diet-induced cognitive impairment. While both obese humans and rodents exhibit reduced blood-brain barrier integrity, cognitive impairments precede these changes, suggesting other mechanisms may underly diet-induced cognitive changes. Other potential candidates include hormone, glucoregulatory and cardiovascular changes. Poor diet and obesity act through multiple mechanisms to affect cognitive health and the challenge for future research is to identify key processes that can be reversed to improve cognition and quality of life.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1016/j.bbadis.2020.165767

Cites

145 of 145 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • A poor diet and obesity are associated with GM alterations, cognitive dysfunction, and an increased risk for dementia.

    “Conversely, a poor diet and obesity are associated with GM alterations, cognitive dysfunction, and an increased risk for dementia [reviewed in (511)].”
  • Proposed mechanisms linking poor diet and obesity to cognitive dysfunction include changes in GM composition and function, alterations in microbial metabolites, compromised barrier integrity, peripheral and central inflammatory processes, and hormonal, glucoregulatory, and cardiovascular changes.

    “Proposed mechanisms include changes in GM composition and function, alterations in microbial metabolites, compromised barrier integrity, and peripheral and central inflammatory processes, as well as hormonal, glucoregulatory, and cardiovascular changes (502, 511, 512).”
  • The effect of SCFAs on inflammation can be mediated by improvement of the intestinal barrier, potentially preventing immune molecules and bacterial LPS from translocating into the periphery and thus reducing systemic inflammation and ultimately neuroinflammation.

    “The effect of SCFAs on inflammation can be mediated by improvement of the intestinal barrier (361), thereby potentially preventing immune molecules and bacterial LPS translocating into the periphery and thus reducing systemic inflammation and ultimately neuroinflammation (362).”

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Cites

Flagged first, then by citations

Cited by

Sorted by citations

Authors
Leigh, S.-J., & Morris, M. J.
Affiliations
UNSW Sydney (AU)
Corresponding author
Morris, Margaret J.
Venue
Biochimica et Biophysica Acta (BBA) - Molecular Basis of Disease
Publisher
Elsevier BV
Published
2020-06
Volume
1866
Issue
6
Pages
165767
ISSN
0925-4439 (ISSN-L)
OpenAlex
W3011638844
Cited by
221
References
145
Citations by year
2026: 20 · 2025: 44 · 2024: 41 · 2023: 50 · 2022: 35 · 2021: 24 · 2020: 7
FWCI
2.78
Type
journal article
Language
en
Open access
Locations
  • Biochimica et Biophysica Acta (BBA) - Molecular Basis of Disease (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Health and Medical Research Council (1126929)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
  • Health Sciences › Medicine › Epidemiology › Adipokines, Inflammation, and Metabolic Diseases
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
Keywords
obesity, cognitive impairment, high-fat diet, high-fat high-sugar diet, gut microbiota, inflammation, blood-brain barrier integrity, dementia risk, weight gain, glucoregulation, cardiovascular changes
MeSH terms
Gastrointestinal Microbiome, Blood-Brain Barrier, Humans, Inflammation, Obesity, Quality of Life, Weight Gain, Diet, High-Fat, Cognitive Dysfunction

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review