Low-grade inflammation is a major contributor of impaired attentional set shifting in obese subjects
Abstract
Impairment in cognitive flexibility and set shifting abilities has been described in obesity. This alteration is critical as it can interfere with obesity management strategies. Recent evidences suggest that chronic low-grade inflammation may be involved in cognitive deficits associated with obesity, but the potential involvement in reduced flexibility remains unknown. The objective of this study was to assess the contribution of low-grade inflammation, determined by circulating levels of high-sensitivity C-reactive protein (hsCRP), in reduced cognitive flexibility and shifting abilities of obese subjects relatively to a group of non-obese participants. Performance in the intra/extra-dimensional set shift (IED) test, extracted from the CANTAB, was assessed in 66 obese subjects and 20 non-obese participants. Obese subjects with concentrations of hsCRP above 5mg/L exhibited reduced performance on the IED test in comparison to obese subjects with lower levels of hsCRP and non-obese participants. This difference was particularly manifest in the number of errors made during the extra-dimensional shift (EDS errors). In contrast, performance before the extra-dimensional shift was spared. Linear regression analyses revealed that the association between obesity and IED alterations was significant only when the condition hsCRP >5mg/L was entered in the model. These findings are important as they indicate that, rather than obesity itself, low-grade inflammation represents a major contributor of IED performance in obese subjects.
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Lasselin et al. showed that in obese individuals, subjects with CRP levels above 5 mg/L performed worse on the IED test compared to obese subjects with lower CRP or non-obese participants.
“Lasselin et al. showed that in obese individuals, a population often showing ongoing low-grade inflammation, subjects with levels of C-reactive protein (CRP) above 5 mg/L performed worse on the IED test compared to obese subjects with lower levels of CRP or non-obese participants [48].”
From Baseline Pro-Inflammatory Cytokine Levels Moderate Psychological Inflexibility in Behavioral Treatment for Chronic Pain (2022) · cites this paper as [48]
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- Authors
- Lasselin, J., Magne, E., Beau, C., Aubert, A., Dexpert, S., Carrez, J., Layé, S., Forestier, D., Ledaguenel, P., & Capuron, L.
- Affiliations
- Université de Bordeaux (FR)
- Métaphysique, histoires, transformations, actualités (FR)
- Corresponding author
- Capuron, Lucile
- Venue
- Brain Behavior and Immunity
- Publisher
- Elsevier BV
- Published
- 2016-11
- Volume
- 58
- Pages
- 63-68
- ISSN
- 0889-1591 (ISSN-L)
- OpenAlex
- W2395742414
- Cited by
- 53
- References
- 29
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 5 · 2023: 3 · 2022: 5 · 2021: 6 · 2020: 3 · 2019: 14 · 2018: 5 · 2017: 4 · 2016: 2
- FWCI
- 7.80
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Brain Behavior and Immunity (publishedVersion)
- PubMed (publishedVersion)
- HAL (submittedVersion)
- Oskar-Bordeaux (Universite de Bordeaux) (submittedVersion)
- Funders
- Agence Nationale de la Recherche (ANR-11-JSV1-0006)
- Topics
- Health Sciences › Medicine › Epidemiology › Adipokines, Inflammation, and Metabolic Diseases
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Life Sciences › Neuroscience › Biological Psychiatry › Tryptophan and brain disorders
- Keywords
- obesity, low-grade inflammation, cognitive flexibility, set-shifting, high-sensitivity C-reactive protein, CANTAB
- MeSH terms
- Adult, Attention, C-Reactive Protein, Female, Humans, Inflammation, Male, Obesity, Executive Function
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