CClinicalTrials.gg
CompletedNCT00671775Updated Mar 7, 2018

Cognitive Effects of Bariatric Surgery

An observational study in Bariatric Surgery Patients, sponsored by National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). Completed at 1 site in United States. Open to participants aged 25 Years to 70 Years. Per ClinicalTrials.gov, last updated 2018-03-07.

Sponsored by National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) · Observational

Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
253
Ages
25 Years to 70 Years
Sex
All
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Study summary

There is growing evidence that obesity is associated with adverse neurocognitive outcome. Recent studies demonstrate that elevated body mass index (BMI) is an independent risk factor for Alzheimer's disease, structural brain abnormalities, and cognitive dysfunction in older adults. Preliminary work from our lab extends these findings and shows structural brain differences and cognitive dysfunction also exist in obese young and middle-aged adults.

Bariatric surgery is increasingly viewed as an effective intervention for morbid obesity, though its effects on cognition are unknown. Post-operative nutritional deficiencies are common and can adversely impact cognitive performance. However, substantial weight loss resolves or improves many medical conditions with reversible cognitive effects, suggesting bariatric surgery may provide cognitive benefits.

No study to date has examined the cognitive effects of bariatric surgery. To do so, the proposed study will prospectively assess cognitive performance in 125 bariatric surgery patients enrolled in the Longitudinal Assessment of Bariatric Surgery (LABS) project and 125 matched controls. Bariatric surgery patients will complete a computerized cognitive test battery at four time points: pre-operatively, 12 weeks post-operatively, 12 months post-operatively, and 24 months post-operatively. Matched control participants will complete the test battery at similar intervals. Demographic, medical, and psychosocial information will be collected to elucidate possible mechanisms of change. We hypothesize that the substantial weight loss following bariatric surgery will be associated with improved cognitive performance.

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Conditions studied

  • Bariatric Surgery Patients

Keywords

  • Bariatric Surgery
  • Obesity
  • Cognitive Function
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In context

Lead sponsor

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) is the lead sponsor of 529 studies on the registry; 54 are open to participants now.

Of its 79 completed or terminated interventional studies of FDA-regulated products, 50 (63%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
25 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Participants will be recruited from the bariatric and weight loss programs of affiliated clinical centers.

Specific criteria for bariatric surgery patients include:

Inclusion criteria

Inclusion Criteria

  • 25-65 years of age
  • Enrolled in LABS project
  • English-speaking

Exclusion criteria

Exclusion Criteria

  • History of neurological disorder or injury (e.g. dementia, stroke, seizures)
  • Moderate or severe head injury (defined as >10 minutes loss of consciousness; Alexander, 1995)
  • Past or current history of severe psychiatric illness (e.g. schizophrenia, bipolar disorder)
  • Past or current history of alcohol or drug abuse (defined by DSM-IV criteria)
  • History of learning disorder or developmental disability (defined by DSM-IV criteria)
  • Impaired sensory function

Inclusion/exclusion criteria for matched control participants include:

  • All of the inclusion/exclusion criteria for the surgical patients, except for enrollment in the LABS project
  • No history of bariatric surgery procedures
  • No interest in bariatric surgery procedures in the next two years
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Study design

Observational model
Case-control
Time perspective
Prospective
Enrollment
253 participants (actual)

Groups and cohorts

  • Bariatric surgery patients
  • Weight loss programs
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Study locations

1 site
  • Columbia
    New York, New York 10065, United States
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References and documents

Publications

  • Garcia S, Fedor A, Spitznagel MB, Strain G, Devlin MJ, Cohen RA, Paul RH, Crosby RD, Mitchell JE, Gunstad J. Patient reports of cognitive problems are not associated with neuropsychological test performance in bariatric surgery candidates. Surg Obes Relat Dis. 2013 Sep-Oct;9(5):797-801. doi: 10.1016/j.soard.2012.10.008. Epub 2012 Oct 30. PubMed 23245496 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 7, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00671775
Lead sponsor
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Collaborators
Columbia University, Weill Medical College of Cornell University, Kent State University, Neuropsychiatric Research Institute, Fargo, North Dakota
Responsible party
Sponsor
First posted
May 5, 2008
Start date
Sep 2005
Primary completion
Mar 2010
Completion
Mar 2010
Last update
Mar 7, 2018

Study contacts

John Gunstad, Ph.D.
principal investigator · Kent State University

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2018. You cannot join it, but the record below documents what was studied.

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