Socioeconomic deprivation, brain morphology, and body fat among children and adolescents

Given mounting literature linking environmental adversity with neurobiological alterations, other evidence has shown association between excess adiposity and attenuated brain development, leading to our current question of how the developing brain interacts with change in body composition in response to environmental challenges. Using data from the Adolescent Brain Cognitive Development (ABCD®) Study, we conducted mediation analyses and demonstrated that socioeconomic deprivation (SED) was associated with lower total brain and cortical volumes via the mediation of higher waist-to-height ratio (WHtR), and that WHtR likewise mediated the association of SED with global brain structures. The prefrontal structures showed region- and direction-specific pathways, with bilateral superior and middle frontal gyrus being most consistently related with WHtR in addition to the impact of SED. These findings reveal a functional trade-off between brain development and fat deposition in response to environmental deprivation, and may have implications for understanding neurocognitive and somatic development among children and adolescents in different socioeconomic contexts.