It does not seem to affect cognitive ability (per the article). However I am curious if it is reversible. If you lose weight and get back to 'normal', does the brain layout look normal [for that given age group]?
Is that the case long term though? It would be interesting to study the progression of people over the next decade or few to see if it seems to speed up the onset of age related dementia or increase susceptibility to other conditions and illnesses.
Not sure how you would account for effects of just being obese longer in general tho.