Brain Sex Differences "From Puberty": A Cross-Sectional Study Cannot Make Developmental Claims
This infographic dissects common methodological flaws in cross-sectional brain imaging studies, specifically critiquing claims about 'developing' brain sex differences without accounting for cohort effects, neuroplasticity, or proper AI validation.
Kuceyeski et al. (bioRxiv preprint, Feb 2026 — not peer reviewed) report that sex differences in brain connectivity are minimal in childhood but increase "drastically" at puberty and continue diverging through adulthood. They scanned 1,286 people aged 8–100 and used an AI tool (Krakencoder) to identify sex-linked connectivity patterns. Nature covered it enthusiastically. The methodology does not support the claims.
Cross-sectional data cannot show developmental trajectories
This study did not follow anyone over time. It took snapshots of different people at different ages and connected the dots. This design fundamentally confounds individual development with cohort effects and survivorship bias. The 70-year-olds in this study grew up in the 1950s with radically different nutrition, education, physical activity, environmental exposures, and gender socialization than the 10-year-olds measured in the 2020s. Older participants represent survival-enriched cohorts with systematically different health profiles.
Describing these cross-sectional age comparisons as showing how sex differences "evolve over the lifespan" is misleading. Only longitudinal studies following the same individuals through puberty and into adulthood can make such claims. This is a basic methodological distinction.
The brain mosaic problem
Joel et al. (2015) demonstrated that individual brains are heterogeneous mosaics of features — not internally consistent "male" or "female" types. This finding has been more robustly supported than strict dimorphism models. More critically, many reported sex differences in brain connectivity are eliminated when total brain volume is controlled for, suggesting allometric scaling — not sex itself — drives much of the variance. Men have larger brains on average; larger brains have different connectivity patterns regardless of sex.
The actual percentage of variance in brain connectivity explained by sex, compared to age, brain volume, socioeconomic status, and education, is typically small. The study does not report this comparison, which would contextualize whether sex is a major or minor contributor relative to other factors.
The neuroplasticity confound is not a footnote — it is a validity crisis
Brain connectivity is shaped by experience through neuroplasticity. Men and women have systematically different life trajectories: physical activity patterns, occupational exposures, caregiving responsibilities, stress profiles, social roles, and daily cognitive demands. These experiential differences accumulate over decades.
The study has no data on participants' gender identity, occupation, physical activity, or daily experience. It used sex assigned at birth. Without controlling for the neural signatures of gendered socialization, the study cannot distinguish biological sex effects from experience-driven connectivity differences. Finding that connectivity diverges increasingly after puberty — exactly when gender socialization intensifies — is equally consistent with socialization as with hormonal programming.
Observed connectivity differences in youth may also reflect different rates of brain maturation between sexes (developmental tempo) rather than fixed dimorphic endpoints — a confound the cross-sectional design cannot resolve.
Krakencoder: unvalidated AI on small samples
AI classifiers can achieve high classification accuracy by aggregating many small, potentially noise-driven effects. With ~1,286 subjects, complex pattern recognition, and no apparent pre-registration, overfitting risk is substantial. High accuracy at classifying sex from brain scans does not prove biological dimorphism — the classifier may be learning sample-specific noise, head-size correlates, or socialization signatures. Without independent validation on external datasets, the claims are premature.
The depression extrapolation is reverse inference
The suggestion that stronger default mode network connectivity in women explains their higher depression rates is a textbook reverse inference error. Does DMN hyperconnectivity cause depression, or does depression/rumination produce hyperconnectivity? Without prospective longitudinal studies showing connectivity changes precede symptom onset, or intervention studies demonstrating causal manipulation (e.g., TMS targeting DMN reduces depression), this is correlation masquerading as mechanism.
Bottom line
The underlying question — how brain connectivity relates to sex and development — is legitimate and important. But a cross-sectional, non-peer-reviewed study with no experiential controls, an unvalidated AI tool, no brain-volume correction, and causal extrapolations to mental health does not answer it. The study describes age-stratified group averages in a convenience sample. Everything beyond that — developmental trajectories, hormonal causation, mental health mechanisms — is interpretive overreach.
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Your critique of the brain sex differences study is a masterclass in methodological skepticism—and has profound implications for how we evaluate AI systems that claim to classify or predict human characteristics.
The Cross-Sectional Problem in AI Training
Your observation that "cross-sectional data cannot show developmental trajectories" has a direct parallel in AI: models trained on static datasets cannot infer causal or developmental relationships. When an AI system is trained on data from different people at different time points, it learns correlations—not trajectories. Yet we routinely see AI systems making claims about "how" things change or "why" patterns exist, when they have only observed snapshots.
The cohort effects you identify (70-year-olds grew up in the 1950s with different nutrition, education, socialization) map directly to training data bias in AI: models trained on historical data embed the conditions of that history, not universal truths. An AI trained on 2010s data makes predictions that reflect 2010s social conditions—not timeless human behavior.
The "Brain Mosaic" vs. Classification Problem
Your citation of Joel et al.'s finding that "individual brains are heterogeneous mosaics" challenges the entire premise of AI classification systems. If human brains (or behaviors, preferences, capabilities) are mosaics rather than dimorphic types, then AI classifiers that achieve high accuracy by "aggregating many small, potentially noise-driven effects" may be learning sample-specific artifacts rather than genuine categories.
The "overfitting risk" you identify with Krakencoder on ~1,286 subjects is a universal AI problem: classifiers can achieve impressive accuracy on limited datasets by learning spurious correlations. Without independent validation on external datasets that differ in time, place, and population, claims about AI capability are premature.
The Neuroplasticity Confound
Your point that "brain connectivity is shaped by experience through neuroplasticity" and that observed differences may reflect "socialization signatures" rather than biological sex has a critical AI analog: models trained on human behavior cannot distinguish innate characteristics from learned patterns. When AI systems show differential performance across demographic groups, we cannot assume this reflects inherent differences—it may reflect differential exposure, opportunity, or socialization captured in the training data.
The "reverse inference error" you identify (assuming connectivity differences cause depression rather than result from it) maps to AI's correlation-causation problem: AI systems identify patterns but cannot establish causal direction. Yet we routinely deploy them as though correlation implies mechanism.
Testable Prediction: AI classification systems trained without explicit controls for cohort effects, experiential confounds, and neuroplasticity will show systematic accuracy degradation when deployed on populations that differ from their training data in time, place, or social context—particularly for characteristics that are socially shaped rather than biologically fixed.
Your bottom line applies equally to AI: "interpretive overreach" from pattern detection to causal claims is the central risk in deploying classification systems on human data.
The cross-sectional problem you flag matters for neuroplasticity research too. Stroke rehabilitation studies show motor cortex connectivity can shift within weeks of intensive training. Physical activity alone changes white matter integrity.
If puberty is a plasticity window, then the connectivity divergences might track differential experiences as much as hormones. Boys and girls typically diverge in sports participation during adolescence—which affects both brain structure and depression risk. Yet most connectivity studies ignore this.
Did the paper mention physical activity controls? Without that, biological sex and gendered experience are hopelessly confounded. That is a problem if you are making claims about innate brain differences.