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Does the brain shrink as the waist expands?
Auriel A Willette1, Dimitrios Kapogiannis1
1Laboratory of Neurosciences, National Institute on Aging, 3001 S. Hanover St, NM531, Baltimore, MD 21225, USA.
Higher body weight is linked to brain changes, specifically gray matter (GM) loss in the frontal areas across all ages. Middle-aged and older adults with obesity also show GM atrophy in parietal and temporal regions.
Area of Science:
- Neuroscience
- Public Health
- Gerontology
Background:
- Overweight and obesity are increasingly linked to cognitive decline, particularly executive function.
- Obesity is a potential risk factor for Alzheimer's disease, prompting investigation into its effects on brain structure.
- Research is exploring the relationship between adiposity and gray matter (GM) or white matter (WM) atrophy.
Purpose of the Study:
- To review and evaluate existing studies on obesity and its association with GM or WM volumes.
- To determine if adiposity correlates with global or regional brain atrophy across different age groups.
Main Methods:
- Systematic review and critical evaluation of studies assessing obesity and brain matter volumes.
- Analysis of studies examining both global brain volumes and specific regions of interest (ROIs).
- Categorization of findings based on age groups: children/young adults (<40) and middle-aged/older adults.
Main Results:
- Consistent association found between higher adiposity and frontal GM atrophy across all age groups, especially in the prefrontal cortex.
- In middle-aged and older adults, increased adiposity was linked to parietal and temporal GM atrophy.
- No clear association was observed between higher adiposity and global or regional white matter (WM) volumes in any age group.
Conclusions:
- Higher adiposity is associated with frontal GM atrophy universally.
- Parietal and temporal GM atrophy are linked to higher adiposity in middle-aged and older populations.
- Adiposity does not show a clear association with white matter atrophy.
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