Relationship between obesity indices and cognitive function in Japanese men: A cross-sectional study
Satoshi Matsuno1,2, Yuji Ozeki1, Sayaka Kadowaki3,4
1Department of Psychiatry, Shiga University of Medical Science, Shiga, Japan.
Plos One
|October 23, 2025
Summary
The visceral (VAT) to subcutaneous adipose tissue ratio (VSR) may impact cognitive function in Japanese men. Lower VSR was linked to poorer cognitive scores, suggesting fat distribution is key for brain health.
Area of Science:
- Gerontology
- Neuroscience
- Metabolic Health
Background:
- Obesity indices and cognitive function are increasingly studied.
- Fat distribution, particularly visceral adipose tissue (VAT) and subcutaneous adipose tissue (SAT), may influence cognitive health.
Purpose of the Study:
- To investigate the association between obesity indices (VAT, SAT, VAT-to-SAT ratio - VSR) and cognitive function in Japanese men.
- To determine if VSR is a significant predictor of cognitive performance.
Main Methods:
- Cross-sectional study of 776 community-dwelling Japanese men.
- Abdominal VAT and SAT measured by computed tomography.
- Cognitive function assessed using the Cognitive Abilities Screening Instrument (CASI).
- Analysis of covariance used to compare CASI scores across VSR quartiles.
Main Results:
- No significant association found between cognitive function and body mass index, VAT, or SAT alone.
- Participants in the lowest VSR quartile showed significantly lower CASI total scores compared to the third quartile.
- Low VSR was independently associated with reduced cognitive function.
Conclusions:
- The visceral adipose tissue to subcutaneous adipose tissue ratio (VSR) is independently associated with cognitive function in middle-aged and older Japanese men.
- VSR may serve as a useful indicator for cognitive health in this population.
- Fat distribution, not just overall obesity, is important for maintaining cognitive function.
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