Abdominal fat depots are related to lower cognitive functioning and brain volumes in middle‐aged males at high Alzheimer's risk

Obesity (Silver Spring)Published Cross-sectional study

Authors' conclusion

In middle-aged males at high Alzheimer's dementia risk, but not in females, higher pancreatic fat was associated with lower cognition and brain volumes. These findings suggest a potential sex-specific link between distinct abdominal fat with brain health.

Study context

Population
Healthy middle-aged offspring of Alzheimer's dementia patients (mean age 59.44, 60% females)
Participants
204 participants
Exposure
Abdominal fat depots (hepatic, pancreatic, visceral, subcutaneous) vs cognition and brain volumes; effect modification by sex
Outcome
Associations of abdominal fat depots with cognition and brain volumes

Main finding

As reported in the abstract

Whole sample: higher hepatic fat % associated with lower total gray matter volume (β)
−0.17, p < 0.01
Males: higher pancreatic fat % associated with lower global cognition (β)
−0.27, p = 0.03
Females: pancreatic fat % and global cognition (β)
0.01, p = 0.93
Males: pancreatic fat % and executive function (β)
−0.27, p = 0.03
Females: pancreatic fat % and executive function (β)
0.02, p = 0.87
Males: pancreatic fat % and episodic memory (β)
−0.28, p = 0.03
Females: pancreatic fat % and episodic memory (β)
0.07, p = 0.48
Males: pancreatic fat % and inferior frontal gyrus volume (β)
−0.28, p = 0.02
Females: pancreatic fat % and inferior frontal gyrus volume (β)
0.10, p = 0.33

Observational data: associations, not effects.

Original publication

Abdominal fat depots are related to lower cognitive functioning and brain volumes in middle‐aged males at high Alzheimer's risk. Obesity (Silver Spring). Published 27 February 2024. doi:10.1002/oby.24004

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