Obesity

Age-related changes in adiposity and cardiometabolic disease risk: a longitudinal and prospective study in the UK Biobank

Int J Obes (Lond)Published Longitudinal and prospective cohort study

Authors' conclusion

Ageing is associated with progressive, depot-specific redistribution of body fat with increasing accumulation in metabolically harmful depots later in life. MRI-derived adiposity measures provide important insight into these risk-relevant patterns.

Study context

Population
UK Biobank participants aged 45–82 years with magnetic resonance imaging (MRI)-derived body composition measures1,688 with longitudinal measures
Participants
36,831 participants
Outcome
Age-related differences in MRI-derived adiposity traits and association with cardiometabolic outcomes
Methodological detailsUK Biobank, Cox regression, stepwise Cox regression, univariable and multivariable Mendelian randomization
  • UK Biobank
  • Cox regression
  • Stepwise Cox regression
  • Univariable and multivariable Mendelian randomization

Main finding

As reported in the abstract

  • Visceral adipose tissue (VAT) volume and pancreatic and thigh muscle fat infiltration higher with age and increased within participants between imaging timepoints, despite similar body mass index (BMI)
  • Liver and pancreas volume lower in older participants
  • All MRI-derived traits associated with ≥1 clinical outcome; after adjustment for multiple testing and BMI, only T2D and hyperlipidaemia remained significant
  • Adding MRI-derived traits to BMI improved risk prediction, particularly in males
  • VAT showed strongest association and accounted for a substantial proportion of T2D risk attributed to BMI in females and males, supported by multivariable Mendelian randomization (MR)

Observational data: associations, not effects.

Original publication

Age-related changes in adiposity and cardiometabolic disease risk: a longitudinal and prospective study in the UK Biobank. Int J Obes (Lond). Published 15 July 2026. doi:10.1038/s41366-026-02168-2

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