Associations of Adiposity With Cortical Atrophy and Network Dyssynchrony in Type 2 Diabetes: A Multimodal MRI Study

Diabetes Obes MetabPublished Cross-sectional study

Authors' conclusion

Adiposity is profoundly associated with structural and functional neural disruption in T2DM. Comorbid obesity represents a prominent risk factor associated with brain morphometric patterns resembling advanced aging

Study context

Population
Matched participants with T2D (obese or normal weight) and healthy controls undergoing high-resolution multimodal MRImatched
Participants
102 participants
Exposure
Obese T2D vs normal-weight T2D vs healthy controls
  • Obese T2DMn = 31
  • Normal-weight T2DMn = 40
  • Healthy controlsn = 31reference
Outcome
Cortical thickness, area and network synchronization
Methodological detailsmatched, multimodal MRI (Surface-Based Morphometry (SBM) and 2D-ReHo)
  • Matched
  • Multimodal MRI (SBM and 2D-ReHo)

Main finding

As reported in the abstract

  • Obese T2D showed profound structural and functional vulnerability vs normal-weight peers
  • High body mass index (BMI) robustly predicted severe cortical thinning in frontal-reward circuits and widespread functional dyssynchrony within the default mode network
  • Localized morphometric increases in the fusiform gyrus unique to obese T2D (SBM)
  • Disease duration showed no significant correlation with these metrics

Observational data: associations, not effects.

Original publication

Associations of Adiposity With Cortical Atrophy and Network Dyssynchrony in Type 2 Diabetes: A Multimodal MRI Study. Diabetes Obes Metab. Published 9 August 2026. doi:10.1111/dom.71187

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