Obesity

Deficits in brain glucose transport among younger adults with obesity

Obesity (Silver Spring)Published Cross-sectional study

Authors' conclusion

We conclude that CMRglucose is unlikely to differ between groups due to similar VTCA, and, therefore, the glucose transport Tmax is lower in individuals with obesity. These human findings suggest that obesity is associated with reduced cerebral glucose transport capacity even at a young age and in the absence of other cardiometabolic comorbidities, which may have implications for long-term brain function and health.

Study context

Population
Young healthy adults, lean or with obesity (mean age, 27 years)
Participants
7 vs 11
Exposure
Young adults with obesity vs lean participants
  • Obesityn = 7
  • Leann = 11reference
Outcome
Ratio of brain glucose uptake to cerebral glucose metabolic rate (Tmax/CMRglucose)
Methodological detailsMR spectroscopy with hyperglycemic clamp, [1-13C] glucose
  • MR spectroscopy with hyperglycemic clamp
  • [1-13C] glucose

Main finding

As reported in the abstract

Obesity

2.12

± 0.51

Lean

2.67

± 0.51

P = 0.04

Observational data: associations, not effects.

Further findings

OutcomeP value
Cerebral tricarboxylic acid cycle flux (VTCA)Similar between groupsP = 0.64

Cerebral tricarboxylic acid cycle flux (VTCA)

VTCA similar between the two groups

Correlation of total nonesterified fatty acids with Tmax/CMRglucose

Negative correlation (r; p = 0.045)
r = −0.477

Original publication

Deficits in brain glucose transport among younger adults with obesity. Obesity (Silver Spring). Published 19 May 2024. doi:10.1002/oby.24034

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