Type 2 & other diabetes

Diabetes, Prediabetes, and Brain Aging: The Role of Healthy Lifestyle

Diabetes CarePublished Population-based cohort study

Authors' conclusion

Diabetes and even prediabetes are associated with accelerated brain aging, especially among men and people with poor cardiometabolic health. However, a healthy lifestyle may counteract this.

Study context

Population
Dementia-free adults aged 40–70 years from the UK Biobank
Participants
31,229 adults
Exposure
Prediabetes and diabetes vs normoglycemia
  • Prediabetesn = 13,518
  • Diabetesn = 1,149
Outcome
Brain age gap (BAG; brain age minus chronological age), brain age estimated by machine learning from 1,079 brain MRI phenotypes
Follow-up
Over 11 years
Methodological detailsUK Biobank, up to two brain MRI scans, machine learning brain age model
  • UK Biobank
  • Up to two brain MRI scans
  • Machine learning brain age model

Main finding

As reported in the abstract

BAG

β

0.22

95% CI 0.10–0.34

Prediabetes

β

2.01

95% CI 1.70–2.32

Diabetes

Observational data: associations, not effects.

Further findings

Outcomeβ (CI)
Change in BAG over timeDiabetes vs Normoglycemia · significant increase in BAG0.27 (0.01–0.53)

Brain age gap (BAG) by subgroup

(Pre)diabetes–higher BAG association more pronounced in men and in people with ≥2 cardiometabolic risk factors

Joint exposure with lifestyle

Healthy lifestyle (no smoking, no heavy drinking, high physical activity) significantly attenuated the diabetes-BAG association

Original publication

Diabetes, Prediabetes, and Brain Aging: The Role of Healthy Lifestyle. Diabetes Care. Published 28 August 2024. doi:10.2337/dc24-0860

Composed by AI from the published abstract and checked against it. How Briefs are made →

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