Obesity

Dynapenic abdominal obesity is associated with long-term cognitive trajectories and mild cognitive impairment

Int J Obes (Lond)Published Prospective cohort study

Authors' conclusion

D/AO is associated with long-term lower cognition and MCI in middle-aged and older patients, making it a potentially valuable tool for early intervention in dementia prevention.

Study context

Population
Individuals aged 45 years and over, China Health and Retirement Longitudinal Study (CHARLS, 2015–2020)
Participants
6,698 individuals
Exposure
D/AO, D/NAO and ND/AO vs ND/NAO
Outcome
Cognitive function trajectories (lower, moderate, higher cognition) and occurrence of mild cognitive impairment (MCI)
Follow-up
6 years
Methodological detailslongitudinal, group-based trajectory modeling, logistic regression
  • Longitudinal
  • Group-based trajectory modeling
  • Logistic regression

Main finding

As reported in the abstract

Lower cognition trajectory
Each group vs ND/NAOOdds ratio (95% CI)
D/NAO
1.51(1.01–2.27)
D/AO
1.90(1.19–3.04)

Observational data: associations, not effects.

Further findings

OutcomeOR (95% CI)
Change from healthy to MCID/NAOvs ND/NAO1.52 (1.06–2.19)
Change from healthy to MCID/AOvs ND/NAO1.61 (1.07–2.42)

Original publication

Dynapenic abdominal obesity is associated with long-term cognitive trajectories and mild cognitive impairment. Int J Obes (Lond). Published 1 November 2025. doi:10.1038/s41366-025-01938-8

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