Interactions between age, sex and visceral adipose tissue on brain ageing

Diabetes Obes MetabPublished Cross-sectional study

Authors' conclusion

VAT volume is associated with poorer brain health in midlife and this relationship is greatest in men and those at younger ages.

Study context

Population
People at midlife in the UK Biobank with abdominal and brain MRI; mean age 63 years (SD 12), 53% femalecomplete data
Participants
17,377 people
Exposure
Association of visceral adipose tissue (VAT) volume with brain structural measures
Outcome
Associations of VAT volume with TBV, GMV, white matter volume, WMHV and THV
Methodological detailspopulation-based cohort, UK Biobank, abdominal and brain MRI, regression modelling
  • Population-based cohort
  • UK Biobank
  • Abdominal and brain MRI
  • Regression modelling

Main finding

As reported in the abstract

Associations of VAT with brain volumes
Greater VAT associated with lower total brain volume (TBV), grey matter volume (GMV) and total hippocampal volume (THV)
P < .001

Observational data: associations, not effects.

Further findings

OutcomeMenWomen
Interaction between VAT and sex on TBV
β−2.89−1.32
Interaction between VAT and sex on TBV — Interaction VAT × sex on TBV; negative association greater in men than in women, similar findings for GMV
P < .001

Interaction between VAT and age (but not sex) on white matter hyperintensity volume (WMHV)

Interaction VAT × age on WMHV
P < 0.001

Adjustment for other cardiometabolic factors or physical activity

Little change to the models

Original publication

Interactions between age, sex and visceral adipose tissue on brain ageing. Diabetes Obes Metab. Published 20 June 2024. doi:10.1111/dom.15727

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