Metabolic profile‐based subgroups can identify differences in brain volumes and brain iron deposition

Diabetes Obes MetabPublished Cross-sectional study

Authors' conclusion

Metabolic profiles were associated differentially with brain neuroimaging characteristics. Associations of BMR, BP and other individual biomarkers may provide insights into actionable mechanisms driving these brain associations.

Study context

Population
UK Biobank participants free from dementia and stroke
Participants
26,239 participants
Exposure
Metabolic subgroups vs healthy reference subgroup; 39 individual biomarkers
Outcome
Brain MRI measures: total brain volume, grey matter volume (GMV), white matter volume, hippocampal volume (HV), white matter hyperintensity (WMH) volume, caudate iron deposition
Methodological detailsUK Biobank, self-organizing map (artificial neural network) metabolic subgroups
  • UK Biobank
  • Self-organizing map (artificial neural network) metabolic subgroups

Main finding

As reported in the abstract

Brain MRI measures by metabolic subgroup
High TG and liver enzymes
βstandardized (grey matter volume (GMV)) −0.20 (95% CI −0.24 to −0.16)
High TG and liver enzymes
βstandardized (hippocampal volume (HV)) −0.09 (95% CI −0.13 to −0.04)
High TG and liver enzymes
βstandardized (white matter hyperintensity (WMH) volume) 0.22 (95% CI 0.18–0.26)
High TG and liver enzymes
βstandardized (caudate iron deposition) 0.30 (95% CI 0.25–0.34)

Observational data: associations, not effects.

Further findings

Individual biomarkers: basal metabolic rate (BMR), per 1 SD increase

BMR and caudate iron deposition, βstandardized (95% CI) per 1 SD increase
0.23 (0.22 to 0.24)
BMR and GMV, βstandardized
−0.15 (−0.16 to −0.14) (95% CI)
BMR and HV, βstandardized
−0.11 (−0.12 to −0.10) (95% CI)

Individual biomarkers: diastolic blood pressure (BP) and WMH volume

Diastolic BP and WMH volume, βstandardized
0.13 (0.12 to 0.14) (95% CI)

Original publication

Metabolic profile‐based subgroups can identify differences in brain volumes and brain iron deposition. Diabetes Obes Metab. Published 21 September 2022. doi:10.1111/dom.14853

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