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Adiposity is inversely associated with hippocampal volume in African Americans and European Americans with diabetes.


ABSTRACT: To assess associations between body mass index (BMI), waist circumference (WC), and computed tomography-determined volumes of pericardial, visceral, and subcutaneous adipose tissue with magnetic resonance imaging-(MRI) based cerebral structure and cognitive performance in individuals with type 2 diabetes (T2D).This study was performed in 348 African Americans (AAs) and 256 European Americans (EAs) with T2D. Associations between adiposity measures with cerebral volumes of white matter (WMV), gray matter (GMV), white matter lesions, hippocampal GMV, and hippocampal WMV, cognitive performance and depression were examined using marginal models incorporating generalized estimating equations. All models were adjusted for age, sex, education, smoking, HbA1c, hypertension, statins, cardiovascular disease, MRI scanner (MRI outcomes only), and time between scans; some neuroimaging measures were additionally adjusted for intracranial volume.Participants were 59.9% female with mean (SD) age 57.7(9.3)years, diabetes duration 9.6(6.8)years, and HbA1c 7.8(1.9)%. In AAs, inverse associations were detected between hippocampal GMV and both BMI (? [95% CI]-0.18 [-0.30, -0.07], P=0.0018) and WC (-0.23 [-0.35, -0.12], P=0.0001). In the full bi-ethnic sample, inverse associations were detected between hippocampal WMV and WC (P?0.0001). Positive relationships were observed between BMI (P=0.0007) and WC (P<0.0001) with depression in EAs.In patients with T2D, adiposity is inversely associated with hippocampal gray and white matter volumes.

SUBMITTER: Hsu FC 

PROVIDER: S-EPMC5050135 | biostudies-literature | 2016 Nov - Dec

REPOSITORIES: biostudies-literature

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Adiposity is inversely associated with hippocampal volume in African Americans and European Americans with diabetes.

Hsu Fang-Chi FC   Yuan Mingxia M   Bowden Donald W DW   Xu Jianzhao J   Smith S Carrie SC   Wagenknecht Lynne E LE   Langefeld Carl D CD   Divers Jasmin J   Register Thomas C TC   Carr J Jeffrey JJ   Williamson Jeff D JD   Sink Kaycee M KM   Maldjian Joseph A JA   Freedman Barry I BI  

Journal of diabetes and its complications 20160819 8


<h4>Aims</h4>To assess associations between body mass index (BMI), waist circumference (WC), and computed tomography-determined volumes of pericardial, visceral, and subcutaneous adipose tissue with magnetic resonance imaging-(MRI) based cerebral structure and cognitive performance in individuals with type 2 diabetes (T2D).<h4>Methods</h4>This study was performed in 348 African Americans (AAs) and 256 European Americans (EAs) with T2D. Associations between adiposity measures with cerebral volume  ...[more]

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