Ontology highlight
ABSTRACT: Aims
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).Methods
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.Results
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 (β [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.Conclusions
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
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]