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<p>Obesity is a risk factor for dementia, creating a chronic inflammatory state that results in white matter (WM) injury. Edge density imaging (EDI) is a novel technique that has demonstrated reliability in quantifying WM changes. Thirty obese and 20 non-obese cognitively normal adults underwent structural and diffusion-weighted magnetic resonance imaging. Visceral adipose tissue (VAT) and subcutaneous adipose tissue (SAT) were quantified via VOXel Analysis Suite by separating signal intensities of adipose and non-adipose tissue. Scans were processed by a pipeline (MaPPeRTrac) to generate EDI. Among obese participants, there was a negative association between the VAT/SAT ratio and EDI, which was not seen among non-obese participants. Additionally, males had decreased EDI compared to females. The results of this study suggest that obesity, through WM damage, may confer increased risk of dementia, with sex as a potential differential factor. EDI demonstrates promise in delineating the neuropathology of obesity and dementia.</p>

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Identifying obesity and dementia risk: body adiposity and neural connectivity in cognitively normal, mid-life adults

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年9月16日

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  • Won Jong Chwa,
  • Farzaneh Rahmani,
  • Mahsa Dolatshahi,
  • Paul K. Commean,
  • Sara H. Kassani,
  • Lanya T. Cai,
  • Pratik Mukherjee,
  • Cyrus A. Raji

摘要

Obesity is a risk factor for dementia, creating a chronic inflammatory state that results in white matter (WM) injury. Edge density imaging (EDI) is a novel technique that has demonstrated reliability in quantifying WM changes. Thirty obese and 20 non-obese cognitively normal adults underwent structural and diffusion-weighted magnetic resonance imaging. Visceral adipose tissue (VAT) and subcutaneous adipose tissue (SAT) were quantified via VOXel Analysis Suite by separating signal intensities of adipose and non-adipose tissue. Scans were processed by a pipeline (MaPPeRTrac) to generate EDI. Among obese participants, there was a negative association between the VAT/SAT ratio and EDI, which was not seen among non-obese participants. Additionally, males had decreased EDI compared to females. The results of this study suggest that obesity, through WM damage, may confer increased risk of dementia, with sex as a potential differential factor. EDI demonstrates promise in delineating the neuropathology of obesity and dementia.