Increased body mass index (BMI) has been linked to various detrimental health outcomes, including cognitive dysfunction. Recent work investigating associations between obesity and the brain has revealed decreased white matter microstructural integrity in individuals with elevated BMI, independent of age or comorbid health conditions. However, the relationship between high BMI and white matter fiber bundle length (FBL), which represents a novel metric of microstructural brain integrity, remains unknown. The present study utilized quantitative tractography based on diffusion tensor imaging (DTI) to investigate the relationship between BMI and FBL in 72 otherwise healthy older adults (24 males, 48 females). All participants were between 51 and 85 years of age (M = 63.26, SD = 8.76). Results revealed that elevated BMI was associated with shorter FBL in the temporal lobe, independent of age (p < .01). In addition, increased age was associated with shorter frontal, temporal, and whole brain FBL (all p values < .01). These findings indicate that, while increased age is an important factor associated with reduced FBL, high BMI is uniquely associated with reduced FBL in the temporal lobe. These data offer evidence for additive adverse effects of high BMI on the brain, especially in areas already vulnerable to aging processes and age-related neurodegenerative diseases. Further research is necessary to determine the physiological mechanisms associated with the shortening of FBL in individuals with high BMI.
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Study Funding: Supported by NIH/NINDS grant number R01 NS052470 and R01 NS039538, and NIH/NIMH grant R21 MH090494. Recruitment database searches were supported in part by NIH/NCRR grant UL1 TR000448.
There are no actual or potential conflicts of interest for any of the authors on this manuscript.
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Bolzenius, J.D., Laidlaw, D.H., Cabeen, R.P. et al. Impact of body mass index on neuronal fiber bundle lengths among healthy older adults. Brain Imaging and Behavior 7, 300–306 (2013). https://doi.org/10.1007/s11682-013-9230-7
- White matter
- Fiber bundle length