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Glucometabolic Changes Are Associated with Structural Gray Matter Alterations in Prodromal Dementia
Journal article   Peer reviewed

Glucometabolic Changes Are Associated with Structural Gray Matter Alterations in Prodromal Dementia

Mélissa Gentreau, Christelle Reynes, Robert Sabatier, Jerome Maller, Chantal Meslin, Jeremy Deverdun, Emmanuelle Le Bars, Michel Raymond, Claire Berticat and Sylvaine Artero
Journal of Alzheimer's disease, Vol.89(4), pp.1293-1302
01/01/2022
DOI: 10.3233/JAD-220490
PMID: 36031896
url
https://hal.science/hal-03766366View
Open Access

Abstract

Background: Glucometabolic changes, such as high glycemic load (GL) diet and insulin resistance (IR), are potential risk factor of Alzheimer's disease (AD). Yet, the effect of these factors on brain alterations that contribute to AD pathology has not been clearly demonstrated.Objective: We aimed to assess the relationship of GL and IR with gray matter volumes involved in prodromal dementia.Methods: GL and Triglyceride-Glucose (TyG) index, an IR surrogate marker, were calculated in 497 participants who underwent magnetic resonance imaging (MRI). The gray matter volumes most related to prodromal dementia/mild cognitive impairment (diagnosed in 18/158 participants during the 7-year follow-up) were identified using a data-driven machine learning algorithm.Results: Higher GL diet was associated with reduced amygdala volume. The TyG index was negatively associated with the hippocampus, amygdala, and putamen volumes.Conclusion: These results suggest that GL and IR are associated with lower gray matter volumes in brain regions involved in AD pathology.
Endocrinology and metabolism Human health and pathology Life Sciences Neurons and Cognition

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