| Title: | Adherence to a healthy lifestyle and brain structural imaging markers |
| Journal: | European Journal of Epidemiology |
| Published: | 15 Apr 2023 |
| Pubmed: | https://pubmed.ncbi.nlm.nih.gov/37060500/ |
| DOI: | https://doi.org/10.1007/s10654-023-00992-8 |
| URL: | https://doi.org/10.1101/2022.08.12.22278716 |
Publication 11347
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Abstract
Previous research has linked specific modifiable lifestyle factors to age-related cognitive decline in adults. Little is known about the potential role of an overall healthy lifestyle in brain structure. We examined the association of adherence to a healthy lifestyle with a panel of brain structural markers among 2,413 participants in PolyvasculaR Evaluation for Cognitive Impairment and vaScular Events (PRECISE) study in China and 19,822 participants in UK Biobank (UKB). A healthy lifestyle score (0-5) was constructed based on five modifiable lifestyle factors: diet, physical activity, smoking, alcohol consumption, and body mass index. Validated multimodal neuroimaging markers were derived from brain magnetic resonance imaging. In the cross-sectional analysis of PRECISE, participants who adopted four or five low-risk lifestyle factors had larger total brain volume (TBV; β = 0.12, 95% CI: − 0.02, 0.26; p-trend = 0.05) and gray matter volume (GMV; β = 0.16, 95% CI: 0.01, 0.30; p-trend = 0.05), smaller white matter hyperintensity volume (WMHV; β = − 0.35, 95% CI: − 0.50, − 0.20; p-trend < 0.001) and lower odds of lacune (Odds Ratio [OR] = 0.48, 95% CI: 0.22, 1.08; p-trend = 0.03), compared to those with zero or one low-risk factors. Meanwhile, in the prospective analysis in UKB (with a median of 7.7 years' follow-up), similar associations were observed between the number of low-risk lifestyle factors (4-5 vs. 0-1) and TBV (β = 0.22, 95% CI: 0.16, 0.28; p-trend < 0.001), GMV (β = 0.26, 95% CI: 0.21, 0.32; p-trend < 0.001), white matter volume (WMV; β = 0.08, 95% CI: 0.01, 0.15; p-trend = 0.001), hippocampus volume (β = 0.15, 95% CI: 0.08, 0.22; p-trend < 0.001), and WMHV burden (β = − 0.23, 95% CI: − 0.29, − 0.17; p-trend < 0.001). Those with four or five low-risk lifestyle factors showed approximately 2.0-5.8 years of delay in aging of brain structure. Adherence to a healthier lifestyle was associated with a lower degree of neurodegeneration-related brain structural markers in middle-aged and older adults.</p>
13 Authors
- Yuesong Pan
- Jie Shen
- Xueli Cai
- Hui Chen
- Geng Zong
- Wanlin Zhu
- Jing Jing
- Tao Liu
- Aoming Jin
- Yilong Wang
- Xia Meng
- Changzheng Yuan
- Yongjun Wang
Enabling scientific discoveries that improve human health