Microstructural abnormalities in white and gray matter in obese adolescents with and without type 2 diabetes

Aims/hypotheses. In adults, type 2 diabetes and obesity have been associated with structural brain changes, even in the absence of dementia. Some evidence suggested similar changes in adolescents with type 2 diabetes but comparisons with a non-obese control group have been lacking. The aim of the c...

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Main Authors: Nouwen, Arie, Chambers, Alison L., Chechlacz, Magdalena, Higgs, Suzanne, Blissett, Jacqueline, Barrett, Timothy, Allen, Harriet A.
Format: Article
Published: Elsevier 2017
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Online Access:https://eprints.nottingham.ac.uk/44012/
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author Nouwen, Arie
Chambers, Alison L.
Chechlacz, Magdalena
Higgs, Suzanne
Blissett, Jacqueline
Barrett, Timothy
Allen, Harriet A.
author_facet Nouwen, Arie
Chambers, Alison L.
Chechlacz, Magdalena
Higgs, Suzanne
Blissett, Jacqueline
Barrett, Timothy
Allen, Harriet A.
author_sort Nouwen, Arie
building Nottingham Research Data Repository
collection Online Access
description Aims/hypotheses. In adults, type 2 diabetes and obesity have been associated with structural brain changes, even in the absence of dementia. Some evidence suggested similar changes in adolescents with type 2 diabetes but comparisons with a non-obese control group have been lacking. The aim of the current study was to examine differences in microstructure of gray and white matter between adolescents with type 2 diabetes, obese adolescents and healthy weight adolescents. Methods. Magnetic resonance imaging data were collected from 15 adolescents with type 2 diabetes, 21 obese adolescents and 22 healthy weight controls. Volumetric differences in the gray matter between the three groups were examined using voxel based morphology, while tract based spatial statistics was used to examine differences in the microstructure of the white matter. Results. Adolescents with type 2 diabetes and obese adolescents had reduced gray matter volume in the right hippocampus, left putamen and caudate, bilateral amygdala and left thalamus compared to healthy weight controls. Type 2 diabetes was also associated with significant regional changes in fractional anisotropy within the corpus callosum, fornix, left inferior fronto-occipital fasciculus, left uncinate, left internal and external capsule. Fractional anisotropy reductions within these tracts were explained by increased radial diffusivity, which may suggest demyelination of white matter tracts. Mean diffusivity and axial diffusivity did not differ between the groups.
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spelling nottingham-440122020-05-04T18:54:04Z https://eprints.nottingham.ac.uk/44012/ Microstructural abnormalities in white and gray matter in obese adolescents with and without type 2 diabetes Nouwen, Arie Chambers, Alison L. Chechlacz, Magdalena Higgs, Suzanne Blissett, Jacqueline Barrett, Timothy Allen, Harriet A. Aims/hypotheses. In adults, type 2 diabetes and obesity have been associated with structural brain changes, even in the absence of dementia. Some evidence suggested similar changes in adolescents with type 2 diabetes but comparisons with a non-obese control group have been lacking. The aim of the current study was to examine differences in microstructure of gray and white matter between adolescents with type 2 diabetes, obese adolescents and healthy weight adolescents. Methods. Magnetic resonance imaging data were collected from 15 adolescents with type 2 diabetes, 21 obese adolescents and 22 healthy weight controls. Volumetric differences in the gray matter between the three groups were examined using voxel based morphology, while tract based spatial statistics was used to examine differences in the microstructure of the white matter. Results. Adolescents with type 2 diabetes and obese adolescents had reduced gray matter volume in the right hippocampus, left putamen and caudate, bilateral amygdala and left thalamus compared to healthy weight controls. Type 2 diabetes was also associated with significant regional changes in fractional anisotropy within the corpus callosum, fornix, left inferior fronto-occipital fasciculus, left uncinate, left internal and external capsule. Fractional anisotropy reductions within these tracts were explained by increased radial diffusivity, which may suggest demyelination of white matter tracts. Mean diffusivity and axial diffusivity did not differ between the groups. Elsevier 2017-07-05 Article PeerReviewed Nouwen, Arie, Chambers, Alison L., Chechlacz, Magdalena, Higgs, Suzanne, Blissett, Jacqueline, Barrett, Timothy and Allen, Harriet A. (2017) Microstructural abnormalities in white and gray matter in obese adolescents with and without type 2 diabetes. NeuroImage: Clinical, 16 . pp. 43-51. ISSN 2213-1582 Type 2 diabetes Obesity White matter Gray matter Demyelination http://www.sciencedirect.com/science/article/pii/S2213158217301687 doi:10.1016/j.nicl.2017.07.004 doi:10.1016/j.nicl.2017.07.004
spellingShingle Type 2 diabetes
Obesity
White matter
Gray matter
Demyelination
Nouwen, Arie
Chambers, Alison L.
Chechlacz, Magdalena
Higgs, Suzanne
Blissett, Jacqueline
Barrett, Timothy
Allen, Harriet A.
Microstructural abnormalities in white and gray matter in obese adolescents with and without type 2 diabetes
title Microstructural abnormalities in white and gray matter in obese adolescents with and without type 2 diabetes
title_full Microstructural abnormalities in white and gray matter in obese adolescents with and without type 2 diabetes
title_fullStr Microstructural abnormalities in white and gray matter in obese adolescents with and without type 2 diabetes
title_full_unstemmed Microstructural abnormalities in white and gray matter in obese adolescents with and without type 2 diabetes
title_short Microstructural abnormalities in white and gray matter in obese adolescents with and without type 2 diabetes
title_sort microstructural abnormalities in white and gray matter in obese adolescents with and without type 2 diabetes
topic Type 2 diabetes
Obesity
White matter
Gray matter
Demyelination
url https://eprints.nottingham.ac.uk/44012/
https://eprints.nottingham.ac.uk/44012/
https://eprints.nottingham.ac.uk/44012/