Health
‘Hidden’ fat could predict Alzheimer’s disease up to 20 years before symptoms, research finds
Excess fat has been linked to many health conditions, even some that impact the brain.
In the latest Alzheimer’s research, hidden fat in certain parts of the body was shown to be an early warning sign of the most common dementia — as much as 20 years prior to symptoms emerging.
The study findings were presented this week at the annual Radiological Society of North America (RSNA) meeting in Chicago.
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“Among different body compartments, higher visceral or hidden belly fat is the most important predictor of whole-brain amyloid and early tau protein accumulation,” lead study author Mahsa Dolatshahi, M.D., post-doctoral research associate at Mallinckrodt Institute of Radiology (MIR) at the Washington University School of Medicine, told Fox News Digital.
The researchers studied different kinds of body tissues — including subcutaneous fat, liver fat and thigh fat — but visceral fat was the “most powerful predictor of the obesity-related Alzheimer’s disease (AD) pathologies,” Dolatshahi noted.
In the latest Alzheimer’s research, hidden fat in various parts of the body was shown to be an early warning sign of the most common dementia — as long as 20 years prior to symptoms emerging. (iStock)
“The other types of fat did not show any associations with AD pathologies.”
In the study, researchers assessed 80 middle-aged adults (averaging 49 years old) who did not have any cognitive impairment, according to a press release.
“Visceral fat was the most powerful predictor of obesity-related Alzheimer’s pathologies.”
Just over half of the people were categorized as obese.
The average body mass index (BMI) was 32.31, with anything over 30 falling into the obesity category.
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The researchers assessed the potential connection between signs of Alzheimer’s disease and controllable lifestyle factors, including obesity, metabolic health and BMI.
Tests included brain scans, body MRIs, cholesterol panels, and measurements of blood glucose and insulin levels.
Insulin resistance and lower HDL cholesterol were associated with high amyloid in the brain, which is a hallmark of Alzheimer’s. (iStock)
Beyond just measuring BMI, the study used MRI technology to look closer at body fat and better determine its relationship to Alzheimer’s, the release noted.
“We investigated the association of BMI, visceral fat, subcutaneous fat, liver fat fraction, thigh fat and muscle, as well as insulin resistance and HDL (good cholesterol), with amyloid and tau deposition in Alzheimer’s disease,” said Dolatshahi.
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An additional finding was that higher insulin resistance and lower HDL were associated with high amyloid in the brain, which is a hallmark of Alzheimer’s.
“A key implication of our work is that managing Alzheimer’s risk in obesity will need to involve targeting the related metabolic and lipid issues that often arise with higher body fat,” said senior study author Cyrus A. Raji, M.D., Ph.D., associate professor of radiology at MIR, in the release.
Beyond just measuring BMI, the study used MRI technology to look closer at body fat and better determine its relationship to Alzheimer’s. (iStock)
In a separate study that is also being presented this week, the same research team investigated how obesity and belly fat can impair blood flow to the brain.
Three out of four Americans are overweight or obese, the researchers noted.
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Meanwhile, approximately 6.9 million Americans, aged 65 and older, have been diagnosed with Alzheimer’s disease, a number that has been predicted to reach 13 million by 2050.
“The good news is these risk factors can be lowered with a healthy lifestyle and routine exercise.”
Dr. Earnest Lee Murray, a board-certified neurologist at Jackson-Madison County General Hospital in Jackson, Tennessee, was not involved in the study but commented on the results.
“We have known for some time the dangers of visceral fat on various organs of the body, likely from its facilitation of inflammatory changes — and it’s no different in the brain,” he told Fox News Digital.
What stuck out most to Murray was how early in life the changes are noted in the brain.
“The good news is these risk factors can be lowered with a healthy lifestyle and routine exercise,” he said.
The popularity of GLP-1 medications for diabetes and obesity “will most certainly be studied” in this context as well, Murray added.
Making healthy lifestyle changes can help reduce the risk of developing Alzheimer’s later in life, experts say. (iStock)
“This study also shows the importance of physicians and insurance companies focusing on prevention and the long-term benefits of modifying risk factors at an early age, as opposed to waiting for patients to develop symptoms.”
The study did have some limitations, the researchers acknowledged.
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“One is the cross-sectional design of the study, which does not allow us to understand whether the individuals with excess visceral fat and amyloid and tau pathologies will develop cognitive impairment and symptomatic AD,” Dolatshahi told Fox News Digital.
“Also, the sample size for this study is limited to 80 individuals, and we need more studies to understand the role of different kinds of body adiposity in Alzheimer’s disease using PET scans.”
Health
Goodbye, Late-Night Cravings! How To Curb Hunger and Make Weight Loss Easier
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Health
Lurking dementia risk exposed by breakthrough test 25 years before symptoms
Study finds link between obesity and vascular dementia
Fox News senior medical analyst Dr. Marc Siegel joins ‘America’s Newsroom’ to discuss an increase in colon cancer in people under 50 despite an overall lowering cancer deaths and a new study linking obesity to vascular dementia.
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A new blood test could determine a woman’s dementia risk as early as 25 years before symptoms emerge.
That’s according to new research from the University of California San Diego, which found that a specific biomarker protein associated with early pathological processes of Alzheimer’s disease was “strongly linked” to future dementia risk.
The researchers analyzed blood samples from 2,766 participants in the Women’s Health Initiative Memory Study in the late 1990s, according to the study’s press release.
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The women ranged from 65 to 79 years of age and showed no signs of cognitive decline at the start of the study.
After tracking the participants for up to 25 years, the researchers concluded that the biomarker phosphorylated tau 217 (p-tau217) was “strongly associated” with future mild cognitive impairment and dementia.
A new blood test could determine a woman’s dementia risk as early as 25 years before symptoms emerge. (iStock)
Women who had higher levels of p-tau217 at the beginning of the study were “much more likely” to develop the disease. The findings were published today in JAMA Network Open.
“The key takeaway is that our study suggests it may be possible to detect risk of dementia two decades in advance using a simple blood test in older women,” first author Aladdin H. Shadyab, a UC San Diego associate professor of public health and medicine, told Fox News Digital.
“These biomarkers may help us identify who is at greatest risk and develop strategies to delay or prevent dementia.”
“Our findings show that the blood biomarker p-tau217 could help identify individuals at higher risk for dementia long before symptoms begin,” he added.
This long lead time could open the door to earlier prevention strategies and more targeted monitoring, rather than waiting until memory problems are already affecting daily life, according to Shadyab.
A specific biomarker protein associated with early pathological processes of Alzheimer’s disease was “strongly linked” to future dementia risk. (iStock)
“As the research advances, these biomarkers may help us identify who is at greatest risk and develop strategies to delay or prevent dementia,” he said.
This risk relationship wasn’t the same across the board, however. Women over 70 with higher p-tau217 levels had “poorer cognitive outcomes” compared to those under 70, as did those with the APOE ε4 gene, which is a known risk factor for Alzheimer’s disease.
The study also found that p-tau217 was a stronger predictor of dementia in women who were randomly assigned to receive estrogen and progestin hormone therapy compared to those who received a placebo.
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“Blood-based biomarkers like p-tau217 are especially promising because they are far less invasive and potentially more accessible than brain imaging or spinal fluid tests,” said senior author Linda K. McEvoy, senior investigator at Kaiser Permanente Washington Health Research Institute and professor emeritus at the Herbert Wertheim School of Public Health, in the release.
“Blood-based biomarkers like p-tau217 are especially promising because they are far less invasive and potentially more accessible than brain imaging or spinal fluid tests,” a researcher said. (iStock)
“This is important for accelerating research into the factors that affect the risk of dementia and for evaluating strategies that may reduce risk.”
Blood tests for Alzheimer’s disease are still being studied and are not recommended for routine screening in people without symptoms, Shadyab noted.
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More research is needed before this approach can be considered for clinical use prior to cognitive symptoms.
Future studies should investigate how other factors — like genetics, hormone therapy and age-related medical conditions — might interact with plasma p-tau217, the researchers added.
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“The study examined only older women, so the findings may not necessarily apply to men or younger populations,” Shadyab noted. “We also examined overall dementia outcomes rather than specific subtypes such as Alzheimer’s disease.”
Health
Key fitness measure is strong predictor of longevity after certain age, study finds
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For women over 60, muscle strength plays a critical role in longevity, a new study confirms.
Researchers at the University at Buffalo, New York, followed more than 5,000 women between the ages of 63 and 99, finding that those with greater muscle strength had a significantly lower risk of death over an eight-year period.
The findings were published in JAMA Network Open.
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Muscle function was measured using grip strength and how quickly participants could complete five unassisted sit-to-stand chair raises.
These are two tests commonly used in clinical settings to evaluate muscle function in older adults, the researchers noted.
A recent study shows that stronger muscle strength in women over 60 is linked to a lower risk of death over eight years. (iStock)
“In a community cohort of ambulatory older women, muscular strength was associated with significantly lower mortality rates, even when we accounted for usual physical activity and sedentary time measured using a wearable monitor, gait speed and blood C-reactive protein levels,” study lead author Michael LaMonte, research professor of epidemiology and environmental health at the University at Buffalo, told Fox News Digital.
“Movement is the key — just move more and sit less.”
Many earlier studies did not include those objective measurements, making it difficult to determine whether muscle strength itself was linked to longevity, according to LaMonte. “Our study was able to better isolate the association between strength and death in later life,” he added.
Even for women who don’t get the recommended amount of aerobic physical activity, which is at least 150 minutes per week, muscle strength remained important for longevity, the researchers found.
Women with greater muscle strength were more likely to live longer, even if they did not meet the recommended amount of aerobic exercise. (iStock)
“The findings of lower mortality in those who had higher strength but were not meeting current national guidelines on aerobic activity were somewhat intriguing,” LaMonte said.
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Federal guidelines recommend strengthening activities one to two days per week, targeting major muscle groups.
Resistance training does not have to require a gym membership, LaMonte noted. These exercises can be performed using free weights, resistance bands, bodyweight movements or even household items, such as soup cans.
Experts recommend working major muscle groups one or two days a week using weights, bands or bodyweight exercises. (iStock)
“Movement is the key — just move more and sit less,” he said. “When we can no longer get out of the chair and move around, we are in trouble.”
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LaMonte acknowledged several limitations of the study. The researchers assessed muscle strength in older age but did not explore how earlier levels in adulthood might influence long-term health outcomes.
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“We were not able to understand how strength and mortality relate in younger ages,” he said, noting that future research should explore whether building strength earlier could have an even greater impact on longevity.
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