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Metabolic Health & Brain Vitality: Why Your BMI Matters

New research highlights the profound link between long-term metabolic health and brain vitality, revealing how a high BMI can significantly impact brain structure and function. Over a 16-year study, researchers found that consistently high BMI is associated with:


  • Brain Volume Reduction: Those with a cumulative BMI over 26.2 exhibited smaller brain volumes, especially in regions critical for memory, emotions, and decision-making, like the frontal and temporal lobes. This reduction equates to around 12 years of brain aging in younger adults.

  • White Matter Lesions (WMH): Higher BMI was linked to increased white matter lesions, particularly in individuals over 60. These lesions indicate potential brain connectivity damage, heightening the risk of cognitive decline.

  • Mechanisms at Work:

    • Insulin Resistance & Reduced Circulating Energy: High BMI is often associated with insulin resistance, which reduces circulating energy levels and impacts critical brain functions, as the brain is highly energy dependent.

    • Gray Matter Atrophy: Neuroimaging revealed atrophy in gray matter—especially in cognitive regions. Chronic inflammation, reduced blood flow, and insulin resistance likely accelerate this decline.

    • White Matter Integrity Loss: Diffusion imaging showed microstructural changes in white matter, which supports information flow in the brain. This damage could be tied to oxidative stress, insulin resistance, and vascular issues from prolonged metabolic imbalance.

 

Maintaining a healthy BMI can help preserve brain function. Prioritize balanced nutrition, regular physical activity, and metabolic health to support cognitive longevity and resilience


Lv H, Zeng N, Li M, et al. Association between Body Mass Index and Brain Health in Adults: A 16-Year Population-Based Cohort and Mendelian Randomization Study. Health Data Science. 2024;4:0087. doi:doi:10.34133/hds.0087

 




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