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Sex differences in brain atrophy in dementia with Lewy bodies

Oltra, Javier; Habich, Annegret; Schwarz, Christopher G; Nedelska, Zuzana; Przybelski, Scott A; Inguanzo, Anna; Diaz-Galvan, Patricia; ... Ferreira, Daniel; + view all (2023) Sex differences in brain atrophy in dementia with Lewy bodies. Alzheimer's & Dementia 10.1002/alz.13571. (In press). Green open access

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Abstract

INTRODUCTION: Sex influences neurodegeneration, but it has been poorly investigated in dementia with Lewy bodies (DLB). We investigated sex differences in brain atrophy in DLB using magnetic resonance imaging (MRI). // METHODS: We included 436 patients from the European-DLB consortium and the Mayo Clinic. Sex differences and sex-by-age interactions were assessed through visual atrophy rating scales (n = 327; 73 ± 8 years, 62% males) and automated estimations of regional gray matter volume and cortical thickness (n = 165; 69 ± 9 years, 72% males). // RESULTS: We found a higher likelihood of frontal atrophy and smaller volumes in six cortical regions in males and thinner olfactory cortices in females. There were significant sex-by-age interactions in volume (six regions) and cortical thickness (seven regions) across the entire cortex. // DISCUSSION: We demonstrate that males have more widespread cortical atrophy at younger ages, but differences tend to disappear with increasing age, with males and females converging around the age of 75.

Type: Article
Title: Sex differences in brain atrophy in dementia with Lewy bodies
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1002/alz.13571
Publisher version: http://dx.doi.org/10.1002/alz.13571
Language: English
Additional information: Copyright © 2023 The Authors. Alzheimer's & Dementia published by Wiley Periodicals LLC on behalf of Alzheimer's Association. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, https://creativecommons.org/licenses/by-nc/4.0/, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
Keywords: Atrophy; dementia with Lewy bodies; magnetic resonance imaging; sex differences
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology > Brain Repair and Rehabilitation
URI: https://discovery.ucl.ac.uk/id/eprint/10184529
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