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Sex differences in body mass index and waist circumference trajectories and dementia risk: the HUNT4 70+ study

Zotcheva, Ekaterina; Strand, Bjørn Heine; Skirbekk, Vegard; Deckers, Kay; Krokstad, Steinar; Livingston, Gill; Singh-Manoux, Archana; (2025) Sex differences in body mass index and waist circumference trajectories and dementia risk: the HUNT4 70+ study. GeroScience 10.1007/s11357-025-01660-3. (In press). Green open access

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Abstract

We examined associations between body mass index (BMI), waist circumference (WC), and dementia risk, and differences in BMI and WC trajectories before dementia diagnosis. We included 9,739 participants (54% women) aged 70+ from the Trøndelag Health Study (HUNT4 70+). BMI was measured four times (1984–2019) and WC three times (1995–2019). Dementia diagnoses were clinically assessed at HUNT4 70+ . Women and men with dementia had higher midlife BMI and WC than those without dementia. These differences diminished closer to diagnosis, especially in women. Midlife obesity in both sexes and midlife overweight, high WC, and overweight/obesity with high WC in men were linked to higher dementia risk. Lower dementia risk was observed with late-life overweight for both sexes, late-life high WC in women, late-life overweight/obesity with normal WC in men or high WC in women. Adiposity measures and their changes influence dementia risk differently in women and men.

Type: Article
Title: Sex differences in body mass index and waist circumference trajectories and dementia risk: the HUNT4 70+ study
Location: Switzerland
Open access status: An open access version is available from UCL Discovery
DOI: 10.1007/s11357-025-01660-3
Publisher version: https://doi.org/10.1007/s11357-025-01660-3
Language: English
Additional information: This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
Keywords: Anthropometric measures; Cognitive impairment; Life-course perspective; Adiposity; Population-based study
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 > Division of Psychiatry
URI: https://discovery.ucl.ac.uk/id/eprint/10208113
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