Cardiometabolic health across menopausal years is linked to white matter hyperintensities up to a decade later Article Swipe
Louise Schindler
,
Sivaniya Subramaniapillai
,
Ananthan Ambikairajah
,
Cláudia Barth
,
Arielle Crestol
,
Irene Voldsbekk
,
Dani Beck
,
Tiril P. Gurholt
,
Anya Topiwala
,
Sana Suri
,
Klaus P. Ebmeier
,
Ole A. Andreassen
,
Bogdan Draganski
,
Lars T. Westlye
,
Ann‐Marie G. de Lange
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.31219/osf.io/ksphx
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.31219/osf.io/ksphx
The menopause transition is associated with several cardiometabolic risk factors. Poor cardiometabolic health is further linked to microvascular brain lesions, which can be detected as white matter hyperintensities (WMHs) using T2-FLAIR magnetic resonance imaging (MRI) scans. Females show higher risk for WMHs post-menopause, but it remains unclear whether changes in cardiometabolic risk factors underlie menopause-related increase in brain pathology. In this study, we assessed whether cross-sectional measures of cardiometabolic health, including body mass index (BMI) and waist-to-hip ratio (WHR), blood lipids, blood pressure, and long-term blood glucose (HbA1c), as well as longitudinal changes in BMI and WHR, differed according to menopausal status at baseline in 9,882 UK Biobank females (age range 40-70 years, n premenopausal = 3,529, n postmenopausal = 6,353). Furthermore, we ex amined whether these cardiometabolic factors were associated with WMH outcomes at the follow-up assessment, on average 8.78 years after baseline. We found that postmenopausal fe males showed higher levels on baseline blood lipids and HbA1c compared to premenopausal women, beyond the effects of age. Over time, BMI increased more in the premenopausal compared to the postmenopausal group, while WHR increased to a similar extent in both groups. The change in WHR was however driven by increased waist circumference only in the premenopausal group. While the group level changes in BMI and WHR were in general small, these findings point to distinct anthropometric changes in pre- and postmenopausal females over time. Overall, poorer cardiometabolic health at baseline, as well as longitudi nal increases in BMI and WHR, were associated with larger WMH volumes measured up to a decade later. Our findings emphasise the importance of monitoring cardiometabolic risk factors, such as abdominal adiposity and hypertension, in females from midlife through the menopause transition and into the postmenopausal phase, to ensure improved cerebrovascular outcomes in later years.
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Metadata
- Type
- preprint
- Language
- en
- Landing Page
- https://doi.org/10.31219/osf.io/ksphx
- https://osf.io/ksphx/download
- OA Status
- gold
- Cited By
- 1
- References
- 138
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4387820406
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4387820406Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.31219/osf.io/ksphxDigital Object Identifier
- Title
-
Cardiometabolic health across menopausal years is linked to white matter hyperintensities up to a decade laterWork title
- Type
-
preprintOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2023Year of publication
- Publication date
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2023-10-19Full publication date if available
- Authors
-
Louise Schindler, Sivaniya Subramaniapillai, Ananthan Ambikairajah, Cláudia Barth, Arielle Crestol, Irene Voldsbekk, Dani Beck, Tiril P. Gurholt, Anya Topiwala, Sana Suri, Klaus P. Ebmeier, Ole A. Andreassen, Bogdan Draganski, Lars T. Westlye, Ann‐Marie G. de LangeList of authors in order
- Landing page
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https://doi.org/10.31219/osf.io/ksphxPublisher landing page
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https://osf.io/ksphx/downloadDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
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https://osf.io/ksphx/downloadDirect OA link when available
- Concepts
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Medicine, Body mass index, Menopause, Waist, Anthropometry, Hyperintensity, Internal medicine, Blood pressure, Cross-sectional study, Endocrinology, Magnetic resonance imaging, Pathology, RadiologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
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1Total citation count in OpenAlex
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2024: 1Per-year citation counts (last 5 years)
- References (count)
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138Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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