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AHA): 12CRP11900031. The content of this manuscript is solely the responsibility of the authors and does not necessarily represent the official views of the AHA
A. Karlamangla, M. Lachman, Weijuan Han, Mei-hua Huang, G. Greendale (2017)
Evidence for Cognitive Aging in Midlife Women: Study of Women’s Health Across the NationPLoS ONE, 12
BACKGROUNDWomen account for about two thirds of Alzheimer's disease (AD) cases among individuals > 65 years old in the United States.1 The deposition of brain amyloid beta (Aβ) can be tracked back to mid‐life,2 which overlaps with the menopause transition. As women traverse menopause, they experience an acceleration of cardiovascular disease (CVD) risk3 including a gain in fat mass,4 particularly abdominal visceral fat.5 Mid‐life cardiovascular risk has been linked to a faster cognitive decline6 and a higher risk of dementia in later life.7 In addition, abdominal visceral fat has been associated with poor cognitive performance.8 Thus, the menopause transition may be a stage of vulnerability for subsequent cognitive impairment and dementia. Characterizing risk factors that deteriorate across the menopause transition may aid in early prevention of dementia, a disease with a natural history of pathological changes spanning decades starting in mid‐life.9Cardiovascular fat is a novel CVD risk factor10–15 that was found to be higher after than before menopause.16 Cardiovascular fat consists of epicardial adipose tissue (EAT; located within the pericardial sac), paracardial adipose tissue (PAT; outside the pericardial sac), and thoracic perivascular adipose tissue (PVAT; surrounding the descending thoracic aorta). Human EAT and PAT morphologically resemble white and beige
Alzheimer s & Dementia – Wiley
Published: Sep 1, 2023
Keywords: epicardial adipose tissue; episodic memory; mediastinal fat; menopause; paracardial adipose tissue; processing speed; thoracic perivascular adipose tissue; working memory
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