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Patterns of Regional Cerebral Blood Flow as a Function of Obesity in Adults

85 点作者 InInteraction将近 5 年前

17 条评论

wrkronmiller将近 5 年前
Worth noting that the first author is CEO of this clinic [0]: <a href="https:&#x2F;&#x2F;www.amenclinics.com" rel="nofollow">https:&#x2F;&#x2F;www.amenclinics.com</a><p>&gt; At Amen Clinics, it all starts with you. We look at your biological, psychological, social and spiritual influences to get a complete picture of who you are as a person. With life coaching, nutritional guidance and personalized therapy, we provide the tools you need to feel confident, complete and hopeful for the future. We are dedicated to helping you find the answer to you.<p>0: <a href="https:&#x2F;&#x2F;www.j-alz.com&#x2F;manuscript-disclosures&#x2F;20-0655r2" rel="nofollow">https:&#x2F;&#x2F;www.j-alz.com&#x2F;manuscript-disclosures&#x2F;20-0655r2</a>
alextheparrot将近 5 年前
From reading the proof, it seems the authors are mainly focused on “linking” or showing correlation, not causation.<p>Part of me wonders about the directionality of causation here (If we assumed one existed). One could argue the hippocampus, which from my recollection is involved in inhibiting impulsive behavior, has a clear path to being a causative agent for obesity. Distinguishing between the two narratives of “Being overweight inhibits brain function” versus “Differences in part of brain controlling impulses leads to weight differences” is important to resolving it, as it is easier to imagine treatment regimens to combat weight more than brain blood flow.<p>It is also completely possible these two variables do not affect each other, but are correlated. That’s useful still, because it means we may be able to use body weight increases as an inferred marker for the brain changes.<p>It would be incredibly interesting if the story of Alzheimer’s transformed more into “Same factor may be causing both America’s obesity increases as well as Alzheimer’s cases”<p>Edit: Updated this a few times while reading the original paper
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sjmj3us将近 5 年前
I&#x27;m suspecious of this because the author is Dr Daniel Amen. Who makes a lot of money from brain scans that are considered suspect by many medical professionals. I would be inclined to withhold judgement until some more objective group corroborates this.
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gpm将近 5 年前
Worth noting that the vast majority of the participants in this study had existing mental disorders, 57% &quot;generalized anxiety&quot;, 51% ADHD, 17% Major Depression, 7.4% Bipolar Disorder, and so on.<p>The authors claim (but don&#x27;t show their work) that adjusting for these factors did not change the statistical significance of the relationship, but it does still mean this isn&#x27;t exactly a representative sample of the population.<p>Very interesting that underweight people generally have more blood flow than &quot;normal&quot; weight people, though if you dive into the supplementary data that doesn&#x27;t hold for every region of the brain studied (and the general trend seems to hold in all regions studied).
jeffreyrogers将近 5 年前
Presumably this has more to do with body composition&#x2F;diet than weight, right? I.e. a muscular person with a healthy diet and normal amount of body fat but with high BMI is not at higher risk. (I&#x27;m not debating the merits of using BMI, I realize it is a useful proxy).
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dade_将近 5 年前
8% difference from normal to obese seems expected, not alarming. I don’t see anything in the study that factors for exercise though it is the health advice provided in the article.<p>‘Regular exercise linked to higher blood flow in brain’ seems a more appropriate, not dramatized headline. Thank you Captain Obvious.
bryanrasmussen将近 5 年前
As Alzheimer&#x27;s and most other neural degenerative diseases progress body weight decreases rapidly.<p>I would also think, based on some people with eating disorders I&#x27;ve observed where the weight decreased, that a very low body weight also might have an alarming impact on brain function - not sure how surprising it would be and if really a cause and not a correlation. Probably just a correlation.
asutekku将近 5 年前
Clickbaity title aside (seriously, that’s the original press release title), pretty damning results. Basically a higher BMI means a higher probability to get an alzheimer’s disease.
waihtis将近 5 年前
Wonder if this applies the same for both ”muscular” and ”fat”?
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sparrish将近 5 年前
I have a hard time believing this study. Anecdotally - I have about 10 years experience in assisted living homes (read early stages for dementia and Alzheimer&#x27;s) and I can&#x27;t think of a single dementia resident that wasn&#x27;t thin as a rail. I also can&#x27;t recall a single overweight resident that had dementia. Grain of salt and all that.
exabrial将近 5 年前
&gt; FunctionHigher BMI is linked to decreased cerebral blood flow<p>Most people equate weight=high BMI, so the title is probably accurate for a casual audience but it&#x27;s important to note the study is actually looking at BMI.
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seibelj将近 5 年前
The media has almost entirely ignored how the majority of young people who died of Covid were obese. Two days ago the NYT finally acknowledged this as a risk factor despite it being obvious to anyone paying attention <a href="https:&#x2F;&#x2F;www.nytimes.com&#x2F;2020&#x2F;08&#x2F;14&#x2F;health&#x2F;covid-19-obesity.html" rel="nofollow">https:&#x2F;&#x2F;www.nytimes.com&#x2F;2020&#x2F;08&#x2F;14&#x2F;health&#x2F;covid-19-obesity.h...</a><p>Being fat is an enormous risk factor for dying of Covid, but instead of a giant “Get Out and Jog” campaign we are just supposed to hunker down inside and pray for a vaccine.<p>Being fat is a sign of generally poor health. It hurts your immune system. It reduces your quality of life. It has ripple effects to the rest of your body.<p>The fat positivity movement is one of the worst movements ever to exist. There is nothing positive about being fat. It is only negative.
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mrfusion将近 5 年前
It’s interesting that high blood pressure is linked to poor brain health outcomes (AFAIK).<p>Maybe high blood pressure is the body trying to compensate for reduced blood flow?
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fortran77将近 5 年前
There are many published, referenced papers on this:<p><a href="https:&#x2F;&#x2F;www.ncbi.nlm.nih.gov&#x2F;pmc&#x2F;articles&#x2F;PMC5651104&#x2F;" rel="nofollow">https:&#x2F;&#x2F;www.ncbi.nlm.nih.gov&#x2F;pmc&#x2F;articles&#x2F;PMC5651104&#x2F;</a><p><a href="https:&#x2F;&#x2F;www.ncbi.nlm.nih.gov&#x2F;pmc&#x2F;articles&#x2F;PMC4737453&#x2F;" rel="nofollow">https:&#x2F;&#x2F;www.ncbi.nlm.nih.gov&#x2F;pmc&#x2F;articles&#x2F;PMC4737453&#x2F;</a><p>etc.<p>However, this is a topic that we are not allowed to discuss here.
mrfusion将近 5 年前
I wish studies like these would look at apoe4 status.
ta17711771将近 5 年前
Oxygenation is important.
xwdv将近 5 年前
In layman&#x27;s terms, the fatter you get the dumber you get.<p>A layman would also look at a country like say, America, where obesity has been on the rise for decades, and the population seems to get increasingly uneducated and insular, and deduce this to be true.
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