Regular physical activity moderates the adverse impact of type 2 diabetes on brain atrophy independently from HbA1c.


Journal

Frontiers in endocrinology
ISSN: 1664-2392
Titre abrégé: Front Endocrinol (Lausanne)
Pays: Switzerland
ID NLM: 101555782

Informations de publication

Date de publication:
2023
Historique:
received: 31 12 2022
accepted: 07 02 2023
entrez: 6 3 2023
pubmed: 7 3 2023
medline: 8 3 2023
Statut: epublish

Résumé

Brain atrophy has been consistently associated with type 2 diabetes, beginning in early stages of dysglycemia, independently from micro and macrovascular complications. On the contrary, physical activity relates with larger brain volumes. Our aim is to assess the influence of regular physical activity on brain volumes in people with type 2 diabetes. A cross-sectional multimodal evaluation with 3T MRI was performed on 170 individuals: 85 individuals with type 2 diabetes and 85 controls. They underwent clinical examination, blood sampling and 3T MRI. Brain volumes (mm People with type 2 diabetes had significantly lower cortical and subcortical volumes, adjusted for age and individual intracranial volume, comparing to controls. Regression analysis showed that within type 2 diabetes group, lower gray matter volumes were associated with lesser physical activity duration (hours/week), independently from HbA1c. Moreover, there were significant moderate positive correlations between regular physical activity duration and gray matter volumes of cortical and subcortical subregions, specifically in the diabetes group. This study reveals a putative beneficial effect of regular physical activity independently of glycemic control, as assessed by HbA1c, which might contribute to reduce the negative impact of type 2 diabetes in the brain.

Identifiants

pubmed: 36875490
doi: 10.3389/fendo.2023.1135358
pmc: PMC9982013
doi:

Substances chimiques

Glycated Hemoglobin 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1135358

Informations de copyright

Copyright © 2023 Moreno, d’Almeida, Gomes, Paiva and Castelo-Branco.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Auteurs

Carolina Moreno (C)

Faculty of Medicine, University of Coimbra, Coimbra, Portugal.
Department of Endocrinology, Coimbra University and Hospital Centre (CHUC), Coimbra, Portugal.
Coimbra Institute for Biomedical Imaging and Translational Research (CIBIT), Institute of Nuclear Sciences Applied to Health (ICNAS), University of Coimbra, Coimbra, Portugal.

Otília C d'Almeida (OC)

Faculty of Medicine, University of Coimbra, Coimbra, Portugal.
Coimbra Institute for Biomedical Imaging and Translational Research (CIBIT), Institute of Nuclear Sciences Applied to Health (ICNAS), University of Coimbra, Coimbra, Portugal.

Leonor Gomes (L)

Faculty of Medicine, University of Coimbra, Coimbra, Portugal.
Department of Endocrinology, Coimbra University and Hospital Centre (CHUC), Coimbra, Portugal.
Coimbra Institute for Biomedical Imaging and Translational Research (CIBIT), Institute of Nuclear Sciences Applied to Health (ICNAS), University of Coimbra, Coimbra, Portugal.

Isabel Paiva (I)

Department of Endocrinology, Coimbra University and Hospital Centre (CHUC), Coimbra, Portugal.

Miguel Castelo-Branco (M)

Faculty of Medicine, University of Coimbra, Coimbra, Portugal.
Coimbra Institute for Biomedical Imaging and Translational Research (CIBIT), Institute of Nuclear Sciences Applied to Health (ICNAS), University of Coimbra, Coimbra, Portugal.

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