Reduced Lean Mass in Early Alzheimer Disease and Its Association With Brain Atrophy

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Issue Date
2010-04Author
Burns, Jeffrey M.
Johnson, David K.
Watts, Amber
Swerdlow, Russell Howard
Brooks, William M.
Publisher
American Medical Association
Type
Article
Article Version
Scholarly/refereed, publisher version
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Objective: To examine body composition in individuals with early AD and without dementia and its relation to cognition and brain volume.Design: Cross-sectional case-control study. Participants: Individuals without dementia (Clinical Dementia Rating, 0; n=70) and with early-stage AD (Clinical Dementia Rating, 0.5 or 1; n=70) in the Alzheimer and Memory Program at the University of Kansas School of Medicine. Main Outcome Measures: Participants were evaluated with brain magnetic resonance imaging (MRI), neuropsychological testing, and dual-energy x-ray absorptiometry to determine whole-body fat and lean masses. Body mass index was calculated as weight in kilograms divided by height in meters squared.Results: Lean mass was reduced in persons with early AD compared with controls without dementia (F=7.73; P=.006) after controlling for sex. Whole-brain volume (=.20; P.001), white matter volume (=.19; P.001), and global cognitive performance (=.12; P=.007) were associated with lean mass (dependent variable) when controlling for age and sex. The total body fat and percentage of body fat values were not different across groups or related to cognition and brain volume.Conclusion: Loss of lean mass is accelerated in AD and is associated with brain atrophy and cognitive performance, perhaps as a direct or indirect consequence of AD pathophysiology or through shared mechanisms common to both AD and sarcopenia.
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This is the published version. Copyright American Medical Association
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Citation
Burns, Jeffrey M., David K. Johnson, Amber Watts, Russell H. Swerdlow, and William M. Brooks. "Reduced Lean Mass in Early Alzheimer Disease and Its Association With Brain Atrophy." Arch Neurol Archives of Neurology 67.4 (2010): n. pag. http://dx.doi.org/10.1001/archneurol.2010.38
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