Journal of Cerebral Blood Flow and Metabolism

Higher brain glucose linked to lower gray matter volume

Scans of 47 healthy adults aged 22 to 77 linked fasting brain glucose, but not blood glucose, to lower gray matter volume.

Cross-sectional study of 47 healthy adultsBiomarkers

Limit: Only 47 healthy adults were studied, limiting precision of the glucose–volume association

Edited by Boris Djordjevic · AgingResearch.News

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In a cross-sectional observational study, 47 healthy adults aged 22 to 77 underwent brain scans after fasting for at least eight hours. Researchers measured glucose in the posterior cingulate cortex, a region toward the back of the brain. They also measured gray matter volume—the amount of tissue rich in nerve-cell bodies—and fasting blood glucose.

Higher brain glucose was linked to lower total gray matter volume after accounting for age, body mass index—a measure of weight relative to height—and blood glucose. Blood glucose showed no such link. A statistical analysis suggested brain glucose partly accounted for the association between age and smaller gray matter volume. Blood glucose was higher in middle-aged than younger adults, while brain glucose was higher in older than middle-aged adults.

Why it matters

Problems using glucose for energy are implicated in age-related brain degeneration. The authors suggest brain glucose may help flag metabolic problems and nerve-cell vulnerability early.

Caveats

The cross-sectional design cannot show cause and effect or establish changes within individuals over time. The findings do not cover people with diabetes or neurological or psychiatric disorders, who were excluded.