AI Article Synopsis

  • Individuals with Alzheimer's Disease (AD) show higher levels of certain metabolic hormones, particularly during a meal tolerance test, compared to cognitively healthy older adults (CH).
  • The study included clinical exams and brain imaging to assess metabolic responses and their relationship with brain structure and function.
  • Results indicate a significant connection between abnormal metabolic responses in AD and changes in brain volume, particularly in the parietal regions, linking metabolism, cognition, and brain health.

Article Abstract

Background: Individuals with Alzheimer's Disease (AD) are often characterized by systemic markers of insulin resistance; however, the broader effects of AD on other relevant metabolic hormones, such as incretins that affect insulin secretion and food intake, remains less clear.

Methods: Here, we leveraged a physiologically relevant meal tolerance test to assess diagnostic differences in these metabolic responses in cognitively healthy older adults (CH; = 32) and AD ( = 23) participants. All individuals also underwent a comprehensive clinical examination, cognitive evaluation, and structural magnetic resonance imaging.

Results: The meal-stimulated response of glucose, insulin, and peptide tyrosine tyrosine (PYY) was significantly greater in individuals with AD as compared to CH. Voxel-based morphometry revealed negative relationships between brain volume and the meal-stimulated response of insulin, C-Peptide, and glucose-dependent insulinotropic polypeptide (GIP) in primarily parietal brain regions.

Conclusion: Our findings are consistent with prior work that shows differences in metabolic regulation in AD and relationships with cognition and brain structure.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7734152PMC
http://dx.doi.org/10.3389/fnins.2020.608862DOI Listing

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