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      Central Obesity, Leptin and Cognitive Decline: The Sacramento Area Latino Study on Aging

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          Abstract

          Background/Aims: Central obesity is a risk factor for cognitive decline. Leptin is secreted by adipose tissue and has been associated with better cognitive function. Aging Mexican Americans have higher levels of obesity than non-Hispanic Whites, but no investigations examined the relationship between leptin and cognitive decline among them or the role of central obesity in this association. Methods: We analyzed 1,480 dementia-free older Mexican Americans who were followed over 10 years. Cognitive function was assessed every 12–15 months with the Modified Mini Mental State Exam (3MSE) and the Spanish and English Verbal Learning Test (SEVLT). Results: For females with a small waist circumference (≤35 inches), an interquartile range difference in leptin was associated with 35% less 3MSE errors and 22% less decline in the SEVLT score over 10 years. For males with a small waist circumference (≤40 inches), an interquartile range difference in leptin was associated with 44% less 3MSE errors and 30% less decline in the SEVLT score over 10 years. There was no association between leptin and cognitive decline among females or males with a large waist circumference. Conclusion: Leptin interacts with central obesity in shaping cognitive decline. Our findings provide valuable information about the effects of metabolic risk factors on cognitive function.

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          Author and article information

          Journal
          DEM
          Dement Geriatr Cogn Disord
          10.1159/issn.1420-8008
          Dementia and Geriatric Cognitive Disorders
          S. Karger AG
          1420-8008
          1421-9824
          2012
          August 2012
          17 July 2012
          : 33
          : 6
          : 400-409
          Affiliations
          Departments of aEpidemiology and Biostatistics and bPsychiatry, School of Medicine, University of California San Francisco, San Francisco, Calif., and cKaiser Permanente, Northern California Division of Research, Oakland, Calif., USA
          Author notes
          *Adina Zeki Al Hazzouri, PhD, MSc, University of California, San Francisco, School of Medicine, Department of Epidemiology and Biostatistics, 185 Berry St., Lobby 5, Suite 5700, San Francisco, CA 94107 (USA), Tel. +1 415 514 8261, E-Mail Adina.zekialhazzouri@ucsf.edu
          Article
          339957 PMC3483312 Dement Geriatr Cogn Disord 2012;33:400–409
          10.1159/000339957
          PMC3483312
          22814127
          eec8e100-64be-432a-a950-633dd7298552
          © 2012 S. Karger AG, Basel

          Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher. Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug. Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

          History
          : 06 June 2012
          Page count
          Figures: 2, Tables: 3, Pages: 10
          Categories
          Original Research Article

          Geriatric medicine,Neurology,Cardiovascular Medicine,Neurosciences,Clinical Psychology & Psychiatry,Public health
          Leptin,Longitudinal study,Mexican Americans,Cognition,Obesity,Aging

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