Longitudinal Changes in Fat Mass and the Hippocampus

Objective This study aimed to investigate cross‐sectional and longitudinal associations between fat mass (i.e., body mass index [BMI], waist circumference [WC], and waist to hip ratio [WTHR]) and hippocampal volumes. Methods UK Biobank participants ( N  = 20,395) aged 40 to 70 years (mean follow‐up = 7.66 years), were included and categorized into one of four groups, which represented their baseline fat mass status and trajectory of change by follow‐up assessment: normal weight to overweight/obesity, overweight/obesity to normal weight (ON), normal weight stable (NS), or overweight/obesity stable (OS). Regression models used NS (WC < 80 cm in women and < 94 cm in men; WTHR < 0.85 in women and < 0.90 in men; BMI < 25 kg/m 2 in women and men) as the reference group. Hippocampal volumes were automatically segmented using the FMRIB Software Library. Results Compared with NS, OS (BMI: B  = −62.23 [SE = 16.76]; WC: B  = −145.56 [SE = 16.97]; WTHR: B  = −101.26 [SE = 19.54]) and ON (BMI: B  = −61.1 [SE = 30.3]; WC: B  = −93.77 [SE = 24.96]; WTHR: B  = −69.92 [SE = 26.22]) had significantly lower hippocampal volumes. Conclusions The detrimental effects of overweight/obesity may extend beyond the duration of overweight/obesity itself.