Abnormal brain white matter microstructure is associated with both pre-hypertension and hypertension

To characterize effects of chronically elevated blood pressure on the brain, we tested for brain white matter microstructural differences associated with normotension, pre-hypertension and hypertension in recently available brain magnetic resonance imaging data from 4659 participants without known n...

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Veröffentlicht in:PloS one 2017-11, Vol.12 (11), p.e0187600-e0187600
Hauptverfasser: Suzuki, Hideaki, Gao, He, Bai, Wenjia, Evangelou, Evangelos, Glocker, Ben, O'Regan, Declan P, Elliott, Paul, Matthews, Paul M
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container_title PloS one
container_volume 12
creator Suzuki, Hideaki
Gao, He
Bai, Wenjia
Evangelou, Evangelos
Glocker, Ben
O'Regan, Declan P
Elliott, Paul
Matthews, Paul M
description To characterize effects of chronically elevated blood pressure on the brain, we tested for brain white matter microstructural differences associated with normotension, pre-hypertension and hypertension in recently available brain magnetic resonance imaging data from 4659 participants without known neurological or psychiatric disease (62.3±7.4 yrs, 47.0% male) in UK Biobank. For assessment of white matter microstructure, we used measures derived from neurite orientation dispersion and density imaging (NODDI) including the intracellular volume fraction (an estimate of neurite density) and isotropic volume fraction (an index of the relative extra-cellular water diffusion). To estimate differences associated specifically with blood pressure, we applied propensity score matching based on age, sex, educational level, body mass index, and history of smoking, diabetes mellitus and cardiovascular disease to perform separate contrasts of non-hypertensive (normotensive or pre-hypertensive, N = 2332) and hypertensive (N = 2337) individuals and of normotensive (N = 741) and pre-hypertensive (N = 1581) individuals (p
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For assessment of white matter microstructure, we used measures derived from neurite orientation dispersion and density imaging (NODDI) including the intracellular volume fraction (an estimate of neurite density) and isotropic volume fraction (an index of the relative extra-cellular water diffusion). To estimate differences associated specifically with blood pressure, we applied propensity score matching based on age, sex, educational level, body mass index, and history of smoking, diabetes mellitus and cardiovascular disease to perform separate contrasts of non-hypertensive (normotensive or pre-hypertensive, N = 2332) and hypertensive (N = 2337) individuals and of normotensive (N = 741) and pre-hypertensive (N = 1581) individuals (p&lt;0.05 after Bonferroni correction). The brain white matter intracellular volume fraction was significantly lower, and isotropic volume fraction was higher in hypertensive relative to non-hypertensive individuals (N = 1559, each). The white matter isotropic volume fraction also was higher in pre-hypertensive than in normotensive individuals (N = 694, each) in the right superior longitudinal fasciculus and the right superior thalamic radiation, where the lower intracellular volume fraction was observed in the hypertensives relative to the non-hypertensive group. 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The white matter isotropic volume fraction also was higher in pre-hypertensive than in normotensive individuals (N = 694, each) in the right superior longitudinal fasciculus and the right superior thalamic radiation, where the lower intracellular volume fraction was observed in the hypertensives relative to the non-hypertensive group. 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brain white matter microstructure is associated with both pre-hypertension and hypertension</title><author>Suzuki, Hideaki ; Gao, He ; Bai, Wenjia ; Evangelou, Evangelos ; Glocker, Ben ; O'Regan, Declan P ; Elliott, Paul ; Matthews, Paul M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-6b0f053d390d5011503b6cb53e4b78e4b90f72019ca202c7623e82b71c6aa0ef3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Aged</topic><topic>Alzheimer's disease</topic><topic>Alzheimers disease</topic><topic>Biology and Life Sciences</topic><topic>Blood</topic><topic>Blood Pressure</topic><topic>Body mass</topic><topic>Body mass index</topic><topic>Body size</topic><topic>Brain</topic><topic>Brain research</topic><topic>Cardiovascular disease</topic><topic>Cardiovascular diseases</topic><topic>Cognitive ability</topic><topic>Concentration 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subjects Aged
Alzheimer's disease
Alzheimers disease
Biology and Life Sciences
Blood
Blood Pressure
Body mass
Body mass index
Body size
Brain
Brain research
Cardiovascular disease
Cardiovascular diseases
Cognitive ability
Concentration (composition)
Consent
Councils
Dementia
Diabetes mellitus
Epidemiology
Female
Hospitals
Humans
Hypertension
Hypertension - diagnostic imaging
Hypertension - pathology
Intracellular
Magnetic resonance
Magnetic Resonance Imaging
Male
Medical research
Medicine and Health Sciences
Microstructure
Middle Aged
Multiple sclerosis
Neuroimaging
NMR
Nuclear magnetic resonance
Physical Sciences
Physiological aspects
Public health
Radiation
Research and Analysis Methods
Risk factors
Smoking
Social Sciences
Stroke
Structure
Substantia alba
Thalamus
White Matter - diagnostic imaging
White Matter - pathology
title Abnormal brain white matter microstructure is associated with both pre-hypertension and hypertension
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