Higher Fat-Related Body Composition Measurement and Lower Resting-State Inter-Network Functional Connectivity of APOE ε4 Carrier in Mild Cognitive Impairment Patients With Aβ Deposition
	    		
		   		
		   			
		   		
	    	
    	 
    	10.47825/jkgp.2022.26.2.76
   		
        
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		In Hyeok CHOI
			        		
			        		
			        		
			        			1
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Sheng-Min WANG
			        		
			        		;
		        		
		        		
		        		
			        		Yoo Hyun UM
			        		
			        		;
		        		
		        		
		        		
			        		Hyun Kook LIM
			        		
			        		;
		        		
		        		
		        		
			        		Chang Uk LEE
			        		
			        		;
		        		
		        		
		        		
			        		Dong Woo KANG
			        		
			        		
		        		
		        		
		        		
		        		
		        			
			        		
			        		Author Information
			        		
		        		
		        		
			        		
			        		
			        			1. Department of Psychiatry, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
			        		
		        		
	        		
        		 
        	
        	
        	
        		- Publication Type:Original Article
 
        	
        	
            
            
            	- From:Journal of Korean Geriatric Psychiatry
	            		
	            		 2022;26(2):76-83
	            	
            	
 
            
            
            	- CountryRepublic of Korea
 
            
            
            	- Language:English
 
            
            
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		        	Abstract:
			       	
			       		
				        
				        	 Objective:We aimed to evaluate the impact of interaction between APOE ε4 carrier status and body composition measurements on intra- and inter-regional functional connectivity (FC) in mild cognitive impairment (MCI) patients with Aβ deposition. 
				        	
				        
				        	Methods:MCI patients with and without APOE ε4 allele (carrier, n=86; non-carrier, n=95) underwent neuropsychological battery, resting-state functional magnetic resonance imaging scans, positron emission tomography scans with [ 18 F] flutemetamol, and bioelectri-cal impedance analysis for measuring body composition. We employed a priori defined regions of interest to investigate the intra- and inter-network FC profiles of default mode network (DMN), central executive network (CEN), and salience network (SN). 
				        	
				        
				        	Results:There was a significant interaction of APOE ε4 carrier status with body fat mass index, visceral fat area, and waist-hip circumference ratio for inter-network FC between DMN and CEN, contributing higher fat-related body composition measurements in the APOE ε4 carrier with lower DMN-CEN FC. 
				        	
				        
				        	Conclusion:The present results highlight the detrimental effect of APOE ε4 carrier status on the associations between the fatrelated body composition measurements and FC in the MCI patients with Aβ accumulation.