“…Higher adipose tissue levels as indexed by waist circumference (WC), waist-to-hip ratio (WHR), body mass index (BMI), and increased subcutaneous (ASAT) and visceral (VAT) adipose tissue measures have all been associated with global brain volume decreases (Debette & Markus, 2010;Gunstad et al, 2005;Mulugeta et al, 2021;Ward et al, 2005). Moreover, regional findings have consistently shown negative associations between obesity and brain grey matter volume (Gurholt et al, 2020;Pannacciulli et al, 2006;Taki et al, 2008;Walther et al, 2010) and white matter microstructure, including reduced white matter tract coherence (Friedman et al, 2014;Willette & Kapogiannis, 2015), white matter integrity (Marks et al, 2011;Stanek et al, 2011;Xu et al, 2013), microstructural changes in childhood (Rapuano et al, 2020), and increased axonal and myelin damage (Mueller et al, 2011;Xu et al, 2013) based on diffusion MRI. White matter volumetric studies have revealed less consistent findings, reporting both positive (Walther et al, 2010), negative (Raji et al, 2010) and no (Gunstad et al, 2005) significant associations between brain white matter volume and adiposity.…”