# Abdominal adipose tissue depots and cardiometabolic disease risk in postmenopausal women

> **NIH NIH R01** · UNIVERSITY OF CALIFORNIA-IRVINE · 2020 · $279,893

## Abstract

PROJECT SUMMARY/ABSTRACT
Accumulating basic, clinical, and population research suggests that high amounts of abdominal fat, particularly
visceral adipose tissue (VAT) in the intra-abdominal depot, plays a crucial role in the pathophysiology of
cardiometabolic diseases (i.e. type 2 diabetes (T2D), cardiovascular diseases (CVD) and stroke). Furthermore,
VAT is the hypothesized driver of obesity-related Alzheimer's disease and Related Dementias (AD/ADRD), as
all the aforementioned conditions/diseases are related to higher risk of AD/ADRD and poor brain health. The
basis for this hypothesis is research that has elegantly described the intimate nature of VAT as a powerful,
upstream metabolic driver of insulin resistance, dyslipidemia, and hypertension; all conditions that precipitate
the etiology of AD/ADRD and changes in brain morphology related to AD/ADRD. Other related research
suggests that total body fat, and more specifically subcutaneous adipose tissue (SAT), may be relatively less
important in the pathophysiology of AD/ADRD. Despite this burgeoning framework of knowledge, much
remains unknown about the relationship between abdominal VAT and SAT levels with AD/ADRD – a critical
gap in the evidence base since further insight resulting from research on this topic would have major
implications related to the importance of body composition and obesity in AD/ADRD prevention. As part of an
active RO1, Dr. Odegaard and his team derived and validated repeated measures of VAT and SAT with novel
technology in the existing Women's Health Initiative (WHI) Dual Energy X-Ray Absorptiometry (DXA) cohort,
providing a solution to the basic data access problem. This sub-cohort is a minority enriched, analytic
longitudinal cohort in the WHI with scans at baseline (N=10,607), year 3 (N=8,939), year 6 (N=8,239), and year
9 (N=4,595). We are now proposing to extend the framework originally created to address essential questions
related to cardiometabolic disease risk by leveraging the WHI study design and structure and integrating the
data with the WHI Memory Study (WHIMS) data, including 860 women with repeated, valid cognitive
assessments and > 80 women with brain MRI's. This project leverages two significant scientific resources
within the WHI and will address fundamental hypotheses that link visceral adiposity with AD/ADRD risk and
brain health in postmenopausal women.

## Key facts

- **NIH application ID:** 10122630
- **Project number:** 3R01AG055018-04S1
- **Recipient organization:** UNIVERSITY OF CALIFORNIA-IRVINE
- **Principal Investigator:** Andrew Owen Odegaard
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $279,893
- **Award type:** 3
- **Project period:** 2017-06-15 → 2023-04-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10122630

## Citation

> US National Institutes of Health, RePORTER application 10122630, Abdominal adipose tissue depots and cardiometabolic disease risk in postmenopausal women (3R01AG055018-04S1). Retrieved via AI Analytics 2026-05-26 from https://api.ai-analytics.org/grant/nih/10122630. Licensed CC0.

---

*[NIH grants dataset](/datasets/nih-grants) · CC0 1.0*
