The influence of birthweight, socioeconomic status, and adult health on brain volumes during aging

Abstract

Preserved late-life brain volume is associated with resilience to dementia. We examined relationships between birthweight, socioeconomic status and adult health with late-life brain volumes. We hypothesised that early-life factors have direct and indirect effects on the aging brain. Neurotypical adults aged 61-67y underwent MRI and brain volumes measured. Birthweight, health and socioeconomic status were assessed by historical data or contemporary assessment. Measures of health and socioeconomic status were extracted using principal component analysis. Relationships between variables were explored by linear regression and structural equation models. Birthweight ({beta}=0.095, p=0.017, n=280) and childhood socioeconomic status ({beta}=0.091, p=0.033, n=280) were directly associated with late-life brain volume. Childhood socioeconomic status was associated with additional increase in grey matter volume ({beta}=0.04, p=0.047, n=280). Better adult health was linked to increased late-life brain volume ({beta}=0.15, p=0.003, n=280). Birthweight and childhood socioeconomic status are associated with whole and regional brain volume through direct and indirect mechanisms. Optimal fetal development, good adult health and reduced poverty, may prevent brain atrophy and decrease dementia risk in late-life.