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dc.rights.licenseopenen_US
dc.contributor.authorGALLET, Quentin
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorBOUTELOUP, Vincent
dc.contributor.authorLOCATELLI, Maxime
dc.contributor.authorHABERT, Marie-Odile
dc.contributor.authorCHUPIN, Marie
dc.contributor.authorCAMPION, Jacques-Yves
dc.contributor.authorMICHELS, Pierre-Emmanuel
dc.contributor.authorDELRIEU, Julien
dc.contributor.authorLEBOUVIER, Thibaud
dc.contributor.authorBALAGEAS, Anna-Chloe
dc.contributor.authorSURGET, Alexandre
dc.contributor.authorBELZUNG, Catherine
dc.contributor.authorARLICOT, Nicolas
dc.contributor.authorRIBEIRO, Maria-Joao Santiago
dc.contributor.authorGISSOT, Valerie
dc.contributor.authorEL-HAGE, Wissam
dc.contributor.authorCAMUS, Vincent
dc.contributor.authorGOHIER, Benedicte
dc.contributor.authorDESMIDT, Thomas
dc.contributor.authorGROUP, Memento Study
dc.date.accessioned2024-01-11T12:41:38Z
dc.date.available2024-01-11T12:41:38Z
dc.date.issued2023-10-18
dc.identifier.issn1545-7214en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/187057
dc.description.abstractEnOBJECTIVE: We sought to examine the association between chronic Benzodiazepine (BZD) use and brain metabolism obtained from 2-deoxy-2-fluoro-D-glucose (FDG) positron emission tomography (PET) in the MEMENTO clinical cohort of nondemented older adults with an isolated memory complaint or mild cognitive impairment at baseline. METHODS: Our analysis focused on 3 levels: (1) the global mean brain standardized uptake value (SUVR), (2) the Alzheimer's disease (AD)-specific regions of interest (ROIs), and (3) the ratio of total SUVR on the brain and different anatomical ROIs. Cerebral metabolism was obtained from 2-deoxy-2-fluoro-D-glucose-FDG-PET and compared between chronic BZD users and nonusers using multiple linear regressions adjusted for age, sex, education, APOE ε 4 copy number, cognitive and neuropsychiatric assessments, history of major depressive episodes and antidepressant use. RESULTS: We found that the SUVR was significantly higher in chronic BZD users (n = 192) than in nonusers (n = 1,122) in the whole brain (beta = 0.03; p = 0.038) and in the right amygdala (beta = 0.32; p = 0.012). Trends were observed for the half-lives of BZDs (short- and long-acting BZDs) (p = 0.051) and Z-drug hypnotic treatments (p = 0.060) on the SUVR of the right amygdala. We found no significant association in the other ROIs. CONCLUSION: Our study is the first to find a greater global metabolism in chronic BZD users and a specific greater metabolism in the right amygdala. Because the acute administration of BZDs tends to reduce brain metabolism, these findings may correspond to a compensatory mechanism while the brain adapts with global metabolism upregulation, with a specific focus on the right amygdala.
dc.language.isoENen_US
dc.subject.enAlzheimer's disease
dc.subject.enBenzodiazepine
dc.subject.enFDG-PET
dc.subject.enright amygdala
dc.subject.enwhole brain
dc.title.enCerebral Metabolic Signature of Chronic Benzodiazepine Use in Nondemented Older Adults: An FDG-PET Study in the MEMENTO Cohort
dc.title.alternativeAm J Geriatr Psychiatryen_US
dc.typeArticle de revueen_US
dc.identifier.doi10.1016/j.jagp.2023.10.002en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed37973486en_US
bordeaux.journalAmerican Journal of Geriatric Psychiatryen_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - UMR 1219en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.teamPHARES_BPHen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
hal.identifierhal-04398541
hal.version1
hal.date.transferred2024-01-16T16:24:56Z
hal.popularnonen_US
hal.audienceInternationaleen_US
hal.exporttrue
dc.rights.ccPas de Licence CCen_US
bordeaux.COinSctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=American%20Journal%20of%20Geriatric%20Psychiatry&rft.date=2023-10-18&rft.eissn=1545-7214&rft.issn=1545-7214&rft.au=GALLET,%20Quentin&BOUTELOUP,%20Vincent&LOCATELLI,%20Maxime&HABERT,%20Marie-Odile&CHUPIN,%20Marie&rft.genre=article


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