title: Cardiorespiratory fitness and brain volume and white matter integrity: The CARDIA Study.
abstract: OBJECTIVE
  We hypothesized that greater cardiorespiratory fitness is associated with lower odds of having unfavorable brain MRI findings.
  
  
  METHODS
  We studied 565 healthy, middle-aged, black and white men and women in the CARDIA (Coronary Artery Risk Development in Young Adults) Study. The fitness measure was symptom-limited maximal treadmill test duration (Maxdur); brain MRI was measured 5 years later. Brain MRI measures were analyzed as means and as proportions below the 15th percentile (above the 85th percentile for white matter abnormal tissue volume).
  
  
  RESULTS
  Per 1-minute-higher Maxdur, the odds ratio for having less whole brain volume was 0.85 (p = 0.04) and for having low white matter integrity was 0.80 (p = 0.02), adjusted for age, race, sex, clinic, body mass index, smoking, alcohol, diet, physical activity, education, blood pressure, diabetes, total cholesterol, and lung function (plus intracranial volume for white matter integrity). No significant associations were observed between Maxdur and abnormal tissue volume or blood flow in white matter. Findings were similar for associations with continuous brain MRI measures.
  
  
  CONCLUSIONS
  Greater physical fitness was associated with more brain volume and greater white matter integrity measured 5 years later in middle-aged adults.
authors.affiliation: From the Divisions of Epidemiology and Community Health (N.Z., D.R.J., P.J.S., E.D.) and Biostatistics (W.T.), School of Public Health, University of Minnesota; St. Barnabas Hospital (N.Z.), affiliated with Albert Einstein College of Medicine; Neuroepidemiology Section (L.J.L.), NIA; Kaiser Permanente Division of Research (R.A.W., S.S.); Human Genomics (C.B.), Pennington Biomedical Research Center; School of Public Health (K.H.), Indiana University Bloomington; and Department of Radiology (G.E., H.B., R.N.B.), University of Pennsylvania.
authors.forename: Na
authors.initials: N
authors.lastname: Zhu
authors.affiliation: From the Divisions of Epidemiology and Community Health (N.Z., D.R.J., P.J.S., E.D.) and Biostatistics (W.T.), School of Public Health, University of Minnesota; St. Barnabas Hospital (N.Z.), affiliated with Albert Einstein College of Medicine; Neuroepidemiology Section (L.J.L.), NIA; Kaiser Permanente Division of Research (R.A.W., S.S.); Human Genomics (C.B.), Pennington Biomedical Research Center; School of Public Health (K.H.), Indiana University Bloomington; and Department of Radiology (G.E., H.B., R.N.B.), University of Pennsylvania. jacob004@umn.edu.
authors.forename: David R
authors.initials: DR
authors.lastname: Jacobs
authors.affiliation: From the Divisions of Epidemiology and Community Health (N.Z., D.R.J., P.J.S., E.D.) and Biostatistics (W.T.), School of Public Health, University of Minnesota; St. Barnabas Hospital (N.Z.), affiliated with Albert Einstein College of Medicine; Neuroepidemiology Section (L.J.L.), NIA; Kaiser Permanente Division of Research (R.A.W., S.S.); Human Genomics (C.B.), Pennington Biomedical Research Center; School of Public Health (K.H.), Indiana University Bloomington; and Department of Radiology (G.E., H.B., R.N.B.), University of Pennsylvania.
authors.forename: Pamela J
authors.initials: PJ
authors.lastname: Schreiner
authors.affiliation: From the Divisions of Epidemiology and Community Health (N.Z., D.R.J., P.J.S., E.D.) and Biostatistics (W.T.), School of Public Health, University of Minnesota; St. Barnabas Hospital (N.Z.), affiliated with Albert Einstein College of Medicine; Neuroepidemiology Section (L.J.L.), NIA; Kaiser Permanente Division of Research (R.A.W., S.S.); Human Genomics (C.B.), Pennington Biomedical Research Center; School of Public Health (K.H.), Indiana University Bloomington; and Department of Radiology (G.E., H.B., R.N.B.), University of Pennsylvania.
authors.forename: Lenore J
authors.initials: LJ
authors.lastname: Launer
authors.affiliation: From the Divisions of Epidemiology and Community Health (N.Z., D.R.J., P.J.S., E.D.) and Biostatistics (W.T.), School of Public Health, University of Minnesota; St. Barnabas Hospital (N.Z.), affiliated with Albert Einstein College of Medicine; Neuroepidemiology Section (L.J.L.), NIA; Kaiser Permanente Division of Research (R.A.W., S.S.); Human Genomics (C.B.), Pennington Biomedical Research Center; School of Public Health (K.H.), Indiana University Bloomington; and Department of Radiology (G.E., H.B., R.N.B.), University of Pennsylvania.
authors.forename: Rachel A
authors.initials: RA
authors.lastname: Whitmer
authors.affiliation: From the Divisions of Epidemiology and Community Health (N.Z., D.R.J., P.J.S., E.D.) and Biostatistics (W.T.), School of Public Health, University of Minnesota; St. Barnabas Hospital (N.Z.), affiliated with Albert Einstein College of Medicine; Neuroepidemiology Section (L.J.L.), NIA; Kaiser Permanente Division of Research (R.A.W., S.S.); Human Genomics (C.B.), Pennington Biomedical Research Center; School of Public Health (K.H.), Indiana University Bloomington; and Department of Radiology (G.E., H.B., R.N.B.), University of Pennsylvania.
authors.forename: Stephen
authors.initials: S
authors.lastname: Sidney
authors.affiliation: From the Divisions of Epidemiology and Community Health (N.Z., D.R.J., P.J.S., E.D.) and Biostatistics (W.T.), School of Public Health, University of Minnesota; St. Barnabas Hospital (N.Z.), affiliated with Albert Einstein College of Medicine; Neuroepidemiology Section (L.J.L.), NIA; Kaiser Permanente Division of Research (R.A.W., S.S.); Human Genomics (C.B.), Pennington Biomedical Research Center; School of Public Health (K.H.), Indiana University Bloomington; and Department of Radiology (G.E., H.B., R.N.B.), University of Pennsylvania.
authors.forename: Ellen
authors.initials: E
authors.lastname: Demerath
authors.affiliation: From the Divisions of Epidemiology and Community Health (N.Z., D.R.J., P.J.S., E.D.) and Biostatistics (W.T.), School of Public Health, University of Minnesota; St. Barnabas Hospital (N.Z.), affiliated with Albert Einstein College of Medicine; Neuroepidemiology Section (L.J.L.), NIA; Kaiser Permanente Division of Research (R.A.W., S.S.); Human Genomics (C.B.), Pennington Biomedical Research Center; School of Public Health (K.H.), Indiana University Bloomington; and Department of Radiology (G.E., H.B., R.N.B.), University of Pennsylvania.
authors.forename: William
authors.initials: W
authors.lastname: Thomas
authors.affiliation: From the Divisions of Epidemiology and Community Health (N.Z., D.R.J., P.J.S., E.D.) and Biostatistics (W.T.), School of Public Health, University of Minnesota; St. Barnabas Hospital (N.Z.), affiliated with Albert Einstein College of Medicine; Neuroepidemiology Section (L.J.L.), NIA; Kaiser Permanente Division of Research (R.A.W., S.S.); Human Genomics (C.B.), Pennington Biomedical Research Center; School of Public Health (K.H.), Indiana University Bloomington; and Department of Radiology (G.E., H.B., R.N.B.), University of Pennsylvania.
authors.forename: Claude
authors.initials: C
authors.lastname: Bouchard
authors.affiliation: From the Divisions of Epidemiology and Community Health (N.Z., D.R.J., P.J.S., E.D.) and Biostatistics (W.T.), School of Public Health, University of Minnesota; St. Barnabas Hospital (N.Z.), affiliated with Albert Einstein College of Medicine; Neuroepidemiology Section (L.J.L.), NIA; Kaiser Permanente Division of Research (R.A.W., S.S.); Human Genomics (C.B.), Pennington Biomedical Research Center; School of Public Health (K.H.), Indiana University Bloomington; and Department of Radiology (G.E., H.B., R.N.B.), University of Pennsylvania.
authors.forename: Ka
authors.initials: K
authors.lastname: He
authors.affiliation: From the Divisions of Epidemiology and Community Health (N.Z., D.R.J., P.J.S., E.D.) and Biostatistics (W.T.), School of Public Health, University of Minnesota; St. Barnabas Hospital (N.Z.), affiliated with Albert Einstein College of Medicine; Neuroepidemiology Section (L.J.L.), NIA; Kaiser Permanente Division of Research (R.A.W., S.S.); Human Genomics (C.B.), Pennington Biomedical Research Center; School of Public Health (K.H.), Indiana University Bloomington; and Department of Radiology (G.E., H.B., R.N.B.), University of Pennsylvania.
authors.forename: Guray
authors.initials: G
authors.lastname: Erus
authors.affiliation: From the Divisions of Epidemiology and Community Health (N.Z., D.R.J., P.J.S., E.D.) and Biostatistics (W.T.), School of Public Health, University of Minnesota; St. Barnabas Hospital (N.Z.), affiliated with Albert Einstein College of Medicine; Neuroepidemiology Section (L.J.L.), NIA; Kaiser Permanente Division of Research (R.A.W., S.S.); Human Genomics (C.B.), Pennington Biomedical Research Center; School of Public Health (K.H.), Indiana University Bloomington; and Department of Radiology (G.E., H.B., R.N.B.), University of Pennsylvania.
authors.forename: Harsha
authors.initials: H
authors.lastname: Battapady
authors.affiliation: From the Divisions of Epidemiology and Community Health (N.Z., D.R.J., P.J.S., E.D.) and Biostatistics (W.T.), School of Public Health, University of Minnesota; St. Barnabas Hospital (N.Z.), affiliated with Albert Einstein College of Medicine; Neuroepidemiology Section (L.J.L.), NIA; Kaiser Permanente Division of Research (R.A.W., S.S.); Human Genomics (C.B.), Pennington Biomedical Research Center; School of Public Health (K.H.), Indiana University Bloomington; and Department of Radiology (G.E., H.B., R.N.B.), University of Pennsylvania.
authors.forename: R Nick
authors.initials: RN
authors.lastname: Bryan
mesh_terms: D000328:Adult; D001921:Brain / Q000033:anatomy & histology* / Q000473:pathology; D003430:Cross-Sectional Studies; D005080:Exercise Test / Q000379:methods / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D010809:Physical Fitness / Q000502:physiology*; D066127:White Matter / Q000033:anatomy & histology* / Q000473:pathology