Cerebral health declines in aging. Obesity is reported to accentuate, reduce or have no effect on these declines. Given sex differences are present for cerebral health and obesity individually, it is hypothesized these discrepancies are influenced by sex. Here, we investigated the relationship between obesity, cerebral structure and perfusion in aging females and males separately. Females revealed greater obesity was associated with increased structure and perfusion. Males demonstrated a positive relationship with obesity and perfusion, however, an inverse association was identified between structure and obesity. Future work should investigate the influence of other lifestyle factors on these sex-specific relationships
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