Keywords: Endocrine, Aging, Obesity
Motivation: As cardiometabolic risk in obesity is associated with specific body composition types, we aim at deciphering age-related body composition changes in people with obesity.
Goal(s): To assess age-specific abdominal organ volume and proton density fat fraction (PDFF) in people with obesity and predict chronological age.
Approach: An nnU-Net-based automatic pipeline was used to segment abdominal organs. Machine-learning-based methods were applied to predict chronological age based on the organs' volumes and PDFF in chemical-shift encoding-based MRI.
Results: The best predictors for chronological age were increased visceral adipose tissue volume and elevated ectopic fat deposition in the paraspinal muscle, measured via proton density fat fraction.
Impact: Age-specific differences in volumes and PDFF of abdominopelvic fat depots, and ectopic fat in liver and two muscles were found in people with obesity using automated segmentation on quantitative chemical-shift encoding-based MRI scans.
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