Vascular risk factors that confer a susceptibility for dementia are thought to result in silent brain changes decades before disease onset. We hypothesized that vascular risk factors would be associated decreased Cerebral Metabolic Rate of Oxygen consumption (CMRO2). CMRO2 was derived from Arterial Spin Labelling cerebral blood flow (CBF) and oxygen extraction fraction (OEF) from TRUST MRI in this IRB approved study with informed consent on 70 participants. In stepwise linear regression higher diastolic blood pressure was correlated with decreased CMRO2 but was not associated with CBF, suggesting mechanisms other than insufficient blood flow underlie the association with metabolic rate.
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