Carotid Compliance and Parahippocampal and Hippocampal Volume over a 20-Year Period
<b><i>Introduction:</i></b> We evaluated the association between carotid compliance, a measure of arterial stiffness, to parahippocampal volume (PHV) and hippocampal volume (HV) over 20 years later in the Atherosclerosis Risk in the Community study. <b><i>Methods:</i></b> We included participants with common carotid compliance measurements at visit 1 (1987–1989) and volumetric brain MRI at visit 5 (2011–2013). The primary outcomes are pooled bilateral PHV and HV. We performed linear regression models adjusting for age, sex, vascular risk factors, and total brain volume. <b><i>Results:</i></b> Of the 614 participants, higher compliance was correlated with higher PHV (<i>R</i> = 0.218[0.144–0.291], <i>p</i> < 0.001) and HV (<i>R</i> = 0.181 [0.105–0.255, <i>p</i> < 0.001]). The association was linear and significant after adjusting for confounders. At follow-up MRI, 30 patients with dementia had lower PHV and HV than patients without dementia (<i>p</i> < 0.001 and <i>p</i> < 0.001, respectively). <b><i>Conclusion:</i></b> Carotid compliance is associated with higher PHV and HV when measured 20 years later, further supporting the link between arterial stiffness and cognitive decline.