Determine if sex differences in glucose uptake, a marker of brain activity, are present in brain regions that facilitate walking performance in persons with MS.
Cross-sectional, observational pilot.
University Laboratory INTERVENTIONS: Not applicable PARTICIPANTS: [(18)F]-Fluorodeoxyglucose (FDG) - positron emission tomography (PET) imaging was performed on persons with MS and healthy controls (HC) (4 men/4 women per group; N = 16) following a 15-minute walking test.
Brain activity was quantified as the mean standardized uptake value (SUVmean).
SUVmean was significantly lower in the thalamus (P = 0.029) and cerebellum (P = 0.029) for men with MS as compared to women with MS, but not for the prefrontal (P = 0.057) or frontal (P = 0.057) cortices. Similar nonsignificant trends were found for the HC. No SUVmean group x sex interaction effects were found between the MS and HC groups (all p-values > 0.05).
This is the first study of brain activity sex differences based on FDG uptake in persons with MS during walking. Significantly less FDG uptake in the thalamus and cerebellum brain regions important for walking performance was found in men with MS compared to women with MS, however these comparisons were not significantly different in the HC group. No differences in FDG uptake were found between the MS and HC groups in any of the brain regions examined. Results from this study provide pilot data for larger studies aimed at identifying underlying mechanisms responsible for accelerated disability in men with MS.