Neuroanatomical features reveal accelerated brain age in alcohol use disorder.

Background/Objectives: Brain age is a novel measure to characterize the integrity of neurocognitive functioning and brain health in various psychiatric and neurological disorders. Although there is a literature suggesting premature aging of the brain in individuals with alcohol use disorder (AUD), studies directly examining brain age are rare. Therefore, the current study was designed to estimate brain age in AUD individuals using brain morphological features, such as cortical thickness and brain volume. Methods: The sample included a group of 30 adult males with a history of AUD but maintaining abstinence and a group of 30 male controls without any history of AUD. Brain age was computed using an XGBoost regression model with 187 brain morphological features of cortical thickness and brain volume as predictors. An exploratory correlational analysis between brain age measures and features of neuropsychological performance, impulsivity, and alcohol consumption was also performed. Results: Findings revealed that AUD individuals showed an increase of 1.70 years in their brain age relative to their chronological age. Further, in the AUD group, higher brain age was significantly associated with poor executive functioning, while a larger gap between brain age and actual age was associated with lower non-planning impulsivity and later age of onset for regular drinking in those with AUD. Conclusions: AUD individuals manifested accelerated brain aging, possibly representing compromised brain health. Brain age measures were found to be associated with some of the measures of neurocognition, impulsivity, and alcohol consumption. These findings may have important implications for the early identification, prevention, and treatment of AUD. However, future studies with larger sample sizes are needed to confirm these preliminary findings.