Sex differences in cognitive impairment and Alzheimer’s disease
Open accessAbstract
Studies have shown differences in specific cognitive ability domains and risk of Alzheimer's disease between the men and women at later age. However it is important to know that sex differences in cognitive function during adulthood may have their basis in both organizational effects, i.e., occurring as early as during the neuronal development period, as well as in activational effects, where the influence of the sex steroids influence brain function in adulthood. Further, the rate of cognitive decline with aging is also different between the sexes. Understanding the biology of sex differences in cognitive function will not only provide insight into Alzheimer's disease prevention, but also is integral to the development of personalized, gender-specific medicine. This review draws on epidemiological, translational, clinical, and basic science studies to assess the impact of sex differences in cognitive function from young to old, and examines the effects of sex hormone treatments on Alzheimer's disease in men and women.
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Prior observations in AD mouse models and human epidemiology have implicated sex as a modifier of AD manifestation and progression.
“Prior observations in AD mouse models (Jiao et al., 2016) and human epidemiology (Altmann et al., 2014; Li and Singh, 2014; Mayeux and Stern, 2012) have implicated sex as a modifier of AD manifestation and progression.”
From Meta-Analysis of the Alzheimer’s Disease Human Brain Transcriptome and Functional Dissection in Mouse Models (2020) · cites this paper as Li and Singh, 2014
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- Authors
- Li, R., & Singh, M.
- Affiliations
- Roskamp Institute (US)
- University of North Texas Health Science Center (US)
- Corresponding author
- Li, Rena
- Venue
- Frontiers in Neuroendocrinology
- Publisher
- Elsevier BV
- Published
- 2014-08
- Volume
- 35
- Issue
- 3
- Pages
- 385-403
- ISSN
- 0091-3022 (ISSN-L)
- PMC
- PMC4087048
- OpenAlex
- W2060878195
- Cited by
- 527
- References
- 30
- Citations by year
- 2026: 13 · 2025: 65 · 2024: 55 · 2023: 64 · 2022: 68 · 2021: 49 · 2020: 49 · 2019: 44 · 2018: 45 · 2017: 23 · 2016: 33 · 2015: 12 · 2014: 5
- FWCI
- 3.37
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Frontiers in Neuroendocrinology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Aging (P01AG022550, R01AG032441, AG 022550, AG027956, P01AG027956)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Menopause: Health Impacts and Treatments
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Sex and Gender in Healthcare
- Keywords
- sex differences, cognitive impairment, Alzheimer's disease, cognitive aging, sex hormones, organizational effects, activational effects, sex hormone replacement therapy, gender-specific medicine, cognitive decline
- MeSH terms
- Alzheimer Disease, Animals, Cognition, Cognition Disorders, Humans, Sex Characteristics, Gonadal Steroid Hormones
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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