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Cognitive function in nondemented older women who took estrogen after menopause
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Investigations of the effects of estrogen replacement on cognitive function in healthy older women have yielded disparate results. We evaluated the relationship between a history of estrogen use and cognitive test performance in 727 women participating in a large community-based study. Participants were followed longitudinally for an average of 2.5 years. Estrogen use history was obtained at baseline. Standardized tests of memory, language, and abstract reasoning were administered at baseline and at follow-up. Results indicate that women who had used estrogen replacement scored significantly higher on cognitive testing at baseline than nonusers, and their performance on verbal memory improved slightly over time. The effect of estrogen on cognition was independent of age, education, ethnicity, and APOE genotype. Results suggest that estrogen replacement therapy may help to maintain cognitive function in nondemented postmenopausal women.
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“Associations between low E2 and increased ADHD symptoms are in line with evidence that decreased E2 reduces EF (Jacobs et al., 1998; Schmidt et al., 1996; Sherwin, 1997), perhaps particularly among women with genotypic risk for low prefrontal dopamine and elevated trait impulsivity (Jacobs & D’Esposito, 2011).”
From Reproductive steroids and ADHD symptoms across the menstrual cycle (2018) · cites this paper as Jacobs et al., 1998
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Metadata
- Authors
- Jacobs, D. M., Tang, M.-X., Stern, Y., Sano, M., Marder, K., Bell, K. L., Schofield, P., Dooneief, G., Gurland, B., & Mayeux, R.
- Affiliations
- From the Gertrude H. Sergievsky Center (Drs. Jacobs, Tang, Stem, Sano, Marder, Bell, Schofield, Dooneief, and Mayeux), the Departments of Neurology (Drs. Jacobs, Tang, Stem, Sano, Marder, Bell, Schofield, Dooneief, and Mayeux) and Psychiatry (Drs. Stem, Gurland, and Mayeux), the Taub Center for Alzheimer's Disease Research (Drs. Jacobs, Stern, Sano, Marder, Bell, Dooneief, and Mayeux), the Stroud Center for the Study of Quality of Life (Dr. Gurland), and the Division of Epidemiology (School of...
- Venue
- Neurology
- Published
- 1998-02
- Volume
- 50
- Issue
- 2
- Pages
- 368-373
- ISSN
- 0028-3878 (ISSN-L)
- 1526-632X
- OpenAlex
- W2011716448
- Semantic Scholar
- 992b97bdcb25a40b827b0415db691b48e6fc9263
- Cited by
- 332
- References
- 0
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 1 · 2023: 5 · 2022: 4 · 2021: 8 · 2020: 1 · 2019: 4 · 2018: 6 · 2017: 6 · 2016: 6 · 2015: 11 · 2014: 4 · 2013: 4 · 2012: 7
- FWCI
- 16.22
- Type
- journal article
- Language
- en
- Open access
- green
- doi.org
- Locations
- Neurology (publishedVersion)
- PubMed (publishedVersion)
- Columbia Academic Commons (Columbia University)
- Funders
- National Institute on Aging (AG08702, P01AG007232, AG 07232, P50AG008702, AG10963, R35AG010963)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Menopause: Health Impacts and Treatments
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Endocrinology › Estrogen and related hormone effects
- Keywords
- estrogen replacement therapy, cognitive function, postmenopausal women, menopause, verbal memory, language, abstract thinking, APOE genotype
- MeSH terms
- Aged, Apolipoproteins E, Cognition, Female, Genotype, Medicare, Humans, Language, Longitudinal Studies, Memory, Speech, United States, Estrogen Replacement Therapy, Case-Control Studies, Postmenopause
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