更年期年龄与基于雌激素的激素治疗与CLSA认知正常女性的认知表现之间的关联
Tanvi A Puri1,2, Laura L Gravelsins3, Madeline Wood Alexander4,5
1Graduate Program in Neuroscience, University of British Columbia, Vancouver, Canada.
Neurology
|August 27, 2025
概括
较早的绝经与较差的认知功能有关. 基于雌激素的更年期激素治疗 (MHT) 有助于记忆,通过皮肤输入的雌激素有助于情节性记忆,口服雌激素有助于前性记忆.
科学领域:
- 神经科学与老年学
- 生殖内分泌学
背景情况:
- 更年期和更年期激素治疗 (MHT) 影响认知,但研究结果不一致.
- 与年龄相关的认知衰退可能会受到更年期和MHT路线的差异影响.
研究的目的:
- 研究更年期年龄与认知领域 (情节性记忆,前性记忆,执行功能) 之间的关联.
- 根据使用途径,研究基于雌激素 (E2) 的MHT对这些认知领域的影响.
主要方法:
- 使用加拿大长度老龄化研究的基线数据进行的横截面观察队列研究.
- 对7251名绝经后妇女的分析.
- 线性回归模型评估认知表现与更年期/MHT变量之间的关联,调整为混因素.
主要成果:
- 更年期较早的年龄与情节性记忆,前性记忆和执行功能的表现较差有关.
- 通过皮肤治疗的基于E2的MHT与较高的情节性记忆得分有关.
- 基于E2的口服MHT与更高的前性记忆得分有关.
结论:
- 基于E2的MHT对认知健康的有效性取决于施用途径和特定的认知领域.
- 这些发现有助于理解认知衰老,并为个性化MHT方法提供信息.
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