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Characteristics of hormone therapy, cognitive function, and dementia: The prospective 3C Study

Identifieur interne : 002967 ( PascalFrancis/Corpus ); précédent : 002966; suivant : 002968

Characteristics of hormone therapy, cognitive function, and dementia: The prospective 3C Study

Auteurs : J. Ryan ; I. Carriere ; J. Scali ; J. F. Dartigues ; C. Tzourio ; M. Poncet ; K. Ritchie ; M. L. Ancelin

Source :

RBID : Pascal:10-0019492

Descripteurs français

English descriptors

Abstract

Objectives: To examine the association between hormone therapy (HT) and cognitive performance or dementia, focusing on the duration and type of treatment used, as well as the timing of initiation of HT in relation to the menopause. Methods: Women 65 years and older were recruited in France as part of the Three City Study. At baseline and 2- and 4-year follow-up, women were administered a short cognitive test battery and a clinical diagnosis of dementia was made. Detailed information was also gathered relating to current and past HT use. Analysis was adjusted for a number of sociodemographic, behavioral, physical, and mental health variables, as well as APOE ∈4. Results: Among 3,130 naturally postmenopausal women, current HT users performed significantly better than never users on verbal fluency, working memory, and psychomotor speed. These associations varied according to the type of treatment and a longer duration of HT appeared to be more beneficial. However, initiation of HT close to the menopause was not associated with better cognition. HT did not significantly reduce dementia risk over 4 years but current treatment diminished the negative effect associated with APOE ∈4. Conclusions: Current hormone therapy (HT) was associated with better performance in certain cognitive domains but these associations are dependent on the duration and type of treatment used. We found no evidence that HT needs to be initiated close to the menopause to have a beneficial effect on cognitive function in later life. Current HT may decrease the risk of dementia associated with the APOE ∈4 allele.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

pA  
A01 01  1    @0 0028-3878
A02 01      @0 NEURAI
A03   1    @0 Neurology
A05       @2 73
A06       @2 21
A08 01  1  ENG  @1 Characteristics of hormone therapy, cognitive function, and dementia: The prospective 3C Study
A11 01  1    @1 RYAN (J.)
A11 02  1    @1 CARRIERE (I.)
A11 03  1    @1 SCALI (J.)
A11 04  1    @1 DARTIGUES (J. F.)
A11 05  1    @1 TZOURIO (C.)
A11 06  1    @1 PONCET (M.)
A11 07  1    @1 RITCHIE (K.)
A11 08  1    @1 ANCELIN (M. L.)
A14 01      @1 INSERM (J.R., I.C., J.S., K.R., M.L.A.), U888 @2 Montpellier @3 FRA @Z 1 aut. @Z 2 aut. @Z 3 aut.
A14 02      @1 University Montpellier I @2 Montpellier @3 FRA @Z 1 aut. @Z 2 aut. @Z 3 aut. @Z 7 aut. @Z 8 aut.
A14 03      @1 Department of Psychiatry Q.R.), The University of Melbourne @2 Melbourne @3 AUS @Z 1 aut.
A14 04      @1 INSERM (U.F.D.), U897, University Bordeaux 2 @2 Bordeaux @3 FRA @Z 4 aut.
A14 05      @1 INSERM (C.T.), U708 @2 Paris @3 FRA @Z 5 aut.
A14 06      @1 UPMC University Paris 06 @2 Paris @3 FRA @Z 5 aut.
A14 07      @1 INSERM (M.P.), U751, CHU La Timone @2 Marseille @3 FRA @Z 6 aut.
A20       @1 1729-1737
A21       @1 2009
A23 01      @0 ENG
A43 01      @1 INIST @2 6345 @5 354000186568930040
A44       @0 0000 @1 © 2010 INIST-CNRS. All rights reserved.
A45       @0 39 ref.
A47 01  1    @0 10-0019492
A60       @1 P
A61       @0 A
A64 01  1    @0 Neurology
A66 01      @0 USA
C01 01    ENG  @0 Objectives: To examine the association between hormone therapy (HT) and cognitive performance or dementia, focusing on the duration and type of treatment used, as well as the timing of initiation of HT in relation to the menopause. Methods: Women 65 years and older were recruited in France as part of the Three City Study. At baseline and 2- and 4-year follow-up, women were administered a short cognitive test battery and a clinical diagnosis of dementia was made. Detailed information was also gathered relating to current and past HT use. Analysis was adjusted for a number of sociodemographic, behavioral, physical, and mental health variables, as well as APOE ∈4. Results: Among 3,130 naturally postmenopausal women, current HT users performed significantly better than never users on verbal fluency, working memory, and psychomotor speed. These associations varied according to the type of treatment and a longer duration of HT appeared to be more beneficial. However, initiation of HT close to the menopause was not associated with better cognition. HT did not significantly reduce dementia risk over 4 years but current treatment diminished the negative effect associated with APOE ∈4. Conclusions: Current hormone therapy (HT) was associated with better performance in certain cognitive domains but these associations are dependent on the duration and type of treatment used. We found no evidence that HT needs to be initiated close to the menopause to have a beneficial effect on cognitive function in later life. Current HT may decrease the risk of dementia associated with the APOE ∈4 allele.
C02 01  X    @0 002B17
C02 02  X    @0 002B17G
C03 01  X  FRE  @0 Démence @5 01
C03 01  X  ENG  @0 Dementia @5 01
C03 01  X  SPA  @0 Demencia @5 01
C03 02  X  FRE  @0 Pathologie du système nerveux @5 02
C03 02  X  ENG  @0 Nervous system diseases @5 02
C03 02  X  SPA  @0 Sistema nervioso patología @5 02
C03 03  X  FRE  @0 Hormone @5 09
C03 03  X  ENG  @0 Hormone @5 09
C03 03  X  SPA  @0 Hormona @5 09
C03 04  X  FRE  @0 Thérapie cognitive @5 10
C03 04  X  ENG  @0 Cognitive therapy @5 10
C03 04  X  SPA  @0 Terapia cognitiva @5 10
C03 05  X  FRE  @0 Prospective @5 11
C03 05  X  ENG  @0 Prospective @5 11
C03 05  X  SPA  @0 Prospectiva @5 11
C07 01  X  FRE  @0 Maladie dégénérative @5 37
C07 01  X  ENG  @0 Degenerative disease @5 37
C07 01  X  SPA  @0 Enfermedad degenerativa @5 37
N21       @1 011
N44 01      @1 OTO
N82       @1 OTO

Format Inist (serveur)

NO : PASCAL 10-0019492 INIST
ET : Characteristics of hormone therapy, cognitive function, and dementia: The prospective 3C Study
AU : RYAN (J.); CARRIERE (I.); SCALI (J.); DARTIGUES (J. F.); TZOURIO (C.); PONCET (M.); RITCHIE (K.); ANCELIN (M. L.)
AF : INSERM (J.R., I.C., J.S., K.R., M.L.A.), U888/Montpellier/France (1 aut., 2 aut., 3 aut.); University Montpellier I/Montpellier/France (1 aut., 2 aut., 3 aut., 7 aut., 8 aut.); Department of Psychiatry Q.R.), The University of Melbourne/Melbourne/Australie (1 aut.); INSERM (U.F.D.), U897, University Bordeaux 2/Bordeaux/France (4 aut.); INSERM (C.T.), U708/Paris/France (5 aut.); UPMC University Paris 06/Paris/France (5 aut.); INSERM (M.P.), U751, CHU La Timone/Marseille/France (6 aut.)
DT : Publication en série; Niveau analytique
SO : Neurology; ISSN 0028-3878; Coden NEURAI; Etats-Unis; Da. 2009; Vol. 73; No. 21; Pp. 1729-1737; Bibl. 39 ref.
LA : Anglais
EA : Objectives: To examine the association between hormone therapy (HT) and cognitive performance or dementia, focusing on the duration and type of treatment used, as well as the timing of initiation of HT in relation to the menopause. Methods: Women 65 years and older were recruited in France as part of the Three City Study. At baseline and 2- and 4-year follow-up, women were administered a short cognitive test battery and a clinical diagnosis of dementia was made. Detailed information was also gathered relating to current and past HT use. Analysis was adjusted for a number of sociodemographic, behavioral, physical, and mental health variables, as well as APOE ∈4. Results: Among 3,130 naturally postmenopausal women, current HT users performed significantly better than never users on verbal fluency, working memory, and psychomotor speed. These associations varied according to the type of treatment and a longer duration of HT appeared to be more beneficial. However, initiation of HT close to the menopause was not associated with better cognition. HT did not significantly reduce dementia risk over 4 years but current treatment diminished the negative effect associated with APOE ∈4. Conclusions: Current hormone therapy (HT) was associated with better performance in certain cognitive domains but these associations are dependent on the duration and type of treatment used. We found no evidence that HT needs to be initiated close to the menopause to have a beneficial effect on cognitive function in later life. Current HT may decrease the risk of dementia associated with the APOE ∈4 allele.
CC : 002B17; 002B17G
FD : Démence; Pathologie du système nerveux; Hormone; Thérapie cognitive; Prospective
FG : Maladie dégénérative
ED : Dementia; Nervous system diseases; Hormone; Cognitive therapy; Prospective
EG : Degenerative disease
SD : Demencia; Sistema nervioso patología; Hormona; Terapia cognitiva; Prospectiva
LO : INIST-6345.354000186568930040
ID : 10-0019492

Links to Exploration step

Pascal:10-0019492

Le document en format XML

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<div type="abstract" xml:lang="en">Objectives: To examine the association between hormone therapy (HT) and cognitive performance or dementia, focusing on the duration and type of treatment used, as well as the timing of initiation of HT in relation to the menopause. Methods: Women 65 years and older were recruited in France as part of the Three City Study. At baseline and 2- and 4-year follow-up, women were administered a short cognitive test battery and a clinical diagnosis of dementia was made. Detailed information was also gathered relating to current and past HT use. Analysis was adjusted for a number of sociodemographic, behavioral, physical, and mental health variables, as well as APOE ∈4. Results: Among 3,130 naturally postmenopausal women, current HT users performed significantly better than never users on verbal fluency, working memory, and psychomotor speed. These associations varied according to the type of treatment and a longer duration of HT appeared to be more beneficial. However, initiation of HT close to the menopause was not associated with better cognition. HT did not significantly reduce dementia risk over 4 years but current treatment diminished the negative effect associated with APOE ∈4. Conclusions: Current hormone therapy (HT) was associated with better performance in certain cognitive domains but these associations are dependent on the duration and type of treatment used. We found no evidence that HT needs to be initiated close to the menopause to have a beneficial effect on cognitive function in later life. Current HT may decrease the risk of dementia associated with the APOE ∈4 allele.</div>
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<s1>Characteristics of hormone therapy, cognitive function, and dementia: The prospective 3C Study</s1>
</fA08>
<fA11 i1="01" i2="1">
<s1>RYAN (J.)</s1>
</fA11>
<fA11 i1="02" i2="1">
<s1>CARRIERE (I.)</s1>
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<s1>SCALI (J.)</s1>
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<s1>DARTIGUES (J. F.)</s1>
</fA11>
<fA11 i1="05" i2="1">
<s1>TZOURIO (C.)</s1>
</fA11>
<fA11 i1="06" i2="1">
<s1>PONCET (M.)</s1>
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<s1>RITCHIE (K.)</s1>
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<s1>ANCELIN (M. L.)</s1>
</fA11>
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<s1>INSERM (J.R., I.C., J.S., K.R., M.L.A.), U888</s1>
<s2>Montpellier</s2>
<s3>FRA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
</fA14>
<fA14 i1="02">
<s1>University Montpellier I</s1>
<s2>Montpellier</s2>
<s3>FRA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>7 aut.</sZ>
<sZ>8 aut.</sZ>
</fA14>
<fA14 i1="03">
<s1>Department of Psychiatry Q.R.), The University of Melbourne</s1>
<s2>Melbourne</s2>
<s3>AUS</s3>
<sZ>1 aut.</sZ>
</fA14>
<fA14 i1="04">
<s1>INSERM (U.F.D.), U897, University Bordeaux 2</s1>
<s2>Bordeaux</s2>
<s3>FRA</s3>
<sZ>4 aut.</sZ>
</fA14>
<fA14 i1="05">
<s1>INSERM (C.T.), U708</s1>
<s2>Paris</s2>
<s3>FRA</s3>
<sZ>5 aut.</sZ>
</fA14>
<fA14 i1="06">
<s1>UPMC University Paris 06</s1>
<s2>Paris</s2>
<s3>FRA</s3>
<sZ>5 aut.</sZ>
</fA14>
<fA14 i1="07">
<s1>INSERM (M.P.), U751, CHU La Timone</s1>
<s2>Marseille</s2>
<s3>FRA</s3>
<sZ>6 aut.</sZ>
</fA14>
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<s1>1729-1737</s1>
</fA20>
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<s1>2009</s1>
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<s0>Objectives: To examine the association between hormone therapy (HT) and cognitive performance or dementia, focusing on the duration and type of treatment used, as well as the timing of initiation of HT in relation to the menopause. Methods: Women 65 years and older were recruited in France as part of the Three City Study. At baseline and 2- and 4-year follow-up, women were administered a short cognitive test battery and a clinical diagnosis of dementia was made. Detailed information was also gathered relating to current and past HT use. Analysis was adjusted for a number of sociodemographic, behavioral, physical, and mental health variables, as well as APOE ∈4. Results: Among 3,130 naturally postmenopausal women, current HT users performed significantly better than never users on verbal fluency, working memory, and psychomotor speed. These associations varied according to the type of treatment and a longer duration of HT appeared to be more beneficial. However, initiation of HT close to the menopause was not associated with better cognition. HT did not significantly reduce dementia risk over 4 years but current treatment diminished the negative effect associated with APOE ∈4. Conclusions: Current hormone therapy (HT) was associated with better performance in certain cognitive domains but these associations are dependent on the duration and type of treatment used. We found no evidence that HT needs to be initiated close to the menopause to have a beneficial effect on cognitive function in later life. Current HT may decrease the risk of dementia associated with the APOE ∈4 allele.</s0>
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<s0>002B17</s0>
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<fC02 i1="02" i2="X">
<s0>002B17G</s0>
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<s0>Démence</s0>
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<s0>Demencia</s0>
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<s0>Pathologie du système nerveux</s0>
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</fC03>
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<s0>Nervous system diseases</s0>
<s5>02</s5>
</fC03>
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<s0>Sistema nervioso patología</s0>
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<s0>Hormone</s0>
<s5>09</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG">
<s0>Hormone</s0>
<s5>09</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA">
<s0>Hormona</s0>
<s5>09</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE">
<s0>Thérapie cognitive</s0>
<s5>10</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG">
<s0>Cognitive therapy</s0>
<s5>10</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA">
<s0>Terapia cognitiva</s0>
<s5>10</s5>
</fC03>
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<s0>Prospective</s0>
<s5>11</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG">
<s0>Prospective</s0>
<s5>11</s5>
</fC03>
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<s0>Prospectiva</s0>
<s5>11</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE">
<s0>Maladie dégénérative</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>Degenerative disease</s0>
<s5>37</s5>
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<s0>Enfermedad degenerativa</s0>
<s5>37</s5>
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<s1>011</s1>
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<s1>OTO</s1>
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<NO>PASCAL 10-0019492 INIST</NO>
<ET>Characteristics of hormone therapy, cognitive function, and dementia: The prospective 3C Study</ET>
<AU>RYAN (J.); CARRIERE (I.); SCALI (J.); DARTIGUES (J. F.); TZOURIO (C.); PONCET (M.); RITCHIE (K.); ANCELIN (M. L.)</AU>
<AF>INSERM (J.R., I.C., J.S., K.R., M.L.A.), U888/Montpellier/France (1 aut., 2 aut., 3 aut.); University Montpellier I/Montpellier/France (1 aut., 2 aut., 3 aut., 7 aut., 8 aut.); Department of Psychiatry Q.R.), The University of Melbourne/Melbourne/Australie (1 aut.); INSERM (U.F.D.), U897, University Bordeaux 2/Bordeaux/France (4 aut.); INSERM (C.T.), U708/Paris/France (5 aut.); UPMC University Paris 06/Paris/France (5 aut.); INSERM (M.P.), U751, CHU La Timone/Marseille/France (6 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Neurology; ISSN 0028-3878; Coden NEURAI; Etats-Unis; Da. 2009; Vol. 73; No. 21; Pp. 1729-1737; Bibl. 39 ref.</SO>
<LA>Anglais</LA>
<EA>Objectives: To examine the association between hormone therapy (HT) and cognitive performance or dementia, focusing on the duration and type of treatment used, as well as the timing of initiation of HT in relation to the menopause. Methods: Women 65 years and older were recruited in France as part of the Three City Study. At baseline and 2- and 4-year follow-up, women were administered a short cognitive test battery and a clinical diagnosis of dementia was made. Detailed information was also gathered relating to current and past HT use. Analysis was adjusted for a number of sociodemographic, behavioral, physical, and mental health variables, as well as APOE ∈4. Results: Among 3,130 naturally postmenopausal women, current HT users performed significantly better than never users on verbal fluency, working memory, and psychomotor speed. These associations varied according to the type of treatment and a longer duration of HT appeared to be more beneficial. However, initiation of HT close to the menopause was not associated with better cognition. HT did not significantly reduce dementia risk over 4 years but current treatment diminished the negative effect associated with APOE ∈4. Conclusions: Current hormone therapy (HT) was associated with better performance in certain cognitive domains but these associations are dependent on the duration and type of treatment used. We found no evidence that HT needs to be initiated close to the menopause to have a beneficial effect on cognitive function in later life. Current HT may decrease the risk of dementia associated with the APOE ∈4 allele.</EA>
<CC>002B17; 002B17G</CC>
<FD>Démence; Pathologie du système nerveux; Hormone; Thérapie cognitive; Prospective</FD>
<FG>Maladie dégénérative</FG>
<ED>Dementia; Nervous system diseases; Hormone; Cognitive therapy; Prospective</ED>
<EG>Degenerative disease</EG>
<SD>Demencia; Sistema nervioso patología; Hormona; Terapia cognitiva; Prospectiva</SD>
<LO>INIST-6345.354000186568930040</LO>
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