Characteristics of hormone therapy, cognitive function, and dementia: The prospective 3C Study
Identifieur interne : 002967 ( PascalFrancis/Corpus ); précédent : 002966; suivant : 002968Characteristics 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. AncelinSource :
- Neurology [ 0028-3878 ] ; 2009.
Descripteurs français
- Pascal (Inist)
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.
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Pour connaître la documentation sur le format Inist Standard.
pA |
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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 |
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<front><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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<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="ENG"><s0>Nervous system diseases</s0>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="SPA"><s0>Sistema nervioso patología</s0>
<s5>02</s5>
</fC03>
<fC03 i1="03" i2="X" l="FRE"><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>
<fC03 i1="05" i2="X" l="FRE"><s0>Prospective</s0>
<s5>11</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG"><s0>Prospective</s0>
<s5>11</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA"><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>
</fC07>
<fC07 i1="01" i2="X" l="SPA"><s0>Enfermedad degenerativa</s0>
<s5>37</s5>
</fC07>
<fN21><s1>011</s1>
</fN21>
<fN44 i1="01"><s1>OTO</s1>
</fN44>
<fN82><s1>OTO</s1>
</fN82>
</pA>
</standard>
<server><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>
<ID>10-0019492</ID>
</server>
</inist>
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