Reproductive endocrinology

The relationship between male and female endogenous reproductive hormones levels and subjective cognitive decline score: A cross‐sectional analysis of the Pingyin cohort study

Clin Endocrinol (Oxf)Published Cross-sectional study

Authors' conclusion

There was sex-specific relationship between hormone levels and SCD abnormal. Those with higher testosterone levels in females may increase likelihood of experiencing SCD. Males with higher testosterone levels and higher testosterone/E2 ratio may be associated with reduced likelihood of SCD. The roles of endogenous reproductive hormone levels and their dynamic changes in cognitive function need further investigation.

Study context

Population
Adults aged 45–70 years, Pingyin cohort; 66.1% female, mean age 59.1 (SD 7.1) years; E2, testosterone, follicle stimulating hormone (FSH) and luteinizing hormone (LH) measured in females, E2 and testosterone in males1,285 female
Participants
1,943 adults
Exposure
High vs low endogenous reproductive hormone levels, by sex
Outcome
SCD status by subjective cognitive decline questionnaire (SCD-Q9) score
Methodological detailsbaseline data from the Pingyin cohort study
  • Baseline data from the Pingyin cohort study

Main finding

As reported in the abstract

SCD
High vs LowOdds ratio (95% CI)
Women, testosterone
1.43(1.01–2.05)
Men, testosterone; decreased chance of SCD
0.59(0.35–0.98)
Men, testosterone/E2 ratio; decreased chance of SCD
0.55(0.33–0.90)

Observational data: associations, not effects.

Further findings

Subjective cognitive decline (SCD) score per one-unit increase of testosterone, males

β (95% CI)
−.029 (−0.052, −0.007)
  • Multivariable linear regression

Original publication

The relationship between male and female endogenous reproductive hormones levels and subjective cognitive decline score: A cross‐sectional analysis of the Pingyin cohort study. Clin Endocrinol (Oxf). Published 1 July 2024. doi:10.1111/cen.15104

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