Reproductive endocrinology

The association between sex hormones and the change in brain‐predicted age difference in older women

Clin Endocrinol (Oxf)Published Prospective cohort study

Authors' conclusion

No strong evidence of an association between circulating sex hormones and brain-PAD. Given there is prior evidence to suggests sex hormones may be important for brain ageing, further studies of circulating sex hormones and brain health in postmenopausal women are warranted.

Study context

Population
Community-dwelling older women (aged 70+ years) not taking medications known to influence sex hormone concentrations
Participants
207 women
Exposure
Circulating sex hormone concentrations and brain-predicted age difference (brain-PAD)
Outcome
Brain-PAD (brain-predicted age difference) at baseline and its longitudinal change, brain age derived from whole brain volume on T1-weighted MRI
Follow-up
Baseline, 1 and 3 years
Methodological detailssubstudies of the ASPREE clinical trial (NEURO and Sex Hormones in Older Women)
  • Substudies of the ASPREE clinical trial (NEURO and Sex Hormones in Older Women)

Main finding

As reported in the abstract

Brain-PAD
Higher baseline brain-PAD (older brain age) in highest vs lowest dehydroepiandrosterone (DHEA) tertile, unadjusted analysis
p = .04

Observational data: associations, not effects.

Original publication

The association between sex hormones and the change in brain‐predicted age difference in older women. Clin Endocrinol (Oxf). Published 27 February 2023. doi:10.1111/cen.14898

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