Evidence map›Paper›PMID 32910516›Full record

ArticleHuman brain mapping2021

Estrogen, brain structure, and cognition in postmenopausal women.

Christina P Boyle, Cyrus A Raji, Kirk I Erickson, Oscar L Lopez, James T Becker, H Michael Gach, Lewis H Kuller, William Longstreth, Owen T Carmichael, Brandalyn C Riedel and 1 more

Registry-linked trialOpen access · goldAbstract readMulticenter Study
In one paragraph

Article in Human brain mapping, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06533982 (Effect of Different Exercise Modalities on Cardiovascular and Cognitive Response in Postmenopausal Women With and Without Vasomotor Symptoms), which is not on this map. Cited by 45 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 2 pooled it
4.0field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06533982 nacompletednot on this mapstarted 2023, after this paper: background citation

Effect of Different Exercise Modalities on Cardiovascular and Cognitive Response in Postmenopausal Women With and Without Vasomotor Symptoms

TypeinterventionalSponsorUniversity of PoitiersRan2023 to 2023Enrolled30ConditionsMenopause, Blood Pressure, Cognitive DeclineArmsHigh intensity interval exercise session, Isometric neuromuscular exercise session
3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 2 syntheses or guidelines pooled it, 62 citations in OpenAlex.

  1. Pooled it
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  15. Bee venom-derived phospholipase AFrontiers in psychiatry · 2025
    Article
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  20. Advancements in APOE and dementia research: Highlights from the 2023 AAIC Advancements: APOE conference.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 7 institutions in 1 country.

Christina P Boyle *Imaging Genetics Center, Mark & Mary Stevens Institute for Neuroimaging & Informatics, Keck School of Medicine, University of Southern California, Marina del Rey, California, USA.ORCID 0000-0003-2700-4450
Cyrus A Raji *Mallinckrodt Institute of Radiology, Washington University, St. Louis, Missouri, USA.ORCID 0000-0002-9086-0105
Kirk I EricksonDepartment of Psychology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.ORCID 0000-0001-8736-981X
Oscar L LopezDepartment of Neurology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.ORCID 0000-0002-8546-8256
James T BeckerDepartment of Psychology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.ORCID 0000-0003-4425-4726
H Michael GachDepartments of Radiation Oncology, Radiology, and Biomedical Engineering, Washington University, St. Louis, Missouri, USA.ORCID 0000-0002-7112-5893
Lewis H KullerDepartment of Epidemiology, University of Pittsburgh, Graduate School of Public Health, Pittsburgh, Pennsylvania, USA.ORCID 0000-0002-7148-8416
William LongstrethDepartments of Neurology and Epidemiology, University of Washington, Seattle, Washington, USA.
Owen T CarmichaelPennington Biomedical Research Center, Baton Rouge, Louisiana, USA.ORCID 0000-0002-0576-0047
Brandalyn C RiedelImaging Genetics Center, Mark & Mary Stevens Institute for Neuroimaging & Informatics, Keck School of Medicine, University of Southern California, Marina del Rey, California, USA.ORCID 0000-0001-9047-7512
Paul M ThompsonImaging Genetics Center, Mark & Mary Stevens Institute for Neuroimaging & Informatics, Keck School of Medicine, University of Southern California, Marina del Rey, California, USA.ORCID 0000-0002-4720-8867
University of Pittsburgh Medical Center · USUniversity of Southern California · USMallinckrodt (United States) · USPennington Biomedical Research Center · USUniversity of Pittsburgh · USUniversity of Washington · USWashington University in St. Louis · US

Funding

Timing of Menopausal Hormone Therapy across Perimenopause to Menopause Transition: Neuroimmune System in BrainP01AG026572 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI ROBERTA EILEEN BRINTON · 2006 to 2026
$53.7M
Research Education ComponentP30AG066468 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI C. Elizabeth Shaaban · 2020 to 2026
$29.4M
VARIABILITY, STABILITY & SMOOTHNESS OF WALKINGP30AG024827 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Caterina Rosano · 2004 to 2026
$28.6M
TR&D3: Intrinsic Surface MappingP41EB015922 · NIBIB · UNIVERSITY OF SOUTHERN CALIFORNIA · PI VAN HORN, JOHN DARRELL · 2012 to 2022
$14.1M
Washington University Institute of Clinical and Translational Sciences (KL2) KL2TR002346 · NCATS · WASHINGTON UNIVERSITY · PI Dominic N Reeds · 2017 to 2026
$14.0M
Urban Air Pollution and Pathological Brain Aging: A Nationwide Twin Study in MenP01AG055367 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI CHEN, JIU-CHIUAN, FINCH, CALEB E · 2018 to 2022
$11.5M
Washington University Institute of Clinical and Translational SciencesKL2TR000450 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$8.8M
CHS Events Follow-up StudyR01HL080295 · NHLBI · UNIVERSITY OF WASHINGTON · PI PSATY, BRUCE M · 2009 to 2014
$6.3M
CHS Events Follow-up StudyU01HL080295 · NHLBI · UNIVERSITY OF WASHINGTON · PI PSATY, BRUCE M · 2005 to 2008
$4.6M
Predictors of Alheimers Disease in Mild Cognitive ImpairmentR01AG020098 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI LOPEZ, OSCAR L. · 2002 to 2011
$3.7M
India ENIGMA Initiative for Global Aging & Mental HealthR01AG060610 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI GANESAN, VENKATASUBRAMANIAN, JOHN, JOHN P · 2019 to 2024
$2.8M
ENIGMA World Aging CenterR56AG058854 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI THOMPSON, PAUL M · 2018 to 2018
$683k
NCATS NIH HHS KL2 TR000450NCATS NIH HHS KL2 TR002346NHLBI NIH HHS R01 HL080295NHLBI NIH HHS U01 HL080295NIA NIH HHS N01 HC-15103NIA NIH HHS N01-HC-35129NIA NIH HHS N01-HC-45133NIA NIH HHS N01 HC-55222NIA NIH HHS N01-HC-75150NIA NIH HHS N01-HC-85079NIA NIH HHS N01-HC-85086NIA NIH HHS N01-HC-85239NIA NIH HHS P01 AG026572NIA NIH HHS P01 AG055367NIA NIH HHS P30 AG024827NIA NIH HHS P30 AG066468NIA NIH HHS R01 AG015928NIA NIH HHS R01 AG020098NIA NIH HHS R01 AG060610NIA NIH HHS R56 AG020098NIA NIH HHS R56 AG058854NIBIB NIH HHS P41 EB015922NIH HHS P01 AG026572NIH HHS P01AG055367NIH HHS P41 EB015922NIH HHS R01AG060610NIH HHS R56AG058854
6 · The paper itself

Abstract

Declining estrogen levels before, during, and after menopause can affect memory and risk for Alzheimer's disease. Undesirable side effects of hormone variations emphasize a role for hormone therapy (HT) where possible benefits include a delay in the onset of dementia-yet findings are inconsistent. Effects of HT may be mediated by estrogen receptors found throughout the brain. Effects may also depend on lifestyle factors, timing of use, and genetic risk. We studied the impact of self-reported HT use on brain volume in 562 elderly women (71-94 years) with mixed cognitive status while adjusting for aforementioned factors. Covariate-adjusted voxelwise linear regression analyses using a model with 16 predictors showed HT use as positively associated with regional brain volumes, regardless of cognitive status. Examinations of other factors related to menopause, oophorectomy and hysterectomy status independently yielded positive effects on brain volume when added to our model. One interaction term, HTxBMI, out of several examined, revealed significant negative association with overall brain volume, suggesting a greater reduction in brain volume than BMI alone. Our main findings relating HT to regional brain volume were as hypothesized, but some exploratory analyses were not in line with existing hypotheses. Studies suggest lower levels of estrogen resulting from oophorectomy and hysterectomy affect brain volume negatively, and the addition of HT modifies the relation between BMI and brain volume positively. Effects of HT may depend on the age range assessed, motivating studies with a wider age range as well as a randomized design.

Indexed as

Estrogen Replacement TherapyAgedAged, 80 and overBrainCognitionEstrogensFemaleHumansHysterectomyLongitudinal StudiesMagnetic Resonance ImagingOvariectomyPostmenopauseEstrogensAlzheimer's diseaseBrain volumehormone therapy

Identifiers

PMID32910516
PMCPMC7721237
OpenAlexW3086319120

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Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.