Evidence map›Paper›PMID 37680393›Full record

ReviewCureus2023

The Role of Estrogen Therapy as a Protective Factor for Alzheimer's Disease and Dementia in Postmenopausal Women: A Comprehensive Review of the Literature.

Noor Ali, Rohab Sohail, Syeda Rabab Jaffer, Sadia Siddique, Berfin Kaya, Inioluwa Atowoju, Alizay Imran, Whitney Wright, Spandana Pamulapati, Faiza Choudhry and 2 more

Open access · diamondAbstract readReview
In one paragraph

Review in Cureus, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed
7.4field-weighted citation impact, top 2% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 37 citations in OpenAlex.

  1. Article
  2. Article
  3. Cognition in menopausal women.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
    Review
  4. Article
  5. Hormone replacement therapy and its association with LATE-NC in older adults.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Alzheimer's Disease Risk Factor APOE4 Exerts Dimorphic Effects on Female Bone.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Open medicine (Warsaw, Poland) · 2026
    Article
  18. Review
  19. Article
  20. 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

12 authors at 4 institutions in 4 countries.

Noor AliObstetrics and Gynecology, Thumbay University Hospital, Ajman, ARE.
Rohab SohailInternal Medicine, Quaid-e-Azam Medical College, Bahawalpur, PAK.
Syeda Rabab JafferInternal Medicine, Dow University of Health Sciences, Karachi, PAK.
Sadia SiddiqueGastroenterology, Blackpool Victoria Hospital National Health Services (NHS) Foundation Trust, Blackpool, GBR.
Berfin KayaObstetrics and Gynaecology, Izmir Ataturk Research and Training Hospital, Izmir, TUR.
Inioluwa AtowojuObstetrics and Gynecology, Kharkiv National Medical University, Kharkiv, UKR.
Alizay ImranSurgery, Windsor University School of Medicine, Chicago, USA.
Whitney WrightObstetrics and Gynecology, Texila American University, Georgetown, GUY.
Spandana PamulapatiObstetrics and Gynecology, Alluri Sita Rama Raju Academy of Medical Sciences, Eluru, IND.
Faiza ChoudhryMedicine and Surgery, Liaquat University of Medical and Health Sciences, Sindh, PAK.
Anum AkbarPediatrics, University of Nebraska Medical Center, Omaha, USA.
Uzzam Ahmed KhawajaPulmonary and Critical Care Medicine, Jinnah Medical and Dental College, Karachi, PAK.
Bahawal Victoria Hospital · PKDow University of Health Sciences · PKUniversity of Nebraska Medical Center · USUniversity of Windsor · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The complete cessation of menstruation for 12 months with associated vasomotor symptoms is termed menopause. Apart from playing a role in reproduction, estrogen significantly affects the central nervous system (CNS). Population-based studies highlighted a substantial difference in the prevalence of dementia between men and women, with Alzheimer-associated dementia being more prevalent in women, indicating that estrogen deficiency might be a risk factor for neurodegenerative diseases. Patients with dementia experience a progressive decline in neurocognitive function, beginning with short-term memory loss that progresses to long-term memory loss and the inability to perform everyday activities, leading ultimately to death. There is currently no cure for dementia, so preventing or slowing the disease's progression is paramount. Accordingly, researchers have widely studied the role of estrogen as a neuroprotective agent. Estrogen prevents dementia by augmenting Hippocampal and prefrontal cortex function, reducing neuroinflammation, preventing degradation of estrogen receptors, decreasing oxidative damage to the brain, and increasing cholinergic and serotonergic function. According to the window phase hypothesis, estrogen's effect on preventing dementia is more pronounced if therapy is started early, during the first five years of menopause. Other studies like The Woman's Health Initiative Memory Study (WHIMS) showed unfavorable effects of estrogen on the brain. This review aims to establish an understanding of the currently available data on estrogen's effect on neurodegeneration, namely, dementia and Alzheimer's disease.

Indexed as

alzheimers diseasedementiaestrogen receptor (er)estrogen therapypost menopausal estrogen deficiency

Identifiers

PMID37680393
PMCPMC10480684
OpenAlexW4385616628

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.