Evidence map›Paper›PMID 41122811›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2025

Biological and social reproductive factors and late-life cognitive function in middle-aged and older Chinese women.

Xueqin Li, Wanyu Zhao, Huirong Zheng, Bangshan Liu, Hongbo He, Jin Liu, Ling Jiang Li, Yan Zhang

Abstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

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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

2 citing papers in PubMed.

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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

8 authors.

Xueqin LiGuangdong Cardiovascular Institute, Guangdong Provincial People's Hospital Ganzhou Hospital, Guangdong Academy of Medical Sciences, Ganzhou, Jiangxi, China.
Wanyu ZhaoCenter of Gerontology and Geriatrics and National Clinical Research Center of Geriatrics, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Huirong ZhengGuangdong Mental Health Center, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, Guangdong, China.
Bangshan LiuDepartment of Psychiatry, National Clinical Research Center for Mental Disorders, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China.
Hongbo HeGuangdong Cardiovascular Institute, Guangdong Provincial People's Hospital Ganzhou Hospital, Guangdong Academy of Medical Sciences, Ganzhou, Jiangxi, China.
Jin LiuDepartment of Psychiatry, National Clinical Research Center for Mental Disorders, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China.
Ling Jiang LiDepartment of Psychiatry, National Clinical Research Center for Mental Disorders, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China.
Yan ZhangDepartment of Psychiatry, National Clinical Research Center for Mental Disorders, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China.

Funding

Hunan Provincial Natural Science Outstanding Youth Foundation 2025JJ20093National Natural Science Foundation of China 82201693National Natural Science Foundation of China 82471555Science and Technology Innovation Program of Hunan Province 2024RC3057STI2030-Major Projects 2021ZD0202000
6 · The paper itself

Abstract

introductionFew studies have concurrently examined the biological and social reproductive factors in relation to women's cognitive aging.

methodsWe analyzed 8577 women and 7872 men ≥45 years of age from the China Health and Retirement Longitudinal Study. Biological reproductive factors included reproductive span, age at menarche, and age at menopause; social reproductive factors included number of children and age at first live birth. Multivariable regression models were sequentially adjusted for age, childhood cognition proxy, education, and current health and lifestyle factors.

resultsLonger reproductive span was associated with better cognitive performance in women, whereas a higher number of children were linked to poorer cognition in both sexes, particularly in women. These associations remained robust after full adjustment, compared with age at menarche, age at menopause, and age at first birth.

conclusionIntegrating biological and social reproductive factors provides insights into sex-specific cognitive aging patterns and may inform tailored dementia prevention strategies. HIGHLIGHTS: A longer reproductive span was linked to better cognition in older Chinese women. More children were linked to poorer cognition in both sexes, especially in women. Reproductive span and number of children showed robust associations with late-life cognition, stronger than other reproductive factors.

Indexed as

AgingCognitionCognitive AgingReproductionAgedChinaEast Asian PeopleFemaleHumansLongitudinal StudiesMaleMenarcheMenopauseMiddle AgedNeuropsychological TestsChinese middle‐aged and older womencognitive functionnumber of childrenreproductive lifespansex differences

Identifiers

PMID41122811
PMCPMC12541285

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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.