Evidence map›Paper›PMID 41310442›Full record

Observational studyJournal of clinical and experimental neuropsychology2026

Association between reproductive history, white matter integrity, and cognition in post-menopausal Latina women from the Boston Latino Aging Study.

Averi Giudicessi, Elouise Koops, Clara Vila-Castelar, Lusiana Martinez, Nadeshka Ramirez-Perez, George Silva, Randy Medrano, Jairo E Martinez, Isabel Solis, Jorge Alcina and 6 more

Abstract readObservational Study
In one paragraph

Observational study in Journal of clinical and experimental neuropsychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing 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

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

16 authors.

Averi GiudicessiDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Elouise KoopsDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Clara Vila-CastelarDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Lusiana MartinezDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Nadeshka Ramirez-PerezDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
George SilvaDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Randy MedranoDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Jairo E MartinezDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Isabel SolisDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Jorge AlcinaDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Catarina Tristão-PereiraDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Marta Gonzalez CatalanDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Daniel G SaldanaDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Liliana Ramírez-GómezDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Alice Cronin-GolombDepartment of Psychological and Brain Sciences, Boston University, Boston, MA, USA.
Yakeel T QuirozDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.

Funding

Boston Latino Aging Study (BLAST): Understanding Alzheimer's risk and biomarkers in older LatinosR01AG066823 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI QUIROZ, YAKEEL T. · 2021 to 2025
$4.2M
Nerve growth factor (NGF) metabolic dysfunction as a marker of cognitive decline in autosomal dominant Alzheimer's diseaseRF1AG077627 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI AGUILLON, DAVID FERNANDO, CUELLO, A CLAUDIO · 2022 to 2022
$2.0M
Examining the impact of sex and hormones on the progression of autosomal dominant Alzheimer's diseaseR00AG073452 · NIA · WASHINGTON UNIVERSITY · PI Clara Vila Castelar · 2025 to 2026
$479k
Examining the impact of sex and hormones on the progression of autosomal dominant Alzheimer's diseaseK99AG073452 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI VILA CASTELAR, CLARA · 2022 to 2023
$268k
Examining Sex-Specific Effects on White Matter Integrity and Brain Function in Familial Alzheimer's Disease and Vascular DementiaF31NS134277 · NINDS · BOSTON UNIVERSITY (CHARLES RIVER CAMPUS) · PI Averi Jordin Giudicessi · 2024 to 2026
$129k
NIA NIH HHS K99 AG073452NIA NIH HHS R00 AG073452NIA NIH HHS R01 AG066823NIA NIH HHS RF1 AG077627NINDS NIH HHS F31 NS134277
6 · The paper itself

Abstract

backgroundWomen face disproportionately high Alzheimer's disease (AD) rates, with Latina women experiencing particularly elevated cognitive impairment rates. Understanding reproductive factors' impact on brain aging is critical for this underrepresented population. Given sex disparities in AD and reproductive factor influence on brain aging, we examined relations among reproductive history, white matter integrity, and cognitive function in post-menopausal Latina women.

methodsParticipants were 95 post-menopausal Latina women from the Boston Latino Aging Study, mean age 65.7 (SD = 6.5) years and 11.7 (SD = 4.8) years of education. Reproductive history was obtained via self-report questionnaire. Cognitive assessment included Mini-Mental State Examination, Free and Cued Selective Reminding Test, Category Fluency, Story Memory Delayed Recall, and Symbol Digit Modalities Test administered in Spanish or Portuguese. White matter microstructure was assessed with diffusion weighted imaging using fixel-based methods. Regression models tested associations among reproductive factors, cognitive and imaging outcomes, adjusting for age, education, and cardiovascular risk. Mediation analyses evaluated whether white matter abnormalities explained reproductive-cognitive relations.

resultsPregnancy history was associated with worse delayed recall, with women having 1-2 (β = -0.79,

conclusionsReproductive history, particularly pregnancy number, is associated with cognitive performance and white matter microstructure in post-menopausal Latina women. These findings underscore the importance of considering reproductive factors in AD risk assessment and highlight the need for longitudinal studies to clarify mechanisms driving these associations.

Indexed as

AgingCognitionHispanic or LatinoPostmenopauseReproductive HistoryWhite MatterAgedBostonDiffusion Magnetic Resonance ImagingFemaleHumansMiddle AgedNeuropsychological TestsAlzheimer’s diseasecognitive agingdiffusion tensor imagingmenopausereproductive historywhite matter integrity

Identifiers

PMID41310442
PMCPMC13005918

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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.