Review Article

Hormone Replacement Therapy and Risk for Neurodegenerative Diseases

Table 1

Observational studies of ERT and risk for dementia.

Study (reference)Sample descriptionOverall findings

Paganini-Hill and Henderson [14]355 postmenopausal women (165 users; 190 nonusers) with a mean age of 86.5 years at death; retrospective data from the Leisure World, Laguna Hills cohortERT (not specified) for 1–7 years was associated with reduced risk for AD (OR: 0.67, CI 95% 0.38–1.17) compared to nonusers. Risk for AD decreased with longer duration of use.
Tang et al. [13]1124 healthy postmenopausal women (156 users; 968 nonusers), with a mean age of 74.2, enrolled in the Manhattan Study of AgingAfter controlling for age, education, and ethnicity, ERT (majority used CEE) for 6–8 years was associated with lower risk for AD (OR 0.50, 95% CI, 0.25–0.90) compared to nonusers. Risk for AD decreased with longer duration of use.
Kawas et al. [12]514 healthy postmenopausal women (230-users; 242-non-users), with a mean age of 65.5, enrolled in the Baltimore Longitudinal Study of AgingAfter controlling for education, ERT (not specified) for 1–10 years was associated with lower risk for AD (OR: 0.46, 95% CI, 0.21–0.99) compared to non-users. No effect was observed for duration of use.
Rocca et al., [1517]813 women with unilateral oophorectomy, 676 women with bilateral oophorectomy, and 1,472 women who did not undergo oophorectomy.Women who underwent oophorectomy (unilateral or bilateral) before onset of menopause were at increased risk for cognitive impairment or dementia (OR: 1.46, 95% CI, 1.13–1.90) compared to women who did not undergo oophorectomy. Risk increased with younger age at oophorectomy.