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Debray A, Bherer L, Gagnon C, Bosquet L, Hay E, Bartlett AA, Gagnon D, Enea C. A Cross-Sectional Comparison of Arterial Stiffness and Cognitive Performances in Physically Active Late Pre- and Early Post-Menopausal Females. Brain Sci 2022; 12:brainsci12070901. [PMID: 35884708 PMCID: PMC9312988 DOI: 10.3390/brainsci12070901] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2022] [Revised: 07/01/2022] [Accepted: 07/04/2022] [Indexed: 12/04/2022] Open
Abstract
Menopause accelerates increases in arterial stiffness and decreases cognitive performances. The objective of this study was to compare cognitive performances in physically active pre- and post-menopausal females and their relationship with arterial stiffness. We performed a cross-sectional comparison of blood pressure, carotid−femoral pulse wave velocity (cf-PWV) and cognitive performances between physically active late pre- and early post-menopausal females. Systolic (post-menopause—pre-menopause: +6 mmHg [95% CI −1; +13], p = 0.27; ŋ2 = 0.04) and diastolic (+6 mmHg [95% CI +2; +11], p = 0.06; ŋ2 = 0.12) blood pressures, and cf-PWV (+0.29 m/s [95% CI −1.03; 1.62], p = 0.48; ŋ2 = 0.02) did not differ between groups. Post-menopausal females performed as well as pre-menopausal females on tests evaluating executive functions, episodic memory and processing speed. Group differences were observed on the computerized working memory task. Post-menopausal females had lower accuracy (p = 0.02; ŋ2 = 0.25) but similar reaction time (p = 0.70; ŋ2 < 0.01). Moreover, this performance was inversely associated with the severity of menopausal symptoms (r = −0.38; p = 0.05). These results suggest that arterial stiffness and performance on tests assessing episodic memory and processing speed and executive functions assessing inhibition and switching abilities did not differ between physically active pre- and post-menopausal females. However, post-menopausal females had lower performance on a challenging condition of a working memory task, and this difference in working memory between groups cannot be explained by increased arterial stiffness.
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Affiliation(s)
- Amélie Debray
- Montreal Heart Institute, 5055 Rue Saint-Zotique E, Montreal, QC H1T 1N6, Canada; (A.D.); (L.B.); (C.G.); (A.-A.B.); (D.G.)
- School of Kinesiology and Exercise Science, Université de Montréal, 2100, boulevard Édouard-Montpetit, Montreal, QC H3T 1J4, Canada
- Laboratory MOVE (UR20296), Faculté des Sciences du Sport, Université de Poitiers, Batiment C6, 8 allée Jean Monnet, TSA 31113, CEDEX 9, 86073 Poitiers, France; (L.B.); (E.H.)
| | - Louis Bherer
- Montreal Heart Institute, 5055 Rue Saint-Zotique E, Montreal, QC H1T 1N6, Canada; (A.D.); (L.B.); (C.G.); (A.-A.B.); (D.G.)
- Centre de Recherche de l’Institut Universitaire de Gériatrie de Montréal, 4565 Chemin Queen Mary, Montreal, QC H3W 1W5, Canada
- Department of Medicine, Université de Montréal, Montreal, QC H3T 1J4, Canada
| | - Christine Gagnon
- Montreal Heart Institute, 5055 Rue Saint-Zotique E, Montreal, QC H1T 1N6, Canada; (A.D.); (L.B.); (C.G.); (A.-A.B.); (D.G.)
- Centre de Recherche de l’Institut Universitaire de Gériatrie de Montréal, 4565 Chemin Queen Mary, Montreal, QC H3W 1W5, Canada
| | - Laurent Bosquet
- Laboratory MOVE (UR20296), Faculté des Sciences du Sport, Université de Poitiers, Batiment C6, 8 allée Jean Monnet, TSA 31113, CEDEX 9, 86073 Poitiers, France; (L.B.); (E.H.)
- Centre de Recherche de l’Institut Universitaire de Gériatrie de Montréal, 4565 Chemin Queen Mary, Montreal, QC H3W 1W5, Canada
| | - Eva Hay
- Laboratory MOVE (UR20296), Faculté des Sciences du Sport, Université de Poitiers, Batiment C6, 8 allée Jean Monnet, TSA 31113, CEDEX 9, 86073 Poitiers, France; (L.B.); (E.H.)
| | - Audrey-Ann Bartlett
- Montreal Heart Institute, 5055 Rue Saint-Zotique E, Montreal, QC H1T 1N6, Canada; (A.D.); (L.B.); (C.G.); (A.-A.B.); (D.G.)
- School of Kinesiology and Exercise Science, Université de Montréal, 2100, boulevard Édouard-Montpetit, Montreal, QC H3T 1J4, Canada
| | - Daniel Gagnon
- Montreal Heart Institute, 5055 Rue Saint-Zotique E, Montreal, QC H1T 1N6, Canada; (A.D.); (L.B.); (C.G.); (A.-A.B.); (D.G.)
- School of Kinesiology and Exercise Science, Université de Montréal, 2100, boulevard Édouard-Montpetit, Montreal, QC H3T 1J4, Canada
| | - Carina Enea
- Laboratory MOVE (UR20296), Faculté des Sciences du Sport, Université de Poitiers, Batiment C6, 8 allée Jean Monnet, TSA 31113, CEDEX 9, 86073 Poitiers, France; (L.B.); (E.H.)
- Correspondence: ; Tel.: +33-(0)5-49-45-30-00
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Huang W, Jiang S, Geng L, Li C, Tao M. Correlation between menopausal symptoms and everyday cognition in Chinese (peri)menopausal women. Gynecol Endocrinol 2021; 37:655-659. [PMID: 33645380 DOI: 10.1080/09513590.2021.1892629] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
Abstract
OBJECTIVE The aim of this study was to evaluate the relationship between the severity of menopausal symptoms and everyday cognitive decline in Chinese peri and postmenopausal women. METHODS The peri and postmenopausal Chinese Han female who first visited the menopausal clinic of Shanghai Jiao Tong University Affiliated Sixth People's Hospital was selected as the study participants. The general questionnaire was used to obtain the sociodemographic characteristics of the study participants. The menopausal rating scale (MRS) was used to assess the severity of menopausal symptoms. The short version of the Everyday Cognition (ECog-12) scales was used to assess everyday cognitive performance. RESULTS A total of 295 women were included, with an average age of 51.12 ± 5.15 years. The average ECog scores were 1.51 ± 0.49 and the average MRS scores were 6.89 ± 4.77. In multiple linear regression analysis, after adjusting for confounding factors age, body mass index (BMI), monthly income, occupational status, education level, menopausal status, parity, regular exercise, and history of chronic diseases, complaints of anxiety and physical/mental fatigue were positively correlated with everyday cognitive decline. CONCLUSIONS Menopausal anxiety and physical/mental fatigue were the independent predictors of everyday cognition.
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Affiliation(s)
- Wenjun Huang
- Department of Gynecology and Obstetrics, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, PR China
| | - Susu Jiang
- Department of Gynecology and Obstetrics, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, PR China
| | - Lulu Geng
- Department of Gynecology and Obstetrics, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, PR China
| | - Changbin Li
- Department of Gynecology and Obstetrics, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, PR China
| | - Minfang Tao
- Department of Gynecology and Obstetrics, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, PR China
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Alsumali A, Mekary RA, Seeger J, Regestein Q. Blood pressure and neuropsychological test performance in healthy postmenopausal women. Maturitas 2016; 88:25-31. [PMID: 27105693 DOI: 10.1016/j.maturitas.2016.03.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2015] [Revised: 02/17/2016] [Accepted: 03/04/2016] [Indexed: 11/19/2022]
Abstract
PURPOSE To study the association between blood pressure and neuropsychological test performance in healthy postmenopausal women. METHODS Data from 88 healthy postmenopausal women aged 46-73 years, who were not experiencing hot flashes, and who had participated in a prior drug trial, were analyzed to find whether baseline blood pressure was associated with impaired performance on neuropsychological testing done at 3 follow-up visits separated by 4 weeks. Factor analysis was used to reduce the dimensions of neuropsychological test performance. Mixed linear modeling was used to evaluate the association between baseline blood pressure and repeatedly measured neuropsychological test performance at follow-up in a complete case analysis (n=53). In a sensitivity analysis (n=88), multiple-imputation using the Markov Chain Monte Carlo method was used to account for missing data (blood pressure results) for some visits. RESULTS The variables recording neuropsychological test performance were reduced to two main factors (Factor 1=selective attention; Factor 2=complex processing). In the complete case analysis, the association between a 20-mmHg increase in diastolic blood pressure and Factor 1 remained statistically significant after adjusting for potential confounders, before adjusting for systolic blood pressure (slope=0.60; 95%CI=0.04,1.16), and after adjusting for systolic blood pressure (slope=0.76; 95%CI=0.06, 1.47). The positive slopes indicated an increase in the time spent performing a given task (i.e., a decrease in neuropsychological test performance). No other significant associations were found between systolic blood pressure and either factor. The results did not materially change after applying the multiple-imputation method. CONCLUSIONS An increase in diastolic blood pressure was associated with a decrease in neuropsychological test performance among older healthy postmenopausal women experiencing hot flashes.
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Affiliation(s)
- Adnan Alsumali
- Department of Pharmaceutical Business and Administrative Sciences, MCPHS University, 179 Longwood Ave, Boston, MA 02115, United States.
| | - Rania A Mekary
- Department of Pharmaceutical Business and Administrative Sciences, MCPHS University, 179 Longwood Ave, Boston, MA 02115, United States; Department of Surgery, 75 Francis St., Brigham and Women's Hospital, Boston, MA 02115, United States
| | - John Seeger
- Department of Epidemiology, Harvard School of Public Health, 665 Huntington Ave, Boston, MA 02115, United States; Division of Pharmacoepidemiology & Pharmacoeconomics, Brigham and Women's Hospital and Harvard Medical School, 1620 Tremont St., Boston, MA 02120, United States
| | - Quentin Regestein
- Department of Psychiatry, Brigham and Women's Hospital, 1249 Boylston St. Boston, MA 02215, United States
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Nicolau ZFM, Tufik S, Hachul H. Biopsychosocial context may influence hot flashes as well as mood, cognitive performance and sleep. Maturitas 2015; 82:441. [PMID: 26321224 DOI: 10.1016/j.maturitas.2015.08.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2015] [Accepted: 08/12/2015] [Indexed: 11/30/2022]
Affiliation(s)
- Zaira F M Nicolau
- Departamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, Brazil
| | - Sergio Tufik
- Departamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, Brazil
| | - Helena Hachul
- Departamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, Brazil; Departamento de Ginecologia, Universidade Federal de São Paulo, São Paulo, Brazil.
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