Vaginal estrogen and association with dementia: A nationwide population-based study
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Vaginal estrogen and association with dementia : A nationwide population-based study. / Pourhadi, Nelsan; Mørch, Lina S.; Holm, Ellen A.; Torp-Pedersen, Christian T.; Meaidi, Amani.
In: Alzheimer's and Dementia, Vol. 18, No. 4, 2022, p. 625-634.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Vaginal estrogen and association with dementia
T2 - A nationwide population-based study
AU - Pourhadi, Nelsan
AU - Mørch, Lina S.
AU - Holm, Ellen A.
AU - Torp-Pedersen, Christian T.
AU - Meaidi, Amani
N1 - Publisher Copyright: © 2021 the Alzheimer's Association
PY - 2022
Y1 - 2022
N2 - Introduction: Use of systemic hormone therapy has been positively associated with development of dementia. Little is known about the dose-dependent effect of vaginal estradiol on dementia risk. Methods: We assessed associations between cumulative dose of vaginal estradiol tablets and dementia in a case-control study nested in a nationwide Danish cohort of women aged 50 to 60 years at study initiation, who did not use systemic hormone therapy. Each case was age-matched to 10 female controls. Results: A total of 4574 dementia cases were matched to 45,740 controls. Cumulative use of vaginal estradiol tablets was not associated with all-cause dementia; adjusted hazard ratio 1.02 (95% confidence interval [CI] 0.89–1.18) for low dose (< 750 mcg), 1.07 (0.94–1.21) for medium dose (750–2000 mcg), and 0.93 (0.84–1.03) for high dose (> 2000 mcg). Similarly, Alzheimer's disease (AD) only was not associated with vaginal estradiol. Discussion: Exposure to vaginal estradiol tablets was not associated with all-cause dementia or AD only.
AB - Introduction: Use of systemic hormone therapy has been positively associated with development of dementia. Little is known about the dose-dependent effect of vaginal estradiol on dementia risk. Methods: We assessed associations between cumulative dose of vaginal estradiol tablets and dementia in a case-control study nested in a nationwide Danish cohort of women aged 50 to 60 years at study initiation, who did not use systemic hormone therapy. Each case was age-matched to 10 female controls. Results: A total of 4574 dementia cases were matched to 45,740 controls. Cumulative use of vaginal estradiol tablets was not associated with all-cause dementia; adjusted hazard ratio 1.02 (95% confidence interval [CI] 0.89–1.18) for low dose (< 750 mcg), 1.07 (0.94–1.21) for medium dose (750–2000 mcg), and 0.93 (0.84–1.03) for high dose (> 2000 mcg). Similarly, Alzheimer's disease (AD) only was not associated with vaginal estradiol. Discussion: Exposure to vaginal estradiol tablets was not associated with all-cause dementia or AD only.
KW - Alzheimer's disease
KW - dementia
KW - hormone therapy
KW - nationwide study
KW - pharmacoepidemiology
KW - register study
KW - risk factor
KW - vaginal estrogen
U2 - 10.1002/alz.12417
DO - 10.1002/alz.12417
M3 - Journal article
C2 - 34322991
AN - SCOPUS:85111381072
VL - 18
SP - 625
EP - 634
JO - Alzheimer's & Dementia
JF - Alzheimer's & Dementia
SN - 1552-5260
IS - 4
ER -
ID: 275942891