State-of-the-art review of the clinical research on menopause and hormone replacement therapy association with Parkinson's disease: What meta-analysis studies cannot tell us.

State-of-the-art review of the clinical research on menopause and hormone replacement therapy association with Parkinson's disease: What meta-analysis studies cannot tell us.
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DOI:
10.3389/fnagi.2022.971007
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发表时间:
2022
影响因子:
4.8
通讯作者:
--
中科院分区:
医学2区
文献类型:
--
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更年期是一个中年内分泌过程,极大地影响女性的中枢神经系统功能。在过去的20年里,大量的临床研究已经解决了卵巢激素下降对帕金森氏症和阿尔茨海默病等神经疾病的影响。然而,由于研究设计的异质性,支持更年期年龄、更年期类型和激素替代疗法在帕金森病发病及其核心特征上的作用的研究结果显示出不一致。在这里,我们提供了一个关于更年期和卵巢激素对帕金森病影响的临床文献的统一概述。我们强调了相互矛盾的证据的可能来源,并为未来的观察性临床研究收集了一些考虑因素,这些研究旨在探索帕金森病中与更年期相关的特征对神经系统的影响。
The menopause is a midlife endocrinological process that greatly affects women’s central nervous system functions. Over the last 2 decades numerous clinical studies have addressed the influence of ovarian hormone decline on neurological disorders like Parkinson’s disease and Alzheimer’s disease. However, the findings in support of a role for age at menopause, type of menopause and hormone replacement therapy on Parkinson’s disease onset and its core features show inconsistencies due to the heterogeneity in the study design. Here, we provide a unified overview of the clinical literature on the influence of menopause and ovarian hormones on Parkinson’s disease. We highlight the possible sources of conflicting evidence and gather considerations for future observational clinical studies that aim to explore the neurological impact of menopause-related features in Parkinson’s disease.
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