Understanding the impact of sex and gender in Alzheimer's disease: A call to action

被引:446
|
作者
Nebel, Rebecca A. [1 ]
Aggarwal, Neelum T. [2 ,3 ]
Barnes, Lisa L. [2 ,3 ]
Gallagher, Aimee [1 ]
Goldstein, Jill M. [4 ,5 ,6 ]
Kantarci, Kejal [7 ]
Mallampalli, Monica P. [1 ]
Mormino, Elizabeth C. [8 ]
Scott, Laura [9 ]
Yu, Wai Haung [10 ]
Maki, Pauline M. [11 ,12 ]
Mielke, Michelle M. [13 ,14 ]
机构
[1] SWHR, Sci Programs, Washington, DC 20036 USA
[2] Rush Univ, Med Ctr, Dept Neurol Sci, Chicago, IL 60612 USA
[3] Rush Univ, Med Ctr, Rush Alzheimers Dis Ctr, Chicago, IL 60612 USA
[4] Harvard Med Sch, Dept Psychiat, Boston, MA USA
[5] Massachusetts Gen Hosp, Boston, MA 02114 USA
[6] Harvard Med Sch, Dept Med, Boston, MA USA
[7] Mayo Clin, Dept Radiol, Rochester, MN USA
[8] Stanford Univ, Dept Neurol & Neurol Sci, Stanford, CA 94305 USA
[9] Johns Hopkins Univ, Cellular & Mol Med Program, Baltimore, MD USA
[10] Columbia Univ, Dept Pathol & Cell Biol, Taub Inst Res Alzheimers Dis & Aging Brain, New York, NY USA
[11] Univ Illinois, Dept Psychol, Chicago, IL 60680 USA
[12] Univ Illinois, Dept Psychiat, Chicago, IL 60612 USA
[13] Mayo Clin, Dept Epidemiol, Rochester, MN USA
[14] Mayo Clin, Dept Neurol, Rochester, MN USA
关键词
Alzheimer's disease; Sex; Gender; Risk factors; Hormones; Biomarkers; Women; Men; Mild cognitive impairment; Menopause; Epidemiology; MILD COGNITIVE IMPAIRMENT; HEALTH INITIATIVE MEMORY; POSTMENOPAUSAL HORMONE-THERAPY; APOLIPOPROTEIN-E GENOTYPE; CAUSE-SPECIFIC MORTALITY; VERBAL MEMORY; DEPRESSIVE SYMPTOMS; HIPPOCAMPAL ATROPHY; MIDLIFE WOMEN; CACHE COUNTY;
D O I
10.1016/j.jalz.2018.04.008
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Introduction: Precision medicine methodologies and approaches have advanced our understanding of the clinical presentation, development, progression, and management of Alzheimer's disease (AD) dementia. However, sex and gender have not yet been adequately integrated into many of these approaches. Methods: The Society for Women's Health Research Interdisciplinary Network on AD, comprised of an expert panel of scientists and clinicians, reviewed ongoing and published research related to sex and gender differences in AD. Results: The current review is a result of this Network's efforts and aims to: (1) highlight the current state-of-the-science in the AD field on sex and gender differences; (2) address knowledge gaps in assessing sex and gender differences; and (3) discuss 12 priority areas that merit further research. Discussion: The exclusion of sex and gender has impeded faster advancement in the detection, treatment, and care of AD across the clinical spectrum. Greater attention to these differences will improve outcomes for both sexes. (C) 2018 the Alzheimer's Association. Published by Elsevier Inc. All rights reserved.
引用
收藏
页码:1171 / 1183
页数:13
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