Abstract:
:This is a narrative review of new ideas and concepts related to differences between men and women in their risk of developing dementia or Alzheimer's disease (AD). We introduce the concept of dimorphic neurology and the distinction between sex and gender. We then provide three examples of risk factors related to sex and gender from the literature. Apolipoprotein E genotype is equally common in men and women but has a stronger effect in women. Apolipoprotein E genotype is a biological factor that cannot be modified but interacts with sex or gender related factors that can be modified. Low education has a similar harmful effect in men and women but has been historically more common in women. Education is a social factor related to gender that can be modified. Finally, bilateral oophorectomy is a factor restricted to women. Bilateral oophorectomy is a surgical practice related to sex that can be modified. Consideration of risk and protective factors in men and women separately may accelerate etiologic research for neurological diseases in general, and for dementia and AD in particular. Similarly, future preventive interventions for dementia should be tailored to men and women separately.
journal_name
Maturitasjournal_title
Maturitasauthors
Rocca WA,Mielke MM,Vemuri P,Miller VMdoi
10.1016/j.maturitas.2014.05.008subject
Has Abstractpub_date
2014-10-01 00:00:00pages
196-201issue
2eissn
0378-5122issn
1873-4111pii
S0378-5122(14)00160-1journal_volume
79pub_type
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