Evidence map›Paper›PMID 42644405›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2026

Hormone replacement therapy and dementia risk among postmenopausal women: Identifying responsive subgroups in the UK Biobank.

Steven Squires, Rasha Nm Saleh, Luke C Pilling, Janice L Atkins, Janice M Ranson, Xin You Tai, David Vauzour, David J Llewellyn, Anne-Marie Minihane

Abstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Steven SquiresUniversity of Exeter Medical School, Exeter, UK.ORCID https://orcid.org/0000-0003-3681-1342
Rasha Nm SalehNorwich Medical School, University of East Anglia, Norwich, UK.
Luke C PillingUniversity of Exeter Medical School, Exeter, UK.ORCID https://orcid.org/0000-0002-3332-8454
Janice L AtkinsUniversity of Exeter Medical School, Exeter, UK.
Janice M RansonUniversity of Exeter Medical School, Exeter, UK.ORCID https://orcid.org/0000-0001-9491-3940
Xin You TaiNuffield Department of Clinical Neuroscience, University of Oxford, Oxford, UK.
David VauzourNorwich Medical School, University of East Anglia, Norwich, UK.
David J LlewellynUniversity of Exeter Medical School, Exeter, UK.
Anne-Marie MinihaneNorwich Medical School, University of East Anglia, Norwich, UK.ORCID https://orcid.org/0000-0001-9042-4226

Funding

Alzheimer's Research UK (JR, DJL)National Institute for Health and Care Research (NIHR) Applied Research Collaboration South West Peninsula and NIHR (DJL)NIHR Advanced Fellowship (JLA) NIHR301844UK Biotechnology and Biological Sciences Research Council (BBSRC/UKRI) BB/X002209/1
6 · The paper itself

Abstract

introductionModifiers of the association between hormone replacement therapy (HRT) use and dementia risk and responsive subgroups, are unknown.

methodsIn 183,450 postmenopausal women from the UK Biobank (mean 13.3 years follow-up), multivariable Cox regression models evaluated associations between HRT use (≥1 year) and all-cause dementia and dementia subtypes. Stratified analyzes assessed modification by menopause type, lifetime estrogen exposure, apolipoprotein E (APOE) ɛ4 genotype, and age at HRT initiation.

resultsOver 2.43 million person-years, 3,948 dementia cases were identified. HRT use was associated with lower all-cause dementia (hazard ratio [HR] 0.90; 95% CI, 0.84-0.96), with stronger associations in surgical menopause (0.74, 0.65-0.84), APOE ɛ4 carriers (0.87, 0.80-0.95) and women with lower endogenous estrogen exposure (0.84, 0.77-0.93). Initiation between ages 46 and 56 conferred the greatest benefit. DISCUSSION: HRT use was associated with lower dementia risk, and these findings may help inform more tailored approaches to HRT prescribing in relation to women's lifetime dementia risk.

Indexed as

DementiaEstrogen Replacement TherapyHormone Replacement TherapyPostmenopauseAgedApolipoprotein E4Biological Specimen BanksEstrogensFemaleHumansMiddle AgedRisk FactorsUK BiobankUnited KingdomApolipoprotein E4EstrogensAlzheimer's diseaseAPOE4dementiaestrogenHRTmenopauseprecision medicinesurgical menopause

Identifiers

PMID42644405
PMCPMC13508136

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.