Working and episodic memory trajectories over time following bilateral oophorectomy in early midlife women
Bibliographic record
Abstract
Abstract Background Early ovarian hormone deprivation due to bilateral salpingo‐oophorectomy (BSO; ovarian and fallopian tube removal) is a risk for late‐life AD, but estradiol replacement therapy (ERT) may be protective (Rocca et al., 2007). Working and episodic memory decrements have been observed without ERT soon after surgery (Sherwin et al., 1988) and on average 5 years post‐BSO in midlife compared to premenopausal controls (Gervais et al., 2020). Unknown is whether memory continues to decrease over time in early midlife, a critical period for understanding cognitive trajectories that presage AD. We investigated memory changes in early midlife over time post‐BSO, and whether those taking ERT had different trajectories than those without. Method Participants with BSO taking ERT (BSO+ERT: M age = 44.5y; n = 71) were compared to those not taking ERT (BSO: M age = 43.2y; n = 55), recruited from Toronto and Montreal, Canada, and Linköping, Sweden, and completed up to four yearly visits. Episodic memory was evaluated using Logical Memory Task (LM) percent forgetting and Rey Auditory Verbal Learning Test (RAVLT) total learning. Working memory was assessed using Spatial Working Memory Task (SPWM) trial 1 errors, Digit Ordering Task (DOT) errors, and Digit Span Backward Task (DSB) span length. Multilevel models were used to examine whether ERT influenced memory over time post‐BSO and disaggregate within‐ and between‐person effects. Estimated marginal means (Aiken and West, 1991) were calculated to delineate significant interactions. Result There were no significant changes over time post‐BSO on LM or RAVLT. The DSB showed significant within‐ and between‐person effects; the BSO group showed decreases in span length over time post‐BSO, while the BSO+ERT group showed increases and had significantly longer span lengths at seven years post‐BSO and beyond (Fig.1A&B). The SPWM Task showed a significant within‐person effect; the BSO group had stable errors over time post‐BSO, while the BSO+ERT group had working memory improvements and made fewer errors (Fig.1C). Conclusion Findings suggest that immediate verbal episodic memory declines we observed previously may stabilize. They also reveal that without ERT, most women have working memory declines post‐BSO. These data support ERT administration post‐BSO for working memory preservation. If ERT is contraindicated, cognitive training or lifestyle interventions may mitigate working memory declines.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.001 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".