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Large UK Study Ties Post-Menopause to Anxiety, Sleep Problems and Brain Volume Loss

Researchers say the affected regions overlap with those seen early in Alzheimer’s, pointing to vulnerability rather than proof of causation.

Overview

  • A University of Cambridge team analyzed UK Biobank records from nearly 125,000 women, combining self-reports, cognitive tests and health service data.
  • MRI scans in about 10,800 participants showed reduced grey matter after menopause in the hippocampus, entorhinal cortex and anterior cingulate.
  • Reports of anxiety, depressive symptoms and disrupted sleep rose in the post-menopausal group, alongside increased use of related medical care and medications.
  • Objective testing indicated memory performance was largely stable, while processing speed and reaction times slowed modestly.
  • Hormone replacement therapy showed no clear protective effect once pre-existing mental health differences were considered, and users more often reported emotional complaints.