Is hypertension negatively associated with memory performance in women during climacteric? A systematic review

Abstract Background The negative association between hypertension and memory performance has been a subject of broad debate in recent decades. Considering the neuroendocrine changes that occur during climacteric, this systematic review aimed to investigate whether hypertension is negatively associat...

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Main Authors: Arthur Polveiro da Silva, Laura Scatena Fávero, Adriano Bruno Corrêa, Mateus do Carmo Bardella, Luís Felipe Pengo Almeida Leite, Leonardo Santos Lopes da Silva, Márcio Fernando Tasinafo Júnior, Leonardo da Silva Gonçalves, Camila de Moraes
Format: Article
Language:English
Published: BMC 2025-08-01
Series:BMC Women's Health
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Online Access:https://doi.org/10.1186/s12905-025-03764-6
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author Arthur Polveiro da Silva
Laura Scatena Fávero
Adriano Bruno Corrêa
Mateus do Carmo Bardella
Luís Felipe Pengo Almeida Leite
Leonardo Santos Lopes da Silva
Márcio Fernando Tasinafo Júnior
Leonardo da Silva Gonçalves
Camila de Moraes
author_facet Arthur Polveiro da Silva
Laura Scatena Fávero
Adriano Bruno Corrêa
Mateus do Carmo Bardella
Luís Felipe Pengo Almeida Leite
Leonardo Santos Lopes da Silva
Márcio Fernando Tasinafo Júnior
Leonardo da Silva Gonçalves
Camila de Moraes
author_sort Arthur Polveiro da Silva
collection DOAJ
description Abstract Background The negative association between hypertension and memory performance has been a subject of broad debate in recent decades. Considering the neuroendocrine changes that occur during climacteric, this systematic review aimed to investigate whether hypertension is negatively associated with memory performance in women during climacteric. Methods A comprehensive search was conducted in the MEDLINE, EMBASE, Web of Science, Scopus, and BVS electronic databases according to the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Studies involving hypertensive, middle-aged women in the climacteric phase were included. The risk of bias and methodological quality was assessed using the Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies (NHLBI, NIH). Results Out of 16 studies selected for the full-text reading phase, 5 were included in the systematic review. The included studies were predominantly longitudinal. Heterogeneity was observed in the sample size, and the tools for assessing memory, reproductive stage, and hypertension diagnosis. Two longitudinal studies reported a negative association between hypertension and memory performance, while one found no significant association. The cross-sectional studies reported that hypertensive participants demonstrated poorer memory performance compared to normotensive participants. Conclusions Based on the included studies, the results suggests that hypertension is negatively associated with memory performance in climacteric women. However, due to the small number of studies and the fact that most were conducted in developed countries, these results should be interpreted with caution (PROSPERO registration number: CRD42023391668).
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spelling doaj-art-ab0886c2df1146c0a73fb60dcf8dbab52025-08-20T03:46:12ZengBMCBMC Women's Health1472-68742025-08-012511910.1186/s12905-025-03764-6Is hypertension negatively associated with memory performance in women during climacteric? A systematic reviewArthur Polveiro da Silva0Laura Scatena Fávero1Adriano Bruno Corrêa2Mateus do Carmo Bardella3Luís Felipe Pengo Almeida Leite4Leonardo Santos Lopes da Silva5Márcio Fernando Tasinafo Júnior6Leonardo da Silva Gonçalves7Camila de Moraes8School of Physical Education and Sports of Ribeirao Preto, University of São PauloSchool of Physical Education and Sports of Ribeirao Preto, University of São PauloSchool of Physical Education and Sports of Ribeirao Preto, University of São PauloSchool of Physical Education and Sports of Ribeirao Preto, University of São PauloSchool of Physical Education and Sports of Ribeirao Preto, University of São PauloSchool of Physical Education and Sports of Ribeirao Preto, University of São PauloSchool of Physical Education and Sports of Ribeirao Preto, University of São PauloSchool of Physical Education and Sports of Ribeirao Preto, University of São PauloSchool of Physical Education and Sports of Ribeirao Preto, University of São PauloAbstract Background The negative association between hypertension and memory performance has been a subject of broad debate in recent decades. Considering the neuroendocrine changes that occur during climacteric, this systematic review aimed to investigate whether hypertension is negatively associated with memory performance in women during climacteric. Methods A comprehensive search was conducted in the MEDLINE, EMBASE, Web of Science, Scopus, and BVS electronic databases according to the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Studies involving hypertensive, middle-aged women in the climacteric phase were included. The risk of bias and methodological quality was assessed using the Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies (NHLBI, NIH). Results Out of 16 studies selected for the full-text reading phase, 5 were included in the systematic review. The included studies were predominantly longitudinal. Heterogeneity was observed in the sample size, and the tools for assessing memory, reproductive stage, and hypertension diagnosis. Two longitudinal studies reported a negative association between hypertension and memory performance, while one found no significant association. The cross-sectional studies reported that hypertensive participants demonstrated poorer memory performance compared to normotensive participants. Conclusions Based on the included studies, the results suggests that hypertension is negatively associated with memory performance in climacteric women. However, due to the small number of studies and the fact that most were conducted in developed countries, these results should be interpreted with caution (PROSPERO registration number: CRD42023391668).https://doi.org/10.1186/s12905-025-03764-6Blood pressureCognitive functionMenopauseClimacteric
spellingShingle Arthur Polveiro da Silva
Laura Scatena Fávero
Adriano Bruno Corrêa
Mateus do Carmo Bardella
Luís Felipe Pengo Almeida Leite
Leonardo Santos Lopes da Silva
Márcio Fernando Tasinafo Júnior
Leonardo da Silva Gonçalves
Camila de Moraes
Is hypertension negatively associated with memory performance in women during climacteric? A systematic review
BMC Women's Health
Blood pressure
Cognitive function
Menopause
Climacteric
title Is hypertension negatively associated with memory performance in women during climacteric? A systematic review
title_full Is hypertension negatively associated with memory performance in women during climacteric? A systematic review
title_fullStr Is hypertension negatively associated with memory performance in women during climacteric? A systematic review
title_full_unstemmed Is hypertension negatively associated with memory performance in women during climacteric? A systematic review
title_short Is hypertension negatively associated with memory performance in women during climacteric? A systematic review
title_sort is hypertension negatively associated with memory performance in women during climacteric a systematic review
topic Blood pressure
Cognitive function
Menopause
Climacteric
url https://doi.org/10.1186/s12905-025-03764-6
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