Editor's Pick Original Investigation

Age at Menopause and Brain Atrophy Among Older Women

JAMA Network Open 10.1001/jamanetworkopen.2026.30973

August 25, 2026 at 11:00 AM EDT

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In this cohort study of older women, earlier menopause was associated with less favorable functional and structural neurological outcomes, with associations persisting and intensifying decades after the menopausal transition. These findings position menopause age as a midlife-identifiable marker for risk stratification, offering a window for targeted prevention before structural or cognitive changes become apparent.

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Corresponding Author: Riley M. Bove, MD, UCSF Weill Institute for Neuroscience, Department of Neurology, University of California San Francisco, 675 Nelson Rising Ln, San Francisco, CA 94158 (riley.bove@ucsf.edu).

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