A woman and child performing yoga on the beach. Getty Images
A woman and child performing yoga on the beach. Getty Images
A woman and child performing yoga on the beach. Getty Images
A woman and child performing yoga on the beach. Getty Images

No link between HRT and dementia, study concludes


Soraya Ebrahimi
  • English
  • Arabic

Drugs commonly given to menopausal women are not linked to an increased risk of developing dementia, a study suggests.

Hormone replacement therapy treatments are prescribed to relieve symptoms of menopause such as hot flushes, night sweats and mood swings.

The medication works by replacing the hormones that are lower in women during menopause.

A small number of previous studies have had inconsistent findings when it comes to HRT use and dementia.

Some laboratory studies and small trials have suggested there might be a beneficial use HRT to stem “age-related brain decline”, while another study linked a certain type of hormone therapy to an increased risk of Alzheimer’s.

Researchers from the universities of Nottingham, Oxford and Southampton set out to conduct a large trial involving more than 118,000 women aged 55 and over who had dementia diagnosed between 1998 and 2020.

Their information, drawn from UK GP surgery data, was compared to almost half a million women who did not have dementia.

In each of the groups, 14 per cent of women used HRT for more than three years.

Overall, no increased risks of developing dementia associated with menopausal hormone therapy were seen, the authors said.

But there were different findings among some sub-groups within the study.

Long-term users of a specific treatment were found to have a “slightly” increased risk of developing Alzheimer’s, according to the study, published in the BMJ.

Women taking oestrogen-progestogen therapy for between five and nine years had an 11 per cent increased risk, and those taking the medication for more than a decade were deemed to have 19 per cent more risk.

But oestrogen-only therapy was linked to 15 per cent decreased odds of dementia overall among women younger than 80 who received treatment for at least 10 years, with a 1.1 per cent decrease in risk for each year of treatment.

“This large observational study found no overall association between use of menopausal hormone therapy and risk of developing dementia,” the authors said.

“This finding was consistent across different types of hormones, doses, applications, and time of hormone therapy initiation.

“We found a decreased risk of dementia for cases and controls younger than 80 years at diagnosis who had been taking oestrogen-only therapy for 10 years or more.

“A subgroup analysis of cases with a diagnosis of Alzheimer’s disease showed a small increase in risk associated with oestrogen-progestogen therapy.

"This rose with each year of exposure, reaching average risk increase of 11 per cent for between five and nine years of use and 19 per cent for 10 years or more.”

In a linked opinion piece, Prof Pauline Maki, from the University of Illinois, and Prof JoAnn Manson, from Harvard Medical School, said the study should provide reassurance for women prescribed the therapy for “vasomotor symptoms”, namely hot flushes and night sweats.

“An improved understanding of the risks and benefits of hormone therapy is needed to promote evidence-based management of menopausal symptoms in women,” they wrote.

“Overall, these observations do not change the recommendation that menopausal hormone therapy should not be used to prevent dementia.

"At the same time, it is helpful for providers to put dementia findings in context for patients.

“The primary indication for hormone therapy continues to be the treatment of vasomotor symptoms, and the current study should provide reassurance for women and their providers when treatment is prescribed for that reason.”

Desert Warrior

Starring: Anthony Mackie, Aiysha Hart, Ben Kingsley

Director: Rupert Wyatt

Rating: 3/5

Who was Alfred Nobel?

The Nobel Prize was created by wealthy Swedish chemist and entrepreneur Alfred Nobel.

  • In his will he dictated that the bulk of his estate should be used to fund "prizes to those who, during the preceding year, have conferred the greatest benefit to humankind".
  • Nobel is best known as the inventor of dynamite, but also wrote poetry and drama and could speak Russian, French, English and German by the age of 17. The five original prize categories reflect the interests closest to his heart.
  • Nobel died in 1896 but it took until 1901, following a legal battle over his will, before the first prizes were awarded.
COMPANY%20PROFILE
%3Cp%3E%3Cstrong%3EName%3A%20%3C%2Fstrong%3EYango%20Deli%20Tech%0D%3Cbr%3E%3Cstrong%3EBased%3A%20%3C%2Fstrong%3EUAE%0D%3Cbr%3E%3Cstrong%3ELaunch%20year%3A%20%3C%2Fstrong%3E2022%0D%3Cbr%3E%3Cstrong%3ESector%3A%20%3C%2Fstrong%3ERetail%20SaaS%0D%3Cbr%3E%3Cstrong%3EFunding%3A%20%3C%2Fstrong%3ESelf%20funded%0D%3Cbr%3E%3C%2Fp%3E%0A
Frida%20
%3Cp%3E%3Cstrong%3EDirector%3A%20%3C%2Fstrong%3ECarla%20Gutierrez%3C%2Fp%3E%0A%3Cp%3E%3Cstrong%3EStarring%3A%3C%2Fstrong%3E%20Frida%20Kahlo%3C%2Fp%3E%0A%3Cp%3E%3Cstrong%3ERating%3A%3C%2Fstrong%3E%204%2F5%3C%2Fp%3E%0A
Electric scooters: some rules to remember
  • Riders must be 14-years-old or over
  • Wear a protective helmet
  • Park the electric scooter in designated parking lots (if any)
  • Do not leave electric scooter in locations that obstruct traffic or pedestrians
  • Solo riders only, no passengers allowed
  • Do not drive outside designated lanes
BEACH SOCCER WORLD CUP

Group A

Paraguay
Japan
Switzerland
USA

Group B

Uruguay
Mexico
Italy
Tahiti

Group C

Belarus
UAE
Senegal
Russia

Group D

Brazil
Oman
Portugal
Nigeria

How much do leading UAE’s UK curriculum schools charge for Year 6?
  1. Nord Anglia International School (Dubai) – Dh85,032
  2. Kings School Al Barsha (Dubai) – Dh71,905
  3. Brighton College Abu Dhabi - Dh68,560
  4. Jumeirah English Speaking School (Dubai) – Dh59,728
  5. Gems Wellington International School – Dubai Branch – Dh58,488
  6. The British School Al Khubairat (Abu Dhabi) - Dh54,170
  7. Dubai English Speaking School – Dh51,269

*Annual tuition fees covering the 2024/2025 academic year

The specs

Price, base / as tested Dh12 million

Engine 8.0-litre quad-turbo, W16

Gearbox seven-speed dual clutch auto

Power 1479 @ 6,700rpm

Torque 1600Nm @ 2,000rpm 0-100kph: 2.6 seconds 0-200kph: 6.1 seconds

Top speed 420 kph (governed)

Fuel economy, combined 35.2L / 100km (est)

Ten tax points to be aware of in 2026

1. Domestic VAT refund amendments: request your refund within five years

If a business does not apply for the refund on time, they lose their credit.

2. E-invoicing in the UAE

Businesses should continue preparing for the implementation of e-invoicing in the UAE, with 2026 a preparation and transition period ahead of phased mandatory adoption. 

3. More tax audits

Tax authorities are increasingly using data already available across multiple filings to identify audit risks. 

4. More beneficial VAT and excise tax penalty regime

Tax disputes are expected to become more frequent and more structured, with clearer administrative objection and appeal processes. The UAE has adopted a new penalty regime for VAT and excise disputes, which now mirrors the penalty regime for corporate tax.

5. Greater emphasis on statutory audit

There is a greater need for the accuracy of financial statements. The International Financial Reporting Standards standards need to be strictly adhered to and, as a result, the quality of the audits will need to increase.

6. Further transfer pricing enforcement

Transfer pricing enforcement, which refers to the practice of establishing prices for internal transactions between related entities, is expected to broaden in scope. The UAE will shortly open the possibility to negotiate advance pricing agreements, or essentially rulings for transfer pricing purposes. 

7. Limited time periods for audits

Recent amendments also introduce a default five-year limitation period for tax audits and assessments, subject to specific statutory exceptions. While the standard audit and assessment period is five years, this may be extended to up to 15 years in cases involving fraud or tax evasion. 

8. Pillar 2 implementation 

Many multinational groups will begin to feel the practical effect of the Domestic Minimum Top-Up Tax (DMTT), the UAE's implementation of the OECD’s global minimum tax under Pillar 2. While the rules apply for financial years starting on or after January 1, 2025, it is 2026 that marks the transition to an operational phase.

9. Reduced compliance obligations for imported goods and services

Businesses that apply the reverse-charge mechanism for VAT purposes in the UAE may benefit from reduced compliance obligations. 

10. Substance and CbC reporting focus

Tax authorities are expected to continue strengthening the enforcement of economic substance and Country-by-Country (CbC) reporting frameworks. In the UAE, these regimes are increasingly being used as risk-assessment tools, providing tax authorities with a comprehensive view of multinational groups’ global footprints and enabling them to assess whether profits are aligned with real economic activity. 

Contributed by Thomas Vanhee and Hend Rashwan, Aurifer

%3Cp%3EMATA%0D%3Cbr%3EArtist%3A%20M.I.A%0D%3Cbr%3ELabel%3A%20Island%0D%3Cbr%3ERating%3A%203.5%2F5%3C%2Fp%3E%0A
THE BIO: Martin Van Almsick

Hometown: Cologne, Germany

Family: Wife Hanan Ahmed and their three children, Marrah (23), Tibijan (19), Amon (13)

Favourite dessert: Umm Ali with dark camel milk chocolate flakes

Favourite hobby: Football

Breakfast routine: a tall glass of camel milk

Updated: September 29, 2021, 11:48 PM