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PubMed1998

Sex difference in age at onset of schizophrenia: discrepant findings from India.

Consecutive male (n=100) and female (n=100) DSM-IV schizophrenics newly registered for treatment in a large psychiatric hospital were examined with regard to age at onset of the first psychotic symptom. Age at onset of the first psychotic symptom did not differ between the sexes regardless of whether schizophrenia was diagnosed by DSM-IV or by several alternative systems. Age at onset defined by other criteria, namely age at first contact with a physician, and age at first admission for psychiatric care, also did not show any differences between the sexes. Survival analysis of subjects having a documented date of birth revealed a female preponderance at younger ages. A higher positive symptom score predicted older age at onset of the first psychotic symptom in the total sample. These findings call into question the universality of the traditional view of a younger age at onset of schizophrenia among males. Tentative neurodevelopmental and cultural explanations are presented to explain why there is no sex difference in age at onset of schizophrenia in India.

Adolescent↗
PubMed1992

Sex differences in neuron number in the binocular area of the rat visual cortex.

We have previously shown that the thickness of the binocular area of the primary visual cortex is sexually dimorphic in rats. In the present study, sex differences in the number of neurons in this cortical area were examined in nine littermate pairs of 90-day-old Long-Evans hooded rats. Cytoarchitectonic characteristics were used to define the binocular visual cortex, and its volume was estimated through three-dimensional reconstruction of serial coronal sections for each hemisphere. Neuronal and glial density as well as neuronal soma size were estimated from semithin sections through a stereological technique, the disector, in the same animals that were used to estimate volume. The volume of the binocular area was 19% greater in males than in females. While there were no sex differences in soma size or in neuronal density, the differences in the volume of the binocular area resulted in significant sex differences (male greater than female) in the number of neurons overall and in every layer, except layer IV. Glial density was not different between the sexes, but the total number of glial cells was higher in males than in females. These results demonstrate that the binocular visual cortex of the rat is sexually dimorphic in its volume and much of the difference is due to sex differences in the number of neurons and glial cells.

Animals↗
PubMed1988

Patterns of visual-spatial performance and 'spatial ability': dissociation of ethnic and sex differences.

Is there a common basis for the ethnic and sex differences that are characteristically obtained on psychometric tests of spatial ability? Three experiments approached this question by observing subject differences in the recognition and reconstruction of visual-spatial displays. The pattern of performance on these experimental tasks was compared with that on a traditional spatial ability test. In the first experiment, two samples of 40 students, balanced for sex, from Zimbabwe and Scotland respectively, attempted a forced-choice recognition task for meaningful scenes. Both ethnic groups and both sexes showed equivalent performance. The same subjects then undertook a task involving the reproduction of an arrangement of blocks into two-dimensional plan and elevation views. On this task, involving spatial reorientation, the Zimbabweans made over three times as many errors as the Scots. In a third experiment the requirement for spatial reorientation was added to the original recognition task and this was performed by a further 40 subjects. A significant difference between ethnic groups now emerged and this effect covaried with spatial ability. Again, however, no sex difference was observed. The overall pattern of results points to spatial reorientation as a major factor in the cross-ethnic differences. The absence of a sex difference on the experimental tasks contrasts with its appearance in both samples on the spatial ability test and represents a puzzling obstacle to our current understanding. This dissociation of sex and ethnic differences provides evidence against the hypothesis that they stem from the same source.

Adult↗
PubMed1991

Sex differences in "cognitive" regions of the rat brain.

This review is centered on anatomical sex differences in neuronal organization in parts of the rat nervous system that are associated with "cognitive" rather than reproductive function: the hippocampus and the cerebral cortex, including the corpus callosum. All three of these structures exhibit sexual dimorphism at the cellular level. It is notable that there is a dissociation between the gross size of a structure and the underlying cellular dimorphism. For example, no sex differences were detected in the size of the splenium of the corpus callosum, but female rats had more axons in this area than did male rats. These "cognitive" regions of the brain are susceptible to the nature of the postweaning environment; the degree and even direction of sex differences was influenced by the environment. There is evidence that testosterone plays a role in the dimorphism of the hippocampus.

Animals↗
PubMed2000

[Angina pectoris and myocardial infarction: sex differences in risk profile, prognosis and referral by family physician].

OBJECTIVE: To detect possible sex differences in risk factors, referrals and prognosis after angina pectoris (AP) and myocardial infarction (MI). DESIGN: Retrospective. METHOD: From 4 general practices in/around Nijmegen, the Netherlands, patients were selected who in 1985-1989 had a first episode of AP or a first MI. Sex differences regarding risk factors, referrals and prognosis were studied by means of patients' files. RESULTS: There were 71 men and 55 women with AP and 97 men and 58 women with MI. Mean age in AP was 69.6 year in women and 63.6 year in men, mean ages in MI were 74.9 and 64.4 year, respectively. Women with MI more frequently suffered from hypertension, AP or CVA/transient ischaemic attack (TIA). Men with MI were referred more often to a specialist than women, but not sooner. Development of cardiovascular co-morbidity after AP and after recovery from a MI were the same for both sexes. Of all patients with a MI 36% suffered a sudden unexpected death, mostly women. CONCLUSION: Women with a first episode of AP and a MI were 6-10 years older than men. Women with a MI suffered more frequently from hypertension, AP and CVA/TIA. The prognosis after angina pectoris showed no sex differences. The prognosis after MI was worse in women than in men.

Adult↗
PubMed1992

Sex differences in cortical thickness and the dendritic tree in the monocular and binocular subfields of the rat visual cortex at weaning age.

The visual cortex of adult rats is sexually dimorphic at both the gross size and dendritic levels [Brain Res., 295 (1984) 27-34; J. Comp. Neurol., in press]. In addition, sex differences in the dendritic tree are dynamic and can be altered by environmental conditions imposed at weaning [Brain Res., 295 (1984) 27-34]. The present study examines sex differences in cortical thickness and in the dendritic tree of the monocular (Oc1M) and binocular (Oc1B) subfields in littermate male and female pairs of Long-Evans rats at weaning age (25 days). From Nissl-stained tissue, it was found that the whole cortex and layer II-IV of Oc1B was thicker in males than females. No sex differences were found in the thickness of Oc1M. Golgi-Cox-stained pyramidal neurons in layer III from the Oc1M and Oc1B regions were quantified in 7 littermate pairs of weaning-age rats. There were no sex differences in the basilar tree, while the apical oblique branches were sexually dimorphic, especially in the monocular region. Females had greater total dendritic length and longer terminal branches in Oc1M compared to males. Females also had longer bifurcating branches in both Oc1M and Oc1B than males. The present study found that sex differences at weaning age do not completely mirror the dimorphisms found in the visual cortex of the adult rat. This study also indicates that related subfields can differ in their morphology and should be examined separately.

Analysis of Variance↗
PubMed1987

Sex differences following gonadectomy in basal gonadotropin secretion rate of rat pituitary fragments in vitro.

Sex differences in the acute response of circulating luteinizing hormone (LH) and follicle-stimulating hormone (FSH) to withdrawal from gonadal negative feedback in the rat are well established. To investigate postgonadectomy changes at the anterior pituitary level that may underlie dramatic in vivo sex differences, we used a computer-controlled pituitary perifusion system to measure in vitro basal secretion rates (BSRs) of LH and FSH following gonadectomy in the absence of exogenous gonadotropin-releasing hormone (GnRH). We compared BSRs of pituitaries removed from intact rats and from males and females 2 and 6 days post-gonadectomy. Glands were cut into quarters, placed into individual chambers, and perifused in Medium 199 at 10 ml/h for 4 h. In females (n = 12/gp), BSR of LH was not significantly elevated above intact levels by 2 days but had tripled by 6 days post-ovariectomy, while BSR of FSH had already doubled by 2 days and doubled again by 6 days. These changes in BSR in females paralleled changes in serum levels of both hormones. In males (n = 14/gp), although serum LH and FSH had increased 7-fold by 2 days post-orchidectomy, BSRs of LH and FSH had decreased to 75% and 64% of intact levels, respectively, by 6 days. These findings suggest important sex differences at the pituitary level in the responses to withdrawal from gonadal feedback that persist in culture in the absence of direct hypothalamic (GnRH) input.

Animals↗
PubMed1993

Postnatal development of sex differences in renal tubular transport of p-aminohippurate (PAH) in rats.

Compared with female rats a distinctly higher rate of accumulation of p-aminohippurate (PAH) in renal cortical slices from mature male rats can be proved; there are no sex differences in young rats with immature kidney function. Postnatal development of sex differences in kidney weight shows the same pattern. The lack of sex differences in the renal excretion of PAH in all age groups could be caused by a higher fraction of glomerularly filtered PAH in female rats. In mature male rats the high rate of tubular transport of PAH can be diminished by castration or by blockade of testosterone receptor sites (treatment with cyproterone). Stimulation of PAH transport by repeated treatment with testosterone is more expressed in male than in female rats. Furthermore, estrogens seem not to be responsible for sex differences in renal tubular transport of PAH (no influence of ovarectomy, low effects of treatment with estradiol in male rats).

Androgens↗
PubMedDate not supplied

Interhemispheric EEG coherence during photic stimulation: sex differences in normal young adults.

The present study was conducted to examine sex differences in interhemispheric EEG coherence in 15 male and 15 female healthy young adults. EEG was recorded during rest and photic stimulation (PS) at 5, 10 and 15 Hz using a linked earlobe reference. Interhemispheric coherence of the resting EEG revealed no significant sex-related differences for any frequency band. In contrast, significant sex-related differences were found in EEG coherence during PS; the females had a significantly higher coherence than the males for F3-F4 and C3-C4 in the frequency band (4.5-5.5 Hz) corresponding to 5 Hz PS. In addition, the changes in interhemispheric coherence from rest to the stimulus condition (i.e. PS-related coherence reactivity) showed sex-related differences at the brain region primarily involved in visual functioning; the females had significantly greater coherence reactivity for O1-O2 in EEG during PS at 5 and 15 Hz. These findings indicate sex-related differences in interhemispheric EEG coherence during PS, and support the well-demonstrated evidence that sex differences exist in the degree of lateralization of cerebral function.

Adult↗
PubMed1998

In a managed care setting, are there sex differences in the use of coronary angiography after acute myocardial infarction?

OBJECTIVES: The goal of this study was to examine sex differences in the use of coronary angiography after acute myocardial infarction in managed care facilities by using the American College of Cardiology/American Heart Association (ACC/AHA) practice guidelines (which incorporate clinical information on infarct complications, severity of illness, and comorbidity). BACKGROUND: Although sex differences in the use of coronary angiography after acute myocardial infarction have been previously explored, the effects of indications for coronary angiography and common health insurance coverage on the sex and coronary angiography use relation have not been previously examined. METHODS: This historical prospective study analyzed data collected from a random sample of 1133 patients (377 women, 756 men) from among 2740 patients hospitalized with validated acute myocardial infarction between Jan. 1, 1990, and Dec. 31, 1992, from seven of 16 Northern California Kaiser Facilities (three with high procedure rates for coronary angiography, four with low rates relative to the average region-wide utilization rate). In accordance with the guidelines, use of coronary angiography was determined for the in-hospital and "0 to 8 weeks" postdischarge periods. Patients were assigned time specific ACC/AHA classes for coronary angiography indications (I = highly indicated, IIA = probably indicated, IIB = not harmful, III = not indicated). The independent impact of ACC/AHA class, age, race, and facility on the sex and use of coronary angiography relation was examined by the Cox proportional hazard model. RESULTS: Accounting only for ACC/AHA class, fewer women underwent coronary angiography compared with men among the "highly indicated" class I patients during the in-hospital period (43% vs 35%; p < 0.05), but not after discharge. Use of coronary angiography between the sexes was not statistically different among classes IIA, IIB, and III for both periods. After adjusting for differences in age, race, facility, and ACC/AHA class, we found no sex difference in in-hospital use of coronary angiography (hazard ratio (HR) = 1.02; 95% confidence interval [CI], 0.82 to 1.26), but among those discharged without receiving coronary angiography, women probably received fewer angiograms than did men (HR = 0.61; 95% CI, 0.37 to 1.00). For both periods, no significant sex difference in use of coronary angiography was found within ACC/AHA classes after adjustments. CONCLUSION: In a setting where health insurance is prepaid and after controlling for ACC/AHA classification for coronary angiography indications, age, race, and facility, use of coronary angiography after myocardial infarction was similar among men and women during hospitalization, but was lower among women after discharge. Likely explanations for these differences in use of coronary angiography may include effects of physician judgment, patient decision, other social factors, or clinical information not captured in the practice guidelines.

Adult↗
PubMed1989

The contribution of childbearing to the sex difference in first admission rates for affective psychosis.

This epidemiological study examines the contribution of childbearing to the sex difference in first admission rates for affective psychosis. The effects of sex, age, marital status and parity on first admission rates are examined in 114 patients admitted from a defined catchment area. The rate of first admission in females is almost twice that in males. Using logistic regression analysis one significant factor accounting for this sex difference emerges: female parity. The effect of parity is evident up to the age of 54, and it entirely accounts for the sex difference in relative risk. Nonparous females have a lower relative risk of admission than males. An apparent effect of marital status is only significant in females, and is accounted for by parity and age.

Adolescent↗
PubMed2004

Sex differences for selective forms of spatial memory.

In the present study, a systematic comparison of sex differences for several tests of spatial memory was conducted. Clear evidence for more accurate male performance was obtained for precise metric positional information in a wayfinding task and in an object location memory task. In contrast, no sex difference characterized topological information processing (object-to-position assignment). Together, these findings provide further insight in the specificity of sex differences in spatial memory and in the functional architecture of spatial memory. Implications for the relevant evolutionary basis are discussed.

Adult↗
PubMed1981

Effects of gonadectomy and exogenous gonadal steroids on sex differences in open field behaviour of adult rats.

Two experiments were carried out to investigate the contribution of gonadal hormones to the expression of sex differences in open field behaviour of adult female and male rats. In the first experiment rats were gonadectomized or sham-operated in adulthood and tested in the open field 1, 2, 3, 4, 5 or 6 weeks later (3 min/rat on 3 consecutive days during the light period of the day). It was found that following gonadectomy the well known sex difference in ambulation and rearing behaviour (females more than males), as well as in defaecation (females less than males) remained. Ovariectomy caused a decrease in ambulation and rearing, with an increase in defaecation, whereas castration had no significant effect on ambulation and rearing, but also increased defaecation. Also an overall increase in ambulation and rearing was found: animals tested 5 and 6 weeks following the operation were significantly more active than animals tested at 1-4 weeks after the operation. In the second experiment female and male rats were gonadectomized and 7 weeks later they received a silastic implant containing testosterone (T), dihydrotestosterone (DHT), oestradiol (E2), DHT plus E2, or nothing (control condition). Four weeks after the implantation the animals were tested in the open field (3 min/rat on 3 consecutive days). An overall sex difference was found for ambulation (females more than males) and for defaecation (females less than males). The only effect of hormone administration was found in DHT-treated animals: lowest ambulation and highest defaecation compared to other hormone and control animals. No differences were found between the T, E2, DHT plus E2, and control animals. From these data it was concluded that endogenous gonadal steroids seem to play a minor role in the expression of sex differences in adult open field behaviour in the rat.

Animals↗
PubMed2006

Tyrosine hydroxylase-synthesizing cells in the hypothalamus of prairie voles (Microtus ochrogaster): sex differences in the anteroventral periventricular preoptic area and effects of adult gonadectomy or neonatal gonadal hormones.

The vertebrate hypothalamus and surrounding region contain a large population of cells expressing tyrosine hydroxylase (TH), the rate limiting enzyme for synthesis of dopamine and other catecholamines. Some of these populations are sexually dimorphic in rats. We here examined sex differences in TH-immunoreactive populations in the forebrain of gonadally intact and gonadectomized prairie voles (Microtus ochrogaster), a species that sometimes shows unusual sexual differentiation of brain and behavior. A sex difference was found in the anteroventral periventricular preoptic area (AVPV; likely analogous to the rat rostral A14) only in gonadectomized subjects, which was due to a 50% reduction in the number of TH-immunoreactive cells after castration in males. There was no significant sex difference or effects of gonadectomy on the number of TH-immunoreactive cells in the anteroventral preoptic area (AVP), periventricular anterior hypothalamus (caudal A14), arcuate nucleus (A12), zona incerta (A13), or posterodorsal hypothalamus (A11). In a second experiment, testosterone propionate (TP; 500 microg), diethylstilbestrol (DES; 1 microg), or estradiol benzoate (EB; 30 microg) injected daily during the first week after birth each significantly reduced later TH expression in the AVPV of females by approximately 40-65% compared to oil-treated controls. Unlike rats, therefore, a sex difference in TH expression in the prairie vole AVPV is found only after removal of circulating gonadal hormones in males. Furthermore, unlike our previous findings on the generation of sex differences in extra-hypothalamic arginine-vasopressin expression in prairie voles, TH expression in the AVPV of female prairie voles can be highly masculinized by neonatal exposure to either aromatizable androgens or estrogens.

Animals↗
PubMed2001

The development of sex differences in the locus coeruleus of the rat.

Development of sex differences in the locus coeruleus (LC) is investigated. The LC is a sexually dimorphic structure in which the female manifests a larger volume and greater number of neurons than do males. Male and female Wistar rats were sacrificed on prenatal days (E) 16 and 20 and postnatally (P) on days 1, 3, 7, 15, 35, 45, 60, and 90. Male and female rats show a continuous increase in the number of neurons after birth that stops in the males by P45 and in females by P60. These findings point out the existence of different patterns of development in male and female rats and may suggest that sex differences could be established because of the existence of a differential period of neurogenesis in both sexes in the postpubertal period.

Aging↗
PubMed2001

Sex differences in predictors of adolescent smoking cessation.

Sex differences in predictors of smoking cessation were investigated among 337 male and 490 female participants in the RAND adolescent panel study. Participants reported smoking at least 11-20 times during the past year at Grade 10, with cessation defined as not smoking during the past year at Grade 12. Controlling for demographics, sex-specific analyses indicated that girls who quit smoking within 2 years had friends who smoked less frequently, perceived less parental approval of their smoking, had weaker intentions to continue smoking, used marijuana less frequently, attended fewer different schools, were more likely to have an intact nuclear family, experienced greater peer support, and rated themselves as healthier. Similar analyses for boys yielded results that were generally weaker and nonsignificant, with smoking quantity accounting for several associations in the sex-specific models. Despite these differences, interaction tests revealed significant sex differences for only three predictors. Implications of these results for understanding adolescent smoking cessation are discussed.

Adolescent↗
PubMed2002

Sex differences in delta opioid receptor immunoreactivity in rat medial amygdala.

Although gonadal hormones can modulate the opioid system in several limbic structures, it remains unclear if there are sex differences in amygdalar opioid systems. This study compared enkephalin immunoreactivity, delta opioid receptor immunoreactivity (DORir), and mu opioid receptor immunoreactivity in the amygdala of male and proestrous female rats. A striking sex difference in DORir was observed in the posterodorsal region of the medial nucleus of the amygdala, with males showing much greater DORir than females. No other sex differences were seen in amygdalar regions. Although the functional significance of this sexually dimorphic staining for DORir in medial amygdala is unknown, it may contribute to sex differences in reproductive functions, social behaviors, and/or stress responses.

Amygdala↗
PubMed2006

Sex differences in insomnia: a meta-analysis.

STUDY OBJECTIVE: Most but not all epidemiologic evidence suggests a female predisposition of insomnia. We applied meta-analytic methods to investigate sex differences in the risk of insomnia among the published epidemiologic studies. DESIGN: Meta-analysis with Comprehensive Meta-Analysis (Englewood, NJ); 9 different analyses were performed to investigate the sex difference of insomnia among different conditions. SETTING: A comprehensive search of the medical literature databases was performed to identify epidemiologic studies of insomnia. A rolling snowball method was also used. PARTICIPANTS: General population. INTERVENTIONS: N/A. RESULT: Thirty-one related papers were found, but 2 studies only reported the subtype prevalence of insomnia. All other studies (1,265,015 participants, female/male: 718,828/546,187) were included in the overall analysis of insomnia. A risk ratio of 1.41 [95% confidence interval: 1.28-1.55] for female versus male was found. The female excess in the risk of insomnia in large and quality studies was much higher than that of small and nonquality studies. The trend of female predisposition was consistent and progressive across age, with more significance in the elderly. The use of various criteria and frequency and duration of insomnia did not influence the predisposition of female in the risk of developing insomnia. Although obvious female excess in the risk of insomnia exists among different regions, there was a relatively lower female excess in East Asia. CONCLUSION: This meta-analysis confirmed a female predisposition of insomnia. Further studies will be needed to examine the roles of different factors in leading to the sex difference of insomnia.

Female↗