Literature DB >> 29278297

Association between statin use and physical function among community-dwelling older Japanese adults.

Hisashi Kawai1, Kazushige Ihara2, Takeshi Kera1, Hirohiko Hirano1, Yoshinori Fujiwara1, Masashi Tanaka1, Motonaga Kojima3, Shuichi Obuchi1.   

Abstract

AIM: Statin-associated muscle symptoms (SAMS) are the muscle-related side-effects of statins, but the association between statin use and physical function among community-dwelling older adults is unclear. The objective of the present study was to examine the association between statin use and physical function among community-dwelling older Japanese adults by considering the risk factors of statin-associated muscle symptoms.
METHODS: The participants were 1022 community-dwelling older adults aged 65-88 years, who participated in comprehensive health checkups from 2013 to 2015. Statin use in the participants (381 men and 559 women) was verified by using data from their medicine notebooks. The differences between statin use (users and non-users) and physical functions (grip strength, knee extension torque, normal and maximum gait speed, Timed Up & Go test, one-legged stance, quadriceps muscle thickness and echo intensity) were analyzed using the t-test. Multiple regression analyses were also carried out to examine the association between statin use and physical function.
RESULTS: A total of 93 men (24.4%) and 154 women (27.5%) were statin users. Grip strength, normal gait speed and one-legged stance declined significantly in statin users compared with the non-users. In multiple regression analysis while controlling for the risk factors of statin-associated muscle symptoms, including age, sex, body mass index and number of medicines, no independent association, between statin use and the reduction of physical functions, was observed.
CONCLUSIONS: Statin use was not associated with the decline of physical function in community-dwelling older Japanese adults. Geriatr Gerontol Int 2018; 18: 623-630.
© 2017 Japan Geriatrics Society.

Entities:  

Keywords:  community-dwelling older adults; muscle strength; physical function; statin; walking speed

Mesh:

Substances:

Year:  2017        PMID: 29278297     DOI: 10.1111/ggi.13228

Source DB:  PubMed          Journal:  Geriatr Gerontol Int        ISSN: 1447-0594            Impact factor:   2.730


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