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Should we abandon statins in the prevention of bone fractures?
- Source :
- Endocrine. 44(2)
- Publication Year :
- 2013
-
Abstract
- Osteoporosis increases dramatically with age. About 40 % of women in developed countries will experience an osteoporosis-related fracture in the course of their lifetime, with men experiencing approximately one-third to one-half the risk of women. The “lipid hypothesis of osteoporosis” claims for a role of oxidized lipids as a contributing factor in osteoporosis. On the other hand, statins are supposed to exert anabolic effects on the bone, either through their lipid-lowering action or signal pathways that are independent of their effects on lipid levels. The epidemiological evidence seems to suggest that higher triglycerides may give some protection against fracture, although no association with reduced fracture risk has been reported between lipid-lowering drug (except statins) users and non-users. The epidemiological evidence for a role of statins in osteoporosis is strong, with a lower fracture risk ranging from 30 to 40 % in statin users versus non-users. However, some pitfalls inherent to observational studies (high heterogeneity, residual confounding, potential publication bias) and the lack of association in randomized trials suggest caution. At the moment, the evidence for a role of statins in prevention of osteoporosis is insufficient to recommend starting statin therapy with the aim to prevent osteoporosis.
- Subjects :
- Male
medicine.medical_specialty
Statin
medicine.drug_class
Endocrinology, Diabetes and Metabolism
Osteoporosis
law.invention
Fractures, Bone
Endocrinology
Randomized controlled trial
law
Bone Density
Internal medicine
Epidemiology
medicine
Humans
business.industry
Confounding
Publication bias
medicine.disease
Lipid Metabolism
Treatment Outcome
Lipid hypothesis
lipids (amino acids, peptides, and proteins)
Observational study
Female
Hydroxymethylglutaryl-CoA Reductase Inhibitors
business
Subjects
Details
- ISSN :
- 15590100
- Volume :
- 44
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- Endocrine
- Accession number :
- edsair.doi.dedup.....c46522235bc958a28368992dfa043344