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LIFESTAT - 与他汀类药物共存:关于使用他汀类药物作为降胆固醇治疗及降低心血管风险的跨学科项目。

LIFESTAT - Living with statins: An interdisciplinary project on the use of statins as a cholesterol-lowering treatment and for cardiovascular risk reduction.

作者信息

Christensen Christa Lykke, Wulff Helge Jørn, Krasnik Allan, Kriegbaum Margit, Rasmussen Lene Juel, Hickson Ian D, Liisberg Kasper Bering, Oxlund Bjarke, Bruun Birgitte, Lau Sofie Rosenlund, Olsen Maria Nathalie Angleys, Andersen John Sahl, Heltberg Andreas Søndergaard, Kuhlman Anja Birk, Morville Thomas Hoffmann, Dohlmann Tine Lovsø, Larsen Steen, Dela Flemming

机构信息

Section of Film, Media and Communication, Department of Media, Cognition and Communication, Faculty of the Humanities, University of Copenhagen, Denmark.

Xlab, Center for Healthy Aging, Department of Biomedical Sciences, Faculty of Health and Medicine, University of Copenhagen, Denmark.

出版信息

Scand J Public Health. 2016 Jul;44(5):534-9. doi: 10.1177/1403494816636304. Epub 2016 Mar 3.

DOI:10.1177/1403494816636304
PMID:26939591
Abstract

AIM

LIFESTAT is an interdisciplinary project that leverages approaches and knowledge from medicine, the humanities and the social sciences to analyze the impact of statin use on health, lifestyle and well-being in cohorts of Danish citizens. The impetus for the study is the fact that 10% of the population in the Scandinavian countries are treated with statins in order to maintain good health and to avoid cardiovascular disease by counteracting high blood levels of cholesterol. The potential benefit of treatment with statins should be considered in light of evidence that statin use has prevalent and unintended side effects (e.g. myalgia, and glucose and exercise intolerance).

METHODS

The LIFESTAT project combines invasive human experiments, biomedical analyses, nationwide surveys, epidemiological studies, qualitative interviews, media content analyses, and ethnographic participant observations. The study investigates the biological consequences of statin treatment; determines the mechanism(s) by which statin use causes muscle and mitochondrial dysfunction; and analyzes achievement of treatment goals, people's perception of disease risk, media influence on people's risk and health perception, and the way people manage to live with the risk (personally, socially and technologically). CONCLUSIONS THE ORIGINALITY AND SUCCESS OF LIFESTAT DEPEND ON AND DERIVE FROM ITS INTERDISCIPLINARY APPROACH, IN WHICH THE DISCIPLINES CONVERGE INTO THOROUGH AND HOLISTIC STUDY AND DESCRIBE THE IMPACT OF STATIN USE ON THE EVERYDAY LIFE OF STATIN USERS THIS HAS THE POTENTIAL FOR MUCH GREATER BENEFIT THAN ANY ONE OF THE DISCIPLINES ALONE INTEGRATING TRADITIONAL DISCIPLINES PROVIDES NOVEL PERSPECTIVES ON POTENTIAL CURRENT AND FUTURE SOCIAL, MEDICAL AND PERSONAL BENEFITS OF STATIN USE.

摘要

目的

“生命他汀”(LIFESTAT)是一个跨学科项目,它利用医学、人文科学和社会科学的方法及知识,分析他汀类药物的使用对丹麦公民群体的健康、生活方式和幸福感的影响。开展这项研究的动因是,斯堪的纳维亚国家10%的人口正在使用他汀类药物,以维持健康并通过降低高胆固醇水平来预防心血管疾病。鉴于有证据表明他汀类药物的使用存在普遍且意外的副作用(如肌痛、葡萄糖不耐受和运动不耐受),因此应考虑他汀类药物治疗的潜在益处。

方法

“生命他汀”项目结合了侵入性人体实验、生物医学分析、全国性调查、流行病学研究、定性访谈、媒体内容分析和人种志参与观察。该研究调查他汀类药物治疗的生物学后果;确定他汀类药物使用导致肌肉和线粒体功能障碍的机制;并分析治疗目标的达成情况、人们对疾病风险的认知、媒体对人们风险和健康认知的影响,以及人们应对风险的方式(个人层面、社会层面和技术层面)。结论:“生命他汀”的创新性和成功取决于并源于其跨学科方法,各学科融合形成全面而整体的研究,描述他汀类药物的使用对他汀类药物使用者日常生活的影响。这有可能带来比任何单一学科单独研究更大的益处。整合传统学科为他汀类药物使用的潜在的当前及未来社会、医学和个人益处提供了新视角。

相似文献

1
LIFESTAT - Living with statins: An interdisciplinary project on the use of statins as a cholesterol-lowering treatment and for cardiovascular risk reduction.LIFESTAT - 与他汀类药物共存:关于使用他汀类药物作为降胆固醇治疗及降低心血管风险的跨学科项目。
Scand J Public Health. 2016 Jul;44(5):534-9. doi: 10.1177/1403494816636304. Epub 2016 Mar 3.
2
Optimizing Cholesterol Treatment in Patients With Muscle Complaints.优化有肌肉不适症状患者的胆固醇治疗。
J Am Coll Cardiol. 2017 Sep 5;70(10):1290-1301. doi: 10.1016/j.jacc.2017.07.752.
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Medication non-adherence and uncertainty: Information-seeking and processing in the Danish LIFESTAT survey.药物不依从和不确定性:丹麦 LIFESTAT 调查中的信息寻求和处理。
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Statin wars: have we been misled about the evidence? A narrative review.他汀类药物之争:我们是否被证据误导了?一篇叙述性综述。
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Targeting low HDL-cholesterol to decrease residual cardiovascular risk in the managed care setting.在管理式医疗环境中,以低高密度脂蛋白胆固醇为靶点降低残余心血管风险。
J Manag Care Pharm. 2008 Oct;14(8 Suppl):S3-28; quiz S30-1.
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Aerobic Exercise Performance and Muscle Strength in Statin Users-The LIFESTAT Study.他汀类药物使用者的有氧运动表现和肌肉力量——LIFESTAT 研究。
Med Sci Sports Exerc. 2019 Jul;51(7):1429-1437. doi: 10.1249/MSS.0000000000001920.
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IMPROVE-IT clinical implications. Should the "high-intensity cholesterol-lowering therapy" strategy replace the "high-intensity statin therapy"?IMPROVE-IT的临床意义。“高强度降低胆固醇治疗”策略是否应取代“高强度他汀类药物治疗”?
Atherosclerosis. 2015 May;240(1):161-2. doi: 10.1016/j.atherosclerosis.2015.03.002. Epub 2015 Mar 10.
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Glucose homeostasis in statin users-The LIFESTAT study.他汀类药物使用者的血糖稳态- LIFESTAT 研究。
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Safety of statin therapy in patients with preexisting liver disease.已有肝脏疾病患者使用他汀类药物治疗的安全性。
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What you need to know about statins. Statins are the most commonly-prescribed drug and have revolutionized heart health.关于他汀类药物你需要了解的内容。他汀类药物是最常用的处方药,彻底改变了心脏健康状况。
Heart Advis. 2009 Apr;12(4):6-7.

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Geroscience. 2024 Feb;46(1):853-865. doi: 10.1007/s11357-023-00817-2. Epub 2023 May 25.
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Coenzyme Q10 Supplementation in Statin Treated Patients: A Double-Blinded Randomized Placebo-Controlled Trial.他汀类药物治疗患者补充辅酶Q10:一项双盲随机安慰剂对照试验。
Antioxidants (Basel). 2022 Aug 29;11(9):1698. doi: 10.3390/antiox11091698.
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Simvastatin improves mitochondrial respiration in peripheral blood cells.
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Effects of statin therapy and exercise on postprandial triglycerides in overweight individuals with hypercholesterolaemia.他汀类药物治疗和运动对高胆固醇血症超重个体餐后甘油三酯的影响。
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