Astesana Pablo José, Alba Paula Beatriz, Gobbi Carla Andrea, Albiero Eduardo Horacio, Yorio Marcelo Augusto
Universidad Nacional de Córdoba.
Rev Fac Cien Med Univ Nac Cordoba. 2024 Dec 13;81(4):719-733. doi: 10.31053/1853.0605.v81.n4.44652.
New evidence has emerged on pleiotropic properties of Statins (St), that would be potentially beneficial in the treatment of osteoporosis (OP) Our objective was to study the effect of St on bone mineral density (BMD) in postmenopausal women.
This is a cross-sectional, analytical study, that analyze postmenopausal women with hypercholesterolemia who received treatment with St for at least 6 months, and as a control group (CG), postmenopausal women who did not receive St assisted in two rheumatology services in the city of Córdoba from August 2014 to September 2018.
202 postmenopausal women received St and 203 constituted the CG. The average age, weight and BMI were 62.54 years, 69.60 kg and 27.13 in the St group vs 58.58 years, 65.70 kg and 26.83 in the control group (p= 0.0001, p= 0.01, p=ns respectively). Lumbar, femoral neck and total hip BMD were statistically higher in patients who received St than in controls (-0.87 vs -1.74 p=0.00, - 1.15 vs 1.56 p= 0.00 and - 0.33 vs - 0.75 p= 0.01). Regarding the time of St treatment, a significant difference was found only in relation to BMD and lumbar spine between the groups of 6 to 12 months and those that received between 12 and 36 months. No relationship was found between BMD and the different types of St received.
Treatment with St could improve BMD in hypercholesterolemic postmenopausal women who takes these drugs.
关于他汀类药物(St)的多效性特性已出现新证据,这可能对骨质疏松症(OP)的治疗有益。我们的目的是研究St对绝经后女性骨密度(BMD)的影响。
这是一项横断面分析研究,分析2014年8月至2018年9月在科尔多瓦市两家风湿病科接受治疗的至少6个月的高胆固醇血症绝经后女性,她们接受了St治疗,作为对照组(CG)的是未接受St治疗的绝经后女性。
202名绝经后女性接受了St治疗,203名构成对照组。St组的平均年龄、体重和BMI分别为62.54岁、69.60千克和27.13,而对照组分别为58.58岁、65.70千克和26.83(p分别为0.0001、0.01、无显著性差异)。接受St治疗的患者腰椎、股骨颈和全髋部的BMD在统计学上高于对照组(-0.87对-1.74,p = 0.00;-1.15对-1.56,p = 0.00;-0.33对-0.75,p = 0.01)。关于St治疗时间,仅在6至12个月组与接受12至36个月治疗的组之间,在BMD和腰椎方面发现了显著差异。未发现BMD与所接受的不同类型St之间存在关联。
对于服用这些药物的高胆固醇血症绝经后女性,St治疗可改善BMD。