The effect of statins on falls and physical activity in people aged 65 and older : A systematic review

© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature..

PURPOSE: Statins are commonly prescribed medications with recognised side effects including muscle weakness. Despite this, little is known about their effect on the physical activity and falls risk in the older population. This paper aims to explore the relationship between statin use and the physical activity and falls risk in adults aged 65 and older.

METHODS: MEDLINE, Embase, CINAHL and PsycINFO were searched on 21/11/2022 to obtain relevant articles. Data considered appropriate included that relating to muscle strength, grip strength, gait speed, balance and falls incidence. Reference and citation searches were performed to identify further relevant papers, and all eligible articles were subject to a Critical Appraisal Skills Programme (CASP) to assess potential bias. With the data being highly heterogeneous, no attempt to measure effect size was made and a narrative synthesis approach was used. The review proposal was registered with PROSPERO: CRD42022366159.

RESULTS: Twenty articles were included. Data were inconsistent throughout, with the overall trend suggesting no significant negative effects of statins on the parameters of physical activity, or on falls risk. This was especially true in matched and adjusted cohorts, where potential confounders had been accounted for.

CONCLUSION: This review did not identify a relationship between statin use and physical activity and falls risk in people aged 65 years and older. Ultimately, the risks and benefits of every medication should be considered in the context of each individual.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:80

Enthalten in:

European journal of clinical pharmacology - 80(2024), 5 vom: 30. Apr., Seite 657-668

Sprache:

Englisch

Beteiligte Personen:

Densham, Emily [VerfasserIn]
Youssef, Elaney [VerfasserIn]
Ferguson, Oscar [VerfasserIn]
Winter, Rebecca [VerfasserIn]

Links:

Volltext

Themen:

Falls
Hydroxymethylglutaryl-CoA Reductase Inhibitors
Journal Article
Narrative review
Older adults
Physical activity
Review
Statins
Systematic Review

Anmerkungen:

Date Completed 09.04.2024

Date Revised 09.04.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1007/s00228-024-03632-6

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM36843799X