Statin Use and Its Association with Essential Tremor and Parkinson's Disease.

Statin Use and Its Association with Essential Tremor and Parkinson's Disease.
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DOI:
10.1159/000446655
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发表时间:
2016
期刊:
影响因子:
5.7
通讯作者:
Louis ED
Louis ED
中科院分区:
医学3区
文献类型:
--
作者:
Shalaby SY;Louis ED

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他汀类药物具有强有力的抗炎和免疫调节作用,并可能对帕金森病(PD)患者具有神经保护作用。目前还没有关于他汀类药物在相关震颤疾病特发性震颤(ET)中的应用研究。我们确定ET病例与对照组和PD病例与对照组的他汀类药物使用是否不同。139例ET病例,108例PD病例和124例对照参与了运动障碍流行病学的研究。他们在年龄和性别上进行了频率匹配。他汀类药物的使用通过自我报告进行评估。在校正logistic回归分析中,他汀类药物使用(当前或既往)与PD呈负相关(比值比[OR] = 0.56 - 0.63),边缘p值(p = 0.07 - 0.187)。在类似的校正模型中,ET与他汀类药物使用无关(p值= 0.45 - 0.50)。然而,ET与长期使用他汀类药物呈负相关(校正OR = 0.27,p值= 0.04 - 0.048)。我们观察到PD和他汀类药物使用之间存在轻微显著的负相关。虽然在初步分析中,我们没有发现他汀类药物的使用对ET有保护作用的证据,但在评估他汀类药物长期使用的分析中存在负相关。进一步的观察性研究是必要的。
Statins have potent anti-inflammatory and immunomodulating effects, and may have neuroprotective properties in patients with Parkinson's disease (PD). There are no studies of the use of statins in the related tremor disorder, essential tremor (ET). We determined whether statin use differed in ET cases vs. controls and PD cases vs. controls. 139 ET cases, 108 PD cases, and 124 controls participated in a research study of the epidemiology of movement disorders. They were frequency-matched on age and gender. Statin use was assessed by self-report. In adjusted logistic regression analyses, statin use (current or ever) was inversely associated with PD (odds ratios [ORs] = 0.56 - 0.63), with marginal p values (p = 0.07 - 0.187). In similar adjusted models, ET was not associated with statin use (p values = 0.45 – 0.50). However, ET was inversely associated with longer term statin use (adjusted OR = 0.27, p values = 0.04 – 0.048). We observed a marginally significant inverse association between PD and statin use. Although in primary analyses we found no evidence that statin use was protective in ET, there was an inverse association in analyses that assessed longer term use of statins. Further observational studies are warranted.
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