在ELSA-巴西MSK队列中发现他类药物和肌肉问题之间的关系
Aline Fernandes Pedroso1, Sandhi Maria Barreto2, Rosa Weiss Telles2
1Graduate Program of Health Sciences, Federal University of Sao Joao del-Rei, Bloco D, Sala 306, R. Sebastião Gonçalves Coelho, 400, Chanadour, Divinópolis, MG, 35501-296, Brazil.
Cardiovascular drugs and therapy
|June 1, 2023
概括
在巴西成年人中,使用他类药物通常不会引起肌肉问题,包括疼痛或软弱. 然而,在一项特定的测试中,阿托瓦斯塔丁与肌肉衰弱有关.
科学领域:
- 心血管健康 心血管健康
- 药物监督 药物监督 药物监督
- 肌肉骨健康 肌肉骨健康
背景情况:
- 类药物是被广泛处方的降胆固醇药物.
- 以前的研究表明,他类药物的使用与肌肉相关的副作用之间存在潜在的联系.
- 与临床试验相比,观察性研究有时会显示出相互矛盾的结果.
研究的目的:
- 检查不同巴西人群中使用他类药物和肌肉问题 (疼痛和软弱) 之间的关联.
- 根据他类药物的类型和使用时间,调查肌肉问题相关的潜在差异.
主要方法:
- 对ELSA-巴西MSK队列基线数据的横截面分析.
- 肌肉疼痛通过自我报告的症状来评估.
- 肌肉强度通过使用五次坐站 (FTSTS) 和手握测试进行评估.
- 用于分析关联的多变量逻辑回归模型.
主要成果:
- 在整体他类药物使用和肌肉疼痛或肌肉虚弱之间没有发现显著的关联.
- 在FTSTS测试 (OR1.94) 中,阿托瓦斯塔丁使用与肌肉衰弱有关,但在手握测试中并非如此.
- 没有发现他类药物治疗的持续时间和肌肉问题之间的联系.
结论:
- 该研究的结果表明,他类药物的使用不会导致这个人群的肌肉问题.
- 这项研究挑战了关于他类药物诱导的肌肉问题的疗效差距的概念.
- 结果支持他类药物关于肌肉骨健康的安全概况.
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