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Association between Osteoporosis and Previous Statin Use

A Nested Case-Control Study

Bibliographic Data

ID15460475
AuthorsSo Young Kim (0000-0003-2258-7490, CHA University Bundang Medical Center), Dae Myoung Yoo (0000-0003-2511-5536, Hallym University), Chanyang Min (0000-0002-0629-9299, Seoul National University), Ji Hee Kim (0000-0001-6937-8093, Hallym University), Mi Jung Kwon (0000-0002-2441-0448, Hallym University), Joo-Hee Kim (0000-0002-3012-5889, Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, Hallym University College of Medicine, Anyang 14068, Korea), Joo‐Hee Kim (0000-0002-1572-5149, Hallym University), Hyo Geun Choi (0000-0003-1655-9549, Hallym University, corresponding author)
Year2021
Volume18
Issue22
Pages11902-11902
Publication date2021-11-12
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph182211902
PMID34831656
OpenAlexW3214070675
LanguageEN
References cited28

The relationship between statin use and osteoporosis is controversial; therefore, this study aimed to investigate this association. The ≥40-year-old population of the Korean National Health Insurance Service Health Screening Cohort was enrolled. The 68,592 osteoporosis patients were matched 1:1 with control participants for age, sex, income, and region of residence using propensity score matching. The histories of statin use for two years before the diagnosis of osteoporosis (index date) in the osteoporosis and control groups were compared using conditional/unconditional logistic regression. An increased number of days of statin use was not associated with osteoporosis (adjusted OR (aOR) = 0.97, 95% confidence interval (95% CI) = 0.94-1.00, p = 0.052). In the subgroup analyses, a large number of days of statin use was related to a reduced rate of osteoporosis in the <60-year-old female group, while the opposite was true in the ≥60-year-old female group. Both lipophilic and hydrophilic statins were related to a decreased rate of osteoporosis in the <60-year-old female group. Lipophilic statins, but not hydrophilic statins, were associated with an increased rate of osteoporosis in the ≥60-year-old female group. Statin use showed different associations in middle-aged and elderly women

Cohort · Confidence interval · Environmental health · Nested case-control study · Odds ratio · Osteoporosis · Physical therapy · Population · Propensity score matching · Statin · Bone health and osteoporosis research · Cancer, Lipids, and Metabolism · Lipoproteins and Cardiovascular Health · Medicine · Internal Medicine

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