Thursday 1 October 2015

Statin use associated with a 60% increased risk of dementia

This study was published in Frontiers in Aging Neuroscience 2014 Nov 7;6:309

Study title and authors:
Cognitive Impairment and Age-Related Vision Disorders: Their Possible Relationship and the Evaluation of the Use of Aspirin and Statins in a 65 Years-and-Over Sardinian Population.
Mandas A, Mereu RM, Catte O, Saba A, Serchisu L, Costaggiu D, Peiretti E, Caminiti G, Vinci M, Casu M, Piludu S, Fossarello M, Manconi PE, DessĂ­ S.

This study can be accessed at: http://www.ncbi.nlm.nih.gov/pubmed/25426067

One of the aims of the study was to establish whether a relationship exist between various types of dementia and statins and aspirin use. The study included 1,168 subjects 65 years or older.

The study found:
(a) Statin users had a 60% increased risk of any type of dementia compared to those not using statins.
(b) Statin users had a 90% increased risk of mild cognitive impairment compared to those not using statins.
(c) Statin users had a 70% increased risk of Alzheimer’s disease compared to those not using statins.
(d) Statin users had a 50% increased risk of mixed dementia compared to those not using statins.
(e) Statin users had a 40% increased risk of vascular dementia compared to those not using statins.
(f) Aspirin users had a 60% increased risk of any type of dementia compared to those not using Aspirin.
(g) Aspirin users had a 60% increased risk of mild cognitive impairment compared to those not using Aspirin.
(h) Aspirin users had a 10% increased risk of Alzheimer’s disease compared to those not using Aspirin.
(i) Aspirin users had a 150% increased risk of mixed dementia compared to those not using Aspirin.
(j) Aspirin users had a 70% increased risk of vascular dementia compared to those not using Aspirin.
(k) Statin and aspirin users had a 110% increased risk of any type of dementia compared to those not using statins and aspirin.
(l) Statin and aspirin users had a 170% increased risk of mild cognitive impairment compared to those not using statins and aspirin.
(m) Statin and aspirin users had a 60% increased risk of Alzheimer’s disease compared to those not using statins and aspirin.
(n) Statin and aspirin users had a 170% increased risk of mixed dementia compared to those not using statins and aspirin.
(o) Statin and aspirin users had a 110% increased risk of vascular dementia compared to those not using statins and aspirin.

The data from the study reveals that compared to statin non-users, statin users have a significantly higher risk of all types of dementia and with Alzheimer’s disease.

Mandas concluded: "Since cholesterol plays a fundamental role in the myelination of neurons, it has been proposed that excessive inhibition of cholesterol synthesis (by statins) could lead to adverse cognitive effects."