Muscular effects of statins in the elderly female: a review

Clin Interv Aging. 2013:8:47-59. doi: 10.2147/CIA.S29686. Epub 2013 Jan 18.

Abstract

Statins have demonstrated substantial benefits in supporting cardiovascular health. Older individuals are more likely to experience the well-known muscle-related side effects of statins compared with younger individuals. Elderly females may be especially vulnerable to statin-related muscle disorder. This review will collate and discuss statin-related muscular effects, examine their molecular and genetic basis, and how these apply specifically to elderly women. Developing strategies to reduce the incidence of statin-induced myopathy in older adult women could contribute to a significant reduction in the overall incidence of statin-induced muscle disorder in this vulnerable group of patients. Reducing statin-related muscle disorder would likely improve overall patient compliance, thereby leading to an increase in improved short- and long-term outcomes associated with appropriate use of statins.

Keywords: elderly; epidemiology; females; older adults; statins.

Publication types

  • Review

MeSH terms

  • Aged
  • Aging / physiology*
  • Cell Death
  • Comorbidity
  • Drug Interactions
  • Female
  • Genetic Predisposition to Disease
  • Humans
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors / adverse effects*
  • Incidence
  • Muscular Diseases / chemically induced*
  • Muscular Diseases / epidemiology
  • Muscular Diseases / genetics
  • Myositis / chemically induced
  • Myositis / epidemiology
  • Polyisoprenyl Phosphates / biosynthesis
  • Quality of Life
  • Rhabdomyolysis / chemically induced
  • Rhabdomyolysis / epidemiology
  • Sesquiterpenes
  • Sex Factors
  • Ubiquinone / analogs & derivatives
  • Ubiquinone / biosynthesis

Substances

  • Hydroxymethylglutaryl-CoA Reductase Inhibitors
  • Polyisoprenyl Phosphates
  • Sesquiterpenes
  • Ubiquinone
  • geranyl pyrophosphate
  • farnesyl pyrophosphate
  • coenzyme Q10