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Falls and 3-Hydroxy-3-Methylglutaryl Coenzyme A Reductase Inhibitors
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In a recent issue of the ARCHIVES,1 we reported lower fracture risk among women taking 3-hydroxy-3-methylglutaryl coenzyme A reductase inhibitors (statins) for hypercholesterolemia. The research was prompted by the finding that statins increase bone morphogenetic protein-2, leading to osteoblast differentiation and bone formation.2 The substantial 60% reduction in fracture risk we reported persisted after adjusting for potential confounders and was greater than expected from increases observed in bone mineral density alone.
Recent data from Britain3 and Australia4 support a role for statins in preventing age-related macular degeneration. The authors suggest that statins might prevent the accumulation of basal linear deposit in the Bruch membrane, protect the retina from oxidative damage, and maintain a competent vascular supply to the macula.3 Statins have also been reported to protect against dementia, which may be explained, at least in part, by the protective effect of statins on vascular disorders.5 Given that poor vision and . . . [Full Text of this Article]
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
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Commentary: Statins and fracture risk--unresolved questions.
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Int J Epidemiol 2006;35:1308-1309.
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