Evidence map›Paper›PMID 37261675›Full record

ArticleCardiovascular drugs and therapy2024

Uncovering the Relationship Between Statins and Muscle Problems in the ELSA-Brasil MSK Cohort.

Aline Fernandes Pedroso, Sandhi Maria Barreto, Rosa Weiss Telles, Luciana A C Machado, Maria de Fátima Haueisen Sander Diniz, Bruce Bartholow Duncan, Roberta Carvalho Figueiredo

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In one paragraph

Article in Cardiovascular drugs and therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Aline Fernandes PedrosoGraduate 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.ORCID 0000-0002-1876-8304
Sandhi Maria BarretoMedical School and Clinical Hospital, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.ORCID 0000-0001-7383-7811
Rosa Weiss TellesMedical School and Clinical Hospital, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.ORCID 0000-0003-4027-2943
Luciana A C MachadoClinical Hospital, UFMG/EBSERH, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.ORCID 0000-0001-6303-2753
Maria de Fátima Haueisen Sander DinizUniversidade Federal de Minas Gerais, Belo Horizonte, Brazil.ORCID 0000-0001-9146-5003
Bruce Bartholow DuncanUniversidade Federal Do Rio Grande Do Sul, Porto Alegre, Brazil.ORCID 0000-0002-7491-2630
Roberta Carvalho FigueiredoGraduate 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. robertafigueiredo@ufsj.edu.br.ORCID 0000-0001-6462-3504
Universidade Federal de Minas Gerais · BRFederal University of São João del-Rei · BRUniversidade Federal do Rio Grande · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate the association between statins and muscle problems in a highly diverse sample of Brazilian civil servants.

methodsWe conducted a cross-sectional data analysis at baseline of the ELSA-Brasil MSK cohort. Pain was identified through self-reported symptoms in large muscle groups (lower back and/or hips/thighs). Muscle strength was assessed using the five-times-sit-to-stand (FTSTS) and handgrip tests, with weakness defined as the lowest and highest quintiles of age- and sex-stratified handgrip strength and FTSTS performance time, respectively. Multivariable logistic regression analyses were conducted to investigate the association between statin use and muscle pain and weakness. Secondary analyses explored the impact of different types of statins and their duration of use on the response variables.

resultsA total of 2156 participants (mean age 55.6 ± SD 8.9, 52.8% women) were included, of whom 21.1% were taking statins and 25.1% reported muscle pain. We found no significant association between statin use and muscle problems. Secondary analysis on different types of statins revealed an association between atorvastatin and muscle weakness, as measured by the five-times-sit-to-stand test (OR 1.94, 95% CI 1.12-3.37), but not by the handgrip test (OR 0.75, 95% CI 0.29-1.42). No evidence was found to support a link between the duration of statin treatment and muscle problems.

conclusionsThis study challenges previous claims of an efficacy-effectiveness gap between experimental and observational literature on statins. The findings indicate that statin use does not contribute to muscular problems.

Indexed as

Hand StrengthHydroxymethylglutaryl-CoA Reductase InhibitorsMuscle WeaknessMyalgiaAdultAgedBrazilCross-Sectional StudiesFemaleHumansMaleMiddle AgedMuscle, SkeletalMuscle StrengthRisk FactorsHydroxymethylglutaryl-CoA Reductase InhibitorsMuscle adverse eventsObservational studiesStatin-associated muscular problemsStatins

Identifiers

PMID37261675
OpenAlexW4378952146

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.