Do women with statin-related myalgias have low Vitamin D levels?

被引:6
作者
Minissian M. [1 ]
Agarwal M. [1 ]
Shufelt C. [1 ]
Mehta P.K. [1 ]
Waldman T. [1 ]
Lentz G. [1 ]
Cook-Wiens G. [1 ]
Eastwood J.-A. [1 ]
Noel Bairey Merz C. [1 ]
机构
[1] Barbra Streisand Women's Heart Center, Cedars-Sinai Heart Institute, 127 San Vicente Blvd AHSP, Los Angeles, 90048, CA
关键词
Alternative statin dosing; Myalgia; Statin; Statin intolerance; Vitamin D;
D O I
10.1186/s13104-015-1356-9
中图分类号
学科分类号
摘要
Background: Statin intolerance is often due to myalgias. Severe vitamin D deficiency is characterized by musculoskeletal pain. We hypothesized that statin-intolerance is associated with vitamin D deficiency. Objectives: To determine whether there is an association between statin-intolerance and vitamin D deficiency in a retrospective observational analysis. Methods: We evaluated 20 female patients with prior myalgia-related daily dose statin intolerance on an alternative day statin dosing protocol of twice weekly for 4 weeks followed by advancement to daily dosing, as tolerated. Fasting baseline and follow-up lipid and 25-hydroxy-vitamin D (25-OHD) levels were obtained by chart review. Results: The group median age was 61 ± 13 years old and BMI was 27 ± 7 kg/m2. Women who remained on alternative day statin dosing (n = 16) compared to women on daily dosing (n = 4) had a significantly lower group mean 25-OHD (mean 29 ± 11.23 vs. 47.5 ± 23.53 ng/ml p = 0.0307 respectively). Conclusions: In women with prior myalgia-related statin intolerance, vitamin D levels were significantly lower in women who remained on alternative day dosing compared to those who were tolerant of daily dosing. © 2015 Minissian et al.
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