Association between Statin Use and Physical Function among Older Chinese Inpatients with Type 2 Diabetes

• DOI: 10.1007/s12603-019-1305-8
• Publication Date: 2019-12-07T03:02:37Z
• Authors: Y. Li; X. Yang; Y. Zou; J. Li; Q. Sun; X. Jing; M. Yang; Shuang Wang; B. Dong
• Keywords: Aged, 80 and over; Male; Inpatients; 16. Peace & justice; 3. Good health; 03 medical and health sciences; Cross-Sectional Studies; 0302 clinical medicine; Asian People; Diabetes Mellitus, Type 2; Risk Factors; Humans; Female; Hydroxymethylglutaryl-CoA Reductase Inhibitors; Geriatric Assessment

Multiple statin-associated muscle symptoms (SAMS) risk factors usually coexist in a given older diabetic patient, but the association between statin use and physical function in older Asian persons with T2MD remains uncertain. The present study therefore sought to provide insight into this uncertainty through a focused assessment of statin-associated outcomes in Chinese diabetic adults.Cross-sectional study.The study included 146 participants with T2MD in the Center of Gerontology and Geriatric, West China Hospital.The participants received the comprehensive geriatric assessment (CGA). Statin use and other medical data for each patient were determined via assessment of the inpatient hospital information system. Assessments of physical functions included ADLs, IADLs and the Timed "Up and Go" (TUG) test. Multiple regression analyses were then performed in order to determine the relationship between statin utilization and physical function.The average age of these 146 participants (32 women, 21.9%) was 80.00±5.60 years. At enrollment, 78 (53.4%) of the 146 patients were treated with statins. Among the statin users, 48.7% presented with a lack of TUG ability, which was significantly greater than in non-statin users (27.9%). However, the rates of IADL and ADL disabilities did not differ significantly between groups. In a multiple regression analyses, statin use was associated with a three-fold (95% CI 1.06, 9.51) increase in the risk of TUG inability, after adjusted all covariates.There was a significant association between statin use and TUG inability in older Chinese inpatients with diabetes.