Statins in Healthy Adults: A Meta-Analysis

<i>Background and Objectives</i>: In this paper, we investigated the efficacy of statin therapy on cardiovascular disease (CVD) reduction in adults with no known underlying health conditions by undertaking a meta-analysis and systematic review of the current evidence. <i>Materials...

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Main Authors: Lee Sandwith, Patrice Forget
Format: Article
Language:English
Published: MDPI AG 2021-06-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1648-9144/57/6/585
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author Lee Sandwith
Patrice Forget
author_facet Lee Sandwith
Patrice Forget
author_sort Lee Sandwith
collection DOAJ
description <i>Background and Objectives</i>: In this paper, we investigated the efficacy of statin therapy on cardiovascular disease (CVD) reduction in adults with no known underlying health conditions by undertaking a meta-analysis and systematic review of the current evidence. <i>Materials and Methods</i>: We performed a systematic search to identify Primary Prevention Randomized Controlled Trials (RCTs) that compared statins with a control group where CVD events or mortality were the primary end point. Identified RCTs were evaluated and classified into categories depending on relevance in order to determine which type of meta-analysis would be feasible. <i>Results</i>: No differences were observed between categories with the exception of relative risk for all CVD events combined which showed a 12% statistically significant difference favouring studies which were known to include participants without underlying health conditions. Strong negative correlations between number-need-to-treat (NNT) and LDL-C reduction were observed for all Coronary Heart Disease (CHD) outcomes combined and all CVD outcomes combined. <i>Conclusions</i>: This project highlights the need for further research on the effects of statins on participants who do not suffer from underlying health conditions, given that no such studies have been conducted.
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spelling doaj.art-e1534973a7234ae0a8704d667e2fcc7e2023-11-21T23:09:19ZengMDPI AGMedicina1010-660X1648-91442021-06-0157658510.3390/medicina57060585Statins in Healthy Adults: A Meta-AnalysisLee Sandwith0Patrice Forget1Institute of Applied Health Sciences, School of Medicine, Medical Sciences and Nutrition, Epidemiology Group, University of Aberdeen, Aberdeen AB25 2ZD, UKInstitute of Applied Health Sciences, School of Medicine, Medical Sciences and Nutrition, Epidemiology Group, University of Aberdeen, Aberdeen AB25 2ZD, UK<i>Background and Objectives</i>: In this paper, we investigated the efficacy of statin therapy on cardiovascular disease (CVD) reduction in adults with no known underlying health conditions by undertaking a meta-analysis and systematic review of the current evidence. <i>Materials and Methods</i>: We performed a systematic search to identify Primary Prevention Randomized Controlled Trials (RCTs) that compared statins with a control group where CVD events or mortality were the primary end point. Identified RCTs were evaluated and classified into categories depending on relevance in order to determine which type of meta-analysis would be feasible. <i>Results</i>: No differences were observed between categories with the exception of relative risk for all CVD events combined which showed a 12% statistically significant difference favouring studies which were known to include participants without underlying health conditions. Strong negative correlations between number-need-to-treat (NNT) and LDL-C reduction were observed for all Coronary Heart Disease (CHD) outcomes combined and all CVD outcomes combined. <i>Conclusions</i>: This project highlights the need for further research on the effects of statins on participants who do not suffer from underlying health conditions, given that no such studies have been conducted.https://www.mdpi.com/1648-9144/57/6/585statinscardiovascular disease and mortalitycholesterolprimary prevention
spellingShingle Lee Sandwith
Patrice Forget
Statins in Healthy Adults: A Meta-Analysis
Medicina
statins
cardiovascular disease and mortality
cholesterol
primary prevention
title Statins in Healthy Adults: A Meta-Analysis
title_full Statins in Healthy Adults: A Meta-Analysis
title_fullStr Statins in Healthy Adults: A Meta-Analysis
title_full_unstemmed Statins in Healthy Adults: A Meta-Analysis
title_short Statins in Healthy Adults: A Meta-Analysis
title_sort statins in healthy adults a meta analysis
topic statins
cardiovascular disease and mortality
cholesterol
primary prevention
url https://www.mdpi.com/1648-9144/57/6/585
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