Relation of statin use to the 5-year incidence and progression of age-related maculopathy.
OBJECTIVE
To examine the association of hydroxymethyl glutaryl coenzyme A reductase inhibitors (statins) with the 5-year incidence of age-related maculopathy (ARM).


METHODS
Population-based cohort study. Participants included persons 48 to 91 years old examined March 1, 1993, through June 14, 1995, living in Beaver Dam, Wis (N = 3684), of whom 2780 participated in a follow-up 5 years later.


METHODS
Standardized procedures were used for physical examinations, blood sample collection, and questionnaire administration. Age-related maculopathy was determined by grading images of the posterior pole using a standard protocol. Standard univariate and multivariate analyses were performed.


METHODS
Incidence and progression of ARM was measured over the 5-year interval.


RESULTS
While controlling for age and sex, statin use was not found to be associated with the 5-year incidence of early ARM (odds ratio [OR], 1.12; 95% confidence interval [CI], 0.47-2.67), progression of ARM (OR, 1.22; 95% CI, 0.54-2.76), or incidence of late ARM (OR, 0.41; 95% CI, 0.12-1.45).


CONCLUSIONS
These findings do not suggest an association between statin use and incident ARM over a 5-year period. Further investigation of these relationships in larger studies over a longer period is needed.
Klein
Ronald
R
Departments of Ophthalmology and Visual Sciences and Population Health Sciences, University of Wisconsin Medical School, Madison, WI 53726, USA.
Klein
Barbara E K
BE
Tomany
Sandra C
SC
Danforth
Lorraine G
LG
Cruickshanks
Karen J
KJ
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D018450:Disease Progression; D004363:Drug Utilization / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D019161:Hydroxymethylglutaryl-CoA Reductase Inhibitors / Q000627:therapeutic use*; D015994:Incidence; D008268:Macular Degeneration / Q000453:epidemiology* / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D016017:Odds Ratio; D015995:Prevalence; D011795:Surveys and Questionnaires; D014922:Wisconsin / Q000453:epidemiology
D019161:Hydroxymethylglutaryl-CoA Reductase Inhibitors