Prevention & lipids

Cardiovascular benefit of statin use against air pollutant exposure in older adults

Eur J Prev CardiolPublished Retrospective cohort study

Authors' conclusion

Among adults aged 60 years and older with high and low or moderate levels of exposure to PM10 and PM2.5, statin use was associated with a significantly lower risk of stroke.

Study context

Population
Adults aged ≥60 years free of cardiovascular disease (CVD) in major metropolitan areas of the Republic of Korea, with PM10 and PM2.5 exposure in 2015
Participants
1,229,444 adults
Exposure
Statin use vs no statin use across air pollutant exposure levels
  • Statin usersn = 377,076
Outcome
Incident stroke
Follow-up
1 January 2016 to 31 December 2021
Methodological detailspopulation-based
  • Population-based

Main finding

As reported in the abstract

Incident stroke, high exposure (PM10 >50 µg/m³; PM2.5 >25 µg/m³)
Statin users vs Statin non-usersAdjusted hazard ratio (95% CI)
High PM10
0.80(0.75–0.85)
High PM2.5
0.80(0.80–0.86)
Incident stroke events overall
86 018
Stroke rate overall
719.0 events per 100 000 person-years (PYs)

Observational data: associations, not effects.

Further findings

Incident CVD, low or moderate exposure (PM10 ≤50 µg/m³; PM2.5 ≤25 µg/m³)

Similar risk reduction among statin users

Original publication

Cardiovascular benefit of statin use against air pollutant exposure in older adults. Eur J Prev Cardiol. Published 14 February 2024. doi:10.1093/eurjpc/zwae061

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