Statin Adverse Effects FAQ: MEMORY LOSS, AMNESIA
Per your questions on "Effects of Lovastatin on Cognitive Function and
Psychological Well-being," Muldoon MF, Barger SD, Ryan CM, Flory JD,
Lehoczky JP, Matthews KA, Manuck SB.
Again, the chart says it. Look at the full study, specifically, the
Attention, Psychomotor Speed, and Mental Flexibility portions on the Figure
at the top of page 539 of The American Journal of Medicine, volume 108, May
2000.
A crude approximation of the chart in text:
The verticle axis on the left is "Change in domain performance." Since I
can't do shaded boxes for the mean, SM indicates Statin Mean, PM indicates
the Placebo Mean. The uprights indicate the range. Notice that the
uprights do not overlap at all for Attention and Psychomotor Speed, nor do
the mean boxes:
0.3
| | |
0.2 | | |
P|M P|M P|M
0.1 P|M P|M P|M
| P M | P M | P|M
0.0 -----|---------------|---------------|-------------------------------------------------------
S|M S|M S|M
-0.1 | | |
Attention Psychomotor Mental
Speed Flexibility
"The figure caption: Mean change in cognitive function between baseline and
6-month follow-up in the two treatment groups. Results are expressed as the
change in summary z scores (and 95% confidence intervals) for each of the
five domains of neuropsychological performance. A positive deflection
indicates performance improvement and a negative deflection indicates
performance decrement. See text for results of statistical analyses."
Note that for Attention and Psychomotor Speed, the PM means and the PM
uprights are above the 0.0 line, indicating improvement. Note that the SM
means are below the 0.0 line, indicating a deficit, and the SM uprights are
below the PMs, indicating a failure to learn at a normal pace.
The December 2004 study characterizes the 2000 study in these words:
"In 2000, we reported the results of our initial study of
central nervous system effects of statins (7). The investigation
employed a double-blind, randomized, placebocontrolled
design to evaluate the effects of lovastatin on
cognitive functioning and mood among 209 middle-aged
adults with hypercholesterolemia. Compared with
masked placebo, 20 mg of lovastatin taken daily for 6
months had detrimental effects on cognitive performance
on four neuropsychological tests assessing attention,
working memory, and overall mental efficiency."
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