Article

Lifestyle and dietary advice typically precedes or accompanies the
prescription of statin medications. However, evidence for adherence to this
advice is sparse. The objective was to compare saturated fat intake, exercise,
alcohol consumption and smoking between statin users and non-users in Australia.
Methods Data were analysed for 4614 participants aged >/=37 years in the
Australian Diabetes, Obesity and Lifestyle study in 2011-2012. Statin use,
smoking status and physical activity were self-reported. Saturated fat and
alcohol intake were measured via a food frequency questionnaire. Multinomial
logistic regression was used to compute adjusted odds ratios (ORs) and 95%
confidence intervals (CIs) for the associations between statin use and the four
lifestyle factors. All models were adjusted for age, sex, education, number of
general practitioner visits, body mass index, hypertension, diabetes and prior
cardiovascular diseases. Results In total 1108 (24%) participants used a statin.
Statin users were 29% less likely to be within the highest quartile versus the
lowest quartile of daily saturated fat intake compared to non-users (OR 0.71, 95%
CI 0.54-0.94). There were no statistically significant associations between
statin use and smoking, physical activity or alcohol consumption. Conclusions
Smoking status, alcohol consumption and exercise level did not differ between
users and non-users of statins. However, statin users were less likely to consume
high levels of saturated fat than non-users. We found no evidence that people
took statins to compensate for a poor diet or lifestyle.

Langue : ANGLAIS