Cholesterol-lowering drugs or statins usually used to
prevent heart attacks and strokes may be the key to slow down age-related
memory loss and dementia as well, according to a study published in the July 29
issue of Neurology.
More exactly, a study involving 1,674 elderly people showed
that those taking cholesterol-lowering drugs were about half as likely to
develop dementia over five years of follow-up compared to those who did not.
The participants aged 60 and older were dementia and
Alzheimer’s-free at the beginning of the trial. Of them, 27 percent took
cholesterol-lowering drugs at any time during the study. In total, 130
participants developed dementia by the end of five years. However, once the researchers
had taken account of other risk factors such as level of education, smoking,
and diabetes, they discovered that those taking statins had an approximately 50
percent lower risk of developing dementia.
“The bottom line is that if a person takes statins over a
course of about five to seven years, it reduces the risk of dementia by half,
and that’s a really big change,” Mary N. Haan, DrPH, of the University of
Michigan School of Public Health, lead author of the study, said.
Although the study does not prove how exactly cholesterol-lowering
drugs influence the brains of the elderly people, it is a great step forward in
understanding Alzheimer’s disease and in finding treatments for delaying the its
devastating symptoms.
“We aren’t suggesting that people could take statins to
prevent cognitive decline if they don’t need them for other reasons. But we
need a trial designed to determine if statins really do reduce the risk of
dementia and Alzheimer’s disease,” Dr. Haan said.
Whether or not statins helps preventing dementia has been
the subject of investigation for years, but none of the previous studies has
had such good results as the one conducted by Dr. Haan. Now what researchers
need to do is to solve the mystery beyond use of statins and dementia in order
to find better treatment for the disease.
One theory promoted by Dr. Haan in understanding how exactly
statins help is that these drugs keep the blood vessels healthy and blood
flowing freely to the brain. It is known that a decreased supply of blood to
the brain is a major factor promoting the development of dementia.
Another theory would be that cardiovascular disease and
diabetes, two conditions for which statins are required, could further lead to
dementia. That’s why Dr. Haan suggested that researchers should focus more on
people having these two conditions and their risk of developing Alzheimer’s.
It is the more important to follow people with
cardiovascular disease, as a separate study, presented during the 2008
Alzheimer's Association International Conference on Alzheimer's Disease in
Chicago, suggested that angiotensin, a drug used to reduce blood pressure can
also cut dementia’s risk.
Researchers at the Boston University School of Medicine analyzed
records of about 6 million people treated for high blood pressure between 2001
and 2006 and found that those taking angiotensin receptor blockers (ARBs) were
less likely over that period to be diagnosed with dementia compared with those
on other blood pressure medication such as ACE inhibitors. Overall, the study
revealed that they were 45 percent less likely to go on to develop delirium, be
admitted to a nursing home, or die prematurely.
“High blood pressure doubles the risk of Alzheimer's disease
and increases risk of stroke - this study highlights that it is becoming
increasingly important to investigate blood pressure lowering drugs as a
potential treatment for dementia,” Professor Clive Ballard, from the
Alzheimer’s Society said about the findings.
Findings ways to cure Alzheimer’s is a top priority for
researchers, as the number of patients with this condition is going to
quadruple worldwide by 2050 reaching approximately 106 million cases. There are
currently five drugs approved to treat Alzheimer’s, but they only mask symptoms
for 6 to 12 months at most, according to the Alzheimer’s Association, an
advocacy group based in Chicago.