Blood homoysteine, its associated factors, atheroscerosis and cardiovasular desease

点击翻译按钮获取中文摘要

We have conducted cross-sectional and prospective nested-case control studies to investigate associated factors for blood homocysteine, the relation between homocysteine and carotid atherosclerosis, and the relation between homocysteine and the risk of stroke and coronary heart disease. The subjects were 3,071 men and women aged 40-79 in Ibaraki rural community and 965 participants aged 20-74 in clinic health examination of Kochi for a cross-sectional study. Associated factors for high blood homocysteine concentrations were low serum concentrations of folate and low vitamin B12 and low dietary intakes of vegetables, seaweed and fishAssociated factors for homocysteine were age, hypertension, body mass index, and cigarette smoking. Age-adjusted plasma homocysteine levels were higher for both men and women with the homozygous genotype for the mutation than those who were heterozygous or had no mutation. Elevated homocysteine levels in homozygous genotype was attenuated among persons with … More higher serum levels of vitamin B12 and folate, but not vitamin B6, and among persons with the combination of lower folate and higher vitamin B12 and of higher folate and higher vitamin B12, split by the median. Thus, elevated homocysteine levels among Japanese with the homozygous genotype for the MTHFR gene mutation can be modified efficiently by dietary supplement of vitamin B12 as well as folate.A prospective nested case-control study was conducted using frozen serum samples from 7,450 participants in cardiovascular risk surveys, collected from 1984-1989 for one community and 1989-1992 for the other two communities. We identified 74 incident strokes whose subtypes were confirmed by imaging studies. Three controls per case were selected by matching for sex, age, community, year of serum storage and fasting status. The multivariate odds ratio of total stroke for highest vs lowest quartiles of serum homocysteine was 2.6 (1.0, 6.6), P = 0.04. We found that high homocystens predicted the risk of total stroke among Japanese. Less