Serum Homocysteine and Its Relevant Factors among Health Screeners in a University Hospital.
- Author:
Dong Kuk LEE
1
;
Hyun Kook CHOI
;
Jung Cheon SON
;
Yoo Ji CHUNG
;
Bom Taeck KIM
;
Kwang Min KIM
Author Information
1. Department of Family Medicine, Ajou University College of Medicine, Suwon, Korea. gaksi@ajou.ac.kr
- Publication Type:Original Article
- Keywords:
homocysteine;
cardiovascular disease;
sex;
age;
smoking;
systolic blood pressure;
creatinine
- MeSH:
Adult;
Blood Pressure;
Body Weight;
Cardiovascular Diseases;
Cholesterol;
Cholesterol, HDL;
Creatinine;
Female;
Health Promotion;
Homocysteine*;
Humans;
Male;
Plasma;
Risk Factors;
Smoke;
Smoking;
Triglycerides;
Waist Circumference
- From:Journal of the Korean Academy of Family Medicine
2005;26(11):671-679
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: Elevated plasma total homocysteine is a risk factor for cardiovascular diseases. The authors investigated the parameters such as habit, body index, cardiovascular risk factors, nutrition relative to the plasma homocysteine concentration. METHODS: The subjects were 6,223 adults (3,377 males, 2,846 females) who were over 18 years of age and visited a health promotion center of a university hospital from March 2002 to January 2003. We assessed the relationship between the homocysteine level and the following parameters: sex, age, weight, body mass index, waist circumference, smoking, alcohol, systolic and diastolic blood pressure (BP), triglyceride, total cholesterol, high density lipoprotein cholesterol, creatinine, albumin and hemoglobin. RESULTS: The homocysteine levels was 10.5+/-5.9micromol/L in males, 7.3+/-2.6micromol/L in female. Thus it was significantly higher in males (P <0.001). After adjusting for variables that affect the homocysteine, the subjects over the age of 54 showed 10.7micromol/L (9.5, 12.0, 95% Confidence Interval), which was significantly (P=0.002) higher than the below the age of 38 groups 8.5micromol/L (7.8, 9.2, 95% CI). Non-smoking group showed 8.6micromol/L (8.4, 8.9, 95% CI), while over 28 pack-year group showed 9.6micromol/ L (9.2, 10.0, 95% CI), which was significantly (P <0.000) higher than the non-smoking groups. For the group with systolic BP over 132mmHg, it was 9.3micromol/L (8.8, 9.5, 95% CI). This was significantly (P=0.004) higher than 8.7micromol/L (8.4, 9.0, 95% CI) in the group whose systolic BP was less than 108 mmHg. The homocysteine was 10.4micromol/L (10.1, 11.7, 95% CI) for the group with creatinine over 1.0 mg/dL, which was significantly (P <0.000) higher than 7.9micromol/L (7.6, 8.2, 95% CI) in the group whose creatinine was less than 0.8 mg/dL. CONCLUSION: After adjusting for variables that affect the homocysteine, significant difference in its values was found between males and females. The homocysteine was significantly increased in the group whose age, systolic BP, amount of smoking, and creatinine were higher.
