|
KMID : 0384320050260110671
|
|
Korean Journal of Family Medicine
2005 Volume.26 No. 11 p.671 ~ p.679
|
|
|
Serum Homocysteine and Its Relevant Factors among Health Screeners in a University Hospital
|
|
Lee Dong-Kuk
Choi Hyun-Kook
Son Jung-Cheon
Chung Yoo-Ji
Kim Bom-Taeck
Kim Kwang-Min
|
|
|
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±5.9μmol/L in males, 7.3±2.6μmol/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 10.7μmol/L (9.5, 12.0, 95% Confidence Interval), which was significantly (P=0.002) higher than the below the age of 38 groups 8.5μmol/L (7.8, 9.2, 95% CI). Non-smoking group showed 8.6μmol/L (8.4, 8.9, 95% CI), while over 28 pack-year group showed 9.6μmol/ 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 9.3μmol/L (8.8, 9.5, 95% CI). This was significantly (P=0.004) higher than 8.7 μmol/L (8.4, 9.0, 95% CI) in the group whose systolic BP was less than 108 mmHg. The homocysteine was 10.4 μmol/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 7.9μmol/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. (JKorean Acad Fam Med 2005;26:671-679)
|
|
|
KEYWORD
|
|
|
homocysteine, cardiovascular disease, sex, age, smoking, systolic blood pressure, creatinine
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
  
|
|