Homocysteine, vitamin B12, folic acid levels and its association with Mild Cognitive Impairment in urban and rural dwelling Indians

Background Homocysteine (Hcy) is a sulfur containing amino acid generated in the metabolism of methionine involving co‐factors such as B vitamins and folic acid. Deficiency of these co‐factors have been associated with increased Hcy levels (Hutto, 1997). Relationship between differing levels of plas...

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Veröffentlicht in:Alzheimer's & dementia 2023-12, Vol.19 (S18), p.n/a
Hauptverfasser: Mallikarjun, Divya N, Malo, Palash Kumar, Partha, Ajith, L, Abhishek M, Stezin, Albert, Velavarajan, Goutham, Narayanasamy, Rajitha, R, Meghana, M, Amitha C, Menon, Meenakshi, Arvind, Prathima, Hameed, Shafeeq K Shahul, S, Sunitha H, Singh, Sadhana, Kommaddi, Reddy Peera, Sundarakumar, Jonas S., Issac, Thomas Gregor, Diwakar, Latha
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container_end_page n/a
container_issue S18
container_start_page
container_title Alzheimer's & dementia
container_volume 19
creator Mallikarjun, Divya N
Malo, Palash Kumar
Partha, Ajith
L, Abhishek M
Stezin, Albert
Velavarajan, Goutham
Narayanasamy, Rajitha
R, Meghana
M, Amitha C
Menon, Meenakshi
Arvind, Prathima
Hameed, Shafeeq K Shahul
S, Sunitha H
Singh, Sadhana
Kommaddi, Reddy Peera
Sundarakumar, Jonas S.
Issac, Thomas Gregor
Diwakar, Latha
description Background Homocysteine (Hcy) is a sulfur containing amino acid generated in the metabolism of methionine involving co‐factors such as B vitamins and folic acid. Deficiency of these co‐factors have been associated with increased Hcy levels (Hutto, 1997). Relationship between differing levels of plasma Hcy, vitamin B12, folic acid and cognitive impairment is inconclusive. Method Cross sectional analysis was done using the baseline data from two ongoing longitudinal studies such as Tata Longitudinal Study of Ageing (TLSA, N = 984) and Srinivaspura Aging, Neuro Senescence and COGnition (SANSCOG, N = 4404), an urban and rural cohorts (Sundarakumar et al, 2020) respectively. Hcy, vitamin B12, folic acid levels were compared between the subjects of both cohorts. Comparison of these levels between healthy and MCI (Mild Cognitive Impairment) subjects within and across the cohorts were done. CDR (Clinical Dementia Rating) scale was used to classify subjects having normal cognition and MCI, considering score of 0.5 as MCI. Mann‐Whitney U test was used to compare these levels between the groups. Result Hcy, vitamin B12, folic acid levels between the two cohorts showed significant difference, with higher levels of Hcy (median (IQR)) = (17.08 (11) vs 14.63 (10); p
doi_str_mv 10.1002/alz.076335
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Deficiency of these co‐factors have been associated with increased Hcy levels (Hutto, 1997). Relationship between differing levels of plasma Hcy, vitamin B12, folic acid and cognitive impairment is inconclusive. Method Cross sectional analysis was done using the baseline data from two ongoing longitudinal studies such as Tata Longitudinal Study of Ageing (TLSA, N = 984) and Srinivaspura Aging, Neuro Senescence and COGnition (SANSCOG, N = 4404), an urban and rural cohorts (Sundarakumar et al, 2020) respectively. Hcy, vitamin B12, folic acid levels were compared between the subjects of both cohorts. Comparison of these levels between healthy and MCI (Mild Cognitive Impairment) subjects within and across the cohorts were done. CDR (Clinical Dementia Rating) scale was used to classify subjects having normal cognition and MCI, considering score of 0.5 as MCI. Mann‐Whitney U test was used to compare these levels between the groups. Result Hcy, vitamin B12, folic acid levels between the two cohorts showed significant difference, with higher levels of Hcy (median (IQR)) = (17.08 (11) vs 14.63 (10); p <0.001), vitamin B12 (247 (252) vs 220 (143); p <0.001) and folic acid (8.55 (9) vs 5.55(4); p <0.05) in TLSA than SANSCOG. Significant difference seen in Hcy (17.73(11) vs 14.73 (10); p <0.001), vitamin B12 (246 (249) vs 220 (136); p <0.001) and folic acid (8.42 (9) vs 5.53 (4): p <0.001) levels for healthy subjects between cohorts, higher levels were seen in TLSA subjects. Hcy (16.08 (8) vs 14.43 (12); p <0.001) vitamin B12 (305 (341) vs 216 (174); p = 0.03) and folic acid (8.52 (9) vs 5.34 (4): p <0.001) levels were significantly high in TLSA than SANSCOG for MCI subjects. However, these levels were not significantly different between healthy and MCI subjects within cohorts. Conclusion Consistently elevated levels of Hcy was observed in urban cohort. Though elevated level of Hcy was observed with normal vitamin B12 and folic acid, it was not associated with MCI.]]></description><identifier>ISSN: 1552-5260</identifier><identifier>EISSN: 1552-5279</identifier><identifier>DOI: 10.1002/alz.076335</identifier><language>eng</language><ispartof>Alzheimer's &amp; dementia, 2023-12, Vol.19 (S18), p.n/a</ispartof><rights>2023 the Alzheimer's Association.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Falz.076335$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Falz.076335$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids></links><search><creatorcontrib>Mallikarjun, Divya N</creatorcontrib><creatorcontrib>Malo, Palash Kumar</creatorcontrib><creatorcontrib>Partha, Ajith</creatorcontrib><creatorcontrib>L, Abhishek M</creatorcontrib><creatorcontrib>Stezin, Albert</creatorcontrib><creatorcontrib>Velavarajan, Goutham</creatorcontrib><creatorcontrib>Narayanasamy, Rajitha</creatorcontrib><creatorcontrib>R, Meghana</creatorcontrib><creatorcontrib>M, Amitha C</creatorcontrib><creatorcontrib>Menon, Meenakshi</creatorcontrib><creatorcontrib>Arvind, Prathima</creatorcontrib><creatorcontrib>Hameed, Shafeeq K Shahul</creatorcontrib><creatorcontrib>S, Sunitha H</creatorcontrib><creatorcontrib>Singh, Sadhana</creatorcontrib><creatorcontrib>Kommaddi, Reddy Peera</creatorcontrib><creatorcontrib>Sundarakumar, Jonas S.</creatorcontrib><creatorcontrib>Issac, Thomas Gregor</creatorcontrib><creatorcontrib>Diwakar, Latha</creatorcontrib><title>Homocysteine, vitamin B12, folic acid levels and its association with Mild Cognitive Impairment in urban and rural dwelling Indians</title><title>Alzheimer's &amp; dementia</title><description><![CDATA[Background Homocysteine (Hcy) is a sulfur containing amino acid generated in the metabolism of methionine involving co‐factors such as B vitamins and folic acid. Deficiency of these co‐factors have been associated with increased Hcy levels (Hutto, 1997). Relationship between differing levels of plasma Hcy, vitamin B12, folic acid and cognitive impairment is inconclusive. Method Cross sectional analysis was done using the baseline data from two ongoing longitudinal studies such as Tata Longitudinal Study of Ageing (TLSA, N = 984) and Srinivaspura Aging, Neuro Senescence and COGnition (SANSCOG, N = 4404), an urban and rural cohorts (Sundarakumar et al, 2020) respectively. Hcy, vitamin B12, folic acid levels were compared between the subjects of both cohorts. Comparison of these levels between healthy and MCI (Mild Cognitive Impairment) subjects within and across the cohorts were done. CDR (Clinical Dementia Rating) scale was used to classify subjects having normal cognition and MCI, considering score of 0.5 as MCI. Mann‐Whitney U test was used to compare these levels between the groups. Result Hcy, vitamin B12, folic acid levels between the two cohorts showed significant difference, with higher levels of Hcy (median (IQR)) = (17.08 (11) vs 14.63 (10); p <0.001), vitamin B12 (247 (252) vs 220 (143); p <0.001) and folic acid (8.55 (9) vs 5.55(4); p <0.05) in TLSA than SANSCOG. Significant difference seen in Hcy (17.73(11) vs 14.73 (10); p <0.001), vitamin B12 (246 (249) vs 220 (136); p <0.001) and folic acid (8.42 (9) vs 5.53 (4): p <0.001) levels for healthy subjects between cohorts, higher levels were seen in TLSA subjects. Hcy (16.08 (8) vs 14.43 (12); p <0.001) vitamin B12 (305 (341) vs 216 (174); p = 0.03) and folic acid (8.52 (9) vs 5.34 (4): p <0.001) levels were significantly high in TLSA than SANSCOG for MCI subjects. However, these levels were not significantly different between healthy and MCI subjects within cohorts. Conclusion Consistently elevated levels of Hcy was observed in urban cohort. Though elevated level of Hcy was observed with normal vitamin B12 and folic acid, it was not associated with MCI.]]></description><issn>1552-5260</issn><issn>1552-5279</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNp9kDFPwzAUhC0EEqWw8As8o6b4xXHSjKUCWqmIBRaWyHbs8pDjVHbaqqz8cQKtGJGedE-n7244Qq6BjYGx9Fa6zzErcs7FCRmAEGki0qI8_ftzdk4uYvxgLGMTEAPyNW-bVu9jZ9CbEd1iJxv09A7SEbWtQ02lxpo6szUuUulril2vMbYaZYetpzvs3ukTuprO2pXHDreGLpq1xNAY39G-bBOU9L_ZsAnS0XpnnEO_ogtfo_TxkpxZ6aK5OuqQvD7cv8zmyfL5cTGbLhMNwEWiywkrM8g5y3JuoMxV0Z-dgORZ0dtcKTCZViAtKG25SplNlbCQa8MznvIhuTn06tDGGIyt1gEbGfYVsOpnvqqfrzrM18NwgHfozP4fspou346ZbwD-cyU</recordid><startdate>202312</startdate><enddate>202312</enddate><creator>Mallikarjun, Divya N</creator><creator>Malo, Palash Kumar</creator><creator>Partha, Ajith</creator><creator>L, Abhishek M</creator><creator>Stezin, Albert</creator><creator>Velavarajan, Goutham</creator><creator>Narayanasamy, Rajitha</creator><creator>R, Meghana</creator><creator>M, Amitha C</creator><creator>Menon, Meenakshi</creator><creator>Arvind, Prathima</creator><creator>Hameed, Shafeeq K Shahul</creator><creator>S, Sunitha H</creator><creator>Singh, Sadhana</creator><creator>Kommaddi, Reddy Peera</creator><creator>Sundarakumar, Jonas S.</creator><creator>Issac, Thomas Gregor</creator><creator>Diwakar, Latha</creator><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>202312</creationdate><title>Homocysteine, vitamin B12, folic acid levels and its association with Mild Cognitive Impairment in urban and rural dwelling Indians</title><author>Mallikarjun, Divya N ; Malo, Palash Kumar ; Partha, Ajith ; L, Abhishek M ; Stezin, Albert ; Velavarajan, Goutham ; Narayanasamy, Rajitha ; R, Meghana ; M, Amitha C ; Menon, Meenakshi ; Arvind, Prathima ; Hameed, Shafeeq K Shahul ; S, Sunitha H ; Singh, Sadhana ; Kommaddi, Reddy Peera ; Sundarakumar, Jonas S. ; Issac, Thomas Gregor ; Diwakar, Latha</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c1135-c980941630463e196b76b7f81a3471633bb1e4cb1af1bcf3b20f2b5f16ce34323</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mallikarjun, Divya N</creatorcontrib><creatorcontrib>Malo, Palash Kumar</creatorcontrib><creatorcontrib>Partha, Ajith</creatorcontrib><creatorcontrib>L, Abhishek M</creatorcontrib><creatorcontrib>Stezin, Albert</creatorcontrib><creatorcontrib>Velavarajan, Goutham</creatorcontrib><creatorcontrib>Narayanasamy, Rajitha</creatorcontrib><creatorcontrib>R, Meghana</creatorcontrib><creatorcontrib>M, Amitha C</creatorcontrib><creatorcontrib>Menon, Meenakshi</creatorcontrib><creatorcontrib>Arvind, Prathima</creatorcontrib><creatorcontrib>Hameed, Shafeeq K Shahul</creatorcontrib><creatorcontrib>S, Sunitha H</creatorcontrib><creatorcontrib>Singh, Sadhana</creatorcontrib><creatorcontrib>Kommaddi, Reddy Peera</creatorcontrib><creatorcontrib>Sundarakumar, Jonas S.</creatorcontrib><creatorcontrib>Issac, Thomas Gregor</creatorcontrib><creatorcontrib>Diwakar, Latha</creatorcontrib><collection>CrossRef</collection><jtitle>Alzheimer's &amp; dementia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mallikarjun, Divya N</au><au>Malo, Palash Kumar</au><au>Partha, Ajith</au><au>L, Abhishek M</au><au>Stezin, Albert</au><au>Velavarajan, Goutham</au><au>Narayanasamy, Rajitha</au><au>R, Meghana</au><au>M, Amitha C</au><au>Menon, Meenakshi</au><au>Arvind, Prathima</au><au>Hameed, Shafeeq K Shahul</au><au>S, Sunitha H</au><au>Singh, Sadhana</au><au>Kommaddi, Reddy Peera</au><au>Sundarakumar, Jonas S.</au><au>Issac, Thomas Gregor</au><au>Diwakar, Latha</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Homocysteine, vitamin B12, folic acid levels and its association with Mild Cognitive Impairment in urban and rural dwelling Indians</atitle><jtitle>Alzheimer's &amp; dementia</jtitle><date>2023-12</date><risdate>2023</risdate><volume>19</volume><issue>S18</issue><epage>n/a</epage><issn>1552-5260</issn><eissn>1552-5279</eissn><abstract><![CDATA[Background Homocysteine (Hcy) is a sulfur containing amino acid generated in the metabolism of methionine involving co‐factors such as B vitamins and folic acid. Deficiency of these co‐factors have been associated with increased Hcy levels (Hutto, 1997). Relationship between differing levels of plasma Hcy, vitamin B12, folic acid and cognitive impairment is inconclusive. Method Cross sectional analysis was done using the baseline data from two ongoing longitudinal studies such as Tata Longitudinal Study of Ageing (TLSA, N = 984) and Srinivaspura Aging, Neuro Senescence and COGnition (SANSCOG, N = 4404), an urban and rural cohorts (Sundarakumar et al, 2020) respectively. Hcy, vitamin B12, folic acid levels were compared between the subjects of both cohorts. Comparison of these levels between healthy and MCI (Mild Cognitive Impairment) subjects within and across the cohorts were done. CDR (Clinical Dementia Rating) scale was used to classify subjects having normal cognition and MCI, considering score of 0.5 as MCI. Mann‐Whitney U test was used to compare these levels between the groups. Result Hcy, vitamin B12, folic acid levels between the two cohorts showed significant difference, with higher levels of Hcy (median (IQR)) = (17.08 (11) vs 14.63 (10); p <0.001), vitamin B12 (247 (252) vs 220 (143); p <0.001) and folic acid (8.55 (9) vs 5.55(4); p <0.05) in TLSA than SANSCOG. Significant difference seen in Hcy (17.73(11) vs 14.73 (10); p <0.001), vitamin B12 (246 (249) vs 220 (136); p <0.001) and folic acid (8.42 (9) vs 5.53 (4): p <0.001) levels for healthy subjects between cohorts, higher levels were seen in TLSA subjects. Hcy (16.08 (8) vs 14.43 (12); p <0.001) vitamin B12 (305 (341) vs 216 (174); p = 0.03) and folic acid (8.52 (9) vs 5.34 (4): p <0.001) levels were significantly high in TLSA than SANSCOG for MCI subjects. However, these levels were not significantly different between healthy and MCI subjects within cohorts. Conclusion Consistently elevated levels of Hcy was observed in urban cohort. Though elevated level of Hcy was observed with normal vitamin B12 and folic acid, it was not associated with MCI.]]></abstract><doi>10.1002/alz.076335</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record>
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title Homocysteine, vitamin B12, folic acid levels and its association with Mild Cognitive Impairment in urban and rural dwelling Indians
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