Determinants of Plasma Homocysteine Levels and Carotid Intima-Media Thickness in Japanese

Although hyperhomocysteinemia is considered to be a key risk factor for atherosclerosis, especially in Western countries, its role in the Asian population is still controversial. In this study, we evaluated the determinants of homocysteine and carotid intima-media thickness, a clinical marker for th...

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Veröffentlicht in:Asia Pacific Journal of Clinical Nutrition 2007-12, Vol.16 (4), p.698-703
Hauptverfasser: Takamura, Noboru, Abe, Yasuyo, Nakazato, Mio, Maeda, Takahiro, Wada, Mitsuhiro, Nakashima, Kenichiro, Kusano, Yosuke, Aoyagi, Kiyoshi
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container_issue 4
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container_title Asia Pacific Journal of Clinical Nutrition
container_volume 16
creator Takamura, Noboru
Abe, Yasuyo
Nakazato, Mio
Maeda, Takahiro
Wada, Mitsuhiro
Nakashima, Kenichiro
Kusano, Yosuke
Aoyagi, Kiyoshi
description Although hyperhomocysteinemia is considered to be a key risk factor for atherosclerosis, especially in Western countries, its role in the Asian population is still controversial. In this study, we evaluated the determinants of homocysteine and carotid intima-media thickness, a clinical marker for the detection of atherosclerosis, in Japanese. In 289 Japanese adults (age 37-86 yrs), we screened plasma total homocysteine by high performance liquid chromatography and evaluated maximum carotid intima-media thickness by ultrasound. Other blood chemistry values were also measured. Total homocysteine levels were higher in men than in women and increased with age. In multiple regression analysis, adjusted for age and sex, serum creatinine was a powerful determinant of homocysteine (β=3.3, p<0.01). Maximum carotid intima-media thickness was higher in men than in women and increased with age. When adjusted for age and sex, systolic blood pressure was independently correlated with maximum carotid intima-media thickness (β=0.001, p<0.01). Our current results support previous findings that in addition to age and sex, serum creatinine and systolic blood pressure are independent determinants of homocysteine and carotid intima-media thickness, respectively.
doi_str_mv 10.6133/apjcn.2007.16.4.16
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In this study, we evaluated the determinants of homocysteine and carotid intima-media thickness, a clinical marker for the detection of atherosclerosis, in Japanese. In 289 Japanese adults (age 37-86 yrs), we screened plasma total homocysteine by high performance liquid chromatography and evaluated maximum carotid intima-media thickness by ultrasound. Other blood chemistry values were also measured. Total homocysteine levels were higher in men than in women and increased with age. In multiple regression analysis, adjusted for age and sex, serum creatinine was a powerful determinant of homocysteine (β=3.3, p<0.01). Maximum carotid intima-media thickness was higher in men than in women and increased with age. When adjusted for age and sex, systolic blood pressure was independently correlated with maximum carotid intima-media thickness (β=0.001, p<0.01). 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subjects Adult
Age
Age Factors
Aged
Aged, 80 and over
Aging - pathology
Arteriosclerosis - blood
Arteriosclerosis - epidemiology
Atherosclerosis
Blood pressure
Blood Pressure - physiology
Body mass index
Cardiovascular disease
Cardiovascular Diseases - blood
Cardiovascular Diseases - epidemiology
Carotid arteries
Carotid Arteries - diagnostic imaging
Cholesterol
Chromatography
Chromatography, High Pressure Liquid - methods
Creatinine
Creatinine - blood
Female
Homocysteine
Homocysteine - blood
Humans
Japan
Longitudinal studies
Male
Medical screening
Metabolism
Middle Aged
Plasma
Regression analysis
Risk Factors
Sex Factors
Tunica Intima - diagnostic imaging
Tunica Media - diagnostic imaging
Ultrasonic imaging
Ultrasonography
Veins & arteries
Vitamin B
Womens health
title Determinants of Plasma Homocysteine Levels and Carotid Intima-Media Thickness in Japanese
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