Volume 42 Issue 6
Jul.  2021
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Guang-qiong CAO, Li DENG, Hong-li FANG, Hui-fang GAO, Shuai Kui. A Longitudinal Cohort Study on the Effects of Homocysteine on Blood Pressure, Blood Glucose and Blood Lipid in Physical Examination Population in Kunming[J]. Journal of Kunming Medical University, 2021, 42(6): 76-81. doi: 10.12259/j.issn.2095-610X.S20210603
Citation: Guang-qiong CAO, Li DENG, Hong-li FANG, Hui-fang GAO, Shuai Kui. A Longitudinal Cohort Study on the Effects of Homocysteine on Blood Pressure, Blood Glucose and Blood Lipid in Physical Examination Population in Kunming[J]. Journal of Kunming Medical University, 2021, 42(6): 76-81. doi: 10.12259/j.issn.2095-610X.S20210603

A Longitudinal Cohort Study on the Effects of Homocysteine on Blood Pressure, Blood Glucose and Blood Lipid in Physical Examination Population in Kunming

doi: 10.12259/j.issn.2095-610X.S20210603
  • Received Date: 2021-03-05
  • Publish Date: 2021-06-25
  •   Objective   To analyze the effects of homocysteine (Hcy) on blood pressure, blood glucose and blood lipid in a longitudinal cohort study, so as to provide basis knowledge for the prevention and treatment of related chronic diseases.   Methods   987 physical examination personnel with complete data in the annual physical examination survey during the two-year period after the 2017 baseline survey were selected as study subjects to construct a longitudinal study cohort. We collected demographic characteristics, homocysteine, blood pressure, blood glucose and blood lipid, and based on the homocysteine change, divided them into three groups: the non-change group (normal-normal; abnormal-abnormal), normal-abnormal group, abnormal-normal group. Generalized linear regression model was used to analyze the relationship between homocysteine change and the changes in blood pressure, blood glucose and blood lipid.   Results   The average age of participants in baseline survey was (43.63±11.4) years with a range of 23 to 85 years. During the three-year period, there were 50.25%(496), 14.39%(142), 35.36%(349) people with non-change group (normal-normal;Abnormal-abnormal), normal-abnormal group, abnormal-normal group, The Hcy change was taken as the dependent variable for analysis. Univariate analysis showed that, compared with the non-changed group, systolic blood pressure in the abnormally normal group was significantly reduced (P < 0.05), and there were no statistical differences in other indicators. Based on generalized linear model, after adjustment for age, gender, baseline BMI, drinking, smoking, results show that when compared with the non-change group, the systolic blood pressure, total cholesterol, blood sugar of anomaly-normal group were significantly decrease ( P < 0.05), and the drop-out value were 2.132, 0.203, 0.182 respectively. There was no significant difference in the change of diastolic blood pressure, triglyceride, High-density lipoprotein and low-density lipoprotein.   Conclusion   The change of Hcy is related to the change of systolic blood pressure, total cholesterol and blood glucose, and the decrease of Hcy is conductive to the improvement of blood glucose, blood pressure and lipid levels.
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  • [1]
    李燕. 同型半胱氨酸与疾病的关系[J]. 继续医学教育,2020,34(6):79-81. doi: 10.3969/j.issn.1004-6763.2020.06.044
    [2]
    Gu J F. Report on Chinese resident's chronic disease and nutrition[J]. Acta Nutrimenta Sinica,2016,38(21):525-529.
    [3]
    Jahangiry L, Farhangi M A, Rezaei F. Framingham risk score for estimation of 10-years of cardiovascular diseases risk in patients with metabolic syndrome[J]. Journal of Health, Population and Nutrition,2017,36(1):36. doi: 10.1186/s41043-017-0114-0
    [4]
    Kim J, Kim H, Roh H, et al. Causes of hyperhomocysteinemia and its pathological significance[J]. Archives of Pharmacal Research,2018,41(4):372-383. doi: 10.1007/s12272-018-1016-4
    [5]
    Momin M, Jia J, Fan F, et al. Relationship between plasma homocysteine level and lipid profiles in a community-based Chinese population[J]. Lipids in health and disease,2017,16(1):54. doi: 10.1186/s12944-017-0441-6
    [6]
    胡娜. 2型糖尿病合并高血压患者血清同型半胱氨酸水平变化及原因分析[J]. 中国社区医师,2020,36(21):39-40. doi: 10.3969/j.issn.1007-614x.2020.21.023
    [7]
    Zhong F, Zhuang L, Wang Y, et al. Homocysteine levels and risk of essential hypertension: A meta-analysis of published epidemiological studies[J]. Clinical and Experimental Hypertension,2017,39(2):160-167. doi: 10.1080/10641963.2016.1226888
    [8]
    丛林海, 曹光琼, 李昕, 等. 昆明市中老年人高同型半胱氨酸血症流行状况及其影响因素[J]. 昆明医科大学学报,2019,40(10):113-116. doi: 10.3969/j.issn.1003-4706.2019.10.025
    [9]
    孙晓红, 李平, 李云, 等. 高血压合并2型糖尿病患者血压、血脂、血糖和Hcy水平及临床意义[J]. 中国公共卫生管理,2018,34(4):468-470.
    [10]
    Dominguez L J, Galioto A, Pineo A, et al. Age, homocysteine, and oxidative stress: relation to hypertension and type 2 diabetes mellitus[J]. Journal of the American College of Nutrition,2010,29(1):1-6. doi: 10.1080/07315724.2010.10719810
    [11]
    Tao L X, Yang K, Wu J, et al. Association between plasma homocysteine and hypertension: Results from a cross-sectional and longitudinal analysis in Beijing’ s adult population from 2012 to 2017[J]. The Journal of Clinical Hypertension,2018,20(11):1624-1632. doi: 10.1111/jch.13398
    [12]
    Werstuck G H, Lentz S R, Dayal S, et al. Homocysteine-induced endoplasmic reticulum stress causes dysregulation of the cholesterol and triglyceride biosynthetic pathways[J]. The Journal of clinical investigation,2001,107(10):1263-1273. doi: 10.1172/JCI11596
    [13]
    Anan F, Masaki T, Umeno Y, et al. Correlations between homocysteine levels and atherosclerosis in Japanese type 2 diabetic patients[J]. Metabolism,2007,56(10):1390-1395. doi: 10.1016/j.metabol.2007.05.010
    [14]
    Li W X, Lv W W, Dai S X, et al. Joint associations of folate, homocysteine and MTHFR, MTR and MTRR gene polymorphisms with dyslipidemia in a Chinese hypertensive population: a cross-sectional study[J]. Lipids in Health and Disease,2015,14(1):101. doi: 10.1186/s12944-015-0099-x
    [15]
    杨建设. 血浆同型半胱氨酸在高血压病合并糖尿病患者中的变化及意义[J]现代预防医学, 2011, 38 (19): 4087-4090.
    [16]
    Shaikh M K, Devrajani B R, Shaikh A, et al. Plasma homocysteine level in patients with diabetes mellitus[J]. World Applied Sciences Journal,2012,16(9):1269-1273.
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