RELATIONSHIP BETWEEN VITAMIN B12 LEVELS AND ADVERSE LIPID PROFILES IN APPARENTLY HEALTHY INDIVIDUALS VISITING WELLNESS ASSESSMENT CENTER: A PROSPECTIVE STUDY
DOI:
https://doi.org/10.22159/ijcpr.2024v16i2.4033Keywords:
Vitamin B12, Lipid profile, Diabetes, PrediabetesAbstract
Objective: For metabolic disorders, an abnormal lipid profile stands alone as a risk factor. Since most research has been done on unhealthy populations, a relationship in vitamin B12 deficiency and lipid profile is unclear.
Methods: We conducted a cross-sectional research with 201 apparently healthy vitamin B12 deficient people, aged 25 to 60, in order to evaluate a relationship in serum vitamin B12 levels and lipid profiles.
Results: Sociodemographic, anthropometric, and biochemical data has been collected. Serum vitamin B12 deficiency has defined as serum B12 level of<159 pmol/l.25% of the subjects had raised cholesterol, 70% had raised LDL, 35% had raised triglycerides, and 71% had low HDL. We observed that only MCV was negatively associated with vitamin B12 levels (P<0.0001). A remaining other variables, including lipid profile were not associated with vitamin B12 levels. We also found that presence of comorbidities was not significantly associated with vitamin B12 levels (P=NS).
Conclusion: Therefore, in apparently healthy individuals, low serum vitamin B12 levels are not linked with abnormal lipid profiles.
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McNulty H, Pentieva K, Hoey L, Ward M. Homocysteine, B-vitamins and CVD. Proc Nutr Soc. 2008;67(2):232-7. doi: 10.1017/S0029665108007076, PMID 18412997.
Ng KC, Yong QW, Chan SP, Cheng A. Homocysteine, folate and vitamin B12 as risk factors for acute myocardial infarction in a Southeast Asian population. Ann Acad Med Singap. 2002;31(5):636-40. PMID 12395652.
Weikert C, Dierkes J, Hoffmann K, Berger K, Drogan D, Klipstein Grobusch K. B vitamin plasma levels and the risk of ischemic stroke and transient ischemic attack in a German cohort. Stroke. 2007;38(11):2912-8. doi: 10.1161/STROKEAHA.107.486068, PMID 17885260.
Mahalle N, Kulkarni MV, Garg MK, Naik SS. Vitamin B12 deficiency and hyperhomocysteinemia as correlates of cardiovascular risk factors in Indian subjects with coronary artery disease. J Cardiol. 2013;61(4):289-94. doi: 10.1016/j.jjcc.2012.11.009, PMID 23473764.
Yajnik CS, Deshpande SS, Lubree HG, Naik SS, Bhat DS, Uradey BS. Vitamin B12 deficiency and hyperhomocysteinemia in rural and urban Indians. J Assoc Physicians India. 2006;54(775):775-82. PMID 17214273.
Palacios G, Sola R, Barrios L, Pietrzik K, Castillo MJ, Gonzalez Gross M. Algorithm for the early diagnosis of vitamin B12 deficiency in elderly people. Nutr Hosp. 2013;28(5):1447-52. doi: 10.3305/nh.2013.28.5.6821, PMID 24160198.
Green R, Allen LH, Bjørke Monsen AL, Brito A, Gueant JL, Miller JW. Vitamin B12 deficiency. Nat Rev Dis Primers. 2017;3(1):1-20. doi: 10.1038/nrdp.2017.40, PMID 28660890.
Shobha V, Tarey SD, Singh RG, Shetty P, Unni US, Srinivasan K. Vitamin B₁₂ deficiency & levels of metabolites in an apparently normal urban south Indian elderly population. Indian J Med Res. 2011;134(4):432-9. PMID 22089603.
Sivaprasad M, Shalini T, Balakrishna N, Sudarshan M, Lopamudra P, Suryanarayana P. Status of vitamin B12 and folate among the urban adult population in South India. Ann Nutr Metab. 2016;68(2):94-102. doi: 10.1159/000442677, PMID 26667891.
Sun Y, Sun M, Liu B, Du Y, Rong S, Xu G. Inverse association between serum vitamin B12 concentration and obesity among adults in the United States. Front Endocrinol. 2019;10:414. doi: 10.3389/fendo.2019.00414, PMID 31316466.
Knight BA, Shields BM, Brook A, Hill A, Bhat DS, Hattersley AT. Lower circulating B12 is associated with higher obesity and insulin resistance during pregnancy in a non-diabetic white British population. Plos One. 2015;10(8):e0135268. doi: 10.1371/journal.pone.0135268, PMID 26288227.
Krishnaveni GV, Hill JC, Veena SR, Bhat DS, Wills AK, Karat CL. Low plasma vitamin B12 in pregnancy is associated with gestational ‘diabesity’ and later diabetes. Diabetologia. 2009;52(11):2350-8. doi: 10.1007/s00125-009-1499-0, PMID 19707742.
Saraswathy KN, Joshi S, Yadav S, Garg PR. Metabolic distress in lipid and one carbon metabolic pathway through low vitamin B-12: a population based study from North India. Lipids Health Dis. 2018;17(1):96. doi: 10.1186/s12944-018-0748-y, PMID 29695256.
Boachie J, Adaikalakoteswari A, Samavat J, Saravanan P. Low vitamin B12 and lipid metabolism: evidence from pre-clinical and clinical studies. Nutrients. 2020;12(7):1925. doi: 10.3390/nu12071925, PMID 32610503.
Adaikalakoteswari A, Jayashri R, Sukumar N, Venkataraman H, Pradeepa R, Gokulakrishnan K. Vitamin B12 deficiency is associated with adverse lipid profile in Europeans and Indians with type 2 diabetes. Cardiovasc Diabetol. 2014;13(1):129. doi: 10.1186/s12933-014-0129-4, PMID 25283155.
Mahalle N, Kulkarni MV, Garg MK, Naik SS. Vitamin B12 deficiency and hyperhomocysteinemia as correlates of cardiovascular risk factors in Indian subjects with coronary artery disease. J Cardiol. 2013;61(4):289-94. doi: 10.1016/j.jjcc.2012.11.009, PMID 23473764.
Kim H, Eun Y, Song S. Serum folate and vitamin B12 levels are not associated with the incidence risk of atherosclerotic events over 12 y the korean genome and epidemiology study. Nutr Res. 2019;63:34-41. doi: 10.1016/j.nutres.2018.12.009.
Obeid R, Herrmann W. Homocysteine and lipids: s-adenosyl methionine as a key intermediate. FEBS Lett. 2009;583(8):1215-25. doi: 10.1016/j.febslet.2009.03.038, PMID 19324042.
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