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Total homocysteine is associated with white matter hyperintensity volume: the Northern Manhattan Study
Clinton B Wright1, Myunghee C Paik, Truman R Brown
1Department of Neurology, Columbia University College of Physicians and Surgeons and the Mailman School of Public Health, New York, NY, USA. cbw7@columbia.edu
Background:
Total homocysteine (tHcy) has been implicated as a risk factor for stroke and dementia, but the mechanism is unclear. White matter hyperintensities may be a risk factor for both, but studies of the relationship between tHcy and quantitative measures of white matter hyperintensity volume (WMHV) are lacking, especially in minority populations.
Methods:
A community-based sample of 259 subjects with baseline tHcy levels underwent pixel-based quantitative measurement of WMHV. We examined the relationship between tHcy and WMHV adjusting for age, sociodemographics, vascular risk factors, and B12 deficiency.
Results:
Higher levels of tHcy were associated with WMHV adjusting for sociodemographics and vascular risk factors.
Conclusions:
These cross-sectional data provide evidence that tHcy is a risk factor for white matter damage.
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