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Multi-Gene Single Nucleotide Polymorphism Detection in Gastric Cancer Based on Ion Semiconductor Sequencing Platform
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Folate in smokers.

Kenji Okumura1, Hideto Tsukamoto

  • 1Department of Cardiology, The Toki Municipal General Hospital, Toki, Gifu Prefecture, Japan. kenji@med.nagoya-u.ac.jp

Clinica Chimica Acta; International Journal of Clinical Chemistry
|January 18, 2011
PubMed
Summary

Smoking lowers blood folate levels, potentially increasing heart disease risk. While linked to hyperhomocysteinemia, folic acid supplements haven

Area of Science:

  • Cardiovascular Health
  • Nutritional Science
  • Tobacco Cessation Research

Background:

  • Tobacco smoking and secondhand smoke exposure are linked to decreased blood folate concentrations.
  • Low folate levels and associated hyperhomocysteinemia are emerging as independent risk factors for atherosclerosis and early coronary artery disease prediction.
  • Dietary and lifestyle factors, such as reduced intake of folate-rich foods, may contribute to lower folate levels in smokers.

Purpose of the Study:

  • To investigate the complex relationship between folate status and smoking.
  • To review the evidence regarding folate levels, hyperhomocysteinemia, and cardiovascular health in smokers.

Main Methods:

  • This is a review article, synthesizing existing research on folate status and smoking.

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  • The review examines studies on the effects of smoking on folate metabolism and cardiovascular outcomes.
  • It considers the role of lifestyle, diet, and potential interventions like folic acid supplementation.
  • Main Results:

    • Smokers generally exhibit lower blood folate concentrations compared to non-smokers.
    • Low folate and hyperhomocysteinemia are frequently observed in smokers, but their direct causal role in smoking-related cardiovascular disease remains debated.
    • Studies on folic acid supplementation for homocysteine lowering in smokers have yielded inconsistent results regarding cardiovascular benefits.

    Conclusions:

    • The link between smoking, folate status, and cardiovascular risk is multifactorial and requires further investigation.
    • While folate deficiency is common in smokers, its direct impact on cardiovascular outcomes and the efficacy of supplementation are not definitively established.
    • Understanding these interactions is crucial for developing targeted public health strategies for smokers.