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Prevalence of hyperhomocysteinemia in healthy Indian doctors
Sandesh P Kamdi1, Prashant Palkar
1Medical Advisor, Akumentis Healthcare Ltd., 204, Second floor, G. Corp Tech Park, Kasarvadavali, Near Hyper City, Ghodbunder Road, Thane (W), 400 615, Maharashtra, India.
Insights
Hyperhomocysteinemia, a risk factor for vascular diseases, is highly prevalent in healthy Indian doctors, affecting 92.85% of men and 81.60% of women. This high prevalence suggests a future risk for various pathologies in this population.
Area of Science:
- Cardiovascular Health
- Metabolic Disorders
- Public Health
Background:
- Hyperhomocysteinemia is a recognized risk factor for numerous vascular diseases.
- The prevalence of hyperhomocysteinemia increases with age.
- Understanding prevalence in specific populations is crucial for targeted health interventions.
Purpose of the Study:
- To determine the prevalence of hyperhomocysteinemia in a healthy, upper socio-economic class population in India.
- To assess gender-specific differences in total homocysteine (tHcy) levels.
- To identify potential future vascular disease risks within the studied cohort.
Main Methods:
- Cross-sectional study involving 1243 healthy Indian doctors (906 men, 337 women) across different age groups.
- Measurement of total homocysteine (tHcy) concentration in all participants.
- Application of the Third National Health and Nutrition Examination Survey (NHANES III) criteria for defining hyperhomocysteinemia.
Main Results:
- A very high prevalence of hyperhomocysteinemia was observed: 92.85% in men (tHcy >11.4 µmol/L) and 81.60% in women (tHcy >10.4 µmol/L).
- Mean tHcy concentration was significantly higher in men (21.96 ± 0.38 µmol/L) compared to women (15.90 ± 0.39 µmol/L) (P<0.0001).
- The observed prevalence indicates a substantial risk for future pathologies in this population.
Conclusions:
- The study reveals an exceptionally high prevalence of hyperhomocysteinemia among healthy Indian doctors, irrespective of age.
- Elevated homocysteine levels in this cohort may signify an increased future risk for vascular diseases.
- Further research into homocysteine-lowering vitamins is recommended to mitigate potential health risks.
Abstract:
Currently, hyperhomocysteinemia is a well-known risk factor for variety of vascular diseases. Prevalence of hyperhomocysteinemia increases with age. Hence, the present study was aimed to investigate the prevalence of hyperhomocysteinemia in healthy upper socio-economic class population in India. Total homocysteine (tHcy) concentration was determined in 1243 (906 men & 337 women) healthy Indian doctors with different age group. Using Third National Health and Nutrition Examination Survey (NHANES III) study criteria, the prevalence of hyperhomocysteinemia was 92.85% among men (>11.4 µmol/L) and 81.60% among women (>10.4 µmol/L). The prevalence of hyperhomocysteinemia was higher among men with mean tHcy concentration (21.96 ± 0.38 µmol/L) significantly higher (P<0.0001) than women (15.90 ± 0.39 µmol/L) (95% CI, 4.733- 7.376). Our study showed very high prevalence of hyperhomocysteinemia which may point to the future risk for various pathologies in the present subset of population. Further studies to look at the plasma levels of homocysteine lowering vitamins are warranted to prevent the future risk of vascular diseases.
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