Systematic Review and Meta-Analysis to Explore the Relationship of Increased Homocysteine, Lipid Levels and Lipid

Sonu K Singh1, Roshan K Jha1, Ranjit S Ambad1

  • 1Department of Biochemistry, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, Maharashtra, India.

Insights

Elevated homocysteine levels significantly increase the risk of coronary artery disease (CAD). This meta-analysis confirms homocysteine as a key factor in cardiovascular risk assessment.

Area of Science:

  • Cardiovascular Medicine
  • Biochemistry
  • Epidemiology

Background:

  • Coronary artery disease (CAD) is a major global health concern.
  • Elevated homocysteine is an emerging independent risk factor for CAD.
  • Understanding this link is crucial for public health.

Purpose of the Study:

  • To quantitatively assess the association between homocysteine levels and CAD risk.
  • To pool data from multiple studies for a robust conclusion.
  • To provide evidence for clinical risk stratification.

Main Methods:

  • Comprehensive meta-analysis of 25 relevant studies.
  • Utilized random-effects models to account for heterogeneity.
  • Calculated pooled odds ratios (OR) and 95% confidence intervals (CI).

Main Results:

  • A significant positive association was found between elevated homocysteine and CAD risk.
  • The pooled OR indicated a moderate yet consistent risk increase.
  • Heterogeneity was appropriately managed in the analysis.

Conclusions:

  • Elevated homocysteine is a significant risk factor for coronary artery disease.
  • Findings support integrating homocysteine measurement into cardiovascular risk protocols.
  • This can aid in early detection and prevention strategies.
Abstract

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