Skip to main content
Log in

Serum Homocysteine Levels Had Important Associations with Activity and Quality of Daily Living in Chinese Centenarians

  • Published:
The journal of nutrition, health & aging

Abstract

Background

Population aging is an important problem worldwide, with activity and quality of daily living commonly reduced in elderly people. leading to increased hospitalization and mortality rates, and substantial individual and social burdens.

Objective

This study was designed to investigate the associations of serum homocysteine levels with activity and quality of daily living in Chinese centenarians for the first time.

Participants

The China Hainan Centenarian Cohort Study was performed in 18 cities and counties of Hainan Province.

Main measures

Home interview, physical examination and blood analysis were performed in 787 centenarians following standard procedures.

Key results

The median age was 102 years, ranging between 100 and 115 years. There were 634 females (80.6%) and 153 males (19.4%) in all. The median level of serum homocysteine was 23.80 (18.80-29.90) umol/L, whereas median values of Barthel Index and EuroQol 5 Dimensions were 85(60-95) and 0.661(0.558-0.766), respectively. The centenarians with serum homocysteine levels ≥23.8μmol/L were more likely to had lower values of Barthel Index and EuroQol 5 Dimensions than those with serum homocysteine levels <23.8μmol/L (P<0.05 for all). In multivariate linear regression analyses, serum homocysteine levels were significantly associated with Barthel Index and EuroQol 5 Dimensions (P<0.05 for all).

Conclusions

Serum homocysteine levels had important associations with activity and quality of daily living in Chinese centenarians. Future research should focus on the value of intervening in serum homocysteine levels by supplying folic acid (vitamin B9) and vitamin B12 on improving activity and quality of daily living in elderly people.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. de Koning EJ, van der Zwaluw NL, van Wijngaarden JP, Sohl E, Brouwer-Brolsma EM, van Marwijk HW, Enneman AW, Swart KM, van Dijk SC, Ham AC, van der Velde N, Uitterlinden AG, Penninx BW, Elders PJ, Lips P, Dhonukshe-Rutten RA, van Schoor NM, de Groot LC. Effects of Two-Year Vitamin B12 and Folic Acid Supplemeon Depressive Symptoms and Quality of Life in Older Adults with Elevated Homocysteine Concentrations: Additional Results from the B-PROOF Study, an RCT. Nutrients. 2016;8(11).

    Google Scholar 

  2. Wald DS, Law M, Morris JK. Homocysteine and cardiovascular disease: evidence on causality from a meta-analysis. BMJ. 2002;325(7374), 1202.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Bates CJ, Mansoor MA, Pentieva KD, Hamer M, Mishra GD. Biochemical risk indices, including plasma homocysteine, that prospectively predict mortality in older British people: the National Diet and Nutrition Survey of People Aged 65 Years and Over. Br J Nutr. 2010;104(6), 893–9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Andreeva VA, Latarche C, Hercberg S, Briançon S, Galan P, Kesse-Guyot E. B vitamin and/or n-3 fatty acid supplementation and health-related quality of life: ancillary findings from the SU.FOL.OM3 randomized trial. PLoS One. 2014;9(1), e84844.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  5. Hvas AM, Juul S, Nexø E, Ellegaard J. Vitamin B-12 treatment has limited effect on health-related quality of life among individuals with elevated plasma methylmalonic acid: a randomized placebo-controlled study. J Intern Med. 2003;253(2), 146–52.

    Article  CAS  PubMed  Google Scholar 

  6. Ng TP, Aung KC, Feng L, Scherer SC, Yap KB. Homocysteine, folate, vitamin B-12, and physical function in older adults: Cross-sectional findings from the Singapore Longitudinal Ageing Study. Am J Clin Nutr. 2012;96(6), 1362–8.

    Article  CAS  PubMed  Google Scholar 

  7. Wong YY, Almeida OP, McCaul KA, Yeap BB, Hankey GJ, van Bockxmeer FM, Flicker L. Elevated homocysteine is associated with poorer self-perceived physical health in older men: the Health in Men Study. Maturitas. 2012;73(2), 158–63.

    Article  CAS  PubMed  Google Scholar 

  8. Gariballa, S. Extending the homocysteine-induced neurotransmitter deficiency and depression of mood hypothesis to quality of life in older patients. Int J Geriatr Psychiatry. 2013;28(8), 878–9.

    Article  PubMed  Google Scholar 

  9. He Y, Zhao Y, Yao Y, Yang S, Li J, Liu M, Chen X, Wang J, Zhu Q, Li X, Zhang F, Luan F. Cohort Profile: The China Hainan Centenarian Cohort Study (CHCCS). Int J Epidemiol. 2018;doi: 10.1093/ije/dyy017.

    Google Scholar 

  10. Sainsbury A, Seebass G, Bansal A, Young JB. Reliability of the Barthel Index when used with older people. Age and ageing. 2005;34, 228–232.

    Article  PubMed  Google Scholar 

  11. Quinn TJ, Langhorne P, Stott DJ. Barthel index for stroke trials: development, properties, and application. Stroke. 2011;42, 1146–1151.

    Article  PubMed  Google Scholar 

  12. Liu GG, Wu H, Li M, Gao C, Luo N. Chinese time trade-off values for EQ-5D health states. Value Health. 2014;17(5), 597–604.

    Article  PubMed  Google Scholar 

  13. Kind P, Dolan P, Gudex C, Williams A. Variations in population health status: results from a United Kingdom national questionnaire survey. BMJ. 1998;316(7133), 736–41.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  14. Wu XQ, Ding J, Ge AY, Wang X, Fan W. Acute phase homocysteine related to severity and outcome of atherothrombotic stroke - reply. Eur J Intern Med. 2014;25(1), e15.

    Article  CAS  PubMed  Google Scholar 

  15. Lee M, Hong KS, Chang SC, Saver JL. Efficacy of homocysteine-lowering therapy with folic Acid in stroke prevention: a meta-analysis. Stroke. 2010;41(6), 1205–12.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  16. Markišic M, Pavlovic AM, Pavlovic DM. The Impact of Homocysteine, Vitamin B12, and Vitamin D Levels on Functional Outcome after First-Ever Ischaemic Stroke. Biomed Res Int. 2017, 5489057.

    Google Scholar 

  17. VITATOPS Trial Study Group. B vitamins in patients with recent transient ischaemic attack or stroke in the VITAmins TO Prevent Stroke (VITATOPS) trial: a randomised, double-blind, parallel, placebo-controlled trial. Lancet Neurol. 2010;9(9), 855–65.

    Article  CAS  Google Scholar 

  18. He Y, Li Y, Chen Y, Feng L, Nie Z. Homocysteine level and risk of different stroke types: a meta-analysis of prospective observational studies. Nutr Metab Cardiovasc Dis. 2014;24(11), 1158–65.

    Article  CAS  PubMed  Google Scholar 

  19. Kelemen LE, Anand SS, Hegele RA, Stampfer MJ, Rosner B, Willett WC, Montague PA, Lonn E, Vuksan V, Teo KK, Devanesen S, Yusuf S. Associations of plasma homocysteine and the methylenetetrahydrofolate reductase C677T polymorphism with carotid intima media thickness among South Asian, Chinese and European Canadians. Atherosclerosis. 2004;176(2), 361–70.

    Article  CAS  PubMed  Google Scholar 

  20. Wouters-Wesseling W, Wouters AE, Kleijer CN, Bindels JG, de Groot CP, van Staveren WA. Study of the effect of a liquid nutrition supplement on the nutritional status of psycho-geriatric nursing home patients. Eur J Clin Nutr. 2002;56(3), 245–51.

    Article  CAS  PubMed  Google Scholar 

  21. Homocysteine Lowering Trialists’ Collaboration. Dose-dependent effects of folic acid on blood concentrations of homocysteine: a meta-analysis of the randomized trials. Am J Clin Nutr. 2005;82(4), 806–12.

    Article  Google Scholar 

  22. Pieters B, Staals J, Knottnerus I, Rouhl R, Menheere P, Kessels A, Lodder J. Periventricular white matter lucencies relate to low vitamin B12 levels in patients with small vessel stroke. Stroke. 2009;40(5), 1623–6.

    Article  CAS  PubMed  Google Scholar 

  23. Saposnik G. The role of vitamin B in stroke prevention: a journey from observational studies to clinical trials and critique of the VITAmins TO Prevent Stroke (VITATOPS). Stroke. 2011;42(3), 838–42.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Yali Zhao.

Additional information

Joint first authors.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Fu, S., Yao, Y., Lv, F. et al. Serum Homocysteine Levels Had Important Associations with Activity and Quality of Daily Living in Chinese Centenarians. J Nutr Health Aging 23, 479–482 (2019). https://doi.org/10.1007/s12603-019-1189-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12603-019-1189-7

Key words

Navigation