Homocysteine lowering with folic acid supplements in children: Effects on blood pressure

被引:22
作者
Papandreou, D. [1 ]
Malindretos, P. [2 ]
Arvanitidou, M. [3 ]
Makedou, A. [1 ]
Rousso, I. [1 ]
机构
[1] Aristotle Univ Thessaloniki, Dept Pediat 2, Sch Med, Ahepa Gen Hosp, Thessaloniki 54636, Greece
[2] Aristotle Univ Thessaloniki, Dept Pathol, Sch Med, Ahepa Gen Hosp,Renal Unit 1, Thessaloniki 54636, Greece
[3] Aristotle Univ Thessaloniki, Dept Hyg, Sch Med, Ahepa Gen Hosp, Thessaloniki 54636, Greece
关键词
Homocysteine; blood pressure; cardiovascular disease; children; folic acid; TOTAL SERUM HOMOCYSTEINE; SCHOOL-AGE POPULATION; ENDOTHELIAL FUNCTION; PULSE PRESSURE; RENAL-FAILURE; ADOLESCENTS; STIFFNESS; TRIAL;
D O I
10.3109/09637480903286371
中图分类号
TS2 [食品工业];
学科分类号
0832 ;
摘要
Hyperhomocysteinemia is emerging as an independent predictor of cardiovascular disease and hypertension among children. The aim of the study was to examine the effects of oral folic acid on homocysteine and blood pressure. Folic acid supplementation has been found to reduce homocysteine levels and in some cases blood pressure. Five hundred and twenty children participated in the study, and 26 of them were found to be hyperhomocysteinemic; 20 of these children randomly received 5 mg oral folic acid supplement while the other six children were the controls. Serum homocysteine (P < 0.001) levels as well as systolic (P < 0.001) and diastolic (P = 0.045) blood pressure were statistically significantly decreased in the intervention group compared with the controls, while folic acid levels were statistically significantly increased (P < 0.001). Total serum homocysteine levels were correlated with age, serum folate, body mass index, and blood pressure. It appears that folic acid may be a safe and effective supplement to reduce homocysteine and possibly blood pressure, which consequently may prevent cardiovascular disease in children in early life.
引用
收藏
页码:11 / 17
页数:7
相关论文
共 17 条
[1]   Does oral folic acid lower total homocysteine levels and improve endothelial function in children with chronic renal failure? [J].
Bennett-Richards, K ;
Kattenhorn, M ;
Donald, A ;
Oakley, G ;
Varghese, Z ;
Rees, L ;
Deanfield, JE .
CIRCULATION, 2002, 105 (15) :1810-1815
[2]  
De Laet C, 1999, AM J CLIN NUTR, V69, P968
[3]   Efficacy of folic acid in children with migraine, hyperhomocysteinemia and MTHFR polymorphisms [J].
Di Rosa, Gabriella ;
Attina, Sarina ;
Spano, Maria ;
Ingegneri, Giulia ;
Sgro, Domenica L. ;
Pustorino, Giuseppina ;
Bonsignore, Maria ;
Trapani-Lombardo, Vincenzo ;
Tortorella, Gaetano .
HEADACHE, 2007, 47 (09) :1342-1344
[4]   Plasma homocysteine concentration and blood pressure in young adult African Americans [J].
Dinavahi, R ;
Cossrow, N ;
Kushner, H ;
Falkner, B .
AMERICAN JOURNAL OF HYPERTENSION, 2003, 16 (09) :767-770
[5]   New atherosclerosis risk factors in obese, hypertensive and diabetic children and adolescents [J].
Glowinska, B ;
Urban, M ;
Koput, A ;
Galar, M .
ATHEROSCLEROSIS, 2003, 167 (02) :275-286
[6]  
Huang Xian-mei, 2005, Zhonghua Er Ke Za Zhi, V43, P192
[7]   Hyperhomocysteinemia in children treated with antiepileptic drugs is normalized by folic acid supplementation [J].
Huemer, M ;
Ausserer, B ;
Graninger, G ;
Hubmann, M ;
Huemer, C ;
Schlachter, K ;
Tscharre, A ;
Ulmer, H ;
Simma, B .
EPILEPSIA, 2005, 46 (10) :1677-1683
[8]   Increased fasting total homocysteine plasma levels as a risk factor for thromboembolism in children [J].
Kosch, A ;
Koch, HG ;
Heinecke, A ;
Kurnik, K ;
Heller, C ;
Nowak-Göttl, U .
THROMBOSIS AND HAEMOSTASIS, 2004, 91 (02) :308-314
[9]  
Natl High Blood Pressure Educ Prog, 2004, PEDIATRICS, V114, P555
[10]   Arterial stiffness is rapidly induced by raising the plasma homocysteine concentration with methionine [J].
Nestel, PJ ;
Chronopoulos, A ;
Cehun, M .
ATHEROSCLEROSIS, 2003, 171 (01) :83-86