Evaluation of vitamin B-12 level in middle-aged obese women with metabolic and non-metabolic syndrome: case-control study

To investigate the correlation between vitamin B12 and body mass index (BMI) along with insulin resistance (IR) in middle-aged obese women. Materials and methods: The study was designed as a case-control study. The study group included middle-aged obese women and the control group included aged-matched lean women. Weight, height, and hip and waist circumferences were measured. Biochemical parameters such as fasting and postprandial glucose, vitamin B12 and folic acid levels, and lipid profiles were assayed. Results: Enrolled in the study were 116 middle-aged obese and 103 aged-matched healthy lean women. The vitamin B12 level of the obese women was significantly lower than that of the lean women (244.1 ± 131.5 pg/mL vs. 336.2 ± 163.1 pg/mL, P = 0.002). However, there was no significant difference in folic acid levels between the groups (P > 0.05). The vitamin B12 level was similar in the obese women with metabolic syndrome and those without (245.1 ± 145.3 pg/mL vs. 241.2 ± 96.5 pg/mL, P > 0.05), but the level in the control group was significantly higher than that of patients with obesity and metabolic syndrome (P = 0.010 and P = 0.020, respectively). Vitamin B12 levels correlated with BMI (r = –0.259, P = 0.003) but not with IR (r = –0.053, P > 0.05). Conclusion: The vitamin B12 concentration was low in obese patients and this level negatively correlated with BMI, but not with homeostasis model assessment-estimated IR (HOMA-IR).

Evaluation of vitamin B-12 level in middle-aged obese women with metabolic and non-metabolic syndrome: case-control study

To investigate the correlation between vitamin B12 and body mass index (BMI) along with insulin resistance (IR) in middle-aged obese women. Materials and methods: The study was designed as a case-control study. The study group included middle-aged obese women and the control group included aged-matched lean women. Weight, height, and hip and waist circumferences were measured. Biochemical parameters such as fasting and postprandial glucose, vitamin B12 and folic acid levels, and lipid profiles were assayed. Results: Enrolled in the study were 116 middle-aged obese and 103 aged-matched healthy lean women. The vitamin B12 level of the obese women was significantly lower than that of the lean women (244.1 ± 131.5 pg/mL vs. 336.2 ± 163.1 pg/mL, P = 0.002). However, there was no significant difference in folic acid levels between the groups (P > 0.05). The vitamin B12 level was similar in the obese women with metabolic syndrome and those without (245.1 ± 145.3 pg/mL vs. 241.2 ± 96.5 pg/mL, P > 0.05), but the level in the control group was significantly higher than that of patients with obesity and metabolic syndrome (P = 0.010 and P = 0.020, respectively). Vitamin B12 levels correlated with BMI (r = –0.259, P = 0.003) but not with IR (r = –0.053, P > 0.05). Conclusion: The vitamin B12 concentration was low in obese patients and this level negatively correlated with BMI, but not with homeostasis model assessment-estimated IR (HOMA-IR).

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  • Alshehri AM. Metabolic syndrome and cardiovascular risk. J Family Community Med 2010; 17: 73-8. 2. Ebrahimpour P, Fakhrzadeh H, Pourebrahim R, Hamidi A, Larijani B. Metabolic syndrome and related insulin levels in obese children. Metab Syndr Relat Disord 2006; 4: 172-8. 3.
  • Milionis HJ, Florentin M, Giannopoulos S. Metabolic syndrome
  • and Alzheimer’s disease: a link to a vascular hypothesis? CNS
  • Spectr 2008; 13: 606-13.
  • Miccoli R, Bianchi C, Odoguardi L, Penno G, Caricato F, Giovannitti MG et al. Prevalence of the metabolic syndrome among Italian adults according to ATP III defi nition. Nutr Metab Cardiovasc Dis 2005; 15: 250-4. 5. Alegría Ezquerra E, Castellano Vázquez JM, Alegría Barrero A. Obesity, metabolic syndrome and diabetes: cardiovascular implications and therapy. Rev Esp Cardiol 2008; 61: 752-64. 6. Oda E. Obesity-related risk factors of cardiovascular disease. Circ J 2009; 73: 2204-5.
  • Quadri P, Fragiacomo C, Pezzati R, Zanda E, Forloni G, Tettamanti M et al. Homocysteine, folate, and vitamin B-12 in mild cognitive impairment, Alzheimer disease, and vascular dementia. Am J Clin Nutr 2004; 80: 114-22. 8. Allen LH. How common is vitamin B-12 defi ciency? Am J Clin Nutr 2009; 89: 693-6.
  • Uehara SK, Rosa G. Association of homocysteinemia with high concentrations of serum insulin and uric acid in Brazilian subjects with metabolic syndrome genotyped for C677T polymorphism in the methylenetetrahydrofolate reductase gene. Nutr Res 2008; 28: 760-6.
  • Guven A, Inanc F, Kilinc M, Ekerbicer H. Plasma homocysteine and lipoprotein (a) levels in Turkish patients with metabolic syndrome. Heart Vessels 2005; 20: 290-5.
  • Karatela RA, Sainani GS. Plasma homocysteine in obese, overweight and normal weight hypertensives and normotensives. Indian Heart J 2009; 61: 156-9.
  • Pinhas-Hamiel O, Doron-Panush N, Reichman B, Nitzan- Kaluski D, Shalitin S, Geva-Lerner L. Obese children and adolescents: a risk group for low vitamin B12 concentration. Arch Pediatr Adolesc Med 2006; 160: 933-6.
  • Alexander CM, Landsmann PB, Teutsch SM, Haff ner SM. NCEP-defi ned metabolic syndrome, diabetes and prevalence of coronary heart disease among NHANES III participants aged 50 years and older. Diabetes 2003; 52: 1210-4.
  • International Obesity Task Force. Managing the global epidemic of obesity. Report of the WHO Consultation on Obesity. Geneva, Switzerland: WHO; 1997.
  • Tucker KL, Rich S, Rosenberg I, Jacques P, Dallal G, Wilson PWF et al. Plasma vitamin B12 concentrations relate to intake source in the Framingham Off spring Study. Am J Clin Nutr 2000; 71: 514-22.
  • Kara İH, Kandiş H, Bahçebaşı T, Köylü OK, Sayın S, Demirin H et al. Evaluation of elderly patients at check-up polyclinics for anemia, serum folate and cobalamin levels. Türk Biyokimya Dergisi [Turk J Biochem] 2010; 35: 350-5 (in Turkish with English abstract).
  • Nervo M, Lubini A, Raimundo FV, Faulhaber GA, Leite C, Fischer LM et al. Vitamin B12 in metformin-treated diabetic patients: a cross-sectional study in Brazil. Rev Assoc Med Bras 2011; 57: 46-9.
  • Bal Y, Adas M, Helvaci A. Evaluation of the relationship between insulin resistance and plasma tumor necrosis factor- alpha, interleukin-6 and C-reactive protein levels in obese women. Bratisl Lek Listy 2010; 111: 200-4.
  • Kaya C, Cengiz SD, Satıroglu H. Obesity and insulin resistance associated with lower plasma vitamin B12 in PCOS. Reprod Biomed Online 2009; 19: 721-6.
  • Tungtrongchitr R, Pongpaew P, Tongboonchoo C, Vudhivai N, Changbumrung S, Tungtrongchitr A et al. Serum homocysteine, B12 and folic acid concentration in Th ai overweight and obese subjects. Int J Vitam Nutr Res 2003; 73: 8-14.
  • Reitman A, Friedrich I, Ben-Amotz A, Levy Y. Low plasma antioxidants and normal plasma B vitamins and homocysteine in patients with severe obesity. Isr Med Assoc J 2002; 4: 590-3.
  • Biccas BN, Lemme EM, Abrahão LJ Jr, Aguero GC, Alvariz A, Schechter RB. Higher prevalence of obesity in erosive gastroesophageal refl ux disease. Arq Gastroenterol 2009; 46: 15-9.
  • van Oijen MG, Josemanders DF, Laheij RJ, van Rossum LG, Tan AC, Jansen JB. Gastrointestinal disorders and symptoms: does body mass index matter? Neth J Med 2006; 64: 45-9.
  • Hirschowitz BI, Worthington J, Mohnen J. Vitamin B12 defi ciency in hypersecretors during long-term acid suppression with proton pump inhibitors. Aliment Pharmacol Th er 2008; 27: 1110-21.
  • Yumuk VD. Prevalence of obesity in Turkey. Obes Rev 2005; 6: 9-10.
  • Kullei T, Slattengren A, Redmer J. Obesity and women’s health: an evidence-based review. J Am Board Fam Med 2011; 24: 75- 85.
  • Demir D, Erten Bucaktepe G, Kara İH. Th e comparing of the sociodemographic features, anthropometric and biochemical parameters of the cases with metabolic syndrome, type 2 diabetes mellitus and healthy controls. Konuralp Medical Journal 2010; 2: 12-19 (in Turkish with English abstract).
Turkish Journal of Medical Sciences-Cover
  • ISSN: 1300-0144
  • Yayın Aralığı: Yılda 6 Sayı
  • Yayıncı: TÜBİTAK
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