Hyperhomocysteinemia is a risk factor for Alzheimer's disease in an Algerian population

Arch Med Res. 2014 Apr;45(3):247-50. doi: 10.1016/j.arcmed.2014.03.001. Epub 2014 Mar 20.

Abstract

Background and aims: There is growing evidence that increased blood concentration of total homocysteine (tHcy) may be a risk factor for Alzheimer's disease (AD). The present study was conducted to evaluate the association of serum tHcy and other biochemical risk factors with AD.

Methods: This is a case-control study including 41 individuals diagnosed with AD and 46 nondemented controls. Serum levels of all studied biochemical parameters were performed.

Results: Univariate logistic regression showed a significant increase of tHcy (p = 0.008), urea (p = 0.036) and a significant decrease of vitamin B12 (p = 0.012) in AD group vs. controls. Using multivariate logistic regression, tHcy (p = 0.007, OR = 1.376) appeared as an independent risk factor predictor of AD. There was a significant positive correlation between tHcy and creatinine (p <0.0001). A negative correlation was found between tHcy and vitamin B12 (p <0.0001).

Conclusions: Our findings support that hyperhomocysteinemia is a risk factor for AD in an Algerian population and is also associated with vitamin B12 deficiency.

Keywords: Alzheimer's disease; Folate; Hyperhomocysteinemia; Vitamin B12.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Algeria / epidemiology
  • Alzheimer Disease / blood
  • Alzheimer Disease / ethnology
  • Alzheimer Disease / etiology*
  • Case-Control Studies
  • Cholesterol / blood
  • Female
  • Folic Acid / blood
  • Homocysteine / blood
  • Humans
  • Hyperhomocysteinemia / blood
  • Hyperhomocysteinemia / complications*
  • Hyperhomocysteinemia / ethnology
  • Logistic Models
  • Male
  • Risk Factors
  • Thyrotropin / blood
  • Uric Acid / blood
  • Vitamin B 12 / blood
  • Vitamin B 12 Deficiency / blood
  • Vitamin B 12 Deficiency / complications
  • Vitamin B 12 Deficiency / ethnology
  • Vitamin B Complex / blood

Substances

  • Homocysteine
  • Vitamin B Complex
  • Uric Acid
  • Thyrotropin
  • Folic Acid
  • Cholesterol
  • Vitamin B 12

Supplementary concepts

  • Homocysteinemia