Effect of plasma homocysteine on cardiometabolic multimorbidity among Chinese adults: a population-based and real-world evidence study
2024

Homocysteine and Cardiometabolic Multimorbidity in Chinese Adults

Sample size: 4012 publication 10 minutes Evidence: high

Author Information

Author(s): Li Ling, Wang Jia, Li Jing, Li Minqi, Wang Jie, Long Tianyao, Zhengliu Yangyi, Tan Xuan, Peng Yiwei, Hong Xiuqin

Primary Institution: Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University

Hypothesis

What is the effect of plasma homocysteine on cardiometabolic multimorbidity among Chinese adults?

Conclusion

High levels of plasma homocysteine are associated with a higher risk of cardiometabolic multimorbidity among Chinese adults.

Supporting Evidence

  • High plasma homocysteine levels were linked to a 183% increased risk of cardiometabolic multimorbidity.
  • The largest effect combination of cardiometabolic multimorbidity was found in individuals with diabetes, hypertension, and coronary heart disease.
  • 64.66% of the cardiometabolic multimorbidity risk was attributable to high levels of plasma homocysteine.

Takeaway

If you have high levels of a substance called homocysteine in your blood, you might get more than one health problem at the same time, like diabetes and heart disease.

Methodology

A community-based cross-sectional study combined with a matched case-control study using propensity score methods.

Potential Biases

Self-reported lifestyle factors may introduce recall bias.

Limitations

The study's cross-sectional design limits causal inferences, and the sample may not be generalizable beyond Hunan Province.

Participant Demographics

Mean age of 54.6 years, 41% male and 59% female.

Statistical Information

P-Value

<0.001

Confidence Interval

95% CI: 1.84–4.36

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.3389/fnut.2024.1522212

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