Acute Effect of Folic Acid, Betaine, and Serine Supplements on Flow-Mediated Dilation after Methionine Loading: A Randomized Trial
2006

Effect of Folic Acid and Betaine on Blood Vessel Function

Sample size: 39 publication 10 minutes Evidence: moderate

Author Information

Author(s): Margreet R. Olthof, Michiel L. Bots, Martijn B. Katan, Petra Verhoef

Primary Institution: Wageningen University

Hypothesis

Does reducing homocysteine levels through supplements affect vascular function as measured by flow-mediated dilation?

Conclusion

Increasing homocysteine levels did not impair blood vessel function in healthy volunteers, suggesting that high homocysteine may not affect cardiovascular risk through vascular function.

Supporting Evidence

  • FMD was not affected by methionine loading with placebo or supplements.
  • Betaine and serine reduced the increase in homocysteine levels after methionine loading.
  • Fasting homocysteine levels were lower during the trial than during screening.

Takeaway

The study tested if certain supplements could help blood vessels work better after raising homocysteine levels, but they found no effect.

Methodology

This was a randomized, placebo-controlled, double-blind, crossover study where participants took different supplements with a methionine load on separate days.

Potential Biases

There may be a risk of bias due to the short observation period and the specific participant selection.

Limitations

The study had a small sample size and did not assess long-term clinical outcomes like heart disease or stroke.

Participant Demographics

Participants were 39 healthy men and women aged 50–70 years.

Statistical Information

P-Value

p<0.001

Confidence Interval

95%CI, −0.6; 1.9

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1371/journal.pctr.0010004

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