Homocysteine, vitamin B 12 and folate in Alzheimer's and vascular dementias: The paradoxical effect of the superimposed type II diabetes mellitus condition
Background: Increased concentration of plasmatic homocysteine (tHcy) and decreased vitamin B 12 (B12) and folate (FOL) are associated with Alzheimer's (AD) and vascular (VaD) dementias, with type II diabetes mellitus (DM), and reported as risk factors of these diseases. Methods: The sample (n =...
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todo:paper_00098981_v359_n1-2_p163_Dominguez2023-10-03T14:08:45Z Homocysteine, vitamin B 12 and folate in Alzheimer's and vascular dementias: The paradoxical effect of the superimposed type II diabetes mellitus condition Domínguez, R.O. Marschoff, E.R. Guareschi, E.M. Famulari, A.L. Pagano, M.A. Serra, J.A. Dementia of the Alzheimer's type Dementia risk factors Folate Homocysteine Non-insulin-dependent type II diabetes mellitus Vascular dementia Vitamin B 12 cyanocobalamin folic acid homocysteine aged Alzheimer disease article blood level blood sampling controlled study female human male multiinfarct dementia non insulin dependent diabetes mellitus priority journal risk factor sample size statistical analysis Aged Alzheimer Disease Analysis of Variance Dementia, Vascular Diabetes Mellitus, Type 2 Female Folic Acid Homocysteine Humans Male Vitamin B 12 Background: Increased concentration of plasmatic homocysteine (tHcy) and decreased vitamin B 12 (B12) and folate (FOL) are associated with Alzheimer's (AD) and vascular (VaD) dementias, with type II diabetes mellitus (DM), and reported as risk factors of these diseases. Methods: The sample (n = 122; males = 60; mean age = 73 ± 7 years) comprised AD and VaD patients without DM, with a concomitant DM (AD + DM, VaD + DM), DM alone and controls (CTR), resulting in 6 groups. tHcy, B12 and FOL were determined in duplicate. Results: The one-way ANOVA yielded significant differences between groups for all variables: tHcy p < 10-12; B12 p < 10-3; FOL p < 10-4. Significance for comparisons between groups was set at α = 0.05, using the Bonferroni's statistic. The comparisons: DM vs. CTR, AD + DM vs. AD, VaD + DM vs. VaD, and DM demented vs. DM non-demented resulted significant for all variables, except for B12 in 2 comparisons. Conclusions: In demented and control subjects, tHcy and FOL exhibit extreme differences, not so marked between DM and controls. Demented patients with concomitant diabetes are closer to controls than their non-diabetic counterparts. Diabetes affects tHcy and FOL values, which are changed with opposite sign to non-demented. These results suggests a paradoxical phenomenon when diabetes is superimposed to dementias. © 2005 Elsevier B.V. All rights reserved. Fil:Marschoff, E.R. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales; Argentina. JOUR info:eu-repo/semantics/openAccess http://creativecommons.org/licenses/by/2.5/ar http://hdl.handle.net/20.500.12110/paper_00098981_v359_n1-2_p163_Dominguez |
institution |
Universidad de Buenos Aires |
institution_str |
I-28 |
repository_str |
R-134 |
collection |
Biblioteca Digital - Facultad de Ciencias Exactas y Naturales (UBA) |
topic |
Dementia of the Alzheimer's type Dementia risk factors Folate Homocysteine Non-insulin-dependent type II diabetes mellitus Vascular dementia Vitamin B 12 cyanocobalamin folic acid homocysteine aged Alzheimer disease article blood level blood sampling controlled study female human male multiinfarct dementia non insulin dependent diabetes mellitus priority journal risk factor sample size statistical analysis Aged Alzheimer Disease Analysis of Variance Dementia, Vascular Diabetes Mellitus, Type 2 Female Folic Acid Homocysteine Humans Male Vitamin B 12 |
spellingShingle |
Dementia of the Alzheimer's type Dementia risk factors Folate Homocysteine Non-insulin-dependent type II diabetes mellitus Vascular dementia Vitamin B 12 cyanocobalamin folic acid homocysteine aged Alzheimer disease article blood level blood sampling controlled study female human male multiinfarct dementia non insulin dependent diabetes mellitus priority journal risk factor sample size statistical analysis Aged Alzheimer Disease Analysis of Variance Dementia, Vascular Diabetes Mellitus, Type 2 Female Folic Acid Homocysteine Humans Male Vitamin B 12 Domínguez, R.O. Marschoff, E.R. Guareschi, E.M. Famulari, A.L. Pagano, M.A. Serra, J.A. Homocysteine, vitamin B 12 and folate in Alzheimer's and vascular dementias: The paradoxical effect of the superimposed type II diabetes mellitus condition |
topic_facet |
Dementia of the Alzheimer's type Dementia risk factors Folate Homocysteine Non-insulin-dependent type II diabetes mellitus Vascular dementia Vitamin B 12 cyanocobalamin folic acid homocysteine aged Alzheimer disease article blood level blood sampling controlled study female human male multiinfarct dementia non insulin dependent diabetes mellitus priority journal risk factor sample size statistical analysis Aged Alzheimer Disease Analysis of Variance Dementia, Vascular Diabetes Mellitus, Type 2 Female Folic Acid Homocysteine Humans Male Vitamin B 12 |
description |
Background: Increased concentration of plasmatic homocysteine (tHcy) and decreased vitamin B 12 (B12) and folate (FOL) are associated with Alzheimer's (AD) and vascular (VaD) dementias, with type II diabetes mellitus (DM), and reported as risk factors of these diseases. Methods: The sample (n = 122; males = 60; mean age = 73 ± 7 years) comprised AD and VaD patients without DM, with a concomitant DM (AD + DM, VaD + DM), DM alone and controls (CTR), resulting in 6 groups. tHcy, B12 and FOL were determined in duplicate. Results: The one-way ANOVA yielded significant differences between groups for all variables: tHcy p < 10-12; B12 p < 10-3; FOL p < 10-4. Significance for comparisons between groups was set at α = 0.05, using the Bonferroni's statistic. The comparisons: DM vs. CTR, AD + DM vs. AD, VaD + DM vs. VaD, and DM demented vs. DM non-demented resulted significant for all variables, except for B12 in 2 comparisons. Conclusions: In demented and control subjects, tHcy and FOL exhibit extreme differences, not so marked between DM and controls. Demented patients with concomitant diabetes are closer to controls than their non-diabetic counterparts. Diabetes affects tHcy and FOL values, which are changed with opposite sign to non-demented. These results suggests a paradoxical phenomenon when diabetes is superimposed to dementias. © 2005 Elsevier B.V. All rights reserved. |
format |
JOUR |
author |
Domínguez, R.O. Marschoff, E.R. Guareschi, E.M. Famulari, A.L. Pagano, M.A. Serra, J.A. |
author_facet |
Domínguez, R.O. Marschoff, E.R. Guareschi, E.M. Famulari, A.L. Pagano, M.A. Serra, J.A. |
author_sort |
Domínguez, R.O. |
title |
Homocysteine, vitamin B 12 and folate in Alzheimer's and vascular dementias: The paradoxical effect of the superimposed type II diabetes mellitus condition |
title_short |
Homocysteine, vitamin B 12 and folate in Alzheimer's and vascular dementias: The paradoxical effect of the superimposed type II diabetes mellitus condition |
title_full |
Homocysteine, vitamin B 12 and folate in Alzheimer's and vascular dementias: The paradoxical effect of the superimposed type II diabetes mellitus condition |
title_fullStr |
Homocysteine, vitamin B 12 and folate in Alzheimer's and vascular dementias: The paradoxical effect of the superimposed type II diabetes mellitus condition |
title_full_unstemmed |
Homocysteine, vitamin B 12 and folate in Alzheimer's and vascular dementias: The paradoxical effect of the superimposed type II diabetes mellitus condition |
title_sort |
homocysteine, vitamin b 12 and folate in alzheimer's and vascular dementias: the paradoxical effect of the superimposed type ii diabetes mellitus condition |
url |
http://hdl.handle.net/20.500.12110/paper_00098981_v359_n1-2_p163_Dominguez |
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