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Korean J Fam Med > Volume 30(6); 2009 > Article
Korean Journal of Family Medicine 2009;30(6):457-463.
DOI: https://doi.org/10.4082/kjfm.2009.30.6.457    Published online June 20, 2009.
Relationship of Serum Homocysteine with Brachial-Ankle Pulse Wave Velocity in Middle Aged Women.
Byoung Jin Park, Hye Yun Chun, Ah Reum Han, Ji Ae Lim, Duk Chul Lee, Jae Yong Shim, Hye Ree Lee
1Department of Family Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea. love0614@yuhs.ac
2Department of Laboratory Medicine, MizMedi Hospital, Seoul, Korea.
중년 여성에서 혈청 호모시스테인과 상완-발목 맥파 속도의 연관성
박병진, 전혜윤, 한아름, 임지애, 이덕철, 심재용, 이혜리
1
2
Abstract
Background
Several studies showed the relationship between serum homocysteine and pulse wave velocity, but their subjects were confi ned to high risk group for cardiovascular diseases and recent study revealed no relationship in young healthy adults. We hypothesized that time interval would be needed for serum homocysteine to infl uence pulse wave velocity after exposure to vascular endothelium. The purpose of this study was to determine the relationship between serum homocysteine and pulse wave velocity in middle aged women on the basis of that hypothesis and necessity for further study in general population.Methods: The study subjects were 110 middle aged women who visited a health promotion center of a general hospital. We collected medical history by means of self-reported questionnaire and measured height, weight, blood pressure and brachial-ankle pulse wave velocity (baPWV). Blood sampling was performed after overnight fasting. We analyzed the relationship between several cardiovascular risk factors and baPWV and performed multiple regression analysis.Results: BaPWV velocity was correlated signifi cantly with age, mean blood pressure, serum homocysteine, total cholesterol and diabetes mellitus, but not with body mass index, high-density lipoprotein cholesterol, triglyceride, creatinine clearance, alcohol intake, hypertension and smoking. In multiple regression, there was a signifi cant association between age (P = 0.04), moderate hyperhomocysteinemia (P = 0.02), mean blood pressure (P < 0.001) and baPWV.Conclusion: In middle aged women, there was an independently positive association between serum homocysteine and baPWV.
Key Words: Homocysteine; Pulse Wave Velocity; Cardiovascular Diseases; Middle Aged Women


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