PMID- 18221800 OWN - NLM STAT- MEDLINE DCOM- 20090519 LR - 20131121 IS - 1872-6976 (Electronic) IS - 0167-4943 (Linking) VI - 48 IP - 2 DP - 2009 Mar-Apr TI - Homocysteine (Hcy) and cognitive performance in a population sample of elderly Brazilians. PG - 142-5 LID - 10.1016/j.archger.2007.12.002 [doi] AB - Hyperhomocysteinemia (HHcy) has been suggested as a predictive factor of cognitive alterations. Brazil has one of the highest aging dementia rates among the world's emerging countries. The objective of this study was to assess the influence of Hcy levels on the cognitive performance of low-income elderly. This cross-sectional study was developed in an urban center in the Northeast of Brazil and included 205 eligible community-dwelling older adults. A multidimensional questionnaire was used to evaluate sociodemographic aspects, health status and overall clinical aspects. Cognitive performance was assessed by the Portuguese version of Mini Mental State Examination (MMSE). Folic acid, vitamin B(12) and Hcy levels were determined by chemical luminescence. The association between sociodemographic variables, Hcy, serum vitamin B(12), folic acid levels and total MMSE score was assessed by multiple linear regression. Values indicative of HHcy (>12micromol/l) were found in 34.8% of the individuals. Age, schooling and HHcy showed a negative correlation with the MMSE score. The R(2) values of isolated HHcy explain only 4% of the MMSE score variance, however when associated to schooling and age, this model explained up to 25% of this association. FAU - Tassino, Marcio AU - Tassino M AD - Universidade Federal do Rio Grande do Norte, Petropolis, Natal, Brazil. FAU - Campos, Tania Fernandes AU - Campos TF FAU - Guerra, Ricardo Oliveira AU - Guerra RO LA - eng PT - Journal Article DEP - 20080124 PL - Netherlands TA - Arch Gerontol Geriatr JT - Archives of gerontology and geriatrics JID - 8214379 RN - 0LVT1QZ0BA (Homocysteine) RN - 935E97BOY8 (Folic Acid) RN - P6YC3EG204 (Vitamin B 12) SB - IM MH - Aged MH - Brazil/epidemiology MH - Brief Psychiatric Rating Scale MH - Cross-Sectional Studies MH - Dementia/*blood/epidemiology MH - Educational Status MH - Female MH - Folic Acid/blood MH - Health Status Indicators MH - Homocysteine/*blood MH - Humans MH - Male MH - Middle Aged MH - Poverty Areas MH - Prevalence MH - Urban Population MH - Vitamin B 12/blood EDAT- 2008/01/29 09:00 MHDA- 2009/05/20 09:00 CRDT- 2008/01/29 09:00 PHST- 2007/06/19 00:00 [received] PHST- 2007/11/29 00:00 [revised] PHST- 2007/12/04 00:00 [accepted] PHST- 2008/01/29 09:00 [pubmed] PHST- 2009/05/20 09:00 [medline] PHST- 2008/01/29 09:00 [entrez] AID - S0167-4943(07)00243-9 [pii] AID - 10.1016/j.archger.2007.12.002 [doi] PST - ppublish SO - Arch Gerontol Geriatr. 2009 Mar-Apr;48(2):142-5. doi: 10.1016/j.archger.2007.12.002. Epub 2008 Jan 24.