PMID- 28288621 OWN - NLM STAT- MEDLINE DCOM- 20170515 LR - 20221207 IS - 1476-511X (Electronic) IS - 1476-511X (Linking) VI - 16 IP - 1 DP - 2017 Mar 14 TI - Relationship between plasma homocysteine level and lipid profiles in a community-based Chinese population. PG - 54 LID - 10.1186/s12944-017-0441-6 [doi] LID - 54 AB - BACKGROUND: Previous studies established a possible link among hyperhomocysteinemia (HHcy), dyslipidemia, and atherosclerosis. However, there was limited epidemic data concerning the relation between HHcy and lipid profiles, especially in community-based Chinese populations. This study aim to investigate the association of plasma homocysteine (Hcy) level with lipid profiles in a Chinese community-based population without lipid-lowering treatment. METHOD: A total of 4660 Chinese subjects from a cohort of the Shijingshan district in Beijing were included in the analysis. Plasma total Hcy, serum lipid files including total cholesterol (TC), triglycerides (TG), low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C) as well as relevant metabolic risk factors were measured. Multivariate regression models adjusting for age, gender, smoking, drinking, physical activity, vitamin B supplement, body mass index, fasting blood glucose level, serum creatinine, systolic and diastolic blood pressure were used to evaluate associations of Hcy and lipid profiles. RESULT: Subjects were 56.75 +/- 8.91 years old, and 38.15% were male. Median (IQR) Hcy was 11.98 (10.00-14.93) mumol/L, and 24.4% had HHcy (defined as Hcy >/= 15 mumol/L). Mean (SD) baseline TC was 5.34 +/- 0.98 mmol/L, LDL-C was 3.27 +/- 0.81 mmol/L, and HDL-C was 1.43 +/- 0.38 mmol/L. Median (IQR) of TG was 1.28 (0.91-1.85) mmol/L. In multivariable linear-regression analyses, lnHcy (ln transformation for Hcy) level was positively associated with lnTG (adjusted beta = 0.075, SE = 0.021, P = 0.001). Using Hcy < 15 mumol/L as a reference, HHcy was independently associated with both lnTG (adjusted beta = 0.056, SE = 0.020, P = 0.004) and lnHDL (adjusted beta = -0.018, SE = 0.009, P = 0.038). In multivariable logistic-regression analyses, HHcy was associated with increasing risk of low HDL-C (HDL-C < 1.04 mmol/L; adjusted odds ratio [OR] =1.406, 95% confidence interval [CI]: 1.143 - 1.728, P = 0.001) and hypertriglyceridemia (TG >/= 1.7 mmol/L; adjusted OR = 1.293, 95% CI: 1.096-1.524, P = 0.002) after adjusting the confounders. However, there were no significant associations between Hcy and TC or LDL-C. CONCLUSION: The present study showed that HHcy was independently associated with hypertriglyceridemia and low levels of HDL-C, which provides evidence that Hcy levels might affect HDL-C and TG metabolism. FAU - Momin, Mohetaboer AU - Momin M AD - Department of Cardiology, Peking University First Hospital, Beijing, China. FAU - Jia, Jia AU - Jia J AD - Department of Cardiology, Peking University First Hospital, Beijing, China. FAU - Fan, Fangfang AU - Fan F AD - Department of Cardiology, Peking University First Hospital, Beijing, China. FAU - Li, Jianping AU - Li J AD - Department of Cardiology, Peking University First Hospital, Beijing, China. FAU - Dou, Jingtao AU - Dou J AD - Department of Endocrinology, Chinese People's Liberation Army (PLA) General Hospital, Beijing, China. FAU - Chen, Dafang AU - Chen D AD - Department of Epidemic & Biostatistics, School of Public Health, Peking University Health Science Center, Beijing, China. FAU - Huo, Yong AU - Huo Y AD - Department of Cardiology, Peking University First Hospital, Beijing, China. FAU - Zhang, Yan AU - Zhang Y AD - Department of Cardiology, Peking University First Hospital, Beijing, China. drzhy1108@163.com. LA - eng PT - Journal Article DEP - 20170314 PL - England TA - Lipids Health Dis JT - Lipids in health and disease JID - 101147696 RN - 0 (Biomarkers) RN - 0 (Cholesterol, HDL) RN - 0 (Lipids) RN - 0LVT1QZ0BA (Homocysteine) SB - IM MH - Asian People MH - Beijing MH - Biomarkers/blood MH - Cholesterol, HDL/blood MH - Cohort Studies MH - Female MH - Homocysteine/*blood MH - Humans MH - Hypertriglyceridemia/blood MH - Lipids/*blood MH - Male MH - Middle Aged MH - Multivariate Analysis PMC - PMC5348889 OTO - NOTNLM OT - High-density lipoprotein cholesterol OT - Homocysteine OT - Triglycerides EDAT- 2017/03/16 06:00 MHDA- 2017/05/16 06:00 PMCR- 2017/03/14 CRDT- 2017/03/15 06:00 PHST- 2016/08/10 00:00 [received] PHST- 2017/03/02 00:00 [accepted] PHST- 2017/03/15 06:00 [entrez] PHST- 2017/03/16 06:00 [pubmed] PHST- 2017/05/16 06:00 [medline] PHST- 2017/03/14 00:00 [pmc-release] AID - 10.1186/s12944-017-0441-6 [pii] AID - 441 [pii] AID - 10.1186/s12944-017-0441-6 [doi] PST - epublish SO - Lipids Health Dis. 2017 Mar 14;16(1):54. doi: 10.1186/s12944-017-0441-6.