PMID- 29120844 OWN - NLM STAT- MEDLINE DCOM- 20181030 LR - 20190129 IS - 1872-7123 (Electronic) IS - 0165-1781 (Linking) VI - 259 DP - 2018 Jan TI - Prevalence and clinical-demographic correlates of hyperhomocysteinemia in inpatients with bipolar disorder in a Han Chinese population. PG - 364-369 LID - S0165-1781(16)31117-9 [pii] LID - 10.1016/j.psychres.2017.08.063 [doi] AB - Recent studies have reported that hyperhomocystinemia (HHcy) is highly prevalent in patients with bipolar disorder (BD), placing them at greater risk of cardiovascular disease and possibly serving as a disease biomarker. However, the correlation of HHcy with demographic or clinical parameters is not well known. In this study, we examined the prevalence of HHcy and its association with these parameters in a sample of Chinese BD patients. Fasting plasma homocysteine (Hcy) levels were determined in 198 BD inpatients and 84 healthy controls. HHcy was defined when Hcy concentration exceeded 15.0micromol/L. Affective symptomatology was assessed by the Young Mania Rating Scale, Hamilton Depression Rating Scale and the Clinical Global Impressions severity scale. Compared to healthy controls, BD patients had a significantly higher prevalence (34.85% vs. 19.05%) of HHcy and a higher absolute level of homocysteine. Logistic regression analysis demonstrated that BD patients with HHcy were more likely to be male, have elevated BMI, more frequent treatment on lithium but less on valproate. These results suggest that Chinese inpatients with bipolar disorder have a higher rate of HHcy than the general population, and those at greatest risk are male, have an elevated BMI, and take more lithium but less valproate therapy. CI - Copyright (c) 2017. Published by Elsevier B.V. FAU - Zhou, Shuang-Jiang AU - Zhou SJ AD - Beijing Hui-Long-Guan Hospital, Peking University, Beijing 100096, China. FAU - Zhang, Li-Gang AU - Zhang LG AD - Beijing Hui-Long-Guan Hospital, Peking University, Beijing 100096, China. FAU - Chen, Hong-Mei AU - Chen HM AD - Beijing Hui-Long-Guan Hospital, Peking University, Beijing 100096, China. FAU - Li, Ju-Yan AU - Li JY AD - Beijing Hui-Long-Guan Hospital, Peking University, Beijing 100096, China. FAU - Li, Ran AU - Li R AD - Beijing Hui-Long-Guan Hospital, Peking University, Beijing 100096, China. FAU - Zhang, Xi-Mei AU - Zhang XM AD - Beijing Hui-Long-Guan Hospital, Peking University, Beijing 100096, China. FAU - Wang, Ning AU - Wang N AD - Beijing Hui-Long-Guan Hospital, Peking University, Beijing 100096, China. FAU - Soares, Jair C AU - Soares JC AD - Department of Psychiatry and Behavioral Sciences, The University of Texas Health Science Center at Houston, Houston, TX, USA. FAU - Cassidy, Ryan M AU - Cassidy RM AD - Department of Psychiatry and Behavioral Sciences, The University of Texas Health Science Center at Houston, Houston, TX, USA. FAU - Zheng, Yingjun AU - Zheng Y AD - The Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou Huiai Hospital, Guangzhou, China. FAU - Ning, Yuping AU - Ning Y AD - The Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou Huiai Hospital, Guangzhou, China. FAU - Wang, Shao-Li AU - Wang SL AD - Beijing Hui-Long-Guan Hospital, Peking University, Beijing 100096, China. Electronic address: wangshl82@sina.com. FAU - Chen, Jing-Xu AU - Chen JX AD - Beijing Hui-Long-Guan Hospital, Peking University, Beijing 100096, China. Electronic address: chenjx1110@163.com. FAU - Zhang, Xiang-Yang AU - Zhang XY AD - Department of Psychiatry and Behavioral Sciences, The University of Texas Health Science Center at Houston, Houston, TX, USA; The Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou Huiai Hospital, Guangzhou, China. Electronic address: Xiang.y.zhang@uth.tmc.edu. LA - eng GR - TL1 TR000369/TR/NCATS NIH HHS/United States PT - Journal Article DEP - 20170824 PL - Ireland TA - Psychiatry Res JT - Psychiatry research JID - 7911385 RN - 0LVT1QZ0BA (Homocysteine) SB - IM MH - Adult MH - Bipolar Disorder/blood/*complications/ethnology MH - China/epidemiology MH - Female MH - Homocysteine/blood MH - Humans MH - Hyperhomocysteinemia/epidemiology/*psychology MH - Inpatients/*psychology MH - Male MH - Middle Aged MH - Prevalence OTO - NOTNLM OT - Bipolar disorder OT - Body mass index OT - Homocysteine OT - Lithium OT - Prevalence OT - Valproate EDAT- 2017/11/10 06:00 MHDA- 2018/10/31 06:00 CRDT- 2017/11/10 06:00 PHST- 2016/07/01 00:00 [received] PHST- 2017/05/29 00:00 [revised] PHST- 2017/08/23 00:00 [accepted] PHST- 2017/11/10 06:00 [pubmed] PHST- 2018/10/31 06:00 [medline] PHST- 2017/11/10 06:00 [entrez] AID - S0165-1781(16)31117-9 [pii] AID - 10.1016/j.psychres.2017.08.063 [doi] PST - ppublish SO - Psychiatry Res. 2018 Jan;259:364-369. doi: 10.1016/j.psychres.2017.08.063. Epub 2017 Aug 24.