PMID- 36266935 OWN - NLM STAT- MEDLINE DCOM- 20221024 LR - 20221104 IS - 1643-3750 (Electronic) IS - 1234-1010 (Print) IS - 1234-1010 (Linking) VI - 28 DP - 2022 Oct 21 TI - Distribution and Determinants of Plasma Homocysteine Levels in a Preconception Population: A Retrospective Single-Center Study. PG - e937987 LID - 10.12659/MSM.937987 [doi] AB - BACKGROUND Raised plasma homocysteine (Hcy) levels have been associated with various diseases and pregnancy complications. Preconception is the primary prevention period to prevent birth defects. This retrospective study aimed to investigate the distribution of plasma Hcy levels among men and women at preconception and further evaluate the factors influencing plasma Hcy levels in a Southern China population. MATERIAL AND METHODS Sex, age, serum folate levels, plasma Hcy levels, and the time of Hcy and folate detection were obtained by medical records. Univariate analysis and multi-factor mixed virtual linear regression were used to explore the distribution and determinants of plasma Hcy levels. RESULTS A total of 3031 participants (1091 men [35.99%] and 1940 women [64.01%]) were included. The average levels of Hcy and the rates of hyperhomocysteinemia (HHcy) in men were higher than those in women (P<0.05). Hcy levels were observed to be lowest during autumn and highest during winter (P<0.05). In the normal Hcy (NHcy) group, serum folate levels were higher than in the HHcy group (P<0.05). Regression analysis suggested that sex, season, and serum folate levels had an effect on Hcy levels, but age was not an influencing factor of Hcy level in the preconception population. CONCLUSIONS This retrospective study showed that Hcy levels are higher in men and in the winter season. Sex, season, and serum folate levels were the influencing factors of Hcy in the preconception population. FAU - Wu, Manyu AU - Wu M AD - Department of Women's HealthCare, Affiliated Foshan Women and Children Hospital, Southern Medical University, Foshan, Guangdong, China (mainland). FAU - Huang, Xinyan AU - Huang X AD - Department of Women's HealthCare, Affiliated Foshan Women and Children Hospital, Southern Medical University, Foshan, Guangdong, China (mainland). FAU - Liu, Dan AU - Liu D AD - Department of Women's HealthCare, Affiliated Foshan Women and Children Hospital, Southern Medical University, Foshan, Guangdong, China (mainland). LA - eng PT - Journal Article DEP - 20221021 PL - United States TA - Med Sci Monit JT - Medical science monitor : international medical journal of experimental and clinical research JID - 9609063 RN - 935E97BOY8 (Folic Acid) RN - 0LVT1QZ0BA (Homocysteine) SB - IM MH - Humans MH - Male MH - Female MH - Retrospective Studies MH - *Folic Acid MH - *Hyperhomocysteinemia/complications MH - Homocysteine MH - China PMC - PMC9595030 COIS- Conflict of interest: None declared EDAT- 2022/10/22 06:00 MHDA- 2022/10/25 06:00 PMCR- 2022/10/21 CRDT- 2022/10/21 01:23 PHST- 2022/10/21 01:23 [entrez] PHST- 2022/10/22 06:00 [pubmed] PHST- 2022/10/25 06:00 [medline] PHST- 2022/10/21 00:00 [pmc-release] AID - 937987 [pii] AID - 10.12659/MSM.937987 [doi] PST - epublish SO - Med Sci Monit. 2022 Oct 21;28:e937987. doi: 10.12659/MSM.937987.