Elevated
homocysteine levels are associated with increased risk for dementias
such as Alzheimer's disease
People with elevated blood levels of homocysteine are more likely
to experience brain atrophy and vascular disease, placing them at
increased risk for dementias including Alzheimer's disease, according
to two articles in the May 28th issue of Neurology.
"This is exciting information because
homocysteine levels can be reduced by taking the vitamins B6, B12,
and folic acid," said James Toole, M.D., who wrote an editorial
accompanying the studies.
Mild elevations of homocysteine have been
reported to occur in 5 to 7 percent of the general population. Toole
is leading a study examining whether taking these vitamins to lower
homocysteine level can reduce the risk of stroke.
"Another area that needs to be studied
is whether taking vitamins to lower homocysteine levels can reduce
the risk of Alzheimer's and other dementia," he said. "There's
a long way to go before we know the answers to these questions,
but it's an exciting possibility."
The current study involved 36 healthy elderly
people. The participants' blood was tested for homocysteine levels.
Magnetic resonance imaging brain scans were used to measure the
amount of brain atrophy.
Researchers found that elderly people who
had greater brain atrophy (those in the top 50 percent) were twice
as likely to have high homocysteine levels as those with lesser
grades of atrophy, according to study author Perminder Sachdev,
MD, PhD, of Australia.
Sachdev said additional long-term studies
are needed to determine whether high homocysteine levels are part
of the cause of brain atrophy.
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