Hostname: page-component-cd9895bd7-lnqnp Total loading time: 0 Render date: 2024-12-27T10:38:55.366Z Has data issue: false hasContentIssue false

Homocysteine and cobalamin status in German vegans

Published online by Cambridge University Press:  02 January 2007

Annika Waldmann
Affiliation:
Institute of Food Science, University of Hanover, Wunstorfer Strasse 14, D–30453 Hanover, Germany
Jochen W Koschizke
Affiliation:
Institute of Food Science, University of Hanover, Wunstorfer Strasse 14, D–30453 Hanover, Germany
Claus Leitzmann
Affiliation:
Institute of Nutrition Science, Justus-Liebig-University Giessen, Germany
Andreas Hahn*
Affiliation:
Institute of Food Science, University of Hanover, Wunstorfer Strasse 14, D–30453 Hanover, Germany
*
*Corresponding author: Email Andreas.Hahn@lw.uni-hannover.de
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.
Objective:

The study aimed to evaluate the homocysteine and cobalamin status of German vegans and determine whether the intake of very small amounts of foods of animal origin can improve this status.

Design and setting:

Cross-sectional study, Germany.

Subjects:

The dietary and nutritional intakes of 131 vegans (73 women, 58 men; a range: 20.2–82.1 years) were evaluated using a general questionnaire and two food–frequency questionnaires.

Results:

The prevalence of inadequate cobalamin status in volunteers of the German Vegan Study was 28.2%, and that of hyperhomocysteinaemia, 38.1%. Moderate vegans were affected to a lesser extent than were strict vegans. Duration of veganism and cobalamin concentration were inversely correlated (Spearman's r = -0.175, P = 0.047). Folate concentration and erythrocyte aspartic acid aminotransferase activity were not correlated with plasma homocysteine concentration, but duration of veganism correlated positively with homocysteine concentration (Spearman's r = 0.319, P < 0.001). Cobalamin and homocysteine concentrations were inversely correlated (when controlling for duration of veganism; r = -0.602, P < 0.001).

Conclusion:

Cobalamin status needs to be improved in order to minimise the risk of hyperhomocysteinaemia.

Type
Research Article
Copyright
Copyright © CAB International 2004

References

1Boushey, CJ, Beresford, SA, Omenn, GS, Motulsky, AG. A quantitative assessment of plasma homocysteine as a risk factor for vascular disease. Probable benefits of increasing folic acid intakes. Journal of the American Medical Association 1995; 274: 1049–57.Google Scholar
2Herrmann, W, Schorr, H, Purschwitz, K, Rassoul, F, Richter, V. Total homocysteine, vitamin B12 and total antioxidant status in vegetarians. Clinical Chemistry. 2001; 47: 1094–101.CrossRefGoogle ScholarPubMed
3Selhub, J, Jacques, PF, Wilson, PWF, Rush, D, Rosenberg, IH. Vitamin status and intake as primary determinants of homocysteinemia in an elderly population. Journal of the American Medical Association. 1993; 270: 2693–98.CrossRefGoogle Scholar
4Pietrzik, K, Broenstrup, A. Vitamins B12 , B6 and folate as determinants of homocysteine concentration in the healthy population. European Journal of Pediatrics. 1998; 157(Suppl. 2): 135S–8S.CrossRefGoogle ScholarPubMed
5Krajcovicova-Kudlackova, M, Blazicek, P, Kopcova, J, Bederova, A, Babinska, K. Homocysteine levels in vegetarians versus omnivores. Annals of Nutrition & Metabolism. 2000; 44: 135–8.CrossRefGoogle ScholarPubMed
6Koebnick, C, Heins, UA, Hoffmann, I, Dagnelie, PC, Leitzmann, C. Folate status during pregnancy in women is improved by long-term high vegetable intake compared with the average Western diet. Journal of Nutrition. 2000; 131: 733–9.Google Scholar
7Herbert, V. Vitamin B-12. In: Ziegler, EE, Hiler, LJ Jr, eds. Present Knowledge in Nutrition. Washington, DC: ILSI Press, 1996; 191205.Google Scholar
8Haddad, EH, Berk, LS, Kettering, JD, Hubbard, RW, Peters, WR. Dietary intake and biochemical, hematologic, and immune status of vegans compared with nonvegetarians. American Journal of Clinical Nutrition. 1999; 80(Suppl. 3): 586S–93S.Google Scholar
9Abdulla, M, Andersson, I, Asp, NG, Berthelsen, K, Birkhed, D, Dencker, I. et al. Nutrient intake and health status of vegans. Chemical analyses of diets using the duplicate portion sampling technique. American Journal of Clinical Nutrition. 1981; 24: 2464–77.CrossRefGoogle Scholar
10Rauma, AL, Törrönen, R, Hänninen, O, Mykkänen, H. Vitamin B–12 status of long–term adherents of a strict uncooked vegan diet (‘living food diet’) is compromised. Journal of Nutrition. 1995; 125: 2511–5.Google Scholar
11Herbert, V. Staging vitamin B-12 (cobalamin) status in vegetarians. American Journal of Clinical Nutrition. 1994; 59(Suppl. 5): 1213S–22S.Google Scholar
12Alexander, D, Ball, MJ, Mann, J. Nutrient intake and haematological status of vegetarians and age–sex matched omnivores. European Journal of Clinical Nutrition. 1994; 48: 538–46.Google ScholarPubMed
13Eikelboom, JW, Lonn, E, Genest, J Jr, Hankey, G, Yusuf, S. Homocyst(e)ine and cardiovascular disease: a critical review of the epidemiologic evidence. Annals of Internal Medicine. 1999; 131: 363–75.Google Scholar
14Verhoef, P, Stampfer, MJ, Buring, JE, Gaziano, JM, Allen, RH, Stabler, SP. et al. Homocysteine metabolism and risk of myocardial infarction: relation with vitamins B6 , B12 and folate. American Journal of Epidemiology. 1996; 143: 845–59.CrossRefGoogle ScholarPubMed
15Guttormsen, AB, Schneede, J, Ueland, PM, Refsum, H. Kinetics of total plasma homocysteine in subjects with hyperhomocysteinemia due to folate or cobalamin deficiency. American Journal of Clinical Nutrition. 1996; 63: 194202.CrossRefGoogle ScholarPubMed
16Waldmann, A, Koschizke, JW, Leitzmann, C, Hahn, A. Dietary intakes and lifestyle factors of a vegan population in Germany: results from the German Vegan Study. European Journal of Clinical Nutrition. 2003; 57: 947–55.CrossRefGoogle ScholarPubMed
17Chen, IW, Sperling, MI, Heminger, LA. Vitamin B12. In: Pesce, AJ, Kaplan, LA, eds. Clinical Chemistry: Theory, Analysis, and Correlation. St Louis, MO: CV Mosby, 1989; 569–73.Google Scholar
18Brewster, MA. Vitamins. In: Pesce, AJ, Kaplan, LA, eds. Clinical Chemistry: Theory, Analysis, and Correlation. St Louis, MO: CV Mosby, 1989; 543–68.Google Scholar
19McNeely, MD. Folic acid. In: Pesce, AJ, Kaplan, LA, eds. Clinical Chemistry: Theory, Analysis, and Correlation. St Louis, MO: CV Mosby, 1989; 539–42.Google Scholar
20Ubbink, JB, Hayward Vermaak, WJ, Bissbort, S. Rapid high–performance liquid chromatographic assay for total homocysteine levels in human serum. Journal of Chromatography. 1991; 565: 441–6.CrossRefGoogle ScholarPubMed
21Canham, JE, Sauberlich, HE, Baker, EM, Raica, J, Herman, YE. Biochemical assessment of the biochemical status of vitamin B6 in the human. American Journal of Clinical Nutrition. 1972; 25: 629–42.Google Scholar
22International Committee for Standardization in Haematology of the European Society of Haematology. Recommendations and requirements for haemoglobin in human blood. Journal of Clinical Pathology. 1965; 18: 353.Google Scholar
23Zijlstra, WG, van Kampen, EJ. Standardization of hemoglobinometry. III. Preparation and use of a stable hemiglobin-cyanide standard. Clinica Chimica Acta. 1962; 7: 96–9.Google Scholar
24Zijlstra, WG, van Kampen, EJ. Standardization of hemoglobinometry. I. The extinction coefficient of hemiglobincyanide. Clinica Chimica Acta. 1960; 5: 719–29.CrossRefGoogle ScholarPubMed
25Refsum, H, Ueland, PM, Nygard, O, Vollset, SE. Homocysteine and cardiovascular disease. Annual Review of Medicine. 1998; 49: 3162.Google Scholar
26Stein, JH, McBride, EP. Hyperhomocysteinemia and atherosclerotic vascular disease. Archives of Internal Medicine. 1998; 158: 1301–6.CrossRefGoogle ScholarPubMed
27Welch, GN, Loscalzo, J. Homocysteine and atherothrombosis. New England Journal of Medicine. 1998; 338: 1042–50.CrossRefGoogle ScholarPubMed
28Gerhard, GT, Duell, PB. Homocysteine and atherosclerosis. Current Opinion in Lipidology. 1999; 10: 417–28.CrossRefGoogle ScholarPubMed
29Woodside, JV, Yarnell, JW, McMaster, D, Young, IS, Harmon, DL, McCrum, EE, et al. Effect of B-group vitamins and antioxidant vitamins on hyperhomocysteinemia: a double-blind, randomized, factorial-design, controlled trial. American Journal of Clinical Nutrition. 1996; 67: 858–66.Google Scholar
30DeRose, DJ, Charles-Marcel, ZL, Jamison, JM, Muscat, JE, Braman, MA, McLane, GD, et al. Vegan diet-based lifestyle program rapidly lowers homocysteine levels. Preventive Medicine. 2000; 30: 225–33.CrossRefGoogle ScholarPubMed
31Wouters, MG, Moorrees, MT, van der Mooren, MJ, Blom, HJ, Boers, GH, Schellekens, LA et al. Plasma homocysteine and menopausal status. European Journal of Clinical Investigation. 1995; 25: 801–5.Google Scholar
32Hokin, BD, Butler, T. Cyanocobalamin (vitamin B-12) status in Seventh-day Adventist ministers in Australia. American Journal of Clinical Nutrition. 1999; 70(Suppl. 3): 576S–8S.Google Scholar
33Spoelhof, GD. Reliability of serum B12-levels in the diagnosis of B12-deficiency [Letter to the Editor]. American Family Physician. 1996; 54: 465–8.Google Scholar
34Donaldson, MS. Metabolic vitamin B-12 status on a mostly raw vegan diet with follow-up using tablets, nutritional yeast, or probiotic supplements. Annals of Nutrition & Metabolism. 2000; 44: 229–34.CrossRefGoogle ScholarPubMed
35Armstrong, BK, Davis, RE, Nivol, DJ, van Merwyk, AJ, Larwood, CJ. Hematological, vitamin B12 and folate studies on Seventh–day Adventist vegetarians. American Journal of Clinical Nutrition. 1974; 27: 712–8.CrossRefGoogle ScholarPubMed
36Dong, A, Scott, SC. Serum vitamin B12 and blood-cell values in vegetarians. Annals of Nutrition & Metabolism 1982; 4: 209–16.CrossRefGoogle Scholar
37Miller, DR, Specker, BL, Ho, MI, Norman, EJ. Vitamin B12 status in a macrobiotic community. American Journal of Clinical Nutrition. 1991; 53: 524–9.CrossRefGoogle Scholar
38Quinlivan, EP, McPartlin, J, McNulty, H, Ward, M, Strain, JJ, Weir, DG. et al. Importance of both folic acid and vitamin B12 in reduction of risk of vascular disease. Lancet. 2002; 359: 227–8.CrossRefGoogle ScholarPubMed