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  • Title: Evaluation of cardiovascular risk factors and related clinical markers in healthy young Japanese adults.
    Author: Yagura C, Takamura N, Kadota K, Nagazumi T, Morishita Y, Nakazato M, Maeda T, Kusano Y, Abe Y, Aoyagi K.
    Journal: Clin Chem Lab Med; 2007; 45(2):220-5. PubMed ID: 17311512.
    Abstract:
    BACKGROUND: Since atherosclerosis is a slowly progressive process at a young age, effective preventive measures should be taken early in life to prevent future events associated with cardiovascular disease. METHODS: The study population comprised 132 young Japanese adults (mean age 21.4 years, range 18-31 years). We screened plasma total homocysteine and serum folate levels and evaluated mean carotid intima-media thickness and cardio-ankle vascular index. RESULTS: Multiple regression analysis after adjustment for age and sex revealed that only folate levels were significantly correlated with plasma total homocysteine levels (beta=-0.37, p=0.028). Carotid intima-media thickness adjusted for age and sex and compared between quintiles of total homocysteine levels was significantly increased in the highest quintile compared with other quintiles. Cardio-ankle vascular index increased with age in both women and men, but no additional determinants were identified in young adults. CONCLUSION: Serum folate is an independent determinant of plasma total homocysteine levels, and mild hyperhomocysteinemia may represent a risk factor for increased carotid intima-media thickness, even in young adults. Comprehensive health education from the early period of life, including the suggestion of appropriate dietary measures, is important for effective prevention of future atherosclerosis.
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