Clinical Chemistry
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Clinical Chemistry 52: 1318-1324, 2006. First published May 11, 2006; 10.1373/clinchem.2005.066217
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(Clinical Chemistry. 2006;52:1318-1324.)
© 2006 American Association for Clinical Chemistry, Inc.


Hemostasis and Thrombosis

Predictors of Vitamin B6 and Folate Concentrations in Older Persons: The InCHIANTI Study

Anna Maria Gori1,3,a, Francesco Sofi1,3, Anna Maria Corsi1,4, Alessandra Gazzini1, Ilaria Sestini1, Fulvio Lauretani4, Stefania Bandinelli5, Gian Franco Gensini1,2, Luigi Ferrucci6 and Rosanna Abbate1,3

1 Department of Medical and Surgical Critical Care, and3 Multidisciplinary Centre of Research on Food Sciences (G.R.A.), University of Florence, Florence, Italy.
2 Centro S. Maria agli Ulivi, Fondazione Don Carlo Gnocchi Onlus IRCCS-Impruneta, Florence, Italy.
4 Tuscany Regional Health Agency, Florence, Italy.
5 Geriatric Rehabilitation, Azienda Sanitaria di Firenze, Florence, Italy.
6 Longitudinal Studies Section, Gerontology Research Center, National Institute on Aging, National Institutes of Health, Baltimore, MD.

aAddress correspondence to this author at: Department of Medical and Surgical Critical Care, University of Florence, Viale Morgagni, 85, 50134 Florence, Italy. Fax 30-055-794-9418; e-mail annamaria.gori{at}unifi.it.

Background: Low dietary intake and low serum concentrations of vitamin B6 and/or folate are associated with increased risk of vascular events, possibly because of their association with inflammation, which plays a crucial role in the pathogenesis of cardiovascular diseases.

Methods: Using data from 1320 participants in the population-based InCHIANTI study (586 men and 734 women; median age, 69 years; range, 21–102 years) for whom complete data on folate, vitamin B6, inflammatory markers, 5,10-methylenetetrahydrofolate reductase (MTHFR) C677T sequence variant, and important covariates were available, we evaluated the association of inflammatory markers with circulating concentrations of vitamin B6 and folate, independently of dietary vitamin intake, circulating vitamin concentrations, and MTHFR C677T sequence variant.

Results: According to multiple linear regression analysis, C-reactive protein and interleukin-6 receptor were strongly and negatively associated with circulating vitamin B6 but not with folate concentrations, independent of age, sex, serum creatinine, serum albumin, total energy intake, smoking history, dietary nutrient intake, and circulating homocysteine and vitamin concentrations. Serum folate concentrations were related to MTHFR 677 TT genotype in persons with folate intake in the lowest tertile (<221.2 µg/day). Vitamin C and retinol intakes were strongly and positively associated with serum folate concentrations independent of age, sex, serum creatinine, serum albumin, total energy intake, smoking history, homocysteine plasma concentrations, dietary nutrient intakes, serum vitamin B6 and vitamin B12 concentrations, and MTHFR C677T sequence variant.

Conclusions: Low serum vitamin B6, but not serum folate, concentrations are independent correlates of the proinflammatory state, and both are influenced by antioxidant reserves.




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[Abstract] [Full Text] [PDF]




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