Coffee, homocysteine and B vitamins

SND-ID: snd0015-1.

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Contact

Elisabeth Strandhagen

elisabeth.strandhagen@snd.gu.se

Creator/Principal investigator(s)

Dag Thelle

Elisabeth Strandhagen - University of Gothenburg, Department of Public Health and Community Medicine

Henrik Zetterberg - University of Gothenburg, Institute of Neuroscience and Physiology

Research principal

University of Gothenburg - Department of Public Health and Community Medicine rorId

Description

Elevated level of homocysteine has been identified as a graded and independent risk factor for coronary heart disease. The metabolism of homocysteine is dependent on the availability of the B-vitamins, folate, vitamin B12, and vitamin B6 (pyridoxal phosphate). Although elevated levels of tHcy in plasma and serum is particularly seen in folate deficiency, elevated levels are also seen in the presence of folate levels in the lower reference range. The study was organised as a prospective, cross-over, blinded controlled trial with the participants randomly allocated to two different groups which will consume:



1) For 3 weeks: Both groups: no coffee



2) For 4 weeks: Group A: 4 cups of coffee/day + placebo, Group B: 4 cups of coffee/day + 200 g folate/day

... Show more..
Elevated level of homocysteine has been identified as a graded and independent risk factor for coronary heart disease. The metabolism of homocysteine is dependent on the availability of the B-vitamins, folate, vitamin B12, and vitamin B6 (pyridoxal phosphate). Although elevated levels of tHcy in plasma and serum is particularly seen in folate deficiency, elevated levels are also seen in the presence of folate levels in the lower reference range. The study was organised as a prospective, cross-over, blinded controlled trial with the participants randomly allocated to two different groups which will consume:



1) For 3 weeks: Both groups: no coffee



2) For 4 weeks: Group A: 4 cups of coffee/day + placebo, Group B: 4 cups of coffee/day + 200 g folate/day



3) For 3 weeks: Both groups: no coffee (wash out)



4) For 4 weeks: Group A. 4 cups of coffee/day + 40 g B-6/day, Group B: 4 cups of coffee/day + placebo.



The participants were randomised again in the beginning of the second part. Each participant met at five visits. They were allowed to drink other beverages. Diet habits were registered during the study. Blood samples were drawn and blood pressure measured at every visit. Blood samples were analysed for homocysteine in plasma and total cholesterol, HDL-cholesterol, triglycerides, Lp(a), folate, ALAT, ASAT, urate and gamma-GT in serum. Frosen whole blood is available.

Purpose:

To investigate the interaction of coffee consumption on the effects of folate and vitamin B-6 on the methionin metabolism and thereby on the plasma homocysteine levels. Show less..

Data contains personal data

No

Language

Method and outcome

Unit of analysis

Population

The participants were in the age-range 35-69 years and usual coffee drinkers, free of clinically recognised chronic diseases such as cardiovascular diseases, cancer, renal disorders, liver disease, diabetes mellitus, and were not on anti-epileptic or chol

Study design

Experimental study

Sampling procedure

Non-probability: Availability
The participants were recruited by advertisement in daily press.

Time period(s) investigated

2000-10 – 2001-04

Variables

93

Number of individuals/objects

121

Data format / data structure

Data collection
  • Time period(s) for data collection: 2000-10 – 2001-04
  • Source of the data: Population group, Biological samples
Geographic coverage

Geographic spread

Geographic location: Sweden

Geographic description: Stor-Göteborg

Administrative information

Responsible department/unit

Department of Public Health and Community Medicine

Publications

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Strandhagen E. Coffee and gene interaction. The effect on methionine and lipid metabolism. Thesis, University of Gothenburg, 2004.
Swepub | Till lärosätets (gu) databas
ISBN: 91-628-6022-4

Strandhagen E, Landaas S, Thelle DS. Folate supplement eliminates the homocysteine increasing effect of filtered coffee. A randomised placebo controlled trial. Eur J Clin Nutr, 2003; 57: 1411-1417

Strandhagen E, Thelle DS. Filtered coffee raises serum cholesterol. Results from a controlled intervention trial. Eur J Clin Nutr, 2003; 57: 1164-1168.

Strandhagen E, Zetterberg H, Aires N, Palmér M, Rymo L, Blennow K, Landaas S, Thelle DS. The methylenetetrahydrofolate reductase C677T polymorphism is a major determinant of coffee-induced increase of plasma homocysteine: a randomized placebo controlled study. Int J Mol Med 2004: 6: 811-5.
Swepub | Till lärosätets (gu) databas

Strandhagen E, Zetterberg H, Aires A, Palmér M, Rymo L, Blennow K, Thelle DS. The apolipoprotein E genetic polymorphism and the cholesterol raising effect of coffee. Lipids in Health and Disease 2004; 3: 26 (30Nov2004)

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