Skip to main content
Erschienen in: Journal of Thrombosis and Thrombolysis 4/2012

01.11.2012

Association between B-group vitamins and venous thrombosis: systematic review and meta-analysis of epidemiological studies

verfasst von: Kuangguo Zhou, Ruizhi Zhao, Zhe Geng, Lijun Jiang, Yang Cao, Danmei Xu, Yin Liu, Liang Huang, Jianfeng Zhou

Erschienen in: Journal of Thrombosis and Thrombolysis | Ausgabe 4/2012

Einloggen, um Zugang zu erhalten

Abstract

A homocysteine-independent role for B-group vitamins on venous thrombosis (VT) development has been reported. However, related research findings remain inconsistent. PUBMED, EMBASE, and COCHRANE databases were searched to collect information on all eligible studies to make a meta-analysis about the relationship between B-group vitamins and VT. Literature search results did not suggest a correlation between thiamin, pantothenic acid, niacin, or riboflavin with VT. Based on their correlations in the literature, folic acid, vitamin B12, B6 were considered in the meta-analysis and systematic review. Significant standardized mean differences were obtained for plasma folic acid (−0.55; 95 % CI, −0.75 to −0.36) and vitamin B12 (−0.34; 95 % CI, −0.55 to −0.13). Reduced levels of folic acid and vitamin B12 may be independent risk factors of VT. Moreover, a qualitative systematic review indicated that low level of vitamin B6 was an independent risk factor of VT. Randomized clinical studies of B-group vitamins supplementation showed varying results on VT prevention. Multivitamin supplementation for VT prevention, regardless of homocysteine level, would be of interest. Further prospective clinical studies are needed to provide additional evidence on the clinical benefits of B-group vitamin supplementation for VT.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
1.
Zurück zum Zitat Reitsma PH, Versteeg HH, Middeldorp S (2012) Mechanistic view of risk factors for venous thromboembolism. Arterioscler Thromb Vasc Biol 32(3):563–568PubMedCrossRef Reitsma PH, Versteeg HH, Middeldorp S (2012) Mechanistic view of risk factors for venous thromboembolism. Arterioscler Thromb Vasc Biol 32(3):563–568PubMedCrossRef
2.
Zurück zum Zitat Den Heijer M (2006) Are B vitamins a risk factor for VTE? perhaps. J Thromb Haemost 4(2):309–311CrossRef Den Heijer M (2006) Are B vitamins a risk factor for VTE? perhaps. J Thromb Haemost 4(2):309–311CrossRef
3.
Zurück zum Zitat Den Heijer M, Lewington S, Clarke R (2005) Homocysteine, MTHFR and risk of venous thrombosis: a meta-analysis of published epidemiological studies. J Thromb Haemost 3(2):292–299CrossRef Den Heijer M, Lewington S, Clarke R (2005) Homocysteine, MTHFR and risk of venous thrombosis: a meta-analysis of published epidemiological studies. J Thromb Haemost 3(2):292–299CrossRef
4.
Zurück zum Zitat Quéré I, Perneger TV, Zittoun J, Bellet H, Gris J-C, Daurès J-P, Schved J-F, Mercier E, Laroche J-P, Dauzat M, Bounameaux H, Janbon C, de Moerloose P (2002) Red blood cell methylfolate and plasma homocysteine as risk factors for venous thromboembolism: a matched case–control study. The Lancet 359(9308):747–752CrossRef Quéré I, Perneger TV, Zittoun J, Bellet H, Gris J-C, Daurès J-P, Schved J-F, Mercier E, Laroche J-P, Dauzat M, Bounameaux H, Janbon C, de Moerloose P (2002) Red blood cell methylfolate and plasma homocysteine as risk factors for venous thromboembolism: a matched case–control study. The Lancet 359(9308):747–752CrossRef
5.
Zurück zum Zitat Diaz DETAM, Ribo MD, Belinchon O, Marchena PJ, Bruscas MJ, Val E, Cortes A, Nieto JA (2005) Low levels of vitamin B12 and venous thromboembolic disease in elderly men. J Intern Med 258(3):244–249CrossRef Diaz DETAM, Ribo MD, Belinchon O, Marchena PJ, Bruscas MJ, Val E, Cortes A, Nieto JA (2005) Low levels of vitamin B12 and venous thromboembolic disease in elderly men. J Intern Med 258(3):244–249CrossRef
6.
Zurück zum Zitat Cattaneo M, Lombardi R, Lecchi A, Bucciarelli P, Mannucci PM (2001) Low plasma levels of vitamin B6 are independently associated with a heightened risk of deep-vein thrombosis. Circulation 104(20):2442–2446PubMedCrossRef Cattaneo M, Lombardi R, Lecchi A, Bucciarelli P, Mannucci PM (2001) Low plasma levels of vitamin B6 are independently associated with a heightened risk of deep-vein thrombosis. Circulation 104(20):2442–2446PubMedCrossRef
7.
8.
Zurück zum Zitat Stanger O, Wonisch W (2012) Enzymatic and non-enzymatic antioxidative effects of folic acid and its reduced derivates. Subcell Biochem 56:131–161PubMedCrossRef Stanger O, Wonisch W (2012) Enzymatic and non-enzymatic antioxidative effects of folic acid and its reduced derivates. Subcell Biochem 56:131–161PubMedCrossRef
9.
Zurück zum Zitat Undas A, Domagala TB, Jankowski M, Szczeklik A (1999) Treatment of hyperhomocysteinemia with folic acid and vitamins B12 and B6 attenuates thrombin generation. Thromb Res 95(6):281–288PubMedCrossRef Undas A, Domagala TB, Jankowski M, Szczeklik A (1999) Treatment of hyperhomocysteinemia with folic acid and vitamins B12 and B6 attenuates thrombin generation. Thromb Res 95(6):281–288PubMedCrossRef
10.
Zurück zum Zitat Kobzar G, Mardla V, Ratsep I, Samel N (2009) Effect of vitamin B(6) vitamers on platelet aggregation. Platelets 20(2):120–124PubMedCrossRef Kobzar G, Mardla V, Ratsep I, Samel N (2009) Effect of vitamin B(6) vitamers on platelet aggregation. Platelets 20(2):120–124PubMedCrossRef
11.
Zurück zum Zitat Wilcken DE, Wilcken B (1997) The natural history of vascular disease in homocystinuria and the effects of treatment. J Inherit Metab Dis 20(2):295–300PubMedCrossRef Wilcken DE, Wilcken B (1997) The natural history of vascular disease in homocystinuria and the effects of treatment. J Inherit Metab Dis 20(2):295–300PubMedCrossRef
12.
Zurück zum Zitat Deol PS, Barnes TA, Dampier K, John Pasi K, Oppenheimer C, Pavord SR (2004) The effects of folic acid supplements on coagulation status in pregnancy. Br J Haematol 127(2):204–208PubMedCrossRef Deol PS, Barnes TA, Dampier K, John Pasi K, Oppenheimer C, Pavord SR (2004) The effects of folic acid supplements on coagulation status in pregnancy. Br J Haematol 127(2):204–208PubMedCrossRef
13.
Zurück zum Zitat Den Heijer M, Willems HPJ, Blom HJ, Gerrits WBJ, Cattaneo M, Eichinger S, Rosendaal FR, Bos GMJ (2007) Homocysteine lowering by B vitamins and the secondary prevention of deep vein thrombosis and pulmonary embolism: a randomized, placebo-controlled, double-blind trial. Blood 109(1):139–144CrossRef Den Heijer M, Willems HPJ, Blom HJ, Gerrits WBJ, Cattaneo M, Eichinger S, Rosendaal FR, Bos GMJ (2007) Homocysteine lowering by B vitamins and the secondary prevention of deep vein thrombosis and pulmonary embolism: a randomized, placebo-controlled, double-blind trial. Blood 109(1):139–144CrossRef
14.
Zurück zum Zitat Ray JG, Kearon C, Yi Q, Sheridan P, Lonn E (2007) Homocysteine-lowering therapy and risk for venous thromboembolism: a randomized trial. Ann Intern Med 146(11):761–767PubMed Ray JG, Kearon C, Yi Q, Sheridan P, Lonn E (2007) Homocysteine-lowering therapy and risk for venous thromboembolism: a randomized trial. Ann Intern Med 146(11):761–767PubMed
15.
Zurück zum Zitat Liu XJ, Geng YQ, Xin SN, Huang GM, Tu XW, Ding ZR, Chen XM (2011) Antithrombotic drug therapy for IgA nephropathy: a meta analysis of randomized controlled trials. Intern Med 50(21):2503–2510PubMedCrossRef Liu XJ, Geng YQ, Xin SN, Huang GM, Tu XW, Ding ZR, Chen XM (2011) Antithrombotic drug therapy for IgA nephropathy: a meta analysis of randomized controlled trials. Intern Med 50(21):2503–2510PubMedCrossRef
16.
Zurück zum Zitat Stang A (2010) Critical evaluation of the Newcastle-Ottawa scale for the assessment of the quality of nonrandomized studies in meta-analyses. Eur J Epidemiol 25(9):603–605PubMedCrossRef Stang A (2010) Critical evaluation of the Newcastle-Ottawa scale for the assessment of the quality of nonrandomized studies in meta-analyses. Eur J Epidemiol 25(9):603–605PubMedCrossRef
17.
Zurück zum Zitat Hogeveen M, Blom HJ, den Heijer M (2012) Maternal homocysteine and small-for-gestational-age offspring: systematic review and meta-analysis. Am J Clin Nutr 95(1):130–136PubMedCrossRef Hogeveen M, Blom HJ, den Heijer M (2012) Maternal homocysteine and small-for-gestational-age offspring: systematic review and meta-analysis. Am J Clin Nutr 95(1):130–136PubMedCrossRef
18.
Zurück zum Zitat Li L, Wl Zhu (2009) Study on relationship between homocysteine, folic acid, vitamin B12 and deep venous thrombosis. Acta Nutr Sinica 31(1):34–37 Li L, Wl Zhu (2009) Study on relationship between homocysteine, folic acid, vitamin B12 and deep venous thrombosis. Acta Nutr Sinica 31(1):34–37
19.
Zurück zum Zitat Oger E, Lacut K, Le Gal G, Couturaud F, Guenet D, Abalain JH, Roguedas AM, Mottier D (2006) Hyperhomocysteinemia and low B vitamin levels are independently associated with venous thromboembolism: results from the EDITH study: a hospital-based case-control study. J Thromb Haemost 4(4):793–799PubMedCrossRef Oger E, Lacut K, Le Gal G, Couturaud F, Guenet D, Abalain JH, Roguedas AM, Mottier D (2006) Hyperhomocysteinemia and low B vitamin levels are independently associated with venous thromboembolism: results from the EDITH study: a hospital-based case-control study. J Thromb Haemost 4(4):793–799PubMedCrossRef
20.
Zurück zum Zitat He JA, Hu XH, Fan YY, Yang J, Zhang ZS, Liu CW, Yang DH, Zhang J, Xin SJ, Zhang Q, Duan ZQ (2010) Hyperhomocysteinaemia, low folate concentrations and methylene tetrahydrofolate reductase C677T mutation in acute mesenteric venous thrombosis. Eur J Vasc Endovasc Surg 39(4):508–513PubMedCrossRef He JA, Hu XH, Fan YY, Yang J, Zhang ZS, Liu CW, Yang DH, Zhang J, Xin SJ, Zhang Q, Duan ZQ (2010) Hyperhomocysteinaemia, low folate concentrations and methylene tetrahydrofolate reductase C677T mutation in acute mesenteric venous thrombosis. Eur J Vasc Endovasc Surg 39(4):508–513PubMedCrossRef
21.
Zurück zum Zitat Martinelli I (2003) Hyperhomocysteinemia in cerebral vein thrombosis. Blood 102(4):1363–1366PubMedCrossRef Martinelli I (2003) Hyperhomocysteinemia in cerebral vein thrombosis. Blood 102(4):1363–1366PubMedCrossRef
22.
Zurück zum Zitat Cantu C, Alonso E, Jara A, Martinez L, Rios C, MdlA Fernandez, Garcia I, Barinagarrementeria F (2004) Hyperhomocysteinemia, low folate and vitamin B12 concentrations, and methylene tetrahydrofolate reductase mutation in cerebral venous thrombosis. Stroke 35(8):1790–1794PubMedCrossRef Cantu C, Alonso E, Jara A, Martinez L, Rios C, MdlA Fernandez, Garcia I, Barinagarrementeria F (2004) Hyperhomocysteinemia, low folate and vitamin B12 concentrations, and methylene tetrahydrofolate reductase mutation in cerebral venous thrombosis. Stroke 35(8):1790–1794PubMedCrossRef
23.
Zurück zum Zitat Nagaraja D, Noone ML, Bharatkumar VP, Christopher R (2008) Homocysteine, folate and vitamin B12 in puerperal cerebral venous thrombosis. J Neurol Sci 272(1–2):43–47PubMedCrossRef Nagaraja D, Noone ML, Bharatkumar VP, Christopher R (2008) Homocysteine, folate and vitamin B12 in puerperal cerebral venous thrombosis. J Neurol Sci 272(1–2):43–47PubMedCrossRef
24.
Zurück zum Zitat Sofi F, Marcucci R, Bolli P, Giambene B, Sodi A, Fedi S, Menchini U, Gensini GF, Abbate R, Prisco D (2008) Low vitamin B6 and folic acid levels are associated with retinal vein occlusion independently of homocysteine levels. Atherosclerosis 198(1):223–227PubMedCrossRef Sofi F, Marcucci R, Bolli P, Giambene B, Sodi A, Fedi S, Menchini U, Gensini GF, Abbate R, Prisco D (2008) Low vitamin B6 and folic acid levels are associated with retinal vein occlusion independently of homocysteine levels. Atherosclerosis 198(1):223–227PubMedCrossRef
25.
Zurück zum Zitat Ferrazzi P, Di Micco P, Quaglia I, Rossi LS, Bellatorre AG, Gaspari G, Rota LL, Lodigiani C (2005) Homocysteine, MTHFR C677T gene polymorphism, folic acid and vitamin B 12 in patients with retinal vein occlusion. Thromb J 3:13PubMedCrossRef Ferrazzi P, Di Micco P, Quaglia I, Rossi LS, Bellatorre AG, Gaspari G, Rota LL, Lodigiani C (2005) Homocysteine, MTHFR C677T gene polymorphism, folic acid and vitamin B 12 in patients with retinal vein occlusion. Thromb J 3:13PubMedCrossRef
26.
Zurück zum Zitat Lattanzio R, Sampietro F, Ramoni A, Fattorini A, Brancato R, D’Angelo A (2006) Moderate hyperhomocysteinemia and early-onset central retinal vein occlusion. Retina 26(1):65–70PubMedCrossRef Lattanzio R, Sampietro F, Ramoni A, Fattorini A, Brancato R, D’Angelo A (2006) Moderate hyperhomocysteinemia and early-onset central retinal vein occlusion. Retina 26(1):65–70PubMedCrossRef
27.
Zurück zum Zitat Hron G, Lombardi R, Eichinger S, Lecchi A, Kyrle PA, Cattaneo M (2007) Low vitamin B6 levels and the risk of recurrent venous thromboembolism. Haematologica 92(9):1250–1253PubMedCrossRef Hron G, Lombardi R, Eichinger S, Lecchi A, Kyrle PA, Cattaneo M (2007) Low vitamin B6 levels and the risk of recurrent venous thromboembolism. Haematologica 92(9):1250–1253PubMedCrossRef
28.
Zurück zum Zitat Kokturk N, Kanbay A, Aydogdu M, Ozyilmaz E, Bukan N, Ekim N (2010) Hyperhomocysteinemia prevalence among patients with venous thromboembolism. Clin Appl Thromb Hemost 17(5):487–493PubMedCrossRef Kokturk N, Kanbay A, Aydogdu M, Ozyilmaz E, Bukan N, Ekim N (2010) Hyperhomocysteinemia prevalence among patients with venous thromboembolism. Clin Appl Thromb Hemost 17(5):487–493PubMedCrossRef
29.
Zurück zum Zitat Den Heijer M, Brouwer IA, Bos GM, Blom HJ, van der Put NM, Spaans AP, Rosendaal FR, Thomas CM, Haak HL, Wijermans PW, Gerrits WB (1998) Vitamin supplementation reduces blood homocysteine levels: a controlled trial in patients with venous thrombosis and healthy volunteers. Arterioscler Thromb Vasc Biol 18(3):356–361CrossRef Den Heijer M, Brouwer IA, Bos GM, Blom HJ, van der Put NM, Spaans AP, Rosendaal FR, Thomas CM, Haak HL, Wijermans PW, Gerrits WB (1998) Vitamin supplementation reduces blood homocysteine levels: a controlled trial in patients with venous thrombosis and healthy volunteers. Arterioscler Thromb Vasc Biol 18(3):356–361CrossRef
30.
Zurück zum Zitat Ozkan Y, Yardim-Akaydin S, Erdem A, Simsek B (2011) Variability of total thiol compounds, oxidative and nitrosative stress in uncomplicated pregnant women and nonpregnant women. Arch Gynecol Obstet. doi:10.1007/s00404-011-2150-0 Ozkan Y, Yardim-Akaydin S, Erdem A, Simsek B (2011) Variability of total thiol compounds, oxidative and nitrosative stress in uncomplicated pregnant women and nonpregnant women. Arch Gynecol Obstet. doi:10.​1007/​s00404-011-2150-0
31.
Zurück zum Zitat Sauls DL, Arnold EK, Bell CW, Allen JC, Hoffman M (2007) Pro-thrombotic and pro-oxidant effects of diet-induced hyperhomocysteinemia. Thromb Res 120(1):117–126PubMedCrossRef Sauls DL, Arnold EK, Bell CW, Allen JC, Hoffman M (2007) Pro-thrombotic and pro-oxidant effects of diet-induced hyperhomocysteinemia. Thromb Res 120(1):117–126PubMedCrossRef
32.
Zurück zum Zitat Pita ML, Delgado MJ (2000) Folate administration increases n-3 polyunsaturated fatty acids in rat plasma and tissue lipids. Thromb Haemost 84(3):420–423PubMed Pita ML, Delgado MJ (2000) Folate administration increases n-3 polyunsaturated fatty acids in rat plasma and tissue lipids. Thromb Haemost 84(3):420–423PubMed
33.
Zurück zum Zitat Compher CW, Kinosian BP, Evans-Stoner N, Huzinec J, Buzby GP (2001) Hyperhomocysteinemia is associated with venous thrombosis in patients with short bowel syndrome. J Parenter Enteral Nutr 25(1):1–7CrossRef Compher CW, Kinosian BP, Evans-Stoner N, Huzinec J, Buzby GP (2001) Hyperhomocysteinemia is associated with venous thrombosis in patients with short bowel syndrome. J Parenter Enteral Nutr 25(1):1–7CrossRef
34.
Zurück zum Zitat Remacha AF, Souto JC, Pinana JL, Sarda MP, Queralto JM, Marti-Fabregas J, Garcia-Moll X, Fernandez C, Rodriguez A, Cuesta J (2011) Vitamin B12 deficiency, hyperhomocysteinemia and thrombosis: a case and control study. Int J Hematol 93(4):458–464PubMedCrossRef Remacha AF, Souto JC, Pinana JL, Sarda MP, Queralto JM, Marti-Fabregas J, Garcia-Moll X, Fernandez C, Rodriguez A, Cuesta J (2011) Vitamin B12 deficiency, hyperhomocysteinemia and thrombosis: a case and control study. Int J Hematol 93(4):458–464PubMedCrossRef
35.
Zurück zum Zitat Eichinger S (2003) Homocysteine, vitamin B6 and the risk of recurrent venous thromboembolism. Pathophysiol Haemost Thromb 33(5–6):342–344PubMedCrossRef Eichinger S (2003) Homocysteine, vitamin B6 and the risk of recurrent venous thromboembolism. Pathophysiol Haemost Thromb 33(5–6):342–344PubMedCrossRef
36.
Zurück zum Zitat Saibeni S, Cattaneo M, Vecchi M, Zighetti ML, Lecchi A, Lombardi R, Meucci G, Spina L, de Franchis R (2003) Low vitamin B(6) plasma levels, a risk factor for thrombosis, in inflammatory bowel disease: role of inflammation and correlation with acute phase reactants. Am J Gastroenterol 98(1):112–117PubMedCrossRef Saibeni S, Cattaneo M, Vecchi M, Zighetti ML, Lecchi A, Lombardi R, Meucci G, Spina L, de Franchis R (2003) Low vitamin B(6) plasma levels, a risk factor for thrombosis, in inflammatory bowel disease: role of inflammation and correlation with acute phase reactants. Am J Gastroenterol 98(1):112–117PubMedCrossRef
Metadaten
Titel
Association between B-group vitamins and venous thrombosis: systematic review and meta-analysis of epidemiological studies
verfasst von
Kuangguo Zhou
Ruizhi Zhao
Zhe Geng
Lijun Jiang
Yang Cao
Danmei Xu
Yin Liu
Liang Huang
Jianfeng Zhou
Publikationsdatum
01.11.2012
Verlag
Springer US
Erschienen in
Journal of Thrombosis and Thrombolysis / Ausgabe 4/2012
Print ISSN: 0929-5305
Elektronische ISSN: 1573-742X
DOI
https://doi.org/10.1007/s11239-012-0759-x

Weitere Artikel der Ausgabe 4/2012

Journal of Thrombosis and Thrombolysis 4/2012 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Erhebliches Risiko für Kehlkopfkrebs bei mäßiger Dysplasie

29.05.2024 Larynxkarzinom Nachrichten

Fast ein Viertel der Personen mit mäßig dysplastischen Stimmlippenläsionen entwickelt einen Kehlkopftumor. Solche Personen benötigen daher eine besonders enge ärztliche Überwachung.

Nach Herzinfarkt mit Typ-1-Diabetes schlechtere Karten als mit Typ 2?

29.05.2024 Herzinfarkt Nachrichten

Bei Menschen mit Typ-2-Diabetes sind die Chancen, einen Myokardinfarkt zu überleben, in den letzten 15 Jahren deutlich gestiegen – nicht jedoch bei Betroffenen mit Typ 1.

15% bedauern gewählte Blasenkrebs-Therapie

29.05.2024 Urothelkarzinom Nachrichten

Ob Patienten und Patientinnen mit neu diagnostiziertem Blasenkrebs ein Jahr später Bedauern über die Therapieentscheidung empfinden, wird einer Studie aus England zufolge von der Radikalität und dem Erfolg des Eingriffs beeinflusst.

Costims – das nächste heiße Ding in der Krebstherapie?

28.05.2024 Onkologische Immuntherapie Nachrichten

„Kalte“ Tumoren werden heiß – CD28-kostimulatorische Antikörper sollen dies ermöglichen. Am besten könnten diese in Kombination mit BiTEs und Checkpointhemmern wirken. Erste klinische Studien laufen bereits.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.