Research Article
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The Relationship of Vitamin B12 Deficiency and Red Cell Distribution Width-Platelet Ratio

Year 2016, , 211 - 213, 01.09.2016
https://doi.org/10.5799/jcei.328604

Abstract

Objective: We aimed to investigate the relationship between vitamin B12 deficiency and red cell distribution widthplatelet
ratio (RPR), and the variations in the parameters on vitamin B12 treatment.
Methods: One hundred fifty-four patients with untreated vitamin B12 deficiency (56% men, mean age: 50 ± 12.7 years)
(untreated group), 86 patients with vitamin B12 deficiency (62% men, mean age: 42 ± 20.7 years) on vitamin B12 treatment
(treated group), and 92 age- and sex-matched control group (54% men, mean age: 45 ± 15.1 years) were included
in the study. Hematological parameters were evaluated by the method of laser-based flow cytometric impedance, using
an automated blood cell counter (ABX Pentra 120 Hematology Blood Analyzer).
Results: RPR was significantly reduced in treated group compared with untreated group (4.88 ± 1.06; 6.13 ± 1.27;
p<0.001, respectively). RPR, red cell distribution width (RDW) and mean platelet volume (MPV) were significantly different
in untreated group compared to controls (p<0.05). There were no differences in platelet count in the three groups
(p>0.05).
Conclusion: We proposed that vitamin B12 deficiency has effects on RPR and supplementation with vitamin B12 corrects
the RPR levels. J Clin Exp Invest 2016; 7 (3): 211-215

References

  • 1. Eussen SJ, Ueland PM, Hiddink GJ, et al. Changes in markers of cobalamin status after cessation of oral B-vitamin supplements in elderly people with mild cobalamin deficiency. Eur J Clin Nutr. 2008;62:1248-51.
  • 2. Stabler SP. Clinical practice. Vitamin B12 deficiency. N Engl J Med. 2013;368:149-60.
  • 3. Sucharita S, Thomas T, Sowmya S, Krishnamachari S, Kurpad AV, Vaz M. Subclinical vitamin B12 deficiency and heart rate variability across life cycle. Curr Aging Sci. 2016 Feb 11. [Epub ahead of print]
  • 4. Lachner C, Steinle NI, Regenold WT. The neuropsychiatry of vitamin B12 deficiency in elderly patients. J Neuropsychiatry Clin Neurosci. 2012;24:5-15.
  • 5. McCully KS. The active site of oxidative phosphorylation and the origin of hyperhomocysteinemia in aging and dementia. Ann Clin Lab Sci. 2015;45:222-5.
  • 6. McCully KS. Homocysteine Metabolism, Atherosclerosis, and Diseases of Aging. Compr Physiol. 2015;6:471-505.
  • 7. Köbe T, Witte AV, Schnelle A, et al. Vitamin B-12 concentration, memory performance, and hippocampal structure in patients with mild cognitive impairment. Am J Clin Nutr. 2016 Feb 24. pii: ajcn116970. [Epub ahead of print]
  • 8. Tajarernmuang P, Phrommintikul A, Limsukon A, et al. The Role of Mean Platelet Volume as a Predictor of Mortality in Critically Ill Patients: A Systematic Review and MetaAnalysis. Crit Care Res Pract. 2016;2016:4370834.
  • 9. Sansanayudh N, Anothaisintawee T, Muntham D, et al. Mean platelet volume and coronary artery disease: a systematic review and meta-analysis. Int J Cardiol. 2014;175:433-40.
  • 10. Celık T, Balta S, Demır M, et al. Predictive value of admission red cell distribution width-platelet ratio for no-reflow phenomenon in acute ST segment elevation myocardial infarction undergoing primary percutaneous coronary intervention. Cardiol J. 2016;23:84-92.
  • 11. Mézière A, Audureau E, Vairelles S, et al. B12 deficiency increases with age in hospitalized patients: a study on 14,904 samples. J Gerontol A Biol Sci Med Sci. 2014;69:1576-85.
  • 12. C.W. Chan, S.Y. Liu, C.S. Kho, et al. Diagnostic clues to megaloblastic anaemia without macrocytosis. Int J Lab Hematol 2007;29:163-171.
  • 13. J. Oh, S.M. Kang, N. Hong, et al. Relation between red cell distribution width with echocardiographic parameters in patients with acute heart failure. J Card Fail, 2009;15:517- 22.
  • 14. Yang W, Huang H, Wang Y, et al. High red blood cell distribution width is closely associated with nonalcoholic fatty liver disease. Eur J Gastroenterol Hepatol. 2014;26:174-8.
  • 15. Patel KV, Semba RD, Ferrucci L, et al. Red cell distribution width and mortality in older adults: a meta-analysis. J Gerontol A Biol Sci Med Sci. 2010;65:258-65.
  • 16. Sansanayudh N, Numthavaj P, Muntham D, et al. Prognostic effect of mean platelet volume in patients with coronary artery disease. A systematic review and meta-analysis. Thromb Haemost. 2015;114:1299-309.
  • 17. Mohan IV, Jagroop IA, Mikhailidis DP, Stansby GP. Homocysteine activates platelets in vitro. Clin Appl ThrombHem. 2008;14:8-18.
  • 18. McCully KS. Homocysteine and the pathogenesis of atherosclerosis. Expert Rev Clin Pharmacol. 2015;8:211-9.
  • 19. Kelkitli E, Ozturk N, Aslan NA, et al. Serum zinc levels in patients with iron deficiency anemia and its association with symptoms of iron deficiency anemia. Ann Hematol. 2016. [Epub ahead of print]
  • 20. Dugdale AE. Predicting iron and folate deficiency anaemias from standard blood testing: the mechanism and implications for clinical medicine and public health in developing countries. Theor Biol Med Model. 2006;3:34.
  • 21. Demir R, Saritemur M, Ozel L, et al. Red cell distribution width identifies cerebral venous sinus thrombosis in patients with headache. Clin Appl Thromb Hemost. 2015;21:354-8.
  • 22. Yin P, Lv H, Zhang L, et al. Combination of red cell distribution width and American Society of Anesthesiologists score for hip fracture mortality prediction. Osteoporos Int. 2016. [Epub ahead of print]
  • 23. Bhatia P, Kulkarni JD, Pai SA. Vitamin B12 deficiency in India: Mean corpuscular volume is an unreliable screening parameter. National Medical Joural of India. 2012;25:336-8.
  • 24. Uçar M, Vatansever F, Tanık N, et al. The comparison of mean platelet volume and other hemogram results in patients with carpal tunnel syndrome. J Clin Exp Invest 2015;6:154-8.
  • 25. Vizioli L, Muscari S, Muscari A. The relationship of mean platelet volume with the risk and prognosis of cardiovascular diseases. Int J Clin Pract. 2009;63:1509-15.
  • 26. Doğan K, Guraslan H, Senturk MB, et al. Can Platelet Count and Platelet Indices Predict the Risk and the Prognosis of Preeclampsia? Hypertens Pregnancy. 2015;34:434-42.
  • 27. Haungsaithong R, Udommongkol C, Nidhinandana S, et al. The Changes in Mean Platelet Volume after Using of Antiplatelet Drugs in Acute Ischemic Stroke: A Randomized Controlled Trial. J Med Assoc Thai. 2015;98:852-7.
  • 28. Tekeoğlu İ, Gürol G, Harman H, et al. Overlooked hematological markers of disease activity in rheumatoid arthritis. Int J Rheum Dis. 2015. doi: 10.1111/1756-185X.12805. [Epub ahead of print]
  • 29. Aktas G, Alcelik A, Tekce BK, et al. Red cell distribution width and mean platelet volume in patients with irritable bowel syndrome. Prz Gastroenterol. 2014;9:160-3.
  • 30. Elbey B, Yazgan ÜC, Yıldırım A, et al. Mean platelet volume and neutrophil to lymphocyte ratio in patients with vernal keratoconjunctivitis. J Clin Exp Invest. 2015;6:40-3.
Year 2016, , 211 - 213, 01.09.2016
https://doi.org/10.5799/jcei.328604

Abstract

References

  • 1. Eussen SJ, Ueland PM, Hiddink GJ, et al. Changes in markers of cobalamin status after cessation of oral B-vitamin supplements in elderly people with mild cobalamin deficiency. Eur J Clin Nutr. 2008;62:1248-51.
  • 2. Stabler SP. Clinical practice. Vitamin B12 deficiency. N Engl J Med. 2013;368:149-60.
  • 3. Sucharita S, Thomas T, Sowmya S, Krishnamachari S, Kurpad AV, Vaz M. Subclinical vitamin B12 deficiency and heart rate variability across life cycle. Curr Aging Sci. 2016 Feb 11. [Epub ahead of print]
  • 4. Lachner C, Steinle NI, Regenold WT. The neuropsychiatry of vitamin B12 deficiency in elderly patients. J Neuropsychiatry Clin Neurosci. 2012;24:5-15.
  • 5. McCully KS. The active site of oxidative phosphorylation and the origin of hyperhomocysteinemia in aging and dementia. Ann Clin Lab Sci. 2015;45:222-5.
  • 6. McCully KS. Homocysteine Metabolism, Atherosclerosis, and Diseases of Aging. Compr Physiol. 2015;6:471-505.
  • 7. Köbe T, Witte AV, Schnelle A, et al. Vitamin B-12 concentration, memory performance, and hippocampal structure in patients with mild cognitive impairment. Am J Clin Nutr. 2016 Feb 24. pii: ajcn116970. [Epub ahead of print]
  • 8. Tajarernmuang P, Phrommintikul A, Limsukon A, et al. The Role of Mean Platelet Volume as a Predictor of Mortality in Critically Ill Patients: A Systematic Review and MetaAnalysis. Crit Care Res Pract. 2016;2016:4370834.
  • 9. Sansanayudh N, Anothaisintawee T, Muntham D, et al. Mean platelet volume and coronary artery disease: a systematic review and meta-analysis. Int J Cardiol. 2014;175:433-40.
  • 10. Celık T, Balta S, Demır M, et al. Predictive value of admission red cell distribution width-platelet ratio for no-reflow phenomenon in acute ST segment elevation myocardial infarction undergoing primary percutaneous coronary intervention. Cardiol J. 2016;23:84-92.
  • 11. Mézière A, Audureau E, Vairelles S, et al. B12 deficiency increases with age in hospitalized patients: a study on 14,904 samples. J Gerontol A Biol Sci Med Sci. 2014;69:1576-85.
  • 12. C.W. Chan, S.Y. Liu, C.S. Kho, et al. Diagnostic clues to megaloblastic anaemia without macrocytosis. Int J Lab Hematol 2007;29:163-171.
  • 13. J. Oh, S.M. Kang, N. Hong, et al. Relation between red cell distribution width with echocardiographic parameters in patients with acute heart failure. J Card Fail, 2009;15:517- 22.
  • 14. Yang W, Huang H, Wang Y, et al. High red blood cell distribution width is closely associated with nonalcoholic fatty liver disease. Eur J Gastroenterol Hepatol. 2014;26:174-8.
  • 15. Patel KV, Semba RD, Ferrucci L, et al. Red cell distribution width and mortality in older adults: a meta-analysis. J Gerontol A Biol Sci Med Sci. 2010;65:258-65.
  • 16. Sansanayudh N, Numthavaj P, Muntham D, et al. Prognostic effect of mean platelet volume in patients with coronary artery disease. A systematic review and meta-analysis. Thromb Haemost. 2015;114:1299-309.
  • 17. Mohan IV, Jagroop IA, Mikhailidis DP, Stansby GP. Homocysteine activates platelets in vitro. Clin Appl ThrombHem. 2008;14:8-18.
  • 18. McCully KS. Homocysteine and the pathogenesis of atherosclerosis. Expert Rev Clin Pharmacol. 2015;8:211-9.
  • 19. Kelkitli E, Ozturk N, Aslan NA, et al. Serum zinc levels in patients with iron deficiency anemia and its association with symptoms of iron deficiency anemia. Ann Hematol. 2016. [Epub ahead of print]
  • 20. Dugdale AE. Predicting iron and folate deficiency anaemias from standard blood testing: the mechanism and implications for clinical medicine and public health in developing countries. Theor Biol Med Model. 2006;3:34.
  • 21. Demir R, Saritemur M, Ozel L, et al. Red cell distribution width identifies cerebral venous sinus thrombosis in patients with headache. Clin Appl Thromb Hemost. 2015;21:354-8.
  • 22. Yin P, Lv H, Zhang L, et al. Combination of red cell distribution width and American Society of Anesthesiologists score for hip fracture mortality prediction. Osteoporos Int. 2016. [Epub ahead of print]
  • 23. Bhatia P, Kulkarni JD, Pai SA. Vitamin B12 deficiency in India: Mean corpuscular volume is an unreliable screening parameter. National Medical Joural of India. 2012;25:336-8.
  • 24. Uçar M, Vatansever F, Tanık N, et al. The comparison of mean platelet volume and other hemogram results in patients with carpal tunnel syndrome. J Clin Exp Invest 2015;6:154-8.
  • 25. Vizioli L, Muscari S, Muscari A. The relationship of mean platelet volume with the risk and prognosis of cardiovascular diseases. Int J Clin Pract. 2009;63:1509-15.
  • 26. Doğan K, Guraslan H, Senturk MB, et al. Can Platelet Count and Platelet Indices Predict the Risk and the Prognosis of Preeclampsia? Hypertens Pregnancy. 2015;34:434-42.
  • 27. Haungsaithong R, Udommongkol C, Nidhinandana S, et al. The Changes in Mean Platelet Volume after Using of Antiplatelet Drugs in Acute Ischemic Stroke: A Randomized Controlled Trial. J Med Assoc Thai. 2015;98:852-7.
  • 28. Tekeoğlu İ, Gürol G, Harman H, et al. Overlooked hematological markers of disease activity in rheumatoid arthritis. Int J Rheum Dis. 2015. doi: 10.1111/1756-185X.12805. [Epub ahead of print]
  • 29. Aktas G, Alcelik A, Tekce BK, et al. Red cell distribution width and mean platelet volume in patients with irritable bowel syndrome. Prz Gastroenterol. 2014;9:160-3.
  • 30. Elbey B, Yazgan ÜC, Yıldırım A, et al. Mean platelet volume and neutrophil to lymphocyte ratio in patients with vernal keratoconjunctivitis. J Clin Exp Invest. 2015;6:40-3.
There are 30 citations in total.

Details

Subjects Health Care Administration
Journal Section Research Article
Authors

Nigar Yılmaz This is me

Mustafa Yılmaz This is me

Publication Date September 1, 2016
Published in Issue Year 2016

Cite

APA Yılmaz, N., & Yılmaz, M. (2016). The Relationship of Vitamin B12 Deficiency and Red Cell Distribution Width-Platelet Ratio. Journal of Clinical and Experimental Investigations, 7(3), 211-213. https://doi.org/10.5799/jcei.328604
AMA Yılmaz N, Yılmaz M. The Relationship of Vitamin B12 Deficiency and Red Cell Distribution Width-Platelet Ratio. J Clin Exp Invest. September 2016;7(3):211-213. doi:10.5799/jcei.328604
Chicago Yılmaz, Nigar, and Mustafa Yılmaz. “The Relationship of Vitamin B12 Deficiency and Red Cell Distribution Width-Platelet Ratio”. Journal of Clinical and Experimental Investigations 7, no. 3 (September 2016): 211-13. https://doi.org/10.5799/jcei.328604.
EndNote Yılmaz N, Yılmaz M (September 1, 2016) The Relationship of Vitamin B12 Deficiency and Red Cell Distribution Width-Platelet Ratio. Journal of Clinical and Experimental Investigations 7 3 211–213.
IEEE N. Yılmaz and M. Yılmaz, “The Relationship of Vitamin B12 Deficiency and Red Cell Distribution Width-Platelet Ratio”, J Clin Exp Invest, vol. 7, no. 3, pp. 211–213, 2016, doi: 10.5799/jcei.328604.
ISNAD Yılmaz, Nigar - Yılmaz, Mustafa. “The Relationship of Vitamin B12 Deficiency and Red Cell Distribution Width-Platelet Ratio”. Journal of Clinical and Experimental Investigations 7/3 (September 2016), 211-213. https://doi.org/10.5799/jcei.328604.
JAMA Yılmaz N, Yılmaz M. The Relationship of Vitamin B12 Deficiency and Red Cell Distribution Width-Platelet Ratio. J Clin Exp Invest. 2016;7:211–213.
MLA Yılmaz, Nigar and Mustafa Yılmaz. “The Relationship of Vitamin B12 Deficiency and Red Cell Distribution Width-Platelet Ratio”. Journal of Clinical and Experimental Investigations, vol. 7, no. 3, 2016, pp. 211-3, doi:10.5799/jcei.328604.
Vancouver Yılmaz N, Yılmaz M. The Relationship of Vitamin B12 Deficiency and Red Cell Distribution Width-Platelet Ratio. J Clin Exp Invest. 2016;7(3):211-3.