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Vitamin B12 Düzeyleri ile Kardiyovasküler Hastalık Risk Gruplarının Karşılaştırılması

Yıl 2025, Cilt: 4 Sayı: 3, 73 - 79, 30.09.2025
https://doi.org/10.59518/farabimedj.1667573

Öz

Vitamin B12 suda çözünen ve çeşitli metabolik süreçlerin yürütülmesinde kullanılan bir vitamindir. Aneminin önlenmesinde, sinir hüclerinin fonksiyonlarını sağlıklı sürdürmesinde ve DNA sentezinde önemli görevleri vardır. Ayrıca B12 vitamini homosistein metabolizmasında kofaktör olarak bulunur. Homosistein endotelde bir dizi değişikliklere sebep olup; kardiyovasküler hastalıklarla (KVH) ilişkilendirilmiştir. KVH’lara bağlı ölümler ülkemizde hala tüm ölümler içinde birinci sırada bulunmaktadır Vitamin B12 eksikliği ile kardiyovasküler hastalık riski arasındaki ilişki akademik alanda henüz netlik kazanmamıştır. Bu retrospektif kesitsel çalışmada kişilerin vitamin B12 düzeyleri ile KVH risk gruplarını karşılaştırmayı amaçladık. Çalışmaya her risk grubunda 32 kişi olacak şekilde toplam 128 kişi alındı. SCORE (Sistemic Coronary Risk Evaluation) risk modeli kullanılarak dört risk grubunun vitamin B12 düzeylerini karşılaştırdık. KVH risk grupları ile vitamin B12 düzeyleri karşılaştırıldığında aradaki fark istatistiksel olarak anlamlı bulunmadı (p=0.209) ve aralarında kolerasyon saptanmadı (p>0.05). Kardiyovasküler hastalıklar günümüzde hala önemli bir halk sağlığı sorunu olduğundan, yüksek riskli bireylerin belirlenmesinde kolaylık ve fayda sağlayacak ek parametreler üzerinde çalışılması gerekmektedir.

Proje Numarası

24237859-758

Kaynakça

  • Turkish Statistical Institute (TÜİK). Mortality and Cause of Death Statistics, 2023. Published 2024. Accessed July 8, 2025. https://data.tuik.gov.tr/Bulten/Index?p=Olum-ve-Olum-Nedeni-Istatistikleri-2023-53709
  • Li J, Ma H. Associations of the hs-CRP/HDL-C ratio with cardiovascular disease among US adults: Evidence from NHANES 2015–2018. Nutr Metab Cardiovasc Dis. 2025;35(4):103814.
  • Averna M, Cefalù AB. LP(a): The new marker of high cardiovascular risk. Nutr Metab Cardiovasc Dis. 2025;35(3):103845.
  • Ndrepepa G. Myeloperoxidase – A bridge linking inflammation and oxidative stress with cardiovascular disease. Clin Chim Acta. 2019;493:36-51.
  • Sezgin Y. Vitamin B12 Yetersizliğine Yaklaşım. Konuralp Medical Journal. 2019;11(3):482-488.
  • Nomura SO, Bhatia HS, Garg PK, et al. Lipoprotein(a), high-sensitivity c-reactive protein, homocysteine and cardiovascular disease in the Multi-Ethnic Study of Atherosclerosis. Am J Prev Cardiol. 2024;21:100903.
  • Kumakura H, Funada R, Matsuo Y, et al. Fifteen-year clinical prognosis and cardiovascular or limb event associated with homocysteine levels in peripheral arterial disease. J Cardiol. 2023;82(5):423-428.
  • Mahalle N, Kulkarni MV, Garg MK, Naik SS. Vitamin B12 deficiency and hyperhomocysteinemia as correlates of cardiovascular risk factors in Indian subjects with coronary artery disease. J Cardiol. 2013;61(4):289-294.
  • Pawlak R. Is vitamin B12 deficiency a risk factor for cardiovascular disease in vegetarians?. Am J Prev Med. 2015;48(6):e11-e26.
  • Chen X, Yu P, Zhou L, et al. Low concentration of serum vitamin B12 may be a strong predictor of large-artery atherosclerosis stroke: A case-control study. Clin Biochem. 2024;131-132:110813.
  • Rafnsson SB, Saravanan P, Bhopal RS, Yajnik CS. Is a low blood level of vitamin B12 a cardiovascular and diabetes risk factor? A systematic review of cohort studies. Eur J Nutr. 2011;50(2):97-106.
  • Van Oijen MGH, Vlemmix F, Laheij RJF, Paloheimo L, Jansen JBMJ, Verheugt FWA. Hyperhomocysteinaemia and vitamin B12 deficiency: The long-term effects in cardiovascular disease. Cardiology. 2006;107(1):57–62.
  • Conroy RM, Pyörälä K, Fitzgerald AP, et al. Estimation of ten-year risk of fatal cardiovascular disease in Europe: the SCORE project. Eur Heart J. 2003;24(11):987-1003.
  • Turkish Society of Endocrine and Metabolism. Obezite Tanı ve Tedavi Klavuzu 2019. 2019.
  • Liu K, Yang Z, Lu X, et al. The origin of vitamin B12 levels and risk of all-cause, cardiovascular and cancer specific mortality: A systematic review and dose-response meta-analysis. Arch Gerontol Geriatr. 2024;117:105230.
  • Liu Y, Geng T, Wan Z, et al. Associations of Serum Folate and Vitamin B12 Levels With Cardiovascular Disease Mortality Among Patients With Type 2 Diabetes. JAMA Netw Open. 2022;5(1):e2146124.
  • Koldaş ZL Yaşlılık ve kardiyovasküler yaşlanma nedir?. Turk Kardiyol Dern Ars. 2017;45(90):1-4.
  • Satman I, Omer B, Tutuncu Y, et al. Twelve-year trends in the prevalence and risk factors of diabetes and prediabetes in Turkish adults. Eur J Epidemiol. 2013;28(2):169-180.
  • Gebara N, Abdel-Massih T, Sahakian JP, et al. Unconventional Cardiovascular Risk Factors and Systematic Coronary Risk Estimation (SCORE) in the Lebanese Rural Population: The Forgotten Factors. Vasc Health Risk Manag. 2023;19:507-517.
  • Graversen P, Abildstrøm SZ, Jespersen L, Borglykke A, Prescott E. Cardiovascular risk prediction: Can Systematic Coronary Risk Evaluation (SCORE) be improved by adding simple risk markers? Results from the Copenhagen City Heart Study. Eur J Prev Cardiol. 2016;23(14):1546-1556.
  • Altun B, Arici M, Nergizoğlu G, et al. Prevalence, awareness, treatment and control of hypertension in Turkey (the PatenT study) in 2003. J Hypertens. 2005;23(10):1817-1823.
  • Sengul S, Akpolat T, Erdem Y, et al. Changes in hypertension prevalence, awareness, treatment, and control rates in Turkey from 2003 to 2012. J Hypertens. 2016;34(6):1208-1217.
  • Dogan M, Ariyuca S, Peker E, et al. Psychotic disorder, hypertension and seizures associated with vitamin B12 deficiency: a case report. Hum Exp Toxicol. 2012;31(4):410-413.
  • Zhou Z, Yang D, Li C, Wu T, Shi R. Serum ferritin and the risk of short-term mortality in critically ill patients with chronic heart failure: a retrospective cohort study. Front Physiol. 2023;14:1148891.
  • Zhou J. Serum ferritin and the risk of myocardial infarction: A Mendelian randomization study. Medicine (Baltimore). 2024;103(17):e37952.
  • SCORE2 working group and ESC Cardiovascular risk collaboration. SCORE2 risk prediction algorithms: new models to estimate 10-year risk of cardiovascular disease in Europe. Eur Heart J. 2021;42(25):2439-2454.
  • Silva C, Mendes JE, Ramos R, Gaspar A, Leal F, Mendes N. Cardiovascular risk assessment in Portugal's primary health care system: SCORE vs. SCORE2. Rev Port Cardiol. 2024;43(8):449-455.
  • Choi J, Sung S, Park SK, et al. SCORE and SCORE2 in East Asian Population: A Performance Comparison. JACC Asia. 2023;4(4):265-274.

Comparison of Vitamin B12 Levels and Cardiovascular Disease Risk Groups

Yıl 2025, Cilt: 4 Sayı: 3, 73 - 79, 30.09.2025
https://doi.org/10.59518/farabimedj.1667573

Öz

Vitamin B12 is a water-soluble vitamin involved in various metabolic processes. It plays a crucial role in the prevention of anemia, the maintenance of healthy neuronal function, and DNA synthesis. Moreover, vitamin B12 acts as a cofactor in homocysteine metabolism. Elevated homocysteine levels have been associated with a range of endothelial alterations and have been linked to cardiovascular diseases (CVD). In Turkey, CVD-related mortality remains the leading cause of death. However, the relationship between vitamin B12 deficiency and the risk of CVD has not yet been clearly established in the academic literature. In this retrospective cross-sectional study, we aimed to compare individuals' vitamin B12 levels across different CVD risk groups. A total of 128 participants were included, with 32 individuals in each risk group. Using the SCORE (Systemic Coronary Risk Evaluation) risk model, we compared vitamin B12 levels across four CVD risk categories. The differences in vitamin B12 levels among the CVD risk groups were not statistically significant (p=0.209), and no correlation was found (p>0.05). Given that cardiovascular diseases continue to pose a major public health concern, further studies are needed to identify additional parameters that may assist in the identification of high-risk individuals.

Etik Beyan

For this research, ethics committee approval was obtained from the Ethics Committee of the Faculty of Medicine, Karadeniz Technical University, dated September 7, 2021, with the reference number 24237859-758.

Proje Numarası

24237859-758

Teşekkür

We would like to express our sincere gratitude to Prof. Dr. Turan Set, Head of the Department at Karadeniz Technical University, for his invaluable guidance, support, and contributions throughout this study.

Kaynakça

  • Turkish Statistical Institute (TÜİK). Mortality and Cause of Death Statistics, 2023. Published 2024. Accessed July 8, 2025. https://data.tuik.gov.tr/Bulten/Index?p=Olum-ve-Olum-Nedeni-Istatistikleri-2023-53709
  • Li J, Ma H. Associations of the hs-CRP/HDL-C ratio with cardiovascular disease among US adults: Evidence from NHANES 2015–2018. Nutr Metab Cardiovasc Dis. 2025;35(4):103814.
  • Averna M, Cefalù AB. LP(a): The new marker of high cardiovascular risk. Nutr Metab Cardiovasc Dis. 2025;35(3):103845.
  • Ndrepepa G. Myeloperoxidase – A bridge linking inflammation and oxidative stress with cardiovascular disease. Clin Chim Acta. 2019;493:36-51.
  • Sezgin Y. Vitamin B12 Yetersizliğine Yaklaşım. Konuralp Medical Journal. 2019;11(3):482-488.
  • Nomura SO, Bhatia HS, Garg PK, et al. Lipoprotein(a), high-sensitivity c-reactive protein, homocysteine and cardiovascular disease in the Multi-Ethnic Study of Atherosclerosis. Am J Prev Cardiol. 2024;21:100903.
  • Kumakura H, Funada R, Matsuo Y, et al. Fifteen-year clinical prognosis and cardiovascular or limb event associated with homocysteine levels in peripheral arterial disease. J Cardiol. 2023;82(5):423-428.
  • Mahalle N, Kulkarni MV, Garg MK, Naik SS. Vitamin B12 deficiency and hyperhomocysteinemia as correlates of cardiovascular risk factors in Indian subjects with coronary artery disease. J Cardiol. 2013;61(4):289-294.
  • Pawlak R. Is vitamin B12 deficiency a risk factor for cardiovascular disease in vegetarians?. Am J Prev Med. 2015;48(6):e11-e26.
  • Chen X, Yu P, Zhou L, et al. Low concentration of serum vitamin B12 may be a strong predictor of large-artery atherosclerosis stroke: A case-control study. Clin Biochem. 2024;131-132:110813.
  • Rafnsson SB, Saravanan P, Bhopal RS, Yajnik CS. Is a low blood level of vitamin B12 a cardiovascular and diabetes risk factor? A systematic review of cohort studies. Eur J Nutr. 2011;50(2):97-106.
  • Van Oijen MGH, Vlemmix F, Laheij RJF, Paloheimo L, Jansen JBMJ, Verheugt FWA. Hyperhomocysteinaemia and vitamin B12 deficiency: The long-term effects in cardiovascular disease. Cardiology. 2006;107(1):57–62.
  • Conroy RM, Pyörälä K, Fitzgerald AP, et al. Estimation of ten-year risk of fatal cardiovascular disease in Europe: the SCORE project. Eur Heart J. 2003;24(11):987-1003.
  • Turkish Society of Endocrine and Metabolism. Obezite Tanı ve Tedavi Klavuzu 2019. 2019.
  • Liu K, Yang Z, Lu X, et al. The origin of vitamin B12 levels and risk of all-cause, cardiovascular and cancer specific mortality: A systematic review and dose-response meta-analysis. Arch Gerontol Geriatr. 2024;117:105230.
  • Liu Y, Geng T, Wan Z, et al. Associations of Serum Folate and Vitamin B12 Levels With Cardiovascular Disease Mortality Among Patients With Type 2 Diabetes. JAMA Netw Open. 2022;5(1):e2146124.
  • Koldaş ZL Yaşlılık ve kardiyovasküler yaşlanma nedir?. Turk Kardiyol Dern Ars. 2017;45(90):1-4.
  • Satman I, Omer B, Tutuncu Y, et al. Twelve-year trends in the prevalence and risk factors of diabetes and prediabetes in Turkish adults. Eur J Epidemiol. 2013;28(2):169-180.
  • Gebara N, Abdel-Massih T, Sahakian JP, et al. Unconventional Cardiovascular Risk Factors and Systematic Coronary Risk Estimation (SCORE) in the Lebanese Rural Population: The Forgotten Factors. Vasc Health Risk Manag. 2023;19:507-517.
  • Graversen P, Abildstrøm SZ, Jespersen L, Borglykke A, Prescott E. Cardiovascular risk prediction: Can Systematic Coronary Risk Evaluation (SCORE) be improved by adding simple risk markers? Results from the Copenhagen City Heart Study. Eur J Prev Cardiol. 2016;23(14):1546-1556.
  • Altun B, Arici M, Nergizoğlu G, et al. Prevalence, awareness, treatment and control of hypertension in Turkey (the PatenT study) in 2003. J Hypertens. 2005;23(10):1817-1823.
  • Sengul S, Akpolat T, Erdem Y, et al. Changes in hypertension prevalence, awareness, treatment, and control rates in Turkey from 2003 to 2012. J Hypertens. 2016;34(6):1208-1217.
  • Dogan M, Ariyuca S, Peker E, et al. Psychotic disorder, hypertension and seizures associated with vitamin B12 deficiency: a case report. Hum Exp Toxicol. 2012;31(4):410-413.
  • Zhou Z, Yang D, Li C, Wu T, Shi R. Serum ferritin and the risk of short-term mortality in critically ill patients with chronic heart failure: a retrospective cohort study. Front Physiol. 2023;14:1148891.
  • Zhou J. Serum ferritin and the risk of myocardial infarction: A Mendelian randomization study. Medicine (Baltimore). 2024;103(17):e37952.
  • SCORE2 working group and ESC Cardiovascular risk collaboration. SCORE2 risk prediction algorithms: new models to estimate 10-year risk of cardiovascular disease in Europe. Eur Heart J. 2021;42(25):2439-2454.
  • Silva C, Mendes JE, Ramos R, Gaspar A, Leal F, Mendes N. Cardiovascular risk assessment in Portugal's primary health care system: SCORE vs. SCORE2. Rev Port Cardiol. 2024;43(8):449-455.
  • Choi J, Sung S, Park SK, et al. SCORE and SCORE2 in East Asian Population: A Performance Comparison. JACC Asia. 2023;4(4):265-274.
Toplam 28 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular İç Hastalıkları
Bölüm Araştırma Makaleleri
Yazarlar

Mustafa Güner 0000-0002-8259-3860

Elif Ateş 0000-0001-9713-4555

Proje Numarası 24237859-758
Yayımlanma Tarihi 30 Eylül 2025
Gönderilme Tarihi 30 Mart 2025
Kabul Tarihi 1 Eylül 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 4 Sayı: 3

Kaynak Göster

AMA Güner M, Ateş E. Comparison of Vitamin B12 Levels and Cardiovascular Disease Risk Groups. Farabi Med J. Eylül 2025;4(3):73-79. doi:10.59518/farabimedj.1667573

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