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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
8987
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pubmed:dateCreated |
1995-12-15
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pubmed:abstractText |
Moderate hyperhomocysteinaemia is common in the general population and has been linked with cardiovascular disease. However, there are no data from prospective, population-based studies. We examined the association between serum total homocysteine (tHcy) concentration and stroke in a nested case-control study within the British Regional Heart Study cohort. Between 1978 and 1980 serum was saved from 5661 men, aged 40-59 years, randomly selected from the population of one general practice in each of 18 towns in the UK. During follow-up to December, 1991, there were 141 incident cases of stroke among men with no history of stroke at screening. Serum tHcy was measured in 107 cases and 118 control men (matched for age-group and town, without a history of stroke at screening, who did not develop a stroke or myocardial infarction during follow-up). tHcy concentrations were significantly higher in cases than controls (geometric mean 13.7 [95% CI 12.7-14.8] vs 11.9 [11.3-12.6] mumol/L; p = 0.004). There was a graded increase in the relative risk of stroke in the second, third, and fourth quarters of the tHcy distribution (odds ratios 1.3, 1.9, 2.8; trend p = 0.005) relative to the first. Adjustment for age-group, town, social class, body-mass index, hypertensive status, cigarette smoking, forced expiratory volume, packed-cell volume, alcohol intake, diabetes, high-density-lipoprotein cholesterol, and serum creatinine did not attenuate the association. These findings suggest that tHcy is a strong and independent risk factor for stroke.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Nov
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pubmed:issn |
0140-6736
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pubmed:author | |
pubmed:issnType |
Print
|
pubmed:day |
25
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pubmed:volume |
346
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1395-8
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:7475822-Adult,
pubmed-meshheading:7475822-Body Mass Index,
pubmed-meshheading:7475822-Case-Control Studies,
pubmed-meshheading:7475822-Cerebrovascular Disorders,
pubmed-meshheading:7475822-Cohort Studies,
pubmed-meshheading:7475822-Great Britain,
pubmed-meshheading:7475822-Homocysteine,
pubmed-meshheading:7475822-Humans,
pubmed-meshheading:7475822-Life Style,
pubmed-meshheading:7475822-Logistic Models,
pubmed-meshheading:7475822-Male,
pubmed-meshheading:7475822-Middle Aged,
pubmed-meshheading:7475822-Prospective Studies,
pubmed-meshheading:7475822-Risk Factors,
pubmed-meshheading:7475822-Socioeconomic Factors
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pubmed:year |
1995
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pubmed:articleTitle |
Prospective study of serum total homocysteine concentration and risk of stroke in middle-aged British men.
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pubmed:affiliation |
Department of Public Health, Royal Free Hospital School of Medicine, London, UK.
|
pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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