The purpose of the present study was to determine whether folic acid supplementation could reduce plasma homocysteine in obese children and to determine the association between dietary folate, serum folate and homocysteine level through the randomized double blinded placebo controlled trial.
Atherosclerosis is common \& remains a significant clinical problem because of leading to myocardial infarction, stroke and cardiovascular death. Many studies founded hyperhomocysteinemia is an independent risk factor for those cardiovascular diseases which take responsible for about 10% of total cardiovascular disease risk. Reduction of elevated plasma homocysteine may prevent up to 25% of cardiovascular events. One of modifiable cause of hyperhomocysteinemia is prevention of vitamin deficiency, especially folate deficiency. Obese Thai children are probable risk for folate deficiency due to low dietary folate intake and low serum folate level from unbalanced diet (low vegetables intake \& high fat diet) and high prevalence of thalassemia. Moreover obese children are also at risk of atherosclerosis. However, no data have been reported about effect of folic acid supplementation on homocysteine level in these patients.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
50
yellow tablet contained 5mg of folic acid, manufactured from the Government Pharmaceutical Organization, Ministry of Public Health, Thailand
sugar tablet manufactured to mimic folic acid tablet
Department of Pediatrics, Queen Sirikit National Institute of Child Health
Bangkok, Bangkok, Thailand
Queen Sirikit National Institute of Child Health
Bangkok, Bangkok, Thailand
Changes of Homocysteine Level
Mean difference of changes of homocysteine level between 2 treatment groups
Time frame: 8 weeks
Serum Folate Level
correlation between serum folate and plasma homocysteine level
Time frame: 8 weeks
Serum Vitamin B12 Level
correlation between serum vitamin B12 and plasma homocysteine level
Time frame: 8 weeks
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