Correlation between Folic Acid and Homocysteine Plasma in Severe Pre-Eclampsia and Normal Pregnancy

Background: Lack of folic acid intake or genetic abnormalities in folic acid metabolism was correlates with elevated plasma or serum homocysteine concentrations. This case-control analytical study aims to determine the correlation between folic acid and homocysteine levels in severe pre-eclampsia an...

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Main Authors: Inke Malahayati, Joserizal Serudji, Delmi Sulastri
Format: Article
Language:English
Published: Universitas Indonesia 2018-08-01
Series:Makara Journal of Health Research
Subjects:
Online Access:https://scholarhub.ui.ac.id/mjhr/vol22/iss2/4/
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author Inke Malahayati
Joserizal Serudji
Delmi Sulastri
author_facet Inke Malahayati
Joserizal Serudji
Delmi Sulastri
author_sort Inke Malahayati
collection DOAJ
description Background: Lack of folic acid intake or genetic abnormalities in folic acid metabolism was correlates with elevated plasma or serum homocysteine concentrations. This case-control analytical study aims to determine the correlation between folic acid and homocysteine levels in severe pre-eclampsia and normal pregnancy. Methods: We enrolled 46 pregnant women (age 20─35 years) with severe pre-eclampsia or normal pregnancy at a government hospital in Padang, Indonesia, between March and May 2015. The samples size was selected by consecutive sampling. Then, we determined folic acid and homocysteine levels using ELISA and statistical analysis using the independent t-test and Pearson correlation. Results: We observed a difference in folic acid levels between severe pre-eclampsia (39.48 ± 9.40 ng/mL) and normal pregnancy (47.04 ± 13.20 ng/mL, p < 0.05). A difference was also observed in homocysteine levels between pre-eclampsia (18.52 ± 0.41 pmol/mL) and normal pregnancy (17.80 ± 0.73 pmol/mL, p < 0.05). The correlation between folic acid and homocysteine in severe pre-eclampsia and normal pregnancy was negative (r = -0.034, p > 0.05 and r = -0.222, p > 0.05, respectively). Conclusions: Low folic acid levels tend to increase homocysteine levels in severe pre-eclampsia, whereas high folic acid levels tend to lower homocysteine levels in normal pregnancy.
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spelling doaj.art-196493a28cc24830b1f18ac6fd71cabc2023-03-14T04:22:45ZengUniversitas IndonesiaMakara Journal of Health Research2356-36642356-36562018-08-01222747910.7454/msk.v22i2.92973940Correlation between Folic Acid and Homocysteine Plasma in Severe Pre-Eclampsia and Normal PregnancyInke Malahayati0Joserizal Serudji1Delmi Sulastri2Poltekkes Kemenkes Medan, Midwifery Study Program of Pematang Siantar, Sumatera Utara 20137, IndonesiaDepartment of Obstetrics Gynecology Faculty of Medicine, Universitas Andalas, Sumatera Barat 25163, IndonesiaNutrition Department Faculty of Medicine, Universitas Andalas, Sumatera Barat 25163, IndonesiaBackground: Lack of folic acid intake or genetic abnormalities in folic acid metabolism was correlates with elevated plasma or serum homocysteine concentrations. This case-control analytical study aims to determine the correlation between folic acid and homocysteine levels in severe pre-eclampsia and normal pregnancy. Methods: We enrolled 46 pregnant women (age 20─35 years) with severe pre-eclampsia or normal pregnancy at a government hospital in Padang, Indonesia, between March and May 2015. The samples size was selected by consecutive sampling. Then, we determined folic acid and homocysteine levels using ELISA and statistical analysis using the independent t-test and Pearson correlation. Results: We observed a difference in folic acid levels between severe pre-eclampsia (39.48 ± 9.40 ng/mL) and normal pregnancy (47.04 ± 13.20 ng/mL, p < 0.05). A difference was also observed in homocysteine levels between pre-eclampsia (18.52 ± 0.41 pmol/mL) and normal pregnancy (17.80 ± 0.73 pmol/mL, p < 0.05). The correlation between folic acid and homocysteine in severe pre-eclampsia and normal pregnancy was negative (r = -0.034, p > 0.05 and r = -0.222, p > 0.05, respectively). Conclusions: Low folic acid levels tend to increase homocysteine levels in severe pre-eclampsia, whereas high folic acid levels tend to lower homocysteine levels in normal pregnancy.https://scholarhub.ui.ac.id/mjhr/vol22/iss2/4/folic acidhomocysteinepre-eclampsiapregnancy
spellingShingle Inke Malahayati
Joserizal Serudji
Delmi Sulastri
Correlation between Folic Acid and Homocysteine Plasma in Severe Pre-Eclampsia and Normal Pregnancy
Makara Journal of Health Research
folic acid
homocysteine
pre-eclampsia
pregnancy
title Correlation between Folic Acid and Homocysteine Plasma in Severe Pre-Eclampsia and Normal Pregnancy
title_full Correlation between Folic Acid and Homocysteine Plasma in Severe Pre-Eclampsia and Normal Pregnancy
title_fullStr Correlation between Folic Acid and Homocysteine Plasma in Severe Pre-Eclampsia and Normal Pregnancy
title_full_unstemmed Correlation between Folic Acid and Homocysteine Plasma in Severe Pre-Eclampsia and Normal Pregnancy
title_short Correlation between Folic Acid and Homocysteine Plasma in Severe Pre-Eclampsia and Normal Pregnancy
title_sort correlation between folic acid and homocysteine plasma in severe pre eclampsia and normal pregnancy
topic folic acid
homocysteine
pre-eclampsia
pregnancy
url https://scholarhub.ui.ac.id/mjhr/vol22/iss2/4/
work_keys_str_mv AT inkemalahayati correlationbetweenfolicacidandhomocysteineplasmainseverepreeclampsiaandnormalpregnancy
AT joserizalserudji correlationbetweenfolicacidandhomocysteineplasmainseverepreeclampsiaandnormalpregnancy
AT delmisulastri correlationbetweenfolicacidandhomocysteineplasmainseverepreeclampsiaandnormalpregnancy