La Relationship between vitamin B12 levels and insulin resistance in postmenopausal women from Colombia Caribbean

Introduction: The high prevalence of low vitamin B12 serum levels has been recognized as a public health problem in Latin America; however, the current magnitude of this deficiency in Colombia is uncertain. Low levels of vitamin B12 can induce clinical and subclinical hematological and neurological...

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Main Authors: Luz Adriana Sarmiento-Rubiano, Jimmy Everth Becerra, Roberto Carlos Rebolledo-Cobos, Norella Ortega-Ariza, María Cristina Sarmiento-Rubiano
Format: Article
Language:Portuguese
Published: Universidade de São Paulo 2023-04-01
Series:Medicina
Subjects:
Online Access:https://www.revistas.usp.br/rmrp/article/view/201354
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author Luz Adriana Sarmiento-Rubiano
Jimmy Everth Becerra
Roberto Carlos Rebolledo-Cobos
Norella Ortega-Ariza
María Cristina Sarmiento-Rubiano
author_facet Luz Adriana Sarmiento-Rubiano
Jimmy Everth Becerra
Roberto Carlos Rebolledo-Cobos
Norella Ortega-Ariza
María Cristina Sarmiento-Rubiano
author_sort Luz Adriana Sarmiento-Rubiano
collection DOAJ
description Introduction: The high prevalence of low vitamin B12 serum levels has been recognized as a public health problem in Latin America; however, the current magnitude of this deficiency in Colombia is uncertain. Low levels of vitamin B12 can induce clinical and subclinical hematological and neurological disorders. Epidemiological studies have demonstrated a relationship between vitamin B12 deficiency and cardiovascular diseases (CVDs). However, the role of vitamin B12 in insulin resistance has been poorly studied. Objective: This study aimed to evaluate the relationship between vitamin B12 serum levels and biochemical and anthropometric markers related to CVDs and insulin resistance in postmenopausal women from Colombia Caribbean. Methods: Correlational, descriptive study. By convenience sampling, 182 postmenopausal women from the medical consultation service of a health institution were linked. Serum vitamin B12 levels, anthropometric variables (body mass index, abdominal perimeter), and biochemical variables (glycemia, insulin, lipid profile, HOMA IR) were evaluated. Results: The average value of the vitamin B12 serum level was 312.5 ± 122.5 pg/mL (230.6 ± 90.4 pmol/L); 46.7% of the women had less than adequate levels of 300 pg/mL (> 221 pmol/L), and 9. 9% were deficient, with levels of less than 200 pg/mL (148 pmol/L). The women with metabolic syndrome were 63.7%, and according to HOMA IR, 52.7 % had insulin resistance. A significant inverse relationship was shown between serum vitamin B12 levels with basal glycemic (P =0.002) and HOMA-IR (P =0.040). Conclusions: A significant inverse relationship between vitamin B12 levels and basal glycemia and HOMA-IR was observed. These findings highlight vitamin B12 deficiency in postmenopausal women and suggest nutritional supplementation.
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spelling doaj.art-bc458d4d1c054209a545aefd1c9ef5c82023-04-14T16:04:39ZporUniversidade de São PauloMedicina0076-60462176-72622023-04-01561La Relationship between vitamin B12 levels and insulin resistance in postmenopausal women from Colombia CaribbeanLuz Adriana Sarmiento-Rubiano0Jimmy Everth Becerra1Roberto Carlos Rebolledo-Cobos2Norella Ortega-Ariza3María Cristina Sarmiento-Rubiano4Metropolitana University. Group Food and Human Behavior, Barranquilla, Atlántico Colombia.Metropolitana University. Group Food and Human Behavior, Barranquilla, Atlántico Colombia.Metropolitan University. Critical care and functional rehabilitation Investigation Group, Barranquilla, Colombia.Metropolitan University, Research Department, Barranquilla, Colombia.Sinú University, Preventive and Community Medicine, Cartagena, Colombia Introduction: The high prevalence of low vitamin B12 serum levels has been recognized as a public health problem in Latin America; however, the current magnitude of this deficiency in Colombia is uncertain. Low levels of vitamin B12 can induce clinical and subclinical hematological and neurological disorders. Epidemiological studies have demonstrated a relationship between vitamin B12 deficiency and cardiovascular diseases (CVDs). However, the role of vitamin B12 in insulin resistance has been poorly studied. Objective: This study aimed to evaluate the relationship between vitamin B12 serum levels and biochemical and anthropometric markers related to CVDs and insulin resistance in postmenopausal women from Colombia Caribbean. Methods: Correlational, descriptive study. By convenience sampling, 182 postmenopausal women from the medical consultation service of a health institution were linked. Serum vitamin B12 levels, anthropometric variables (body mass index, abdominal perimeter), and biochemical variables (glycemia, insulin, lipid profile, HOMA IR) were evaluated. Results: The average value of the vitamin B12 serum level was 312.5 ± 122.5 pg/mL (230.6 ± 90.4 pmol/L); 46.7% of the women had less than adequate levels of 300 pg/mL (> 221 pmol/L), and 9. 9% were deficient, with levels of less than 200 pg/mL (148 pmol/L). The women with metabolic syndrome were 63.7%, and according to HOMA IR, 52.7 % had insulin resistance. A significant inverse relationship was shown between serum vitamin B12 levels with basal glycemic (P =0.002) and HOMA-IR (P =0.040). Conclusions: A significant inverse relationship between vitamin B12 levels and basal glycemia and HOMA-IR was observed. These findings highlight vitamin B12 deficiency in postmenopausal women and suggest nutritional supplementation. https://www.revistas.usp.br/rmrp/article/view/201354Vitamin B12Insulin resistanceDietPostmenopauseCardiovascular diseases
spellingShingle Luz Adriana Sarmiento-Rubiano
Jimmy Everth Becerra
Roberto Carlos Rebolledo-Cobos
Norella Ortega-Ariza
María Cristina Sarmiento-Rubiano
La Relationship between vitamin B12 levels and insulin resistance in postmenopausal women from Colombia Caribbean
Medicina
Vitamin B12
Insulin resistance
Diet
Postmenopause
Cardiovascular diseases
title La Relationship between vitamin B12 levels and insulin resistance in postmenopausal women from Colombia Caribbean
title_full La Relationship between vitamin B12 levels and insulin resistance in postmenopausal women from Colombia Caribbean
title_fullStr La Relationship between vitamin B12 levels and insulin resistance in postmenopausal women from Colombia Caribbean
title_full_unstemmed La Relationship between vitamin B12 levels and insulin resistance in postmenopausal women from Colombia Caribbean
title_short La Relationship between vitamin B12 levels and insulin resistance in postmenopausal women from Colombia Caribbean
title_sort la relationship between vitamin b12 levels and insulin resistance in postmenopausal women from colombia caribbean
topic Vitamin B12
Insulin resistance
Diet
Postmenopause
Cardiovascular diseases
url https://www.revistas.usp.br/rmrp/article/view/201354
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