title: Synergistic effects of elevated homocysteine level and abnormal blood lipids on the onset of stroke.
abstract: Hyperhomocysteinemia and abnormal blood lipids are independent risk factors for stroke. However, whether both factors exert a synergistic effect in the onset of stroke remains unclear. The present study is a retrospective analysis of 2 089 cases of stroke and 2 089 control cases of simple intervertebral disk protrusion using a paired multivariate logistic regression method. Adjusting for known confounding variables including the patients' age, gender, smoking status, alcohol consumption status, patient and family medical history, and clinical biochemical indices, elevated homocysteine level was related to the onset of stroke. Patients with elevated homocysteine levels and abnormal blood lipids showed a 40.9 % increase in the risk for stroke compared to patients with normal homocysteine levels and blood lipids (odds ratio 1.409; 95% confidence interval 1.127-1.761). These results indicate that elevated homocysteine and abnormal blood lipids exert synergistic effects in the onset of stroke. Patients with elevated homocysteine levels and abnormal blood lipids are predisposed to stroke.
authors.affiliation: Chinese PLA General Hospital, Beijing 100853, China.
authors.forename: Lu
authors.initials: L
authors.lastname: Hao
authors.affiliation: Chinese PLA General Hospital, Beijing 100853, China.
authors.forename: Liming
authors.initials: L
authors.lastname: Chen
authors.affiliation: Institute of Geriatrics, Chinese PLA General Hospital, Beijing 100853, China ; Beijing Key Laboratory of Geriatrics, Beijing 100853, China.
authors.forename: Xiaoyong
authors.initials: X
authors.lastname: Sai
authors.affiliation: Chinese PLA General Hospital, Beijing 100853, China.
authors.forename: Zhefeng
authors.initials: Z
authors.lastname: Liu
authors.affiliation: Chinese PLA General Hospital, Beijing 100853, China.
authors.forename: Guang
authors.initials: G
authors.lastname: Yang
authors.affiliation: Chinese PLA General Hospital, Beijing 100853, China.
authors.forename: Rongzeng
authors.initials: R
authors.lastname: Yan
authors.affiliation: Chinese PLA General Hospital, Beijing 100853, China.
authors.forename: Lili
authors.initials: L
authors.lastname: Wang
authors.affiliation: Chinese PLA General Hospital, Beijing 100853, China.
authors.forename: Caiyun
authors.initials: C
authors.lastname: Fu
authors.affiliation: Chinese PLA General Hospital, Beijing 100853, China.
authors.forename: Xuan
authors.initials: X
authors.lastname: Xu
authors.affiliation: Chinese PLA General Hospital, Beijing 100853, China.
authors.forename: Zhenzhen
authors.initials: Z
authors.lastname: Cheng
authors.affiliation: Chinese PLA General Hospital, Beijing 100853, China.
authors.forename: Qiang
authors.initials: Q
authors.lastname: Wu
authors.affiliation: Chinese PLA General Hospital, Beijing 100853, China.
authors.forename: Shuzhang
authors.initials: S
authors.lastname: Li
keywords: abnormal blood lipids; cardiovascular disease; case-control study; cysteine; grants-supported paper; inpatients; medication; neural regeneration; neuroregeneration; paired analysis; risk factor; stroke