title: One year B-vitamins increases serum and whole blood folate forms and lowers plasma homocysteine in older Germans.
abstract: BACKGROUND
  We aimed to study the effect of long-term supplementation of B-vitamins on folate forms in serum and whole blood (WB) in elderly German subjects.
  
  
  METHODS
  59 participants (mean age 67 years) were randomized to daily receive either vitamin D3 (1200 IU), folic acid (500 μg), vitamin B12 (500 μg), vitamin B6 (50 mg), and calcium carbonate (456 mg) or vitamin D3 plus calcium carbonate. Serum and WB folate forms were measured before and after 6 and 12 months.
  
  
  RESULTS
  B-vitamins supplementation for 6 months led to higher concentrations of 5-methyltetrahydrofolate (5-methylTHF) in serum (mean 49.1 vs. 19.6 nmol/L) and WB (1332 vs. 616 nmol/L). Also non-methyl-folate concentrations in serum and WB were higher after 6 months with B-vitamins supplementation. Unmetabolized folic acid (UFA) increased after supplementation. tHcy concentration was lowered after 1 year of B-vitamin supplementation (mean 13.1 vs. 9.6 μmol/L). A stronger reduction of tHcy after 1 year was found in participants who had baseline level >12.5 μmol/L (mean 17.0 vs. 11.9 μmol/L) compared to those with baseline tHcy lower than this limit (mean 9.1 vs. 7.4 μmol/L). In contrast, the increases in serum and WB 5-methylTHF were comparable between the two groups.
  
  
  CONCLUSIONS
  One year B-vitamins supplementation increased the levels of 5-methylTHF and non-methyl-folate in serum and WB, normalized tHcy, but caused an increase in the number of cases with detectable UFA in serum. Lowering of tHcy was predicted by baseline tHcy, but not by baseline serum or WB 5-methylTHF.
authors.forename: Susanne H
authors.initials: SH
authors.lastname: Kirsch
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Herrmann
authors.forename: Vera
authors.initials: V
authors.lastname: Kruse
authors.forename: Rudolf
authors.initials: R
authors.lastname: Eckert
authors.forename: Stefan
authors.initials: S
authors.lastname: Gräber
authors.forename: Jürgen
authors.initials: J
authors.lastname: Geisel
authors.forename: Rima
authors.initials: R
authors.lastname: Obeid
mesh_terms: D000368:Aged; D019587:Dietary Supplements; D005260:Female; D005492:Folic Acid / Q000097:blood* / Q000737:chemistry; D005858:Germany; D006710:Homocysteine / Q000097:blood*; D006801:Humans; D008297:Male; D014803:Vitamin B Complex / Q000008:administration & dosage* / Q000097:blood
chemical_list: D006710:Homocysteine; D014803:Vitamin B Complex; D005492:Folic Acid