title: Effects of differences in serum total homocysteine, folate, and vitamin B12 on cognitive impairment in stroke patients.
abstract: BACKGROUND
  Vascular cognitive impairment-no dementia (VCIND) refers to the early or mild cognitive impairment induced by cerebral vascular injury. Research shows that serum total homocysteine (tHcy) level is an independent risk factor for cerebral vascular disease and may be closely related to cognitive function.Current studies on the tHcy level in VCIND patients are limited, and the relationship of tHcy with cognitive function remains unclear. This study aims to investigate the tHcy levels in patients with VCIND and to determine their correlation with cognitive function, as well as to provide useful clues for preventing and treating VCIND.
  
  
  METHODS
  The tHcy, folate, and vitamin B12 levels in 82 patients with VCIND were reviewed retrospectively and compared with those of 80 stroke patients without cognitive impairment and 69 healthy controls by using the Montreal Cognitive Assessment (MoCA) scale and the event-related potential P300 to evaluate cognitive function.
  
  
  RESULTS
  The tHcy levels in the VCIND group were higher than those in the other two groups, whereas the folate and Vitamin B12 levels in the VCIND group were lower than those of the other two groups. The tHcy levels in the stroke group were higher than those in the control group, and the folate and vitamin B12 levels in the stroke group were lower than those in the control group. The patients in the VCIND group with high tHcy exhibited lower MoCA scores and prolonged P300 latency than those in with normal tHcy. Correlation analysis showed that tHcy level is positively correlated with P300 latency period and negatively correlated with MoCA score.
  
  
  CONCLUSIONS
  The tHcy levels were significantly higher and the vitamin B12 and folate levels were significantly lower in the patients with VCIND than those in the other groups. The high tHcy levels in the VCIND patients may be correlated with impaired cognitive function.
authors.affiliation: Department of Neuromedical Center, The First Hospital Affiliated to the Chinese PLA General Hospital, 51 Fucheng Avenue, Beijing, 100048, Haidian District, China. bojicn@yeah.net.
authors.forename: Bo
authors.initials: B
authors.lastname: Jiang
authors.affiliation: Department of Neuromedical Center, The First Hospital Affiliated to the Chinese PLA General Hospital, 51 Fucheng Avenue, Beijing, 100048, Haidian District, China. zhaohuiang@163.com.
authors.forename: Yumei
authors.initials: Y
authors.lastname: Chen
authors.affiliation: Department of Neuromedical Center, The First Hospital Affiliated to the Chinese PLA General Hospital, 51 Fucheng Avenue, Beijing, 100048, Haidian District, China. linauu@126.com.
authors.forename: Guoen
authors.initials: G
authors.lastname: Yao
authors.affiliation: Department of Neuromedical Center, The First Hospital Affiliated to the Chinese PLA General Hospital, 51 Fucheng Avenue, Beijing, 100048, Haidian District, China. liiauang@126.com.
authors.forename: Cunshan
authors.initials: C
authors.lastname: Yao
authors.affiliation: Department of Neuromedical Center, The First Hospital Affiliated to the Chinese PLA General Hospital, 51 Fucheng Avenue, Beijing, 100048, Haidian District, China. uihang@126.com.
authors.forename: Hongmei
authors.initials: H
authors.lastname: Zhao
authors.affiliation: Department of Neuromedical Center, The First Hospital Affiliated to the Chinese PLA General Hospital, 51 Fucheng Avenue, Beijing, 100048, Haidian District, China. eiinghou@163.com.
authors.forename: Xiangdong
authors.initials: X
authors.lastname: Jia
authors.affiliation: Department of Neuromedical Center, The First Hospital Affiliated to the Chinese PLA General Hospital, 51 Fucheng Avenue, Beijing, 100048, Haidian District, China. xiangu@yeah.net.
authors.forename: Yunyan
authors.initials: Y
authors.lastname: Zhang
authors.affiliation: Department of Neuromedical Center, The First Hospital Affiliated to the Chinese PLA General Hospital, 51 Fucheng Avenue, Beijing, 100048, Haidian District, China. wijawang@163.com.
authors.forename: Junling
authors.initials: J
authors.lastname: Ge
authors.affiliation: Department of Neuromedical Center, The First Hospital Affiliated to the Chinese PLA General Hospital, 51 Fucheng Avenue, Beijing, 100048, Haidian District, China. zhumeiwang@yeah.net.
authors.forename: Enchao
authors.initials: E
authors.lastname: Qiu
authors.affiliation: Department of Neuromedical Center, The First Hospital Affiliated to the Chinese PLA General Hospital, 51 Fucheng Avenue, Beijing, 100048, Haidian District, China. chengyundingcn@163.com.
authors.forename: Chengyun
authors.initials: C
authors.lastname: Ding
mesh_terms: D000328:Adult; D000368:Aged; D001921:Brain / Q000473:pathology; D016022:Case-Control Studies; D003071:Cognition; D003072:Cognition Disorders / Q000097:blood / Q000209:etiology*; D005260:Female; D005492:Folic Acid / Q000097:blood*; D006710:Homocysteine / Q000097:blood*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D020521:Stroke / Q000150:complications*; D014805:Vitamin B 12 / Q000097:blood*
chemical_list: D006710:Homocysteine; D005492:Folic Acid; D014805:Vitamin B 12