Vudhivai N

Relationship of tobacco smoking with serum vitamin B12, folic acid and haematological indices in healthy adults.

OBJECTIVES To investigate the effects of tobacco smoking on serum vitamin B12, folic acid and haematological parameters in healthy Thai smokers and non-smokers. DESIGN Cross-sectional study of smokers and non-smokers in a military unit in Bangkok, Thailand. SETTING A military unit in Thailand. SUBJECTS One hundred and twenty-three male smokers from a military unit in Bangkok, who participated voluntarily in the study, were investigated. Sixty-six male non-smokers from the same unit were selected as controls. Fasting blood samples were collected for investigation of vitamin B12, folic acid and haematological variables. RESULTS The serum folic acid concentration of smokers was lower than that of non-smokers, but was not statistically significantly different. Haemoglobin was lower in smokers than in non-smokers; 16.3% of smokers were anaemic compared with only 3.0% of non-smokers. Anaemia was not related to folate deficiency. The white blood cell count was found to be higher in smokers than in non-smokers. CONCLUSION The results of this study suggest that there were low serum folic acid concentrations in smokers compared with non-smokers, which might contribute to the development of vascular and cardiovascular diseases. The higher white blood cell count might be indicative alterations in the immune functions of smokers.

Serum Homocysteine, B12 and Folic Acid Concentration in Thai Overweight and Obese Subjects

This study investigated levels of serum homocysteine, vitamin B12, folic acid, vitamin B6 and vitamin C, in 37 male and 112 female overweight and obese Thai volunteers (body mass index; BMI > or = 25.00), and 23 male and 90 female normal-weight Thai volunteers, who came for a physical check-up at the Out-patient Department, General Practice Section, Rajvithi Hospital, Bangkok from March to October of 2000. Data included anthropometric measurements and waist/hip ratios. All anthropometric variables, except height, were significantly higher for the overweight subjects than for the normal subjects. Statistically significantly higher levels of serum homocysteine were found in the overweight subjects. Serum homocysteine concentrations in overweight and obese males were significantly higher than in overweight and obese females. Serum folic acid and vitamin C in the overweight and obese were found to be statistically significantly lower than in the control subjects. No statistically significant difference in vitamin B12 was found in the overweight and obese subjects compared with the normal control subjects. The medians of serum folic acid and vitamin C concentrations for the overweight and obese males were significantly lower than those of the overweight and obese females. A negative correlation was found between serum folic acid and homocysteine concentrations in all overweight and obese subjects. A significant negative correlation between serum folic acid and vitamin B6 was observed in both male and female overweight and obese subjects. The results of the investigation suggest that homocysteine levels in overweight and obese subjects seem to be caused by insufficient dietary folic acid intake and probably not by B12 deficiency.

Activity, dietary intake, and anthropometry of an informal social group of Thai elderly in Bangkok

Socio-demographic, anthropometric assessment, dietary pattern, lifestyle of 384 Thai elderly (55 males and 329 females) aged 60-94 years, who were members of an informal social activity group, were investigated. The 3-day dietary record was determined with the help of food models by random sampling of the group (seven males and 25 females). Most of the males investigated were married (88.9%), whereas 42.9% of the females were widowed. Nearly all of the elderly investigated lived with their relatives. Only 3% of the elderly had never attended school. More elderly males than females smoked or had smoked in the past, and this applies also to their drinking habits. The health situation of the individuals investigated seemed to be satisfactory. The most frequent diseases found among the elderly were chronic diseases, such as hypertension, hyperlipidemia and diabetes mellitus. No statistically significant difference in body mass index (BMI), arm circumference (AC), and hip circumference was found between males and females. Weight, height, mid-arm muscle circumference (MAMC), arm span, waist, waist/hip ratio and blood pressure of the males were significantly higher than those of the females. Tricep skin-fold thickness (TSF) and subscapular skin-fold thickness (SST) were lower for males than for females. A total of 54.5% of the males and 50.5% of the females were found to be over-nourished. Less than 2% of all the individuals investigated were undernourished. No significant differences were observed for all nutrients between the males and females. Intake of dietary energy from food for males and females was 69.8 and 75.5%, respectively, compared with the Thai RDA. When calculating the intake of macro-nutrients as percentage of total calorie intake, about 17% of the total calorie intake was attributed to fat, 13% to protein and 70% to carbohydrate for the males. For the females, the figures were 17, 15, and 68%, respectively. Intake of calcium, phosphorus, vitamin B1, B2 and niacin seem to be inadequate for both sexes.

Serum Leptin and Lipid Profiles in Thai Obese and Overweight Subjects

The weight, height, body mass index (BMI), waist/hip ratio, serum leptin and lipid profiles of 48 overweight (BMI > or = 25.00). Thai males and 166 overweight Thai females, compared with 26 males and 81 females in a control group (BMI = 18.5-24.9 kg/m2), were investigated. Subjects for the study were those persons who turned up regularly for physical check-ups at the out-patient department, general practice section of the Rajvithi Hospital, Bangkok. The study was conducted between March-October, 1998. Statistically significantly higher levels of serum leptin, cholesterol, LDL-C, LDL-C/HDL-C ratio and triglyceride were found in the overweight compared with the control subjects. The median serum leptin concentration in overweight subjects was 19.6 (2.0-60.0 ng/ml) compared with 9.0 (range 1.0-30.0 ng/ml) in the control subjects (p < 0.001). The median values of leptin serum concentrations in the overweight and obese males were significantly higher than those of the overweight and obese females. A total of 66.7% (32 out of 48) of the overweight and obese males had elevated leptin levels, while elevated leptin levels were found in 87.3% (145 out of 166) of the overweight and obese females. A total of 18.8% and 21.1% of the overweight and obese males and females respectively had cholesterol concentrations of > or = 6.48 mmol/l. However, the prevalence of low HDL-C (HDL-C < or = 0.91 mmol/l) was found to be 41.7% in the overweight and obese males and 4.2% in the overweight and obese females. Statistically significant associations were found between weight, height, BMI, waist, hip, waist/hip ratio, HDL-C, and serum leptin in both overweight male and female subjects. A negative correlation was found between serum leptin and LDL-C/HDL-C ratio in both the overweight and obese subjects.

An investigation of the health and nutritional status of the population in the Nam Pong Water Resource Development Project, northeast Thailand

The prevalence of gastro-intestinal parasites, the haemoglobin level, nutritional status (from anthropometric measurements), urinary urea-N creatinine (U-C) ratio and levels of vitamin B1, and B2, were studied in populations living around a man-made lake, in a resettlement area and nearby irrigation area and in traditional villages in northeast Thailand. The hydroxyproline (HOP) index was also determined.The intensity of parasitic infection was generally low, but Opisthorchis viverrini had the highest prevalence rate in the irrigation area and hookworm, Necator americanus, in the resettlement area. Despite a high average annual income per household in the irrigation area, no significant difference in the nutritional status was found, as judged by anthropometric measurements. The U-C ratio was highest in children around the lake. Anaemia was common in about 30% of the total population in the areas surveyed. The HOP index was similar in all areas. For vitamin B1, and vitamin B2 1·7–10·9% and 1·9–10·0% of th...

Riboflavin supplementation in a resettlement village in north-east Thailand.

I. A high prevalence of biochemical ariboflavinosis was shown to be present in the preschool children and a small group of adults in a village in north-east Thailand using an in vitro test based on erythrocyte glutathione reductasc (EGR) activity. z. A riboflavin supplement of 10 mgld mas given to all subjects for 7 d. 3. It was demonstrated that the riboflavin supplement cured the biochemical ariboflavinosis and the results supported the prcvious suggestion that a stimulation 3 20 % of the in vitro EGR activity was a good indicator of ariboflavinosis. 4. A dietary survey carried out on twenty preschool children during the experimental period showed riboflavin intake to be low, 0.18 2 0.06 mg/Mcal. 5 . No glucose-6-phosphate dehydrogenase (G-6-PD)-deficient subjects were shown to be deficient in riboflavin by the in vitro test. The possibility of using in vivo stimulation of EGR activity by riboflavin is discussed as a possible way of demonstrating ariboflavinosis in G-6PD-deficient subjects.

Tobacco Smoking in Relation to the Phenotype of Alpha-1-Antitrypsin and Serum Vitamin C Concentration

Purpose: To investigate the effects of tobacco smoking on serum alpha-1-antitrypsin (AT) concentrations in relation to the Pi types of AT (MM and non-MM phenotypes) and vitamin C concentrations in the serum of Thai smokers and non-smokers. Design: Cross-sectional study of smokers and non-smokers in a military unit in Bangkok, Thailand. Materials and Methods: 123 male smokers and 66 male non-smokers were randomly selected from a military unit in Bangkok. Venous blood was analysed by rocket immunoelectrophoresis for AT concentrations. AT phenotype and vitamin C status were determined by iso-electrofocusing (IEF) and spectro-photometric methods. Co-variance analysis was used to determine whether smoking directly influences AT levels. Results: There were statistically significantly higher levels of serum AT and thiocyanate concentrations in smokers than in non-smokers. The thiocyanate level correlated with the duration and quantity of cigarette smoking. However, vitamin C, an antioxidant, was found with stati...

Relationship between alpha-2-macroglobulin, anthropometric parameters and lipid profiles in Thai overweight and obese in Bangkok

The aim of this study was to assess anthropometric variables and the lipid pattern in relation to alpha-2-macroglobulin in normal- and over-nourished Thai individuals, to further support the hypothesis that alpha-2-macroglobulin plays a beneficial role in the determination of nutritional status. The study sample comprised of 48 male and 166 female overweight and obese Thai volunteers and 26 male and 81 female normal subjects. The overweight individuals had statistically significant lower alpha-2-macroglobulin (A2M) serum levels. The total serum cholesterol, low density lipoprotein-cholesterol (LDL-C) and triglycerides were significantly higher and high density lipoprotein-cholesterol (HDL-C) lower in the over-nourished group as compared with the normal subjects. The LDL/HDL ratio was slightly but significantly higher in the over-nourished group, but still well below the value of 5 for both groups. In using a stepwise multiple linear regression, the model, which best explained the variation of A2M for all individuals including age, HDL-C, BMI, and gender. The relationship of A2M to the variables under study differed between males and females. For males, a model which includes cholesterol and BMI explained best the variation of the proteinase inhibitor. For the females, the best model includes age, HDL-C and BMI. The role of protease inhibitors has hardly been explored in human epidemiological studies despite its relationship to important public health issues including nutrition, smoking, cancer and cardiovascular diseases. The results of this study further support the hypothesis, that A2M might play a role in the interrelationship of the nutritional status with the occurrence and the prevention of diseases.

Lead Exposure, Urinary delta-Aminolevulinic Acid Concentrations and Haematological Parameters of Road Sweepers Working in Congested Areas of Bangkok

Road sweepers are especially exposed to environmental pollution. This study investigates the lead exposure, urinary delta-aminolevulinic acid concentration (ALA) and haematological parameters of road sweepers working in traffic-congested areas of Bangkok. One hundred and ninety-four apparently healthy road sweepers aged 20-59 years were investigated. One hundred and thirty-nine staff from an academic institution served as controls. Both male and female road sweepers had slightly, but significantly, lower mean corpuscular haemoglobin concentration (MCHC) values. The white blood cell count (WBC) in female road sweepers was significantly higher compared with the female controls. The proportion of reticulocytes was higher in male and female road sweepers compared with the controls, while no difference was found in blood lead levels and ALA between male road sweepers and controls. Female road sweepers had slightly higher blood lead levels compared with the controls. ALA was no different between both groups of ...

Serum proteins and nutritional status of free-living Thai elderly

Fifty-six Thai males and 146 Thai females aged 60 years and above visiting a special clinic for the elderly were investigated. The serum protein and immunoglobulin of these elderly were assessed. Anthropometric measurements were also taken. From a random sample of the group, the dietary intake of main nutrients was determined by a 24 h recall method with the help of food models. Weight, height and mid-arm muscle circumference of males were greater than those of females. Triceps skinfold thickness was less in the males than in the females. Forty-seven per cent of the individuals investigated had alpha1-antitrypsin levels below 200 mg/dl and 25.4% had IgG levels of 200 mg/dl and 39% IgA levels above 450 mg/dl. The males tend to consume more calories in the form of carbohydrates than the females. The nutritional density of fat was less than 20% in the males. A negative correlation between serum albumin and height and a positive correlation between serum IgG and tricep skinfold thickness were found. Weight was found to have a positive correlation with calories, carbohydrates and fat. Height correlated positively with calories, protein and carbohydrates. Serum prealbumin correlated with fat intake. It is concluded that, except for alpha1-antitrypsin, IgA, serum proteins are found in a range normally detected also in elderlies in western countries. Body composition does not relate to level of protein intake.