Vitamin B12 Status in A Tertiary Care Center in Central Gujarat

Authors

  • Andrews Liggy C. U. Shah Medical College, Surendranagar, Gujarat
  • Tintu Thomas C. U. Shah Medical College, Surendranagar, Gujarat
  • Nambudiri Haridas PSMC, Karamsad

Keywords:

Vitamin B12 levels, Vegetarians

Abstract

Introduction: Vitamin B12 deficiency usually presents with pernicious anemia or various neuropsychiatric manifestations such as neuropathy, myelopathy, dementia, cerebellar ataxia, optic atrophy, pscyhosis and mood disorders. Hence vitamin B12 deficiency should be identified. The local population in our area mainly comprises of vegetarians, this study was initiated with a view to assess their B12 status early, to rule out its deficiency and help to prevent further complications.

Methodology: We analyzed serum B12 levels in 396 cases by competitive chemiluminescent immunometric method using Immulite instrument.

Result: It was found that B12 levels were significantly low in 260(65.6%) patients (P<0.000). Majority 225 (86.5%) of the deficient patients were vegetarians and the deficiency was found less in non vegetarians (P<0.000). The B12 deficiency was evident more in patients below 50years (199 out of 396 i.e. 76.5%) of age as compared to those who are above 51 years of age (60 out of 396 i.e. 23.4%), with a P value <0.000. The deficiency was prevalent more in females 179 (68.8%) in comparison to males 81(31.1%) and the P<0.000. Our study found that B12 deficiency is quiet prevalent in local population (65.6%), the condition being worse in females. And it was also noticed that deficiency was relatively more in vegetarians.

Conclusion: The early detection of B12 deficiency could help in warding off the resultant complications.

References

Dharmarajan TS and Norkus EP. Approaches to Vitamin B12 deficiency: early treatment may prevent devastating complications. Postgrad Med. 2001; 110(1):99-105.

Nilsson-Ehle,H. Age-related changes in cobalamin (vitamin B12) handling. Implications for therapy. Drugs aging. 1998; 12(4):277-292.

Stabler SP. Screening the older population for cobalamin deficiency. J.Am Geriatr Soc. 1995; 43(11):1290-7.

Swain R. An update of vitamin B12 metabolism and deficiency states. J Fam Pract. 1995; 41(6):595-600.

Wynn M, Wynn A. The danger of B12 deficiency in elderly. Nutr Health 1998; 12:215-26.

Robert COH and Brown DL. Vitamin B12 deficiency. Journal of American Family Physician. 2003; 67(5): 979-986.

Allen RH. Clinical role and current status of serum cobalamin (vitamin B12) assays. Ligand Quarterly 1981; 4(3): 37-44.

Tietz NW. Ed: Clinical Guide to Laboratory Tests. 3rd ed. Philadelphia, W.B. Saunders Co. 1995.

Kankonkar SR, Joshi SV, Tijoriwala SJ, et al. A study of Vitamin B12 deficiency in different diseases. Available at www.bhj.org/journal/2004_4602_april/studyofvitamin Accessed on 12th December 2011.

Cooper BA, Fehedy V and Blashay P. Recognition of deficiency of Vit B12 using measurement of serum concentration. J Lab Clin Med.1986; 17(5): 447-52.

Gopalan C, Ramasastri BV, Balasubramanian SC. Nutritive value of Indian foods. National Institute of Nutrition. ICMR. 2nd ed. New York: Marcel Dekker. 1991. 87-93.

Allen LH. How common is vitamin B12 deficiency? Am J Clin Nutr. 2009; 9(2): 693S-6S.

Carmel R. Cobalamin, the stomach and aging. Am.J. Clin Nutr. 1997; 66(4):750-759.

H0 C Kauwell GP and Bailey LB. Practitioners’ guide to meeting the vitamin B12 recommended dietary allowance for people aged 51 years and older. J Am Diet Assoc 1999; 99(6):725-727.

Dharmarajan TS and Norkus EP. Vitamin B12 deficiency in the elderly population based research.In: n Herbert V. ed. 1st. Royal Society Med Press London. 1999. 27-34.

Regev E. Vitamin B12 deficiency symptoms in women and men- causes, risks, treatment and supplements. Medicine nutrition January 2011. Available at http:// freshbeetle.com/ Accessed on 20th January 2012.

Downloads

Published

2012-09-30

How to Cite

1.
Liggy A, Thomas T, Haridas N. Vitamin B12 Status in A Tertiary Care Center in Central Gujarat. Natl J Community Med [Internet]. 2012 Sep. 30 [cited 2024 Apr. 26];3(03):414-6. Available from: https://www.njcmindia.com/index.php/file/article/view/1732

Issue

Section

Original Research Articles