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Betaine supplementation lowers plasma homocysteine in healthy men and women

Gery R Steenge, Petra Verhoef, Martijn B Katan
The Journal of nutrition 2003 133(5):1291-1295

Bibliography

PubMed
PMID 12730412
Funding
Funding was not specified in the indexed record or accessible funding metadata.
Competing interests
A competing-interest declaration was not available in the indexed record or accessible disclosure metadata.

Study snapshot

DesignRandomized controlled trial
ModelHuman participants
Sample36 adults with mildly elevated homocysteine; three groups of 12
InterventionBetaine 6 g/day, folic acid 800 micrograms/day or placebo
Duration6 weeks
EndpointsHomocysteine; Methionine-load response

What the study showed, in plain terms

Published in 2003, this source examined homocysteine, methylation and vascular function. Design: Randomized controlled trial. Sample/model: 36 adults with mildly elevated homocysteine; three groups of 12. The exposure or intervention was Betaine 6 g/day, folic acid 800 micrograms/day or placebo. Follow-up or treatment period: 6 weeks.

Betaine reduced fasting homocysteine by about 1.8 micromol/L relative to placebo and blunted the response to methionine loading. Folic acid lowered fasting levels but did not have the same post-load effect.

Small trial of biomarkers; a lower homocysteine value does not establish prevention of heart attacks or stroke.

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Key findings

  • Betaine reduced fasting homocysteine by about 1.8 micromol/L relative to placebo and blunted the response to methionine loading.
  • Folic acid lowered fasting levels but did not have the same post-load effect.
  • The recorded outcome domains were Homocysteine; Methionine-load response.
  • The result applies to the tested exposure: Betaine 6 g/day, folic acid 800 micrograms/day or placebo; 6 weeks.

What this study can and cannot tell us

  • Small trial of biomarkers; a lower homocysteine value does not establish prevention of heart attacks or stroke.
  • An individual controlled trial must be interpreted alongside its comparator, sample size, endpoint selection and independent replication. It does not validate a different commercial formulation or a general longevity claim.
  • Source basis: Indexed abstract and bibliographic data. Missing method details, funding information or participant denominators are not inferred.

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