{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T16:55:27Z","timestamp":1774976127292,"version":"3.50.1"},"reference-count":41,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2017,4,10]],"date-time":"2017-04-10T00:00:00Z","timestamp":1491782400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Laboratory Analysis"],"published-print":{"date-parts":[[2018,1]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Studies on homocysteine (Hcy) have mainly focused on the correlation between the homocysteine concentration and disease development. Few epidemiological investigations have been performed. This study was conducted to investigate the prevalence of hyperhomocysteinemia (<jats:styled-content style=\"fixed-case\">HH<\/jats:styled-content>cy) during routine physical examination in Guangxi Province, China and the correlation of serum Hcy with gender, age, serum uric acid (<jats:styled-content style=\"fixed-case\">UA<\/jats:styled-content>), total cholesterol (<jats:styled-content style=\"fixed-case\">TC<\/jats:styled-content>), triglycerides (<jats:styled-content style=\"fixed-case\">TG<\/jats:styled-content>), high\u2010density lipoprotein cholesterol (<jats:styled-content style=\"fixed-case\">HDL<\/jats:styled-content>\u2010C), low\u2010density lipoprotein cholesterol (<jats:styled-content style=\"fixed-case\">LDL<\/jats:styled-content>\u2010C), and blood glucose (<jats:styled-content style=\"fixed-case\">GLU<\/jats:styled-content>) to provide evidence for preventing and treating <jats:styled-content style=\"fixed-case\">HH<\/jats:styled-content>cy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data of 8043 patients who underwent physical examinations at the First Affiliated Hospital of Guangxi Medical University, China from 2015 to 2016 were collected. These data included gender, age, and the serum Hcy, <jats:styled-content style=\"fixed-case\">UA<\/jats:styled-content>,<jats:styled-content style=\"fixed-case\"> GLU<\/jats:styled-content>,<jats:styled-content style=\"fixed-case\"> TC<\/jats:styled-content>,<jats:styled-content style=\"fixed-case\"> TG<\/jats:styled-content>,<jats:styled-content style=\"fixed-case\"> HDL<\/jats:styled-content>\u2010C, and <jats:styled-content style=\"fixed-case\">LDL<\/jats:styled-content>\u2010C concentrations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The overall prevalence of <jats:styled-content style=\"fixed-case\">HH<\/jats:styled-content>cy was 50.8% (52.3% in males, 48.1% in females). Age, <jats:styled-content style=\"fixed-case\">UA<\/jats:styled-content>,<jats:styled-content style=\"fixed-case\"> TC<\/jats:styled-content>,<jats:styled-content style=\"fixed-case\"> TG<\/jats:styled-content>, and <jats:styled-content style=\"fixed-case\">LDL<\/jats:styled-content>\u2010C were significantly higher and <jats:styled-content style=\"fixed-case\">HDL<\/jats:styled-content>\u2010C was significantly lower in patients with than without <jats:styled-content style=\"fixed-case\">HH<\/jats:styled-content>cy, regardless of gender (all <jats:italic>P<\/jats:italic>&lt;.05). The Hcy level was positively correlated with <jats:styled-content style=\"fixed-case\">UA<\/jats:styled-content>,<jats:styled-content style=\"fixed-case\"> TC<\/jats:styled-content>,<jats:styled-content style=\"fixed-case\"> TG<\/jats:styled-content>, and <jats:styled-content style=\"fixed-case\">LDL<\/jats:styled-content>\u2010C but negatively correlated with <jats:styled-content style=\"fixed-case\">HDL<\/jats:styled-content>\u2010C. Gender, age, <jats:styled-content style=\"fixed-case\">UA<\/jats:styled-content>,<jats:styled-content style=\"fixed-case\"> TC<\/jats:styled-content>, and <jats:styled-content style=\"fixed-case\">TG<\/jats:styled-content> were independent risk factors for <jats:styled-content style=\"fixed-case\">HH<\/jats:styled-content>cy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The prevalence of <jats:styled-content style=\"fixed-case\">HH<\/jats:styled-content>cy was very high during routine physical examination in Guangxi Province, China. <jats:styled-content style=\"fixed-case\">HH<\/jats:styled-content>cy was related to gender, age, high concentrations of <jats:styled-content style=\"fixed-case\">UA<\/jats:styled-content>,<jats:styled-content style=\"fixed-case\"> TC<\/jats:styled-content>,<jats:styled-content style=\"fixed-case\"> TG<\/jats:styled-content>, and <jats:styled-content style=\"fixed-case\">LDL<\/jats:styled-content>\u2010C; and low concentrations of <jats:styled-content style=\"fixed-case\">HDL<\/jats:styled-content>\u2010C. Strengthening early intervention of <jats:styled-content style=\"fixed-case\">HH<\/jats:styled-content>cy can reduce the risk of cardiovascular disease.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jcla.22178","type":"journal-article","created":{"date-parts":[[2017,4,10]],"date-time":"2017-04-10T07:37:46Z","timestamp":1491809866000},"source":"Crossref","is-referenced-by-count":11,"title":["Prevalence of hyperhomocysteinemia during routine physical examination in Guangxi Province, China and related risk factors"],"prefix":"10.1002","volume":"32","author":[{"given":"Yuan\u2010Yuan","family":"Qin","sequence":"first","affiliation":[{"name":"Department of Clinical Laboratory The First Affiliated Hospital of Guangxi Medical University  Nanning Guangxi Zhuang Autonomous Region China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peng","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Medical Center The First Affiliated Hospital of Guangxi Medical 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