Symptomatic dietary vitamin B-12 deficiency in a nonvegetarian population

Ben-Gurion University of the Negev, Be'er Sheva`, Southern District, Israel
The American Journal of Medicine (Impact Factor: 5). 05/2002; 112(5):413-6. DOI: 10.1016/S0002-9343(02)01031-8
Source: PubMed
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Available from: Ilia Volkov, Jul 04, 2015
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    • "Numerous reports have indicated the increasing prevalence of low vitamin B12 levels among different segments of the general population [2-5]. Poor vitamin B12 status is associated with neurological problems [6,7], hematological disorders [6,8], and other health-related conditions, including poor cognition and Alzheimer's disease [9,10], depression [11], hearing loss [12], cancer [13], and poor bone health [14,15]. "
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    ABSTRACT: Recently, we found and analyzed vitamin B(12) in some Korean traditional plant foods which had not reported, yet. This study was to investigate vitamin B(12) intake and its dietary sources and the vitamin B(12) status in the very old elderly Koreans. We measured serum vitamin B(12) level and estimated the amounts of vitamin B(12) intake from different dietary sources in female elderly Koreans aged 85 and over who had consumed a relatively low animal traditional diet for the whole life. The average age of the subjects (n = 127) was 98.0 years (85-108 years). The assessment on energy and nutrient intake involved a one-day 24-hour recall, and serum vitamin B(12) concentration was measured by radioimmunoassay. Overall diet pattern was not different between the 85-99 yr-old group and centenarians, except centenarians were taking more dairy product. The average ratio of plant food to animal food consumption was 87.5:12.5 in weight. The average vitamin B(12) intake of our subjects was 3.2 microg/day, and 52.7% of subjects consumed under estimated average requirement, 2.0 microg/day. On dietary source, 67.3% of dietary vitamin B(12) was from meat, eggs and fishes and 30.6% was from plant foods, such as soybean-fermented foods, seaweeds, and kimchi. The average serum vitamin B(12) concentration was 450.5 pg/mL, and low serum vitamin B(12) (< 200 pg/mL) was found in 9.6% of subjects. Dietary vitamin B(12) intake was significantly lower in subjects with low serum vitamin B(12) (0.79 microg/day) than those with normal serum vitamin B(12) (3.47 microg/day). There were no significant difference in vitamin B(12) intake and its dietary sources and serum vitamin B(12) level between the 85-99 yr-old group and centenarians. In conclusion, several plant-origin foods including seaweed, soybean-fermented foods, and kimchi, may contribute significantly to good vitamin B(12) status in very old elderly Koreans.
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    ABSTRACT: A 38-year-old woman presented with painful lesions on both shins that first appeared a few days earlier. Physical examination revealed multiple red tender nodules on both legs. The patient had been treated with nonsteroidal anti-inflammatory drugs for having a few months without any improvement. The patient was referred to a dermatologist and a rheumatologist, who confirmed our diagnosis of chronic erythema nodosum (EN). She returned to the clinic 3 months later complaining of having numbness in the soles of her feet for a few weeks. Her serum vitamin B12 level was 118 pg/mL (normal range 135 to 911). After 4 weeks of twice weekly injections of vitamin B12 at a dose of 1000 mcg, there was a clear alleviation of the numbness, and the EN completely resolved without evidence of recurrence on follow-up. Because it seems that vitamin B12 caused resolution of EN in this case, we recommend that physicians consider testing for vitamin B12 deficiency in patients with EN.
    Full-text · Article · Nov 2005 · The Journal of the American Board of Family Practice / American Board of Family Practice
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