Association of plasma homocysteine with the atherogenic index of plasma and modification by body mass index: a cross-sectional study - Scorecard - MDSpire

Association of plasma homocysteine with the atherogenic index of plasma and modification by body mass index: a cross-sectional study

  • By

  • Bin Jiang

  • Juan Yu

  • Chongxiang Chen

  • Yongshi Huang

  • July 15, 2026

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Clinical Scorecard: Relationship Between Plasma Homocysteine Levels and the Atherogenic Index of Plasma: The Role of Body Mass Index in a Cross-Sectional Analysis

At a Glance

CategoryDetail
ConditionHyperhomocysteinemia and Atherogenic Index of Plasma
Key MechanismsAssociation between plasma homocysteine and atherogenic lipids, influenced by body mass index.
Target PopulationGeneral adult population, aged 18 years or older.
Care SettingCross-sectional analysis in a health examination setting.

Key Highlights

  • Plasma homocysteine positively correlated with AIP (r = 0.294, P < 0.001).
  • Each 1 μmol/L increase in homocysteine associated with a 0.0113-unit increase in AIP.
  • Higher likelihood of high AIP risk with each 1 μmol/L increase in homocysteine (OR = 1.282).
  • Association between homocysteine and AIP stronger in participants with BMI ≥ 24 kg/m.
  • No significant mediation effects identified through white blood cell count or alanine aminotransferase.

Guideline-Based Recommendations

Diagnosis

  • Evaluate plasma homocysteine levels in assessing cardiovascular risk.

Management

  • Consider body mass index when evaluating lipid-related atherogenic risk associated with elevated homocysteine.

Monitoring & Follow-up

  • Monitor plasma homocysteine and atherogenic index in patients with cardiovascular risk factors.

Risks

  • Hyperhomocysteinemia is an independent risk factor for cardiovascular disease.

Patient & Prescribing Data

Adults undergoing health examinations.

No specific treatments mentioned; focus on monitoring and risk assessment.

Clinical Best Practices

  • Incorporate BMI assessment in cardiovascular risk evaluations.
  • Regularly monitor lipid profiles and homocysteine levels in at-risk populations.

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