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Relationship of tobacco smoking with serum vitamin B12, folic acid and haematological indices in healthy adults

Published online by Cambridge University Press:  22 December 2006

Rungsunn Tungtrongchitr
Affiliation:
Department of Tropical Nutrition and Food Science, Faculty of Tropical Medicine, Mahidol University, 420/6 Rajvithi Road, Rajthevee, Bangkok 10400, Thailand
Praneet Pongpaew*
Affiliation:
Department of Tropical Nutrition and Food Science, Faculty of Tropical Medicine, Mahidol University, 420/6 Rajvithi Road, Rajthevee, Bangkok 10400, Thailand
Malida Soonthornruengyot
Affiliation:
Department of Tropical Nutrition and Food Science, Faculty of Tropical Medicine, Mahidol University, 420/6 Rajvithi Road, Rajthevee, Bangkok 10400, Thailand
Duangkamol Viroonudomphol
Affiliation:
Department of Tropical Nutrition and Food Science, Faculty of Tropical Medicine, Mahidol University, 420/6 Rajvithi Road, Rajthevee, Bangkok 10400, Thailand
Niyomsri Vudhivai
Affiliation:
Department of Tropical Nutrition and Food Science, Faculty of Tropical Medicine, Mahidol University, 420/6 Rajvithi Road, Rajthevee, Bangkok 10400, Thailand
Anchalee Tungtrongchitr
Affiliation:
Department of Parasitology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
Benjaluck Phonrat
Affiliation:
Department of Clinical Tropical Medicine, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
Somchai Pooudong
Affiliation:
Department of Tropical Nutrition and Food Science, Faculty of Tropical Medicine, Mahidol University, 420/6 Rajvithi Road, Rajthevee, Bangkok 10400, Thailand
Frank Peter Schelp
Affiliation:
Center for Humanity and Health Sciences, Free University, Berlin and Humbolt University, Berlin, Germany
*
*Corresponding author: Email tmrtg@mahidol.ac.th
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Abstract

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Objectives:

To investigate the effects of tobacco smoking on serum vitamin B12, folic acid and haematological parameters in healthy Thai smokers and non-smokers.

Design:

Cross-sectional study of smokers and non-smokers in a military unit in Bangkok, Thailand.

Setting:

A military unit in Thailand.

Subjects:

One hundred and twenty-three male smokers from a military unit in Bangkok, who participated voluntarily in the study, were investigated. Sixty-six male non-smokers from the same unit were selected as controls. Fasting blood samples were collected for investigation of vitamin B12, folic acid and haematological variables.

Results:

The serum folic acid concentration of smokers was lower than that of non-smokers, but was not statistically significantly different. Haemoglobin was lower in smokers than in non-smokers; 16.3% of smokers were anaemic compared with only 3.0% of non-smokers. Anaemia was not related to folate deficiency. The white blood cell count was found to be higher in smokers than in non-smokers.

Conclusion:

The results of this study suggest that there were low serum folic acid concentrations in smokers compared with non-smokers, which might contribute to the development of vascular and cardiovascular diseases. The higher white blood cell count might be indicative alterations in the immune functions of smokers.

Type
Research Article
Copyright
Copyright © CABI Publishing 2003

References

1United Nations. World Population Prospects 1990. New York: United Nations, 1991; 226–31.Google Scholar
2United Nations. Sex and Age Distributions of Populations. The 1990 Revision. New York: United Nations, 1991; 4.Google Scholar
3Doll, R, Peto, R, Wheatley, K, Gray, R, Sutherland, I. Mortality in relation to smoking: 40 years' observations on male British doctors. British Medical Journal 1994; 309: 901–5.CrossRefGoogle ScholarPubMed
4Huhti, E. Prevalence of respiratory symptoms, chronic bronchitis and pulmonary emphysema in a Finnish rural population. Field survey of age group 40–64 in the Harjavalta area. Acta Tuberculosea et Pneumologica Scandinavica 1965; 61(Suppl.): 1111.Google Scholar
5Flecher, C, Peto, R, Tinker, C, Speizer, FE. The Natural History of Chronic Bronchitis and Emphysema. London: Oxford University Press, 1976.Google Scholar
6Lundback, B, Nystrom, L, Rosenhall, L, Stjernberg, N. Obstructive lung disease in northern Sweden: respiratory symptoms assessed in a postal survey. European Respiratory Journal 1991; 4: 257–66.CrossRefGoogle ScholarPubMed
7American Thoracic Society. Standards for the diagnosis and care of patients with chronic obstructive pulmonary disease. American Journal of Respiratory and Critical Care Medicine 1995; 152(Suppl.): S78–9.Google Scholar
8Troisi, RJ, Speizer, FE, Willett, WC, Trichopoulos, D, Rosner, B. Menopause, postmenopausal estrogen preparations, and the risk of adult-onset asthma. A prospective cohort study. American Journal of Respiratory and Critical Care Medicine 1995; 152: 1183–8.CrossRefGoogle ScholarPubMed
9US Public Health Service, US Department of Health and Human Services, The Office of Disease Prevention and Health Promotion. Disease Prevention and Health Promotion. The Facts. Palo Alto, CA: Bull Publishing Co., 1988.Google Scholar
10Graham, IM, Daly, LE, Refsum, HM, Robinson, K, Brattstrom, LE, Ueland, PM, et al. Plasma homocysteine as a risk factor for vascular disease. The European Concerted Action Project. Journal of the American Medical Association 1997; 277: 1775–81.CrossRefGoogle ScholarPubMed
11Francis, KT, Thompson, RW, Krumdieck, CL. Reaction of tetrahydrofolic acid with cyanate from urea solutions: formation of an inactive folate derivative. American Journal of Clinical Nutrition 1977; 30: 2028–32.CrossRefGoogle ScholarPubMed
12Khaled, MA, Krumdieck, CL. Association of folate molecules as determined by proton NMR: implications on enzymes binding. Biochemical and Biophysical Research Communications 1985; 130: 1273–80.CrossRefGoogle Scholar
13Khaled, MA, Watkins, CL, Krumdieck, CL. Inactivation of B12 and folate coenzymes by butyl nitrite as observed by NMR: implications on one-carbon transfer mechanism. Biochemical and Biophysical Research Communications 1986; 135: 201–7.CrossRefGoogle ScholarPubMed
14International Committee for Standardization in Hematology. Recommendations for reference method for hemoglobinometry in human blood (ICSH Standard EP 6/2: 1977) and specifications for international hemoglobin cyanide reference preparation (ICSH Standard EP 6/3: 1977). Journal of Clinical Pathology 1978; 31: 139–43.CrossRefGoogle Scholar
15Nosanchuk, JS, Chang, J, Bennett, JM. The analytic basis for the use of platelet estimates from peripheral blood smeara. American Journal of Clinical Pathology 1978; 69: 383–7.CrossRefGoogle Scholar
16Nelson, DA, Morris, MW. Basic methodology: Part IV. Hematology and coagulation. In: Henry, JB, ed. Clinical Diagnosis and Management by Laboratory Methods, 17th ed. Philadelphia, PA: WB Saunders Company, 1984; 578625.Google Scholar
17Ryan, TA, Brian, LB, Ryan, BF. Minitab Student Handbook, 2nd ed. Boston: PWS-Kent Publishing Company, 1985.Google Scholar
18Selhub, J, Jacques, PF, Wilson, PW, Rush, D, Rosenberg, IH. Vitamin status and intake as primary determinants of homocysteinemia in an elderly population. Journal of the American Medical Association 1993; 270: 2693–8.CrossRefGoogle Scholar
19Bostom, AG, Lathrop, L. Hyperhomocysteinemia in end-stage renal disease: prevalence, etiology, and potential relationship to arteriosclerotic outcomes. Kidney International 1997; 52: 1020.CrossRefGoogle ScholarPubMed
20Dastur, DK, Quadros, EV, Wadia, NH, Desai, MM, Bharucha, EP. Effect of vegetarianism and smoking on vitamin B12, thiocyanate, and folate levels in the blood of normal subjects. British Medical Journal 1972; 3: 260–3.CrossRefGoogle ScholarPubMed
21Ortega, RM, Lopez-Sobaler, AM, Gonzalez-Gross, MM, Redondo, RM, Marzana, I, Zamora, MJ, et al. Influence of smoking on folate intake and blood folate concentrations in a group of elderly Spanish men. Journal of the American College of Nutrition 1994; 13: 6872.CrossRefGoogle Scholar
22Piyathilake, CJ, Macaluso, M, Hine, RJ, Richards, EW, Krumdieck, CL. Local and systemic effects of cigarette smoking on folate and vitamin B12. American Journal of Clinical Nutrition 1994; 60: 559–66.CrossRefGoogle Scholar
23Giraud, DW, Martin, HD, Driskell, JA. Erythrocyte and plasma B-6 vitamer concentrations of long-term tobacco smokers, chewers, and nonusers. American Journal of Clinical Nutrition 1995; 62: 104–9.CrossRefGoogle ScholarPubMed
24Refsum, H, Ueland, PM, Nygard, O, Vollset, SE. Homocysteine and cardiovascular disease. Annual Review of Medicine 1998; 49: 3162.CrossRefGoogle ScholarPubMed
25Dallongeville, J, Marceaux, N, Fruchart, JC, Amouyel, P. Cigarette smoking is associated with unhealthy patterns of nutrient intake: a meta-analysis. Journal of Nutrition 1998; 128: 1450–7.CrossRefGoogle ScholarPubMed
26Larkin, FA, Basiotis, PP, Riddick, HA, Sykes, KE, Pao, EM. Dietary patterns of women smokers and non-smokers. Journal of the American Dietetic Association 1990; 90: 230–7.CrossRefGoogle ScholarPubMed
27Margetts, BM, Jackson, AA. Interactions between people's diet and their smoking habits: the Dietary and Nutritional Survey of British Adults. British Medical Journal 1993; 307: 1381–4.CrossRefGoogle ScholarPubMed
28Herbert, V. Vitamin B12. American Journal of Clinical Nutrition 1981; 34: 971–2.CrossRefGoogle ScholarPubMed
29Pagan, K, Hou, J, Goldenberg, RL, Cliver, SP, Tamura, T. Effect of smoking on serum concentrations of total homocysteine and B vitamins in mid-pregnancy. Clinica Chimica Acta 2001; 306: 103–9.CrossRefGoogle Scholar
30Carmel, R. Cobalamin, the stomach, and aging. American Journal of Clinical Nutrition 1997; 66: 750–9.CrossRefGoogle ScholarPubMed
31van Asselt, DZ, de Groot, LC, van Staveren, WA, Blom, HJ, Wevers, RA, Biemond, I, et al. Role of cobalamin intake and atrophic gastritis in mild cobalamin deficiency in older Dutch subjects. American Journal of Clinical Nutrition 1998; 68: 328–34.CrossRefGoogle ScholarPubMed
32Preston, AM. Cigarette smoking – nutritional implications. Progress in Food & Nutrition Science 1991; 15: 183217.Google ScholarPubMed
33Linnell, JC, Smith, AD, Smith, CL, Wilson, J, Mathews, DM. Effects of smoking on metabolism and excretion of vitamin B12. British Medical Journal 1968; 2: 215–6.CrossRefGoogle ScholarPubMed
34Witter, FR, Blake, DA, Baumgardner, R, Mellitis, ED, Niebyl, JR. Folate, carotene, and smoking. American Journal of Obstetrics and Gynecology 1982; 144: 857.CrossRefGoogle ScholarPubMed
35Nakazawa, Y, Chiba, K, Imatoh, N, Kotorii, T, Sakamoto, T, Ishizaki, T. Serum folic acid levels and antipyrine clearance rates in smokers and non-smokers. Drug and Alcohol Dependence 1983; 11: 201–7.CrossRefGoogle ScholarPubMed
36Chen, AT, Reidy, JA, Annest, JL, Welty, TK, Zhou, HG. Increased chromosome fragility as a consequence of blood folate levels, smoking status, and coffee consumption. Environmental and Molecular Mutagenesis 1989; 13: 319–24.CrossRefGoogle ScholarPubMed
37Bunting, RW, Selig, MK, Dickersin, GR. Apoptotic cells in peripheral blood from patients with low serum cobalamin. Journal of Submicroscopic Cytology and Pathology 1997; 29: 223–7.Google ScholarPubMed
38McNulty, H. Folate requirements for health in women. Proceedings of the Nutrition Society 1997; 56: 291303.CrossRefGoogle ScholarPubMed
39Hays, R, Stacy, AW, DiMatteo, MR. Covariation among health-related behaviors. Addictive Behaviors 1984; 9: 315–8.CrossRefGoogle ScholarPubMed
40Castro, FG, Newcomb, MD, McCreary, C, Baezconde-Garbanati, L. Cigarette smokers do more than just smoke cigarettes. Health Psychology 1989; 8: 107–29.CrossRefGoogle ScholarPubMed
41Kato, I, Tominaga, S, Suzuki, T. Characteristics of past smokers. International Journal of Epidemiology 1989; 18: 345–54.CrossRefGoogle ScholarPubMed
42Schoenborn, CA, Boyd, GM. Smoking and other tobacco use. Vital and Health Statistics 1989; 10: 179.Google Scholar
43Osler, M. Social class and health behavior in Danish adults: a longitudinal study. Public Health 1993; 107: 251–60.CrossRefGoogle ScholarPubMed
44Hillman, RS, Steinberg, SE. The effects of alcohol on folate metabolism. Annual Review of Medicine 1982; 33: 345–54.CrossRefGoogle ScholarPubMed
45Giovannucci, E, Stampfer, MJ, Colditz, GA, Rimm, EB, Trichopoulos, D, Rosner, BA, et al. Folate, methionine, and alcohol intake and risk of colorectal adenoma. Journal of the National Cancer Institute 1993; 85: 875–84.CrossRefGoogle ScholarPubMed
46Giovannucci, E, Rimm, EB, Ascherio, A, Stampfer, MJ, Colditz, GA, Willett, WC. Alcohol, low-methionine–low-folate diets, and risk of colon cancer in men. Journal of the National Cancer Institute 1995; 87: 265–73.CrossRefGoogle ScholarPubMed
47Rimm, EB, Willett, WC, Hu, FB, Sampson, L, Colditz, GA, Manson, JE, et al. Folate and vitamin B6 from diet and supplements in relation to risk of coronary heart disease among women. Journal of the American Medical Association 1998; 279: 359–64.CrossRefGoogle ScholarPubMed
48Zhang, S, Hunter, DJ, Hankinson, SE, Giovannucci, EL, Rosner, BA, Colditz, GA, et al. A prospective study of folate intake and the risk of breast cancer. Journal of the American Medical Association 1999; 281: 1632–7.CrossRefGoogle ScholarPubMed
49Sullivan, IW, Herbert, V. Suppression of hematopoiesis by ethanol. Journal of Clinical Investigation 1964; 43: 2048.CrossRefGoogle ScholarPubMed
50Halsted, CH, Robles, EA, Mezey, E. Decreased jejunal uptake of labeled folic acid (3H-PGA) in alcoholic patients: roles of alcohol and nutrition. New England Journal of Medicine 1971; 285: 701–6.CrossRefGoogle Scholar
51Halsted, CH, Robles, EA, Mezey, E. Intestinal malabsorption in folate-deficient alcoholics. Gastroenterology 1973; 64: 526–32.CrossRefGoogle ScholarPubMed
52Goldsmith, RH, Iber, FL, Miller, PA. Nutritional status of alcoholics of different socioeconomic class. Journal of the American College of Nutrition 1983; 2: 215–20.CrossRefGoogle ScholarPubMed
53Tamura, T, Halsted, CH. Folate turnover in chronically alcoholic monkeys. Journal of Laboratory and Clinical Medicine 1983; 101: 623–8.Google ScholarPubMed
54McMartin, KE, Collins, TD, Eisenga, BH, Fortney, T, Bates, WR, Bairnsfather, L. Effects of chronic ethanol and diet treatment on urinary folate excretion and development of folate deficiency in the rate. Journal of Nutrition 1989; 119: 1490–7.CrossRefGoogle Scholar
55Naughton, CA, Chandler, CJ, Duplantier, RB, Halsted, CH. Folate absorption in alcoholic pigs: in vitro hydrolysis and transport at the intestinal brush border membrane. American Journal of Clinical Nutrition 1989; 50: 436–41.CrossRefGoogle ScholarPubMed
56Shaw, S, Jayatilleke, E, Herbert, V, Colman, N. Cleavage of folates during ethanol metabolism. Role of acetaldehyde/xanthine oxidase-generated superoxide. Biochemical Journal 1989; 257: 277–80.CrossRefGoogle ScholarPubMed
57Ames, BN. Endogenous oxidative DNA damage, aging, and cancer. Free Radical Research Communications 1989; 7: 121–8.CrossRefGoogle ScholarPubMed
58Chanarin, I, Bennett, MC. Absorption of folic acid and D-xylose as tests of small-intestinal function. British Medical Journal; 1962; i: 985–9.CrossRefGoogle Scholar
59Cravo, ML, Gloria, LM, Selhub, J, Nadeau, MR, Camilo, ME, Resende, MP, et al. Hyperchomocysteinemia in chronic alcoholism: correlation with folate, vitamin B-12 and vitamin B-6 status. American Journal of Clinical Nutrition 1996; 63: 220–4.CrossRefGoogle Scholar