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Research paper

Effect of Homocysteine-Lowering Nutrients on Blood Lipids: Results from Four Randomised, Placebo-Controlled Studies in Healthy Humans

PLoS Medicine
Q1
May 2005
Citations: 101
Influential: 10
Interventional (Human) Studies
85

Study answer

What this study found

Overall, high-dose betaine worsened the lipid profile, phosphatidylcholine increased triglycerides, and folic acid was lipid-neutral. Across studies 1 to 3, betaine 6 g/d increased total cholesterol by 0.42 (0.30; 0.55), LDL cholesterol by 0.36 (0.25; 0.46), and triacylglycerols by 0.14 (0.04; 0.23) relative to placebo, while HDL cholesterol did not change. Folic acid 0.8 mg/d showed no meaningful combined effect on total cholesterol, HDL cholesterol, LDL cholesterol, triacylglycerols, or the total/HDL ratio. In study 4, phosphatidylcholine increased triacylglycerols by 0.14 mmol/l (8%) and…

Study & population
Four randomized, placebo-controlled human studies were conducted in healthy Dutch adults without cardiovascular disease.
Intervention
The active regimens were oral betaine, folic acid, and phosphatidylcholine given against placebo in four randomized studies.
Key limitation
The studies were short term, so they do not address long-term lipid or cardiovascular outcomes.
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Original abstract

Background Betaine (trimethylglycine) lowers plasma homocysteine, a possible risk factor for cardiovascular disease. However, studies in renal patients and in obese individuals who are on a weight-loss diet suggest that betaine supplementation raises…