B Vitamins may reduce the risk of stroke and vascular death among stroke patients

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A meta-analysis of randomized, controlled trials reported on May 11, 2021 in the journal Cureus revealed lower combined risk of stroke, heart attack and vascular death, as well as a reduction in homocysteine levels, in stroke patients who received B vitamins compared to a placebo.

Homocysteine is an amino acid formed in the body which, when elevated, is a risk factor for cardiovascular disease and numerous other conditions. Increasing the intake of B vitamins helps lower serum or plasma homocysteine levels by helping it metabolize into downstream products that the body needs.

Researchers at All India Institute of Medical Sciences selected eight trials that included a total of 8,513 stroke patients for their analysis. Trials were limited to those that evaluated homocysteine levels and recurrence of stroke, recurrence of cardiovascular disorders and vascular death (separately or combined) among participants who received a placebo or vitamin B6, vitamin B12 and folate.  

Analysis of the trials’ results found a significant reduction in average homocysteine levels among B-vitamin-intake participants compared to those that received placebo. When the combined risk of heart attack, stroke and vascular death were examined, there was an 11% lower risk among participants who received the vitamins compared to the placebo. Further analysis revealed a 13% lower risk of stroke and a 17% lower risk of vascular death among vitamin B participants.

This meta-analysis presented substantial evidence proving the beneficial effect of vitamin B [intake], especially among stroke patients, in lowering homocysteine with no documented side effects, Vitamin B [intake] effectively reduces homocysteine levels and the risk of stroke and vascular deaths.

This treatment is highly recommended in clinical settings, which will become a cost-effective strategy for preventing stroke risk, hence relieving the burden of stroke across the globe by reducing homocysteine levels among stroke patients.

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