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Table 1 Patient characteristics of patients according to vitamin B12 status (n = 592)

From: Determinants of vitamin B12 deficiency in patients with type-2 diabetes mellitus — A primary-care retrospective cohort study

Characteristics

Total (n = 592)

Vitamin B12 levels

P – valuea

Normal (≥ 150 pmol/L)

(n = 428)

Deficiency (< 150 pmol/L)

(n = 164)

Age

    

Age (years), mean (± SD)

66.52 (± 10.82)

66.72 (± 10.59)

66.01 (± 11.42)

0.476

Age groups, n (%)

    

< 60 years

137 (23.14)

92 (21.50)

45 (27.44)

0.249

60–79 years

390 (65.88)

290 (67.76)

100 (60.98)

≥ 80 years

65 (10.98)

46 (10.75)

19 (11.59)

Gender, n (%)

    

Men

267 (45.10)

188 (43.93)

79 (48.17)

0.358

Women

325 (54.90)

240 (56.07)

85 (51.83)

Ethnicity, n (%)

    

Chinese

454 (76.69)

332 (77.57)

122 (74.39)

0.232

Malay

42 (7.09)

32 (7.48)

10 (6.10)

Indian

72 (12.16)

45 (10.51)

27 (16.46)

Eurasian & others

24 (4.05)

19 (4.44)

5 (3.05)

Physical parameters, mean (± SD)

    

Height (m)

1.595 (± 0.096)

1.595 (± 0.093)

1.595 (± 0.104)

0.948

Weight (kg)

65.69 (± 14.64)

65.36 (± 14.40)

66.52 (± 15.27)

0.390

BMI (kg/m2)

25.72 (± 4.76)

25.60 (± 4.74)

26.03 (± 4.83)

0.326

Chronic Disease, n (%)

    

Duration of diabetes mellitus ≥ 10 years

296 (50.00)

201 (46.96)

95 (57.93)

0.022

Hypertension

515 (86.99)

374 (87.38)

141 (85.98)

0.683

Hyperlipidemia

540 (91.22)

389 (90.89)

151 (92.07)

0.747

Ischemic heart disease

120 (20.27)

86 (20.09)

34 (20.73)

0.909

Stroke

73 (12.33)

52 (12.15)

21 (12.80)

0.889

Cancer

56 (9.46)

40 (9.35)

16 (9.76)

0.876

Lifestyle, n (%)

    

Vegetarianism

14 (2.36)

2 (0.47)

12 (7.32)

< 0.001

Vitamin-Mineral Supplementation, n (%)

    

Prescribed vitamin B12 supplementation

188 (31.76)

157 (36.68)

31 (18.90)

< 0.001

Prescribed calcium supplementation

221 (37.33)

177 (41.36)

44 (26.83)

0.001

Medication, n (%)

    

Proton-pump inhibitor (PPI) or histamine 2 antagonist (H2A) use

124 (20.95)

91 (21.26)

33 (20.12)

0.822

Statin use

499 (84.29)

358 (83.64)

141 (85.98)

0.530

Fenofibrate use

60 (10.14)

39 (9.11)

21 (12.80)

0.223

Metformin use in preceding year

438 (73.99)

293 (68.46)

145 (88.41)

< 0.001

Metformin 1-year cumulative dose (g/preceding year), mean (± SD)

436.18 (± 378.75)

350.73 (± 348.12)

659.20 (± 365.28)

< 0.0001

Metformin daily dose (g/day), mean (± SD)

1.25 (± 1.04)

1.00 (± 0.96)

1.90 (± 0.99)

< 0.0001

Sulphonylurea use

291 (49.16)

183 (42.76)

108 (65.85)

< 0.001

Dipeptidyl peptidase-4 inhibitors use

29 (4.90)

22 (5.14)

7 (4.27)

0.832

Acarbose (alpha-glucosidase inhibitor) use

85 (14.36)

41 (9.58)

44 (26.83)

< 0.001

Insulin use

57 (9.63)

36 (8.41)

21 (12.80)

0.119

Laboratory Measurements, mean (± SD)

    

Vitamin B12 level (pmol/L)

244.13 (± 150.22)

296.30 (± 145.12)

107.98 (± 29.32)

< 0.0001

Folate level, (nmol/L)

24.59 (± 12.92)

25.74 (± 12.84)

21.58 (± 12.71)

< 0.001

Folate deficiency, n (%)

132 (22.30)

80 (18.69)

52 (31.71)

0.001

HbA1c (%)

7.11 (1.08)

7.03 (± 1.03)

7.32 (± 1.17)

< 0.01

Creatinine (µmol/L)

82.14 (± 31.63)

82.11 (± 32.25)

82.23 (± 30.05)

0.966

eGFR using the MDRD study equation (mL/min/1.73m2)

77.61 (± 23.59)

77.61 (± 23.69)

78.48 (± 24.48)

0.695

LDL cholesterol level (mmol/L)

2.36 (0.65)

2.40 (± 0.67)

2.27 (± 0.60)

0.034

  1. Abbreviations: BMI body mass index, eGFR estimated glomerular filtration rate adjusted for body surface area, HbA1c glycated hemoglobin, LDL low-density lipoprotein, MDRD Modification of Diet in Renal Disease, SD standard deviation
  2. a Fisher’s exact test for the categorical variables and t-test for the continuous variables were used