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Brief ReportBrief Communication
Open Access

Neuropsychiatric and neurological problems among Vitamin B12 deficient young vegetarians

Aneel Kapoor, Mukhtiar Baig, Saeed A. Tunio, Abdul S. Memon and Hotchand Karmani
Neurosciences Journal July 2017, 22 (3) 228-232; DOI: https://doi.org/10.17712/nsj.2017.3.20160445
Aneel Kapoor
From the Department of Biochemistry (Kapoor, Memon), Muhammad Medical College, Mirpurkhas, from the Department of Biochemistry (Tunio), Khairpur Medical College, Khairpur, Sindh, from the Department of Clinical Biochemistry (Baig), Faculty of Medicine, Rabigh, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia, and from the Department of Neurology (Karmani), Khulla Hospital, Muscat, Oman
MBBS, MPhil
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  • For correspondence: [email protected]
Mukhtiar Baig
From the Department of Biochemistry (Kapoor, Memon), Muhammad Medical College, Mirpurkhas, from the Department of Biochemistry (Tunio), Khairpur Medical College, Khairpur, Sindh, from the Department of Clinical Biochemistry (Baig), Faculty of Medicine, Rabigh, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia, and from the Department of Neurology (Karmani), Khulla Hospital, Muscat, Oman
MBBS, PhD
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Saeed A. Tunio
From the Department of Biochemistry (Kapoor, Memon), Muhammad Medical College, Mirpurkhas, from the Department of Biochemistry (Tunio), Khairpur Medical College, Khairpur, Sindh, from the Department of Clinical Biochemistry (Baig), Faculty of Medicine, Rabigh, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia, and from the Department of Neurology (Karmani), Khulla Hospital, Muscat, Oman
MBBS, MPhil
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Abdul S. Memon
From the Department of Biochemistry (Kapoor, Memon), Muhammad Medical College, Mirpurkhas, from the Department of Biochemistry (Tunio), Khairpur Medical College, Khairpur, Sindh, from the Department of Clinical Biochemistry (Baig), Faculty of Medicine, Rabigh, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia, and from the Department of Neurology (Karmani), Khulla Hospital, Muscat, Oman
MBBS, MPhil
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Hotchand Karmani
From the Department of Biochemistry (Kapoor, Memon), Muhammad Medical College, Mirpurkhas, from the Department of Biochemistry (Tunio), Khairpur Medical College, Khairpur, Sindh, from the Department of Clinical Biochemistry (Baig), Faculty of Medicine, Rabigh, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia, and from the Department of Neurology (Karmani), Khulla Hospital, Muscat, Oman
MBBS, DCN
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Article Figures & Data

Tables

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    Table 1

    Comparison of variables in vegetarians and omnivores groups.

    VariablesVegetarians
    (n=100)
    Omnivores
    (n=100)
    Age (years)27.7±5.8528.8±5.70
    Gender
     Male77 (77)72 (72)
     Female23 (23)28 (72)
    Vitamin B12(pg/ml)238±71401±170*
    Folate (nmol/L)16.1±425.1±7*
    MMA (nmol/L)285±89.4191±40.5*
    • Values are expressed as mean±standard deviation, N - number of subjects,

    • ↵* p<0.001 compared vegetarians with omnivores, MMA - Methylmalonic acid

    • View popup
    Table 2

    Gender-wise comparison of normal and low levels of serum vitamin B12 and folic acid and normal and higher levels of MMA.

    VariablesMale n=149
    G-I n=77,
    G-II n=72
    Female n=51
    G-I n=23,
    G-II n=28
    Total
    n=200
    B12 (<200pg/ml)
     G-I37 (48.1)*†14 (60.9)α51 (51)∞
     G-II03 (4.2)0 (0)‡03 (3)
    B12 (>200pg/ml)
     G-I40 (51.9)*†9 (39.1)α49 (49)∞
     G-II69 (95.8)28 (100)‡97 (97)
    Folate <3nmol/L)
     G-I0 (0)0 (0)0 (0)
     G-II0 (0)0 (0)0 (0)
    Folate (>3nmol/L)
     G-II100 (100)100 (100)100 (100)
     G-II100 (100)100 (100)100 (100)
    MMA (100-271nmol/L)
     G-I44 (57.1)*†12 (52.2)α56 (56)∞
     G-II72 (100)28(100)‡100 (100)
    MMA (>271nmol/L)
     G-I33 (42.9)11(47.9)α44 (44)∞
     G-II0 (0)0 (0)0 (0)
    • MMA - Methylmalonic acid, G-I - group I (Vegetarian), G-II - group II (Omnivores), N - Number of subjects, % - Percentage,

    • ↵* p<0.001 when male vegetarians’ compared with male omnivores,

    • ↵α p<0.001 when female vegetarians’ compared with female omnivores,

    • ↵† p<0.001 when male vegetarians’ compared with female vegetarians’,

    • ↵‡ p=0.13 non-significant when male omnivores compared with female omnivores,

    • ↵∞ p<0.001 when total vegetarians’ compared with total omnivores

    • View popup
    Table 3

    Comparison of neurologic and psychiatric problems between vegetarians and omnivores.

    Neurologic and psychiatric problemsVegetariansOmnivoresP-value
    n (%)
    Paresthesias11 (11)3 (3)0.04
    Peripheral neuropathy09 (09)2 (2)0.05
    Personality change05 (05)1 (1)0.21
    Mild memory impairment07 (07)2 (2)0.17
    Depression31 (31)12 (12)< 0.002
    Psychosis11 (11)03 (3)0.04
    Total74 (74)23 (23)<0.001
    • N - number of subjects

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Neurosciences Journal: 22 (3)
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Vol. 22, Issue 3
1 Jul 2017
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Neuropsychiatric and neurological problems among Vitamin B12 deficient young vegetarians
Aneel Kapoor, Mukhtiar Baig, Saeed A. Tunio, Abdul S. Memon, Hotchand Karmani
Neurosciences Journal Jul 2017, 22 (3) 228-232; DOI: 10.17712/nsj.2017.3.20160445

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Neuropsychiatric and neurological problems among Vitamin B12 deficient young vegetarians
Aneel Kapoor, Mukhtiar Baig, Saeed A. Tunio, Abdul S. Memon, Hotchand Karmani
Neurosciences Journal Jul 2017, 22 (3) 228-232; DOI: 10.17712/nsj.2017.3.20160445
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