Background
Vitamin B6 is an important cofactor in many metabolic processes. However, vitamin B6 intake and plasma status have not been well studied in the Puerto Rican population, a group with documented health disparities.
Objective
To assess dietary intake of vitamin B6, food sources, and plasma status of pyridoxal 5′-phosphate (PLP), and their associations with plasma homocysteine in 1236 Puerto Rican adults, aged 45–75 years, living in the greater Boston area.
Design
Baseline data were analyzed cross-sectionally.
Method
Questionnaire data were collected by home interview. Dietary intake was assessed with a semi-quantitative food frequency questionnaire. Plasma PLP and homocysteine were assayed from blood samples collected in the home.
Results
The mean daily intake of vitamin B6 was 2.90 ± 1.28 mg (mean ± SD) for men and 2.61 ± 1.29 mg for women (P <0.001). Approximately 11% were deficient (PLP <20 nmol/L) and another 17 % insufficient (PLP ≥20 but <30 nmol/L). Household income below the poverty threshold, physical inactivity and current smoking were significantly associated with lower plasma PLP (P <0.05). Food groups contributing most to vitamin B6 intake included ready-to-eat cereals, poultry, rice, potatoes and dried beans. However, only intake of ready-to-eat cereals and use of supplements with vitamin B6 were significantly associated with plasma PLP sufficiency (≥30 vs. <30 nmol/L, P <0.01). Both vitamin B6 intake and PLP were significantly associated with plasma total homocysteine (P < 0.001). The association between PLP and homocysteine remained statistically significant after further adjustment for plasma vitamin B12 and folate (P = 0.028).
Conclusion
Given the known importance of vitamin B6 to health, the high prevalence of low vitamin B6 status in this Puerto Rican population is of concern. Further work is needed to clarify the potential role that insufficient vitamin B6 may have in relation to the observed health disparities in this population.