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Blood retinol and β-carotene levels in rural Guatemalan preschool children

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Abstract

Plasma retinol and β-carotene levels were measured in 502 preschool Guatemalan children from five rural hamlets. Their ages ranged from 6 to 78 months (mean: 42.9±19.2 months); 45% males and 55% females. The mean retinol value in the whole group was 0.9±0.4 µmol/1 (range: 0.1 to 8.4 µmol/1). There was no significant difference between sexes in retinol mean values nor in the incidence of retinol values less than 0.7 µmol/1 (22% in males, 18% in females). When grouped by age and community, significant low retinol mean values were found in two hamlets in the youngest age group (12 to 23 months) as compared to the other age-groups (p<0.05). In the other two hamlets, there were no significant differences among retinol means by age-group. The highest prevalence of deficient retinol values by age-group was in the 12 to 23 months group (40%), and decreased as age increased. The mean value for β-carotene in the whole group was 0.13±0.18 µmol/1 (range: 0.01 to 2.23 µmol/1). There were no significant differences in β-carotene means between sexes in the whole group. Stratifying the β-carotene data by age-groups and community, values were significantly higher in the 48–59 months and 72–83 months groups, as compared with the other age groups in two of the communities (p<0.05). Significant differences across communities for β-carotene were found only in the 12 to 23 months group.

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References

  1. Arroyave G, Aguilar JR, Flores M, Guzman MA. Evaluación del Programa Nacional de Fortificación del Azúcar con Vitamina A, 1979. INCAP/OPS No 384.

  2. Arroyave G, Mejia LA, Aguilar JR. The effect of vitamin A fortification of sugar on the serum vitamin A levels of preschool Guatemalan children: a longitudinal evaluation. Am J Clin Nutr 1981; 34: 41–49.

    Google Scholar 

  3. Bendich A, Langseth L. Safety of vitamin A. Am J Clin Nutr 1989; 49: 358–371.

    Google Scholar 

  4. Brink EW, Davey DTPH, Perera WDA, Broske SP, Cash RA, Smith JL, Sauberlich HE, Bashor MM. Vitamin A status of children in Sri Lanka. Am J Clin Nutr 1979; 32: 84–91.

    Google Scholar 

  5. Campos FACS, Flores H, Underwood BA. Effect of an infection on vitamin A status of children as measured by the relative dose response (RDR). Am J Clin Nutr 1987; 46: 91–94.

    Google Scholar 

  6. Canfield LM, Bulux J, Quan de Serrano J, Rivera C, Lima AF, Lopez CY, Perez R, Khan LK, Harrison GG, Solomons NW. Plasma response to oral β-carotene in Guatemalan school children. Am J Clin Nutr 1991; 54: 539–542.

    Google Scholar 

  7. Carlier C, Moulia-Pelat J-P, Ceccon J-F, et al. Prevalence of malnutrition and vitamin A deficiency in the Diorbel, Fatick, and Kaolack regions of Senegal: a controlled study. Am J Clin Nutr 1991; 53: 74–77.

    Google Scholar 

  8. Chase HP, Hambidge KM, Barnett SE, Houts-Jacobs MJ, Lenz K, Gillespie J. Low vitamin A and zinc concentrations in Mexican-American migrant children with growth retardation. Am J Clin Nutr 1980; 33: 2346–2349.

    Google Scholar 

  9. Colton T. Statistics in Medicine. Little Brown and Company, Boston, 1974; 129–131.

    Google Scholar 

  10. Comité Interdepartamental de Nutrición para la Defensa Nacional/Instituto de Nutrición de Centro América y Panamá, 1969. Evaluación Nutricional de la Población de Centre América y Panamá: Guatemala. Guatemala, Centre América.

  11. Dawson-Saunder B, Trapp RG. Basic and Clinical Biostatistics. Appleton & Lange, California, 1990; 51–52.

    Google Scholar 

  12. Devadas RP, Murthy NK. Biological utilization of β-carotene from amaranth and leaf protein in preschool children. Wld Rev Nutr Diet 1978; 31: 159–161.

    Google Scholar 

  13. Dinarello CA. Interleukina I. Rev Infect Dis 1984; 6: 61–91.

    Google Scholar 

  14. Duarte-Fajardo RM, Vieira de Souza N, Batista SM, Oliveira JE. Vitamin A status of young children in southern Brazil. Am J Clin Nutr 1986; 43: 852–858.

    Google Scholar 

  15. Erdman J. The physiologic chemistry of carotenes in man. Clin Nutr 1988; 7: 101–105.

    Google Scholar 

  16. Gadomski A, Kjolhede CL, Wittpenn J, Bulux J, Rosas AR, Forman M. Conjunctival impression cytology (CIC) to detect subclinical vitamin A deficiency: comparison of CIC with biochemical assessments. Am J Clin Nutr 1989; 49: 495–500.

    Google Scholar 

  17. Jalal F, Nesheim MC Sanjur D, Habicht JP. Effects of deworming, dietary fat intake and carotenoid rich diets on vitamin A status ofAscaris lumbricoides infected preschool children in West Sumatra. FASEB J 1990; 4: A1376.

  18. Kim H, Simpson KL, Gerber LE. Serum carotenoids and retinol of human subjects consuming carrot juice. Nutr Res 1988; 8: 1119–1127.

    Google Scholar 

  19. Lewis CJ, Mcdowell MA, Sempos CT, Lewis KC, Yetley EA. Relationship between age and serum vitamin A in children aged 4–11 y. Am J Clin Nutr 1990; 52: 353–374.

    Google Scholar 

  20. Looker AC, Johnson CL, Woteki CE, Vetley EA, Underwood BA. Ethnic and racial differences in serum vitamin A levels of children aged 4–11 years. Am J Clin Nutr 1988; 47: 247–252.

    Google Scholar 

  21. Mahalanabis D, Simpson TW, Chakraborty ML, Ganguli C, Bhattacharjee AK, Mukherjee KL. Malabsorption of water miscible vitamin A in children with giardiasis and ascariasis. Am J Clin Nutr 1979; 32: 313–318.

    Google Scholar 

  22. Mejia LA, Hodges RE, Arroyave G, Viteri F, Torun B. Vitamin A deficiency and anemia in Central American children. Am J Clin Nutr 1977; 30: 1175–1184.

    Google Scholar 

  23. Mejia LA, Arroyave G. The effect of vitamin A fortification of sugar on iron metabolism in preschool children in Guatemala. Am J Clin Nutr 1982; 36: 87–93.

    Google Scholar 

  24. Mendoza I. Proyecto de Vitamina A. Departamento de Alta Verapaz, Guatemala. Informe de la Evaluación Inicial (Línea Basal). Comité Nacional Prociegos y Sordos de Guatemala; Fundación Internacional del Ojo. Guatemala, 1992.

  25. Olson JA. Serum levels of vitamin A and carotenoids as reflector of nutritional status. J Natl Cancer Inst 1984; 73: 1439–1444.

    Google Scholar 

  26. PAHO. Hypovitaminosis A in the Americas. Technical Group Meeting. Washington, DC: Pan American Health Organization Scientific Publication No. 198, 1970.

  27. Pasatiempo AMG, Bowman TA, Taylor CE, Ross CA. Vitamin A depletion and repletion: effects on antibody response to the capsular polysaccharide ofStreptococcus pneumoniae, type III (SSS-III). Am J Clin Nutr 1989; 49: 501–510.

    Google Scholar 

  28. Rahmathullah L, Underwood BA, Thulsiraj RD, et al. Reduced mortality among children in southern India receiving a small weekly dose of vitamin A. N Engl J Med 1990; 323: 929–935.

    Google Scholar 

  29. Reddy V, Vijayaraghavan K, Mathur KK. Effect of deworming and vitamin A administration on serum vitamin A levels in preschool children. J Trop Pediatr 1986; 32: 196–199.

    Google Scholar 

  30. Solomons NW, Bulux J, Guerrero AM, et al. Vitamina A en áreas urbanas marginales de la capital de Guatemala. Rev Chil Nutr 1989; 17: 41–45.

    Google Scholar 

  31. Stephenson LS, Crompton WT, Latham MC, Schulpen TWJ, Nesheim MC, Jansen AAJ. Relationships between ascaris infection and growth of malnourished preschool children in Kenya. Am J Clin Nutr 1980; 33: 1165–1172.

    Google Scholar 

  32. Taren DL, Crompton DWT. Nutritional interactions during parasitism. Clin Nutr 1989; 8: 227–238.

    Google Scholar 

  33. Taren DL, Nesheim MC, Crompton DWT, et al. Contributions of ascariasis to poor nutritional status in children from Chiriqui Province, Republic of Panama. Parasitology 1987; 95: 603–613.

    Google Scholar 

  34. Thurnham DI. Vitamin A deficiency and its role in infection. Trans Roy Soc Trop Med Hyg 1989; 83: 721–723.

    Google Scholar 

  35. Sturchler A, et al. A longitudinal study on relations of retinol with parasitic infections and the immune response in children of Kilwawila village, Tanzania. Acta Tropical 1987; 44: 213–227.

    Google Scholar 

  36. Vitamin A Field Support Project (VITAL). Vitamin A facts, Latin American & Caribbean Region (selected Countries), 1992. VITAL/ISTI, Arlington, VA, USA.

  37. Vuilleumier JP, Keller HE, Gysel D, Hunziker. Clinical methods for the routine assessment of vitamin status in human populations. Part I: the fat-soluble vitamins A and E and beta-carotene. Int J Vitam Nutr Res 1983; 53: 359–376.

    Google Scholar 

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Romero-Abal, M.E., Mendoza, I., Bulux, J. et al. Blood retinol and β-carotene levels in rural Guatemalan preschool children. Eur J Epidemiol 11, 133–139 (1995). https://doi.org/10.1007/BF01719477

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