Vitamin A intake and infection are associated with plasma retinol among pre-school children in rural Zambia

cg.authorship.typesCGIAR single centreen
cg.contributor.crpAgriculture for Nutrition and Health
cg.coverage.countryZambia
cg.coverage.iso3166-alpha2ZM
cg.coverage.regionSouthern Africa
cg.coverage.regionSub-Saharan Africa
cg.coverage.regionAfrica
cg.coverage.regionEastern Africa
cg.identifier.doihttps://doi.org/10.1017/s1368980012000924en
cg.identifier.projectIFPRI - HarvestPlus
cg.identifier.publicationRankB
cg.isijournalISI Journalen
cg.issn1368-9800en
cg.issn1475-2727en
cg.issue9en
cg.journalPublic Health Nutritionen
cg.reviewStatusPeer Reviewen
cg.volume15en
dc.contributor.authorHotz, Christineen
dc.contributor.authorChileshe, Justinen
dc.contributor.authorSiamusantu, Warden
dc.contributor.authorPalaniappan, Umaen
dc.contributor.authorKafwembe, Emmanuelen
dc.date.accessioned2024-10-01T13:55:36Zen
dc.date.available2024-10-01T13:55:36Zen
dc.identifier.urihttps://hdl.handle.net/10568/153077
dc.titleVitamin A intake and infection are associated with plasma retinol among pre-school children in rural Zambiaen
dcterms.abstractTo determine the prevalence of vitamin A deficiency, infection and adequacy of vitamin A intakes among Zambian children, and the contribution of dietary vitamin A and infection to vitamin A status.A cross-sectional survey of vitamin A intakes by the 24 h recall method, vitamin A status by plasma retinol and the modified relative dose-response test, and infection by acute-phase proteins.Rural communities in Central and Eastern Provinces of Zambia.Children 2–5 years of age.The prevalence of vitamin A deficiency was 56 % by plasma retinol, 48 % with infection-adjusted plasma retinol and 22 % by the modified relative dose-response test. The majority of children (61 %) had a current infection. Vitamin A intakes were relatively high (331 to 585 μg retinol activity equivalents/d in the harvest/early post-harvest and late post-harvest seasons, respectively) and the prevalence of inadequate intakes was <1 % when compared with the Estimated Average Requirement (210 and 275 μg retinol activity equivalents/d for children aged 1–3 and 4–8 years, respectively). Elevated α-1-acid glycoprotein was negatively associated with plasma retinol (P< 0·0 0 1) and vitamin A intake was positively associated with plasma retinol (P< 0·05), but only when estimated assuming a 26:1 retinol equivalence for provitamin A from green and yellow vegetables.Infection and vitamin A intakes were significant determinants of plasma retinol. We cannot conclude which indicator more accurately represents the true vitamin A status of the population. Reasons for the persistent high prevalence of vitamin A deficiency in the presence of adequate vitamin A intakes are unclear, but the high rates of infection may play a role.en
dcterms.accessRightsLimited Access
dcterms.available2012-03-23
dcterms.bibliographicCitationHotz, Christine; Chileshe, Justin; Siamusantu, Ward; Palaniappan, Uma; Kafwembe, Emmanuel 2012. Vitamin A intake and infection are associated with plasma retinol among pre-school children in rural Zambia. Public Health Nutrition 15(9): 1688-1696en
dcterms.extentpp. 1688-1696en
dcterms.issued2012-09
dcterms.languageen
dcterms.licenseCopyrighted; all rights reserved
dcterms.publisherCambridge University Pressen
dcterms.replaceshttps://ebrary.ifpri.org/digital/collection/p15738coll5/id/3516en
dcterms.typeJournal Article

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