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Evidence of grave vitamin A deficiency among lactating women in the semi-arid rural area of Makhaza in Zimbabwe. A population-based study.
Eur J Clin Nutr. 2001 Apr; 55(4):229-34.EJ

Abstract

OBJECTIVE

To assess the vitamin A and iron status of lactating women.

DESIGN

A population-based cross-sectional descriptive study.

SETTING

A semi-arid rural area of Makhaza in Zimbabwe.

SUBJECTS

Two hundred and seven lactating women with babies aged 2-12 months.

METHODS

Serum retinol (SR) was measured by HPLC, serum ferritin (SF) by ELIZA, haemoglobin (Hb) by HemoCue and C-reactive protein (CRP) by a turbo metric method. A seven-day recall of consumption of vitamin A containing foods was recorded.

MAIN OUTCOME MEASURES

Relative dose response (RDR), SR, SF, Hb and CRP.

RESULTS

Dark green leafy vegetables were the main sources of vitamin A; retinol-containing foods and yellow to red fruits and vegetables were rarely consumed. Five women had elevated CRP and these women had lower SR (P < 0.001) than the rest. Forty percent of the women had vitamin A deficiency (SR < 20 microg/dl), 76% had low liver stores of vitamin A (RDR > 20%) while 15 women had both abnormal SR and abnormal RDR. Forty percent had anaemia (Hb < 12 g/l) while 12% had iron deficiency (SF < 12 microg/dl) and 4% (n = 7) had iron deficiency anaemia.

CONCLUSION

Vitamin A and iron deficiencies are problems of public health significance among the lactating women in the Makhaza area.

Authors+Show Affiliations

Section for International Maternal and Child Health, Department of Women's and Children's Health, University Hospital, Uppsala, Sweden.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

11360126

Citation

Ncube, T N., et al. "Evidence of Grave Vitamin a Deficiency Among Lactating Women in the Semi-arid Rural Area of Makhaza in Zimbabwe. a Population-based Study." European Journal of Clinical Nutrition, vol. 55, no. 4, 2001, pp. 229-34.
Ncube TN, Malaba L, Greiner T, et al. Evidence of grave vitamin A deficiency among lactating women in the semi-arid rural area of Makhaza in Zimbabwe. A population-based study. Eur J Clin Nutr. 2001;55(4):229-34.
Ncube, T. N., Malaba, L., Greiner, T., & Gebre-Medhin, M. (2001). Evidence of grave vitamin A deficiency among lactating women in the semi-arid rural area of Makhaza in Zimbabwe. A population-based study. European Journal of Clinical Nutrition, 55(4), 229-34.
Ncube TN, et al. Evidence of Grave Vitamin a Deficiency Among Lactating Women in the Semi-arid Rural Area of Makhaza in Zimbabwe. a Population-based Study. Eur J Clin Nutr. 2001;55(4):229-34. PubMed PMID: 11360126.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Evidence of grave vitamin A deficiency among lactating women in the semi-arid rural area of Makhaza in Zimbabwe. A population-based study. AU - Ncube,T N, AU - Malaba,L, AU - Greiner,T, AU - Gebre-Medhin,M, PY - 2000/03/27/received PY - 2000/10/20/revised PY - 2000/10/30/accepted PY - 2001/5/22/pubmed PY - 2001/8/31/medline PY - 2001/5/22/entrez SP - 229 EP - 34 JF - European journal of clinical nutrition JO - Eur J Clin Nutr VL - 55 IS - 4 N2 - OBJECTIVE: To assess the vitamin A and iron status of lactating women. DESIGN: A population-based cross-sectional descriptive study. SETTING: A semi-arid rural area of Makhaza in Zimbabwe. SUBJECTS: Two hundred and seven lactating women with babies aged 2-12 months. METHODS: Serum retinol (SR) was measured by HPLC, serum ferritin (SF) by ELIZA, haemoglobin (Hb) by HemoCue and C-reactive protein (CRP) by a turbo metric method. A seven-day recall of consumption of vitamin A containing foods was recorded. MAIN OUTCOME MEASURES: Relative dose response (RDR), SR, SF, Hb and CRP. RESULTS: Dark green leafy vegetables were the main sources of vitamin A; retinol-containing foods and yellow to red fruits and vegetables were rarely consumed. Five women had elevated CRP and these women had lower SR (P < 0.001) than the rest. Forty percent of the women had vitamin A deficiency (SR < 20 microg/dl), 76% had low liver stores of vitamin A (RDR > 20%) while 15 women had both abnormal SR and abnormal RDR. Forty percent had anaemia (Hb < 12 g/l) while 12% had iron deficiency (SF < 12 microg/dl) and 4% (n = 7) had iron deficiency anaemia. CONCLUSION: Vitamin A and iron deficiencies are problems of public health significance among the lactating women in the Makhaza area. SN - 0954-3007 UR - https://www.unboundmedicine.com/medline/citation/11360126/Evidence_of_grave_vitamin_A_deficiency_among_lactating_women_in_the_semi_arid_rural_area_of_Makhaza_in_Zimbabwe__A_population_based_study_ L2 - https://doi.org/10.1038/sj.ejcn.1601138 DB - PRIME DP - Unbound Medicine ER -