Evaluation of Retinol Level Among Preschool Children, Pregnant and Lactating Women Attending Primary Health Care Centres in Baghdad
DOI:
https://doi.org/10.6000/1929-4247.2013.02.01.9Keywords:
Vitamin A, pregnant, lactating women, primary health care centersAbstract
Background: Vitamin A deficiency (VAD) is a major public health nutrition problem in the developing world. There have been no studies on this topic in Iraq. This study was designed to evaluate the serum retinol levels of preschool children, pregnant and lactating women.
Objectives: The present study is an attempt to estimate the prevalence of vitamin A deficiency among preschool children, pregnant and lactating women attending primary health care centers in Baghdad, in addition to figure out the relation between vitamin A deficiency with some demographical, clinical, variables.
Subjects and Methods: The study was conducted during the period from October to December 2009.
The sample was comprised of 490 subjects, Lactating women pregnant women and under 6 year's old children attending ten primary health care centers in Baghdad.
The data were collected through direct interview; blood samples were taken and analyze for serum retinol (SR) by HPLC analysis and hemoglobin (Hb) level, anthropometric measurement were obtained for the study sample.
Results: The study showed that the prevalence of vitamin A deficiency in preschool aged children (below 6 years) was (38.3 %); and that for lactating women and pregnant women were (7.1 %) and (25 %) respectively.
Forty percent of pregnant women, (25.8 %) of lactating women and a total of (58.6 %) preschool children were anemic, A correlation coefficient between SR and Hb concentrations was significant (N=490, r=0.533, P<0.0001).
Conclusion: Vitamin A deficiency is a public health problem, this study shows that subjects in the 3 groups (preschool children, pregnant and lactating women) are at risk of VAD and anemia; nearly half of them had the co-occurrence of VAD and anemia. A close association between vitamin A deficiency and anemia with a correlation coefficient between SR and Hb concentrations was significant.
References
World Health Organization.VtaminA supplements , a guide to their use in the treatment and prevention of vitamin A deficiency and xerophthalmi . Report of a WHO/UNICEF/ IVACG task force, second edition. Geneva: WHO 1997.
West KP Jr. Extent of vitamin A deficiency among preschool children and women of reproductive age. J Nutr 2002; 132: 2857S-2866S
West KP Jr. Vitamin A deficiency disorders in children and women. Food Nutr Bull 2003; 24(4 Supple): S78-90.
Reifen R. Vitamin A as an anti-inflammatory agent. Proc Nutr Soc 2002; 61(3): 397-400. http://dx.doi.org/10.1079/PNS2002172
World Health Organization, author. Micronutrient information system. Geneva, Switzerland: 1995. Global prevalence of vitamin A deficiency. Working paper no 2.
Villamor E, Fawzi WW. Vitamin A supplementation: implications for morbidity and mortality in children. Infect Dis 2000; 182: S122-133. http://dx.doi.org/10.1086/315921
World Health Organization. Nutrition for health and development: a global agenda for combating malnutrition. Geneva, (Switzerland): WHO 2000.
Huiming Y, Chaomin W, Meng M. Vitamin A for treating measles in children. Cochrane Database Syst Rev 2005; (4): CD001479.
Konawa YA, Muslimatun S, Achadi EL, Sastroamidjojo S. Anemia and iron deficiency anemia among young adolescent girls from the peri urban coastal area of Indonesia. Asia Pac J Clin Nutr 2006; 15: 350-56.
WHO/UNICEF/UNU, eds. Iron deficiency anemia assessment, prevention, and control: a guide for programme managers. Geneva, Switzerland: World Health Organization 2001.
Mejı´a LA, Hodges RE, Rucker RB. Clinical signs of anemia in vitamin A-deficient rats. Am J Clin Nutr 2003; 32: 1439-44.
Mohanram M, Kulkarni KA, Reddy V. Hematological studies in vitamin A deficient children. Int J Vit Nutr Res 2002; 47: 389-93.
Shamah T, Villalpando S. The role of enriched foods in infant and child nutrition. Br J Nutr 2006; 96: S73-77. http://dx.doi.org/10.1079/BJN20061704
Sommer A, Davidson FR. Assessment and control of vitamin A deficiency: the Annecy Accords. J Nutr 2002; 132(9 Suppl): 2845S-2850S.
Schaumberg DA, Linehan M, Hawley G, O'Connor J, Dreyfuss M, Semba RD. Vitamin A deficiency in the South Pacific. Public Health 1995; 109(5): 311-17. http://dx.doi.org/10.1016/S0033-3506(95)80002-6
West KP Jr. Extent of vitamin A deficiency among preschool children and women of reproductive age. J Nutr 2002; 132(9 Suppl): 2857S-2866S.
Humphrey JH, West KP Jr, Sommer A. Vitamin A deficiency and attributable mortality among under-5-year-olds. Bull World Health Organ 1992; 70(2): 225-32.
World Health Organization. Indicators for assessing vitamin A deficiency and their application in monitoring and evaluating intervention programs. Geneva, Switzerland: WHO 1996.
Sommer A. Vitamin A Deficiency and Its Consequences. A Field Guide to Detection and Control 3rd ed. 1995 World Health Organization Geneva, Switzerland 1995.
Indicators for assessing vitamin A deficiency and their application in monitoring and evaluating intervention programmes. Report of a WHO/UNICEF Consultation, Geneva, 9-11 November 1992. Review version. Geneva: WHO, 1994.
Molla A, Khurshid M, Molla AM, Badruddin SH, Hendricks K, Snyder JD. Is anemia an accurate predictor of vitamin A status in Pakistani children? Am J Trop Med 2003b; 49: 276-79.
Mohanram M, Kulkarni KA, Reddy V. Hematological studies in vitamin A deficient children. Int J Vit Nutr Res 2002; 47: 389-93.
Fazio-Tirrozzo G, Brabin L, Brabin B, Agbaje O, Harper G, Broadhead R. A community based study of vitamin A and vitamin E status of adolescent girls living in the Shire valley, Southern Malawi. Eur J Clin Nutr 2001; 52: 637-42. http://dx.doi.org/10.1038/sj.ejcn.1600622
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