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Erschienen in: European Journal of Nutrition 1/2007

01.02.2007 | ORIGINAL CONTRIBUTION

Vitamin A and β-carotene supply of women with gemini or short birth intervals

A pilot study

verfasst von: Christiane Schulz, Ulrike Engel, Rolf Kreienberg, Hans Konrad Biesalski

Erschienen in: European Journal of Nutrition | Ausgabe 1/2007

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Abstract

Background

An adequate supply of vitamin A during pregnancy and breastfeeding plays an important role for development of foetus and neonate, especially in lung development and function.

Aim of the study

Aim of this pilot study was to analyze vitamin A and β-carotene status and to investigate the contribution of nutrition to the vitamin A and β-carotene supply in mother–infant pairs of gemini or births within short birth intervals.

Methods

Twenty-nine volunteers aged between 21 and 36 years were evaluated for 48 h after delivery. During this time frame a food frequency protocol considering 3 months retrospective was obtained from all participants. In order to establish overall supply retinol and β-carotene levels were determined in maternal plasma, cord blood and colostrum via HPLC analysis.

Results

Regardless of the high to moderate socio-economic background, 27.6% of participants showed plasma retinol levels below 1.4 μmol/l which can be taken as borderline deficiency. In addition, 46.4% showed retinol intake <66% of RDA and 50.0% did not consume liver at all although liver contributes as a main source for preformed retinol. Despite high total carotenoid intake of 6.9 ± 3.6 mg/d, 20.7% of mothers showed plasma levels <0.5 μmol/l β-carotene. Retinol and β-carotene levels were highly significantly correlated between maternal plasma versus cord blood and colostrum. In addition, significantly lower levels were found in cord blood (31.2 ± 13.0% (retinol), 4.1 ± 1.4% (β-carotene) compared with maternal plasma.

Conclusions

Despite the fact that vitamin A and β-carotene rich food is generally available, risk groups for low vitamin A supply exist in the western world.
Literatur
1.
Zurück zum Zitat Biesalski HK, Nohr D (2003) Importance of vitamin-A for lung function and development. Mol Aspects Med 24:431–440CrossRef Biesalski HK, Nohr D (2003) Importance of vitamin-A for lung function and development. Mol Aspects Med 24:431–440CrossRef
2.
Zurück zum Zitat Shah RS, Rajalakshmi R, Bhatt RV, Hazra MN, Patel BC, Swamy NB, Patel TV (1987) Liver stores of vitamin A in human fetuses in relation to gestational age, fetal size and maternal nutritional status. Br J Nutr 58:181–189CrossRef Shah RS, Rajalakshmi R, Bhatt RV, Hazra MN, Patel BC, Swamy NB, Patel TV (1987) Liver stores of vitamin A in human fetuses in relation to gestational age, fetal size and maternal nutritional status. Br J Nutr 58:181–189CrossRef
3.
Zurück zum Zitat Chytil F (1996) Retinoids in lung development. FASEB J 10:986–992 Chytil F (1996) Retinoids in lung development. FASEB J 10:986–992
4.
Zurück zum Zitat Atkinson SA (2001) Special nutritional needs of infants for prevention of and recovery from bronchopulmonary dysplasia. J Nutr 131:942–946 Atkinson SA (2001) Special nutritional needs of infants for prevention of and recovery from bronchopulmonary dysplasia. J Nutr 131:942–946
5.
Zurück zum Zitat Verma RP, McCulloch KM, Worrell L, Vidyasagar D (1996) Vitamin A deficiency and severe bronchopulmonary dysplasia in very low birthweight infants. Am J Perinatol 13:389–393CrossRef Verma RP, McCulloch KM, Worrell L, Vidyasagar D (1996) Vitamin A deficiency and severe bronchopulmonary dysplasia in very low birthweight infants. Am J Perinatol 13:389–393CrossRef
6.
Zurück zum Zitat Strobel M, Heinrich F, Biesalski HK (2000) Improved method for rapid determination of vitamin A in small samples of breast milk by high-performance liquid chromatography. J Chromatogr A 898:179–183CrossRef Strobel M, Heinrich F, Biesalski HK (2000) Improved method for rapid determination of vitamin A in small samples of breast milk by high-performance liquid chromatography. J Chromatogr A 898:179–183CrossRef
7.
Zurück zum Zitat IOM, Institute of Medicine, Food, Nutrition Board (2001) Dietary reference intakes for vitamin A, vitamin K, arsenic, boron, chromium, copper, iodine, iron, manganese, molybdenum, nickel, silicon, vanadium, and zinc. National Academy Press, Washington, DC IOM, Institute of Medicine, Food, Nutrition Board (2001) Dietary reference intakes for vitamin A, vitamin K, arsenic, boron, chromium, copper, iodine, iron, manganese, molybdenum, nickel, silicon, vanadium, and zinc. National Academy Press, Washington, DC
8.
Zurück zum Zitat De Pee S, West CE, Permaesih D, Martuti, Muhilal, Hautvast JG (1998) Orange fruit is more effective than are dark-green, leafy vegetables in increasing serum concentrations of retinol and b-carotene in schoolchildren in Indonesia. Am J Clin Nutr 68:1058–1067 De Pee S, West CE, Permaesih D, Martuti, Muhilal, Hautvast JG (1998) Orange fruit is more effective than are dark-green, leafy vegetables in increasing serum concentrations of retinol and b-carotene in schoolchildren in Indonesia. Am J Clin Nutr 68:1058–1067
9.
Zurück zum Zitat van Lieshout M, West CE, van Breemen RB (2003) Isotopic tracer techniques for studying the bioavailability and bioefficacy of dietary carotenoids, particularly beta-carotene, in humans: a review. Am J Clin Nutr 77:12–28 van Lieshout M, West CE, van Breemen RB (2003) Isotopic tracer techniques for studying the bioavailability and bioefficacy of dietary carotenoids, particularly beta-carotene, in humans: a review. Am J Clin Nutr 77:12–28
10.
Zurück zum Zitat Deutsche Gesellschaft für Ernährung (DGE) (2000) Referenzwerte für die Nährstoffzufuhr. Umschau Braus GmbH, Frankfurt am Main, pp 69–77 Deutsche Gesellschaft für Ernährung (DGE) (2000) Referenzwerte für die Nährstoffzufuhr. Umschau Braus GmbH, Frankfurt am Main, pp 69–77
11.
Zurück zum Zitat Biesalski HK, Fürst P (1999) Ernährungsmedizin. Georg Thieme Verlag, Stuttgart New York, pp 111–122 Biesalski HK, Fürst P (1999) Ernährungsmedizin. Georg Thieme Verlag, Stuttgart New York, pp 111–122
12.
Zurück zum Zitat Dimenstein R, Simplicio JL, Ribeiro KD, Melo IL (2003) Retinol levels in human colostrum: influence of child, maternal and socioeconomic variables. J Pediatr (Rio J) 79:513–518CrossRef Dimenstein R, Simplicio JL, Ribeiro KD, Melo IL (2003) Retinol levels in human colostrum: influence of child, maternal and socioeconomic variables. J Pediatr (Rio J) 79:513–518CrossRef
13.
Zurück zum Zitat Schulpis KH, Michalakakou K, Gavrili S, Karikas GA, Lazaropoulou C, Vlachos G, Bakoula C, Papassotiriou I (2004) Maternal-neonatal retinol and alpha-tocopherol serum concentrations in Greeks and Albanians. Acta Paediatr 93:1075–1080CrossRef Schulpis KH, Michalakakou K, Gavrili S, Karikas GA, Lazaropoulou C, Vlachos G, Bakoula C, Papassotiriou I (2004) Maternal-neonatal retinol and alpha-tocopherol serum concentrations in Greeks and Albanians. Acta Paediatr 93:1075–1080CrossRef
14.
Zurück zum Zitat Ross JS, Harvey PW (2003) Contribution of breastfeeding to vitamin A nutrition of infants: a simulation model. Bull World Health Organ 81:80–86 Ross JS, Harvey PW (2003) Contribution of breastfeeding to vitamin A nutrition of infants: a simulation model. Bull World Health Organ 81:80–86
15.
Zurück zum Zitat Huffman S, Rasmusson E, Newman V, O’Gara C (1993) Breastfeeding and the environment. A policy brief from Wellstart International. Birth Gaz 10:17–18 Huffman S, Rasmusson E, Newman V, O’Gara C (1993) Breastfeeding and the environment. A policy brief from Wellstart International. Birth Gaz 10:17–18
16.
Zurück zum Zitat Pedro RA, Cadelaria LV, Bacos FF, Ungson B, Lanot E (1996) A simplified dietary assessment to identify groups at risk for dietary vitamin A deficiency. Asia Pac J Clin Nutr 5:164–169 Pedro RA, Cadelaria LV, Bacos FF, Ungson B, Lanot E (1996) A simplified dietary assessment to identify groups at risk for dietary vitamin A deficiency. Asia Pac J Clin Nutr 5:164–169
17.
Zurück zum Zitat Yeum KJ, Ferland G, Patry J, Russell RM (1998) Relationship of plasma carotenoids, retinol and tocopherols in mothers and newborn infants. J Am Coll Nutr 17:442–447 Yeum KJ, Ferland G, Patry J, Russell RM (1998) Relationship of plasma carotenoids, retinol and tocopherols in mothers and newborn infants. J Am Coll Nutr 17:442–447
18.
Zurück zum Zitat Shirali GS, Oelberg DG, Mehta KP (1989) Maternal-neonatal serum vitamin A concentrations. J Pediatr Gastroenterol Nutr 9:62–66CrossRef Shirali GS, Oelberg DG, Mehta KP (1989) Maternal-neonatal serum vitamin A concentrations. J Pediatr Gastroenterol Nutr 9:62–66CrossRef
19.
Zurück zum Zitat Gazala E, Sarov B, Hershkovitz E, Edvardson S, Sklan D, Katz M, Friger M, Gorodischer R (2003) Retinol concentration in maternal and cord serum: its relation to birth weight in healthy mother-infant pairs. Early Hum Dev 71:19–28CrossRef Gazala E, Sarov B, Hershkovitz E, Edvardson S, Sklan D, Katz M, Friger M, Gorodischer R (2003) Retinol concentration in maternal and cord serum: its relation to birth weight in healthy mother-infant pairs. Early Hum Dev 71:19–28CrossRef
20.
Zurück zum Zitat Dejmek J, Ginter E, Solansky I, Podrazilova K, Stavkova Z, Benes I, Sram RJ (2002) Vitamin C, E and A levels in maternal and fetal blood for Czech and Gypsy ethnic groups in the Czech Republic. Int J Vitam Nutr Res 72:183–190CrossRef Dejmek J, Ginter E, Solansky I, Podrazilova K, Stavkova Z, Benes I, Sram RJ (2002) Vitamin C, E and A levels in maternal and fetal blood for Czech and Gypsy ethnic groups in the Czech Republic. Int J Vitam Nutr Res 72:183–190CrossRef
21.
Zurück zum Zitat Dallaire F, Dewailly E, Shademani R, Laliberte C, Bruneau S, Rhainds M, Blanchet C, Lefebvre M, Ayotte P (2003) Vitamin A concentration in umbilical cord blood of infants from three separate regions of the province of Quebec (Canada). Can J Public Health 94:386–390 Dallaire F, Dewailly E, Shademani R, Laliberte C, Bruneau S, Rhainds M, Blanchet C, Lefebvre M, Ayotte P (2003) Vitamin A concentration in umbilical cord blood of infants from three separate regions of the province of Quebec (Canada). Can J Public Health 94:386–390
22.
Zurück zum Zitat Godel JC, Basu TK, Pabst HF, Hodges RS, Hodges PE, Ng ML (1996) Perinatal vitamin A (retinol) status of northern Canadian mothers and their infants. Biol Neonate 69:133–139CrossRef Godel JC, Basu TK, Pabst HF, Hodges RS, Hodges PE, Ng ML (1996) Perinatal vitamin A (retinol) status of northern Canadian mothers and their infants. Biol Neonate 69:133–139CrossRef
23.
Zurück zum Zitat Kiely M, Cogan PF, Kearney PJ, Morrissey PA (1999) Concentrations of tocopherols and carotenoids in maternal and cord blood plasma. Eur J Clin Nutr 53:711–715CrossRef Kiely M, Cogan PF, Kearney PJ, Morrissey PA (1999) Concentrations of tocopherols and carotenoids in maternal and cord blood plasma. Eur J Clin Nutr 53:711–715CrossRef
24.
Zurück zum Zitat Rondo PH, Abbott R, Rodrigues LC, Tomkins AM (1995) Vitamin A, folate, and iron concentrations in cord and maternal blood of intra-uterine growth retarded and appropriate birth weight babies. Eur J Clin Nutr 49:391–399 Rondo PH, Abbott R, Rodrigues LC, Tomkins AM (1995) Vitamin A, folate, and iron concentrations in cord and maternal blood of intra-uterine growth retarded and appropriate birth weight babies. Eur J Clin Nutr 49:391–399
25.
Zurück zum Zitat Joint FAO/WHO Expert Consultation on Human Vitamin and Mineral Requirements (1998) Vitamin and mineral requirements in human nutrition: report of a joint FAO/WHO expert consultation. Bangkok, Thailand, 21–30 September 1998 Joint FAO/WHO Expert Consultation on Human Vitamin and Mineral Requirements (1998) Vitamin and mineral requirements in human nutrition: report of a joint FAO/WHO expert consultation. Bangkok, Thailand, 21–30 September 1998
26.
Zurück zum Zitat Allen LH (2005) Multiple micronutrients in pregnancy and lactation: an overview. Am J Clin Nutr 81:1206S–1212S Allen LH (2005) Multiple micronutrients in pregnancy and lactation: an overview. Am J Clin Nutr 81:1206S–1212S
27.
Zurück zum Zitat Institute of Medicine FaNB (2000) Dietary reference intakes for vitamin C, vitamin E, selenium und carotinoids. National Academy Press, Washington DC Institute of Medicine FaNB (2000) Dietary reference intakes for vitamin C, vitamin E, selenium und carotinoids. National Academy Press, Washington DC
28.
Zurück zum Zitat Macias C, Schweigert FJ (2001) Changes in the concentration of carotenoids, vitamin A, alpha-tocopherol and total lipids in human milk throughout early lactation. Ann Nutr Metab 45:82–85CrossRef Macias C, Schweigert FJ (2001) Changes in the concentration of carotenoids, vitamin A, alpha-tocopherol and total lipids in human milk throughout early lactation. Ann Nutr Metab 45:82–85CrossRef
29.
Zurück zum Zitat Sommerburg O, Meissner K, Nelle M, Lenhartz H, Leichsenring M (2000) Carotenoid supply in breast-fed and formula-fed neonates. Eur J Pediatr 159:86–90CrossRef Sommerburg O, Meissner K, Nelle M, Lenhartz H, Leichsenring M (2000) Carotenoid supply in breast-fed and formula-fed neonates. Eur J Pediatr 159:86–90CrossRef
30.
Zurück zum Zitat Canfield LM, Clandinin MT, Davies DP, Fernandez MC, Jackson J, Hawkes J, Goldman WJ, Pramuk K, Reyes H, Sablan B, Sonobe T, Bo X (2003) Multinational study of major breast milk carotenoids of healthy mothers. Eur J Nutr 42:133–141 Canfield LM, Clandinin MT, Davies DP, Fernandez MC, Jackson J, Hawkes J, Goldman WJ, Pramuk K, Reyes H, Sablan B, Sonobe T, Bo X (2003) Multinational study of major breast milk carotenoids of healthy mothers. Eur J Nutr 42:133–141
31.
Zurück zum Zitat Lindqvist A, Andersson S (2004) Cell type-specific expression of beta-carotene 15,15′-mono-oxygenase in human tissues. J Histochem Cytochem 52:491–499 Lindqvist A, Andersson S (2004) Cell type-specific expression of beta-carotene 15,15′-mono-oxygenase in human tissues. J Histochem Cytochem 52:491–499
32.
Zurück zum Zitat Müller H (1996) Die tägliche Aufnahme von Carotinoiden (Carotine und Xanthophylle) aus Gesamtnahrungsproben und die Carotinoidgehalte ausgewählter Gemüse und Obstarten. Z Ernährungswiss 35:45–50CrossRef Müller H (1996) Die tägliche Aufnahme von Carotinoiden (Carotine und Xanthophylle) aus Gesamtnahrungsproben und die Carotinoidgehalte ausgewählter Gemüse und Obstarten. Z Ernährungswiss 35:45–50CrossRef
33.
Zurück zum Zitat Pelz R, Schmidt-Faber B, Heseker H (1998) Carotenoid intake in the German National Food Consumption Survey. Z Ernährungswiss 37:319–327CrossRef Pelz R, Schmidt-Faber B, Heseker H (1998) Carotenoid intake in the German National Food Consumption Survey. Z Ernährungswiss 37:319–327CrossRef
Metadaten
Titel
Vitamin A and β-carotene supply of women with gemini or short birth intervals
A pilot study
verfasst von
Christiane Schulz
Ulrike Engel
Rolf Kreienberg
Hans Konrad Biesalski
Publikationsdatum
01.02.2007
Erschienen in
European Journal of Nutrition / Ausgabe 1/2007
Print ISSN: 1436-6207
Elektronische ISSN: 1436-6215
DOI
https://doi.org/10.1007/s00394-006-0624-9

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