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American Journal of Clinical Nutrition, Vol. 70, No. 6, 1069-1076, December 1999
© 1999 American Society for Clinical Nutrition


Original Research Communications

Green and yellow vegetables can maintain body stores of vitamin A in Chinese children1,2,3

Guangwen Tang, Xiu-fang Gu, Shan-ming Hu, Qing-mei Xu, Jian Qin, Gregory G Dolnikowski, Carla R Fjeld, Xiang Gao, Robert M Russell and Shi-an Yin

1 From the Jean Mayer US Department of Agriculture, Human Nutrition Research Center on Aging at Tufts University, Boston; the Tai-an Medical College, Tai-an City, Shandong, China; the Institute of Nutrition and Food Hygiene, Chinese Academy of Preventive Medicine, Beijing; and the International Atomic Energy Agency, Vienna.

Background: Vitamin A activity of plant provitamin A carotenoids is uncertain.

Objective: The objective was to determine whether plant carotenoids can sustain or improve vitamin A nutrition during the fall season in kindergarten children in the Shandong province of China.

Design: The serum vitamin A concentration of 39% of the children was <1.05 µmol/L and of 61% of the children was >=1.05 µmol/L. For 5 d/wk for 10 wk, 22 children were provided {approx}238 g green-yellow vegetables/d and 34 g light-colored vegetables/d. Nineteen children maintained their customary dietary intake, which included 56 g green-yellow vegetables/d and 224 g light-colored vegetables/d. Octadeuterated and tetradeuterated vitamin A were given before and after the interventions, respectively, and their enrichments in the plasma were determined by gas chromatography–mass spectrometry. Serum retinol and carotenoid concentrations were measured by HPLC.

Results: Carotenoid nutrition improved after consumption of green-yellow vegetables. Serum concentrations of retinol were sustained in the group fed green-yellow vegetables but decreased in the group fed light-colored vegetables (P < 0.01). The isotope-dilution tests confirmed that total-body vitamin A stores were sustained in the group fed green-yellow vegetables, but decreased 27 µmol (7700 µg retinol) per child, on average, in the group fed light-colored vegetables (P < 0.06).

Conclusion: Green-yellow vegetables can provide adequate vitamin A nutrition in the diet of kindergarten children and protect them from becoming vitamin A deficient during seasons when the provitamin A food source is limited.

Key Words: Green-yellow vegetables • deuterated vitamin A • China • kindergarten children • total-body vitamin A stores




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