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American Journal of Clinical Nutrition, Vol. 71, No. 6, 1545-1554, June 2000
© 2000 American Society for Clinical Nutrition


Original Research Communications

Variability of the conversion of ß-carotene to vitamin A in women measured by using a double-tracer study design1,2,3

Yumei Lin, Stephen R Dueker, Betty J Burri, Terry R Neidlinger and Andrew J Clifford

1 From the Department of Nutrition, University of California, Davis, and the Western Human Nutrition Research Center, Agricultural Research Service/Pacific West Area, US Department of Agriculture, Davis, CA.

Background: Blood ß-carotene and vitamin A responses to oral ß-carotene are variable in humans. Some individuals are characterized as responders and others as low- or nonresponders. A better understanding of the conditions that produce the variability is important to help design public health programs that ensure vitamin A sufficiency.

Objective: Our objective was to assess variability in absorption and conversion of ß-carotene to vitamin A in vivo in humans by using a novel double-tracer [hexadeuterated (D6) ß-carotene and D6 retinyl acetate] approach.

Design: Eleven healthy women were housed at the US Department of Agriculture Western Human Nutrition Research Center metabolic unit for 44 d, where they consumed diets adequate in vitamins and minerals except for carotenoids. After an adaptation period, the women were given 30 µmol D6 retinyl acetate orally, followed 1 wk later with 37 µmol D6 ß-carotene (approximately equimolar doses). Time-dependent plasma concentration curves were determined for D6 retinol, D6 ß-carotene, and trideuterated (D3) retinol (derived from D6 ß-carotene).

Results: Mean (±SE) absorption of D6 ß-carotene was 3.3 ± 1.3% for all subjects. The mean conversion ratio was 0.81 ± 0.34 mol D3 retinol to 1 mol D6 ß-carotene for all subjects. However, only 6 of the 11 subjects had plasma D6 ß-carotene and D3 retinol concentrations that we could measure. The mean absorption of D6 ß-carotene in these 6 subjects was 6.1 ± 0.02% and their conversion ratio was 1.47 ± 0.49 mol D3 retinol to 1 mol D6 ß-carotene. The remaining 5 subjects were low responders with <=0.01% absorption and a mean conversion ratio of 0.014 ± 0.004 mol D3 retinol to 1 mol D6 ß-carotene.

Conclusion: Variable absorption and conversion of ß-carotene to vitamin A both contribute to the variable response to consumption of ß-carotene. Our double-tracer approach is adaptable for identifying efficient converters of carotenoid to retinoid.

Key Words: Carotene • vitamin A • ß-carotene • absorption • metabolism • stable isotope • tracer • women




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