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ORIGINAL RESEARCH COMMUNICATION |
1 From the Program in International Nutrition, Department of Nutrition, University of California, Davis (MJH, JMP, and KHB), and the International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR,B): Centre for Health and Population Research, Dhaka, Bangladesh (KMJ, FH, MIH, and GJF)
Background: Recent evidence suggests that the vitamin A equivalency of ß-carotene from plant sources is lower than previously estimated.
Objective: We assessed the effect of 60 d of daily supplementation with 750 µg retinol equivalents (RE) of either cooked, puréed sweet potatoes; cooked, puréed Indian spinach (Basella alba); or synthetic sources of vitamin A or ß-carotene on total-body vitamin A stores in Bangladeshi men.
Design: Total-body vitamin A stores in Bangladeshi men (n = 14/group) were estimated by using the deuterated-retinol-dilution technique before and after 60 d of supplementation with either 0 µg RE/d (white vegetables) or 750 µg RE/d as sweet potatoes, Indian spinach, retinyl palmitate, or ß-carotene (RE = 1 µg retinol or 6 µg ß-carotene) in addition to a lowvitamin A diet providing
200 µg RE/d. Mean changes in vitamin A stores in the vegetable and ß-carotene groups were compared with the mean change in the retinyl palmitate group to estimate the relative equivalency of these vitamin A sources.
Results: Overall geometric mean (±SD) initial vitamin A stores were 0.108 ± 0.067 mmol. Relative to the lowvitamin A control group, the estimated mean changes in vitamin A stores were 0.029 mmol for sweet potato (P = 0.21), 0.041 mmol for Indian spinach (P = 0.033), 0.065 mmol for retinyl palmitate (P < 0.001), and 0.062 mmol for ß-carotene (P < 0.002). Vitamin A equivalency factors (ß-carotene:retinol, wt:wt) were estimated as
13:1 for sweet potato,
10:1 for Indian spinach, and
6:1 for synthetic ß-carotene.
Conclusion: Daily consumption of cooked, puréed green leafy vegetables or sweet potatoes has a positive effect on vitamin A stores in populations at risk of vitamin A deficiency.
Key Words: Deuterated retinol dilution stable isotope bioavailability vitamin A status ß-carotene vitamin A stores green leafy vegetables sweet potatoes Bangladesh
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