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American Journal of Clinical Nutrition, Vol. 80, No. 3, 705-714, September 2004
© 2004 American Society for Clinical Nutrition


ORIGINAL RESEARCH COMMUNICATION

Daily consumption of Indian spinach (Basella alba) or sweet potatoes has a positive effect on total-body vitamin A stores in Bangladeshi men1,2,3

Marjorie J Haskell, Kazi M Jamil, Ferdaus Hassan, Janet M Peerson, M Iqbal Hossain, George J Fuchs and Kenneth H Brown

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 low–vitamin A diet providing {approx}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 low–vitamin 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 {approx}13:1 for sweet potato, {approx}10:1 for Indian spinach, and {approx}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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