AJCN Cancer Health Disparities Conference
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
 QUICK SEARCH:   [advanced]


     


This Article
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Olson, J. A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Olson, J. A.
Agricola
Right arrow Articles by Olson, J. A.
American Journal of Clinical Nutrition, Vol. 69, No. 3, 576-577, March 1999
© 1999 American Society for Clinical Nutrition


Letters to the Editor

Correcting for vitamin A turnover in isotopedilution studies

James Allen Olson

Department of Biochemistry, Biophysics and Molecular Biology 3252 Molecular Biology Building Iowa State University Ames, IA 50011 E-mail:jaolson{at}iastate.edu

Dear Sir:

After humans ingest a deuterated oral dose of vitamin A in oil, the absorbed deuterated vitamin A largely equilibrates with total body reserves of the endogenous vitamin in 16–25 d (15). During the equilibration period, deuterated vitamin A is being slowly catabolized in adults with a mean half-life of {approx}140 d (5, 6). Thus, the first-order rate constant k for the irreversible loss of vitamin A is 0.005/d, ie, k = 0.693/t1/2. In the formula devised to estimate the total body reserve of vitamin A (1), a factor, termed a, is multiplied by the other parameters of the equation to yield the total body reserve in millimoles. Factor a corrects for the turnover of deuterated vitamin A for the period between dosing and the drawing of the near-equilibrium blood sample.

The value of a can be determined in 2 ways: 1) by plotting graphically the log of the fraction of deuterated vitamin A remaining versus days, with 140 d plotted at 0.50 of deuterated vitamin A remaining, and 2) by calculating the value from the formula e-kt on a computer or calculator. The values of a at 20 and 40 d, determined by either procedure, are 0.905/d and 0.82/d, respectively. Because these procedures are straightforward, the reader may well inquire why I am writing this letter.

The reason is that a typographic error was published in 2 of the cited papers (1, 2): k is defined incorrectly as 1/140 d rather than as 0.693/140 d. This results in an incorrect k value of 0.0071/d rather than of 0.005/d. In both of these papers, happily, the total body reserves were calculated correctly, ie, by using a k value of 0.005. In the third cited study (3), a k value of 0.005 was also properly used but the formula for obtaining it was not given.

If the a values are obtained graphically, no harm will be done, inasmuch as the a values are determined without using a specific value of k. But if one uses the incorrect k value of 0.0071/d in the computation, the resultant a values at 20 and 40 d would be 0.87/d and 0.75/d, respectively. Thus, the total body reserves in adults would be underestimated by 4% or by 8% at 20 and 40 d, respectively. In view of the several assumptions made in calculating total body reserves, these differences are minor. Nonetheless, we all try not to introduce spurious factors into our studies.

I regret my own careless contribution to these misunderstandings.

REFERENCES

  1. Furr HC, Amedee-Manesme O, Clifford AJ, et al. Vitamin A concentration in liver determined by isotope dilution assay with tetradeuterated vitamin A and by biopsy in generally healthy adult humans. Am J Clin Nutr 1989;49:713–6.[Abstract/Free Full Text]
  2. Haskell MJ, Handelman GJ, Peerson JM, et al. Assessment of vitamin A status by the deuterated-retinol-dilution technique and comparison with hepatic vitamin A concentration in Bangladeshi surgical patients. Am J Clin Nutr 1997;66:67–74.[Abstract/Free Full Text]
  3. Haskell MJ, Islam MA, Handelman GJ, et al. Plasma kinetics of an oral dose of [2H4]retinyl acetate in human subjects with estimated low or high total body stores of vitamin A. Am J Clin Nutr 1998;68:90–5.[Abstract]
  4. Ribaya-Mercado JD, Mazariegos M, Tang G, et al. Assessment of total body stores of vitamin A in Guatemalan elderly by the deuterated-retinol-dilution method. Am J Clin Nutr 1999;69:278–84.[Abstract/Free Full Text]
  5. Sauberlich HE, Hodges RE, Wallace DL, et al. Vitamin A metabolism and requirements in the human studied with the use of labeled retinol. Vitam Horm 1974;32:251–75.[Medline]
  6. Olson JA. Recommended dietary intakes (RDI) of vitamin A in humans. Am J Clin Nutr 1987;45:704–16.[Abstract/Free Full Text]




This Article
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Olson, J. A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Olson, J. A.
Agricola
Right arrow Articles by Olson, J. A.


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS