NDLI: ‘Dose-to-Mother’ Deuterium Oxide Dilution Technique: An Accurate Strategy to Measure Vitamin A Intake in Breastfed Infants

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‘Dose-to-Mother’ Deuterium Oxide Dilution Technique: An Accurate Strategy to Measure Vitamin A Intake in Breastfed Infants

Content Provider	MDPI
Author	Lopez-Teros, Veronica Limon-Miro, Ana Astiazaran-Garcia, Humberto Tanumihardjo, Sherry Tortoledo-Ortiz, Orlando Valencia, Mauro
Abstract	In Mexico, infants (0–2 years old) show the highest prevalence of vitamin A deficiency (VAD), measured by serum retinol concentrations. Thus, we consider that low vitamin A (VA) intake through breast milk (BM) combined with poor weaning practices are the main factors that contribute to VAD in this group. We combined the assessment of VA status in lactating women using BM retinol and a stable isotope ‘dose-to-mother’ technique to measure BM production in women from urban and agricultural areas. Infants’ mean BM intake was 758 ± 185 mL, and no difference was observed between both areas (p = 0.067). Mean BM retinol concentration was 1.09 μmol/L, which was significantly lower for the agricultural area (p = 0.028). Based on BM retinol concentration, 57% of women were VAD; although this prevalence fell to 16% when based on fat content. Regardless of the VA biomarker used here, infants from the urban and agricultural areas cover only 66% and 49% of their dietary adequate intake from BM, respectively (p = 0.054). Our data indicate that VAD is still a public health concern in Mexico. Adopting both methods to assess VA transfer from the mother to the breastfed child offers an innovative approach towards the nutritional assessment of vulnerable groups.
File Size	289792
File Format	PDF
e-ISSN	20726643
DOI	10.3390/nu9020169
Journal	Nutrients
Issue Number	2
Volume Number	9
Language	English
Publisher Date	2017-02-21
Access Restriction	Open
Subject Keyword	deuterium oxide dilution infants’ vitamin A adequacy breast milk retinol breast milk carotenoids breast milk intake VA status in lactating women
Content Type	Text
Resource Type	Article

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