RESUMO
Vitamin A deficiency is the third most important micronutrient deficiency having a significant impact on public health worldwide. The aim of this study was to develop a carotenoid extraction process with edible vegetable oils, using a central composite design which, concurrently, enriches the oils with provitamin A carotenoids. The stability of carotenoids in the oil and their shelf life was also evaluated. The process also aimed to meet the Recommended Daily Intake for vitamin A (600 g retinol equivalent for an adult) with the enriched oil. The results showed that 20 % of the vegetable matrix (dried carrot) in vegetable oil and 5 min of extraction time was an optimum combination for both soy oil (64.43 μg retinol equivalent mL-¹) and olive oil (62.98 μg retinol equivalent mL-¹). Furthermore, the ingestion of just a spoonful (~10 mL) of the enriched oils would meet the Recommended Daily Intake for vitamin A (600 μg retinol equivalent), and, thus, it was possible to affirm that a dose of vegetable oils enriched with provitamin A contributes to meeting the Recommended Daily Intake for vitamin A. The proposed process is based on simple and low-cost technology that can be used to enrich edible oils (soybean and olive oil) with provitamin A.
Assuntos
Daucus carota , Deficiência de Vitamina A/dietoterapia , Vitamina A/administração & dosagem , Vitamina A/química , Vitamina A/uso terapêuticoRESUMO
Vitamin A deficiency is the third most important micronutrient deficiency having a significant impact on public health worldwide. The aim of this study was to develop a carotenoid extraction process with edible vegetable oils, using a central composite design which, concurrently, enriches the oils with provitamin A carotenoids. The stability of carotenoids in the oil and their shelf life was also evaluated. The process also aimed to meet the Recommended Daily Intake for vitamin A (600 g retinol equivalent for an adult) with the enriched oil. The results showed that 20 % of the vegetable matrix (dried carrot) in vegetable oil and 5 min of extraction time was an optimum combination for both soy oil (64.43 μg retinol equivalent mL-¹) and olive oil (62.98 μg retinol equivalent mL-¹). Furthermore, the ingestion of just a spoonful (~10 mL) of the enriched oils would meet the Recommended Daily Intake for vitamin A (600 μg retinol equivalent), and, thus, it was possible to affirm that a dose of vegetable oils enriched with provitamin A contributes to meeting the Recommended Daily Intake for vitamin A. The proposed process is based on simple and low-cost technology that can be used to enrich edible oils (soybean and olive oil) with provitamin A.(AU)
Assuntos
Vitamina A/administração & dosagem , Vitamina A/química , Vitamina A/uso terapêutico , Deficiência de Vitamina A/dietoterapia , Daucus carotaRESUMO
BACKGROUND: The most common micronutrient deficiencies in Ecuadorian schoolchildren are vitamin A (VA), zinc, and iron. The objective of the present study was to test the efficacy of cow's milk as a vehicle for VA, zinc, and iron supplementation. METHODS: Three hundred twenty-eight children aged 6-10 years were included in a randomized, double blind controlled study; 173 children received 480 mL of whole milk (300 Kcals; G1) daily and 155 children received fortified milk (300 Kcals; G2) daily for 23 weeks. Participants had a nutritional evaluation before and after supplementation. Both treatment groups were comparable for gender, age, weight and height at the beginning of the study. RESULTS: Both types of milk were well accepted by the participating children. Data showed that serum concentrations of VA, zinc, and iron significantly increased within both treatment groups. The increase in serum concentrations of the indicated micronutrients was significantly greater in children with deficiencies than in non-deficient ones. There were not significant differences in serum concentrations of VA, zinc, and iron between groups after supplementation. Data also showed that there was an increase in the percentage of children with normal BMI at the expense of a decrease of the percentage of children with excess weight at the end of the treatment period in G1 whereas in G2 it remained unchanged. Blood lipid profiles were normal before and after milk supplementation in both treatment groups. CONCLUSIONS: These data indicated that fortified and non-fortified milk are excellent options to increase serum VA, zinc, and iron concentration in schoolchildren.
Assuntos
Suplementos Nutricionais , Micronutrientes/deficiência , Leite , Anemia Ferropriva , Animais , Bovinos , Criança , Método Duplo-Cego , Equador , Feminino , Humanos , Deficiências de Ferro , Masculino , Deficiência de Vitamina A/dietoterapia , Zinco/deficiênciaRESUMO
Vitamin A (VA) deficiency (VAD) continues to be a major nutritional problem in developing countries, including Central America. In Mexico, milk is a well-accepted vehicle for the administration of micronutrients, including VA, to preschoolers. Thus, we conducted a randomized, controlled, clinical trial to investigate the efficacy of daily consumption of 250 mL of VA-fortified milk (which provided 196 retinol equivalents/d) for 3 mo on VA stores in mildly to moderately VAD (serum retinol concentration 0.35-0.7 µmol/L) preschoolers who were not enrolled in a food assistance program. Twenty-seven mildly to moderately VAD children were randomly assigned based on screening measurements to either the intervention (n = 14) or control group (n = 13) (children in the control group did not receive placebo). All children in the control group and 79% (n = 11) of the children in the intervention group completed the study. The total body VA (TBVA) pool size was estimated using the deuterated retinol dilution technique before and after the intervention. After 3 mo, median changes in the serum retinol concentration for the intervention and control groups were 0.13 and -0.21 µmol/L, respectively (P = 0.009). Median changes in the TBVA stores were 0.06 and 0.01 mmol, respectively (P = 0.006) and estimated median changes in the liver VA concentration were 0.09 and 0.01 µmol/g, respectively (P = 0.002). The VA-fortified milk was well accepted among preschoolers and significantly increased TBVA stores, liver VA stores, and serum retinol concentration, indicating that it may be an effective means to ameliorate VAD in young Mexican children.
Assuntos
Alimentos Fortificados , Leite , Deficiência de Vitamina A/dietoterapia , Vitamina A/metabolismo , Vitamina A/uso terapêutico , Animais , Criança , Pré-Escolar , Deutério , Países em Desenvolvimento , Dieta/efeitos adversos , Feminino , Preferências Alimentares , Alimentos em Conserva , Humanos , Técnicas de Diluição do Indicador , Fígado/metabolismo , Masculino , México , Pacientes Desistentes do Tratamento , Índice de Gravidade de Doença , Vitamina A/administração & dosagem , Vitamina A/sangue , Deficiência de Vitamina A/sangue , Deficiência de Vitamina A/etiologia , Deficiência de Vitamina A/fisiopatologiaRESUMO
OBJETIVO: Esta pesquisa teve como objetivo avaliar a eficácia de flocos desidratados de abóbora na elevação dos níveis séricos de retinol e a resposta relativa à dose em pré-escolares. MÉTODOS: A ingestão de vitamina A foi avaliada por meio de inquérito dietético. Os flocos foram analisados quanto às características microbiológicas e ao conteúdo de carotenoides. As crianças estudadas receberam diariamente 6g do produto no almoço, durante 90 dias. Elas foram submetidas ao teste de resposta relativa à dose no início e no final do estudo. Amostras de sangue foram colhidas em jejum, para análise do retinol sérico por espectro-fotometria, no início do estudo, aos 30 dias de consumo e aos 90 dias. RESULTADOS: Quanto às análises microbiológicas, os flocos encontravam-se adequados para consumo. O nível médio de retinol sérico nas crianças aumentou de M=1,438, DP=0,45µmol/L (tempo 0) para M=1,659, DP=0,51µmol/L (30 dias) e M=1,928, DP=0,70µmol/L (90 dias). No início do estudo, 18,5% das crianças apresentavam níveis de retinol sérico abaixo do ponto de corte de 1,05µmol/L, proporção que caiu para 7,6% depois de 30 dias e para 0% após 90 dias. No final do período de estudo (90 dias) nenhuma criança apresentou resposta relativa à dose positiva. CONCLUSÃO: Os flocos de abóbora são eficazes na elevação do retinol sérico e na reserva hepática da vitamina em pré-escolares.
OBJECTIVE: This study assessed the effectiveness of dehydrated pumpkin flakes for elevating serum retinol and the relative dose response in preschoolers. METHODS: Vitamin A intake was determined by dietary survey. The flakes were analyzed microbiologically and for carotenoid content. The children were then given 6 grams of flakes per day during lunch for 90 days. The relative dose response essay was done at baseline and end of intervention. Fasting blood samples were collected at baseline, 30 and 90 days to determine serum retinol levels by spectrophotometry. RESULTS: Microbiological analyses showed that the flakes were suitable for consumption. The mean serum retinol level of the children increased from M=1.438 (SD=0.45µmol/L) at baseline to M=1.659 (SD=0.51µmol/L) at 30 days and M=1.928 (SD=0.70µmol/L) at 90 days. At the beginning of the study, 18.5% of the children had serum retinol levels below 1.05µmol/L. This percentage dropped to 7.6% after 30 days and 0% after 90 days. At the end of the study period (90 days), no child had a positive relative dose response. CONCLUSION: Pumpkin flakes efficiently increase serum retinol levels and hepatic vitamin A reserves in preschoolers.
Assuntos
Humanos , Masculino , Feminino , Pré-Escolar , Carotenoides , Cucurbita/metabolismo , Cucurbita/microbiologia , Deficiência de Vitamina A/dietoterapia , Vitamina ARESUMO
El propósito del estudio fue evaluar el estado nutricio de vitamina A en preescolares con padecimientos oculares que acuden al Hospital Civil de Guadalajara. En estudio transversal analítico se incluyeron por conveniencia 100 sujetos (24-71 meses) con padecimiento ocular. El consumo de vitamina A (VA), energía y macro nutrimentos se estimó con una encuesta dietética de recordatorio de 24 horas (EDR-24h). Mediante cromatografía líquida de alta presión (HPLC) se determinó la concentración sérica de retinol y se realizó una citología de impresión conjuntival (CIC) por un patólogo entrenado en la técnica. Se estimaron los índices talla/edad y peso/talla (Puntaje z) y se utilizaron las pruebas de ANOVA, U de Mann Whitney y de correlación de Spearman. Fueron niñas 44,1 por ciento y varones 55.9 por ciento. Los padecimientos oculares más frecuentes fueron: estrabismo (41,9 por ciento), conjuntivitis (19,4 por ciento) y padecimientos congénitos (17,2 por ciento). Según la EDR-24 h el consumo de vitamina A fue de 374 µg/día ± 706; la concentración de Retinol sérico 30 µg/dL ± 7,6 y CIC fue normal en 75,6 por ciento. Sólo 3.2 por ciento a 3,5 por ciento presentaron deficiencia de VA (concentración de retinol y CIC). No hubo asociación entre padecimientos oculares y deficiencia de VA. Hubo correlación positiva entre consumo de vitamina A e índice peso/talla (r = 0,244). En conclusión, la mayoría de los preescolares cubrió la ingestión recomendada de vitamina A, la deficiencia de esta vitamina fue baja y no se asoció a padecimientos oculares.
SUMMARY The purpose was to evaluate the nutritional status of vitamin A in preschool children with ocular diseases attending to the Hospital Civil of Guadalajara. In a cross sectional design 100 preschool children between 24 and 71 mo of age with ocular diseases were included. Vitamin A intake was evaluated by 24 h dietetic recall, plasma Retinol concentration by high pressure liquid chromatography (HPLC); and, conjunctiva impression cytology (CIC) was carried out by a trained pathologist. ANOVA and U Mann Whitney tests, and also Spearman correlations were estimated. There were 44.1 percent females and 55,9 percent males. Strabismus was the most common disease (41,9 percent), conjunctivitis (19,4 percent), and congenital diseases (17,2 percent). The mean intake of Vitamin A was 374 µg/d ± 706 and the serum concentration of retinol was of 30 µg/dL ± 7,6; CIC was normal in 75,6 percent. The percentage of vitamin A deficiency was 3,2 percent according to the serum concentration of Retinol and 3,5 percent to the CIC criteria. It was not association between the nutritional status of vitamin A and ocular diseases. A positive correlation between vitamin A intake and weight/height index (r = 0,244) was found. In conclusion, most preschool children covered the dietary reference intake recommendation of vitamin A; deficiency of this vitamin was lower and, it was not associated to ocular diseases.
Assuntos
Humanos , Feminino , Pré-Escolar , Criança , Nutrição da Criança , Deficiência de Vitamina A/dietoterapia , Oftalmopatias/diagnóstico , Oftalmopatias/dietoterapiaRESUMO
The bioavailability of beta-carotene from cassava (Manihot esculenta Crantz) leaves was assayed in vitamin A deficient Wistar rats (Rattus norvegicus). Rats were separated into three groups and fed with a modified AIN-93G--vitamin A deficient--diet. Deficient rat received this diet without any additional vitamin A source. Controls received the diet with 7200 microg of synthetic beta-carotene (control), while experimentals (test) received 19.5 g of cassava leaves powder per kg of diet. The cassava leaves with beta-carotene promotes similar growth and tissue weight in rats to the synthetic beta-carotene. The relative bioavailability, estimated as the Retinol Accumulation Factor (RAF), was 16.5 and 27.5 for control and test groups, respectively, indicating that control and test rats should have an intake of 16.5 microg or 27.5 microg of beta-carotene from synthetic form or cassava leaves powder for each 1 microg of hepatic retinol stored, respectively. The cassava leaves beta-carotene bioavailability was lower than the synthetic beta-carotene probably because the beta-carotene from the leaf matrix may be bounded to protein complex or inside organelles, which impair carotenoid absorption. Our findings showed that beside the hepatic retinol recovery, cassava leaf beta-carotene could maintain rat growth and avoid vitamin A deficient symptoms.
Assuntos
Dieta , Manihot/química , Deficiência de Vitamina A/dietoterapia , Vitamina A/metabolismo , beta Caroteno/administração & dosagem , Animais , Disponibilidade Biológica , Fígado/metabolismo , Masculino , Extratos Vegetais/administração & dosagem , Folhas de Planta/química , Ratos , Ratos Wistar , Aumento de Peso/efeitos dos fármacos , beta Caroteno/análise , beta Caroteno/farmacocinéticaRESUMO
A hipovitaminose A acarreta xeroftalmia, cegueira e morte em milhares de crianças no mundo e constitui um dos principais problemas nutricionais de populações de países em desenvolvimento, incluído o Brasil. Embora haja grande disponibilidade de frutas e verduras, fontes de carotenóides no Brasil, a hipovitaminose A constitui um grave problema de saúde pública. A falta de informação da população, no que diz respeito às fontes alimentares e aos fatores que interferem na biodisponibilidade dos carotenóides, citados na literatura, com a "mnemônica" SLAMENGHI são possíveis causas associadas a esta contradição. Os atuais fatores de conversão de carotenóides em retinol são superiores aos antigos fatores, o que pressupõe uma efetividade ainda menor na conversão dos carotenóides na forma ativa da vitamina A e coloca em questão a utilização destes no combate à hipovitaminose A. Esta revisão tem como objetivo relatar o que vem sendo abordado acerca do tema biodisponibilidade e fontes de carotenóides, para possibilitar um melhor posicionamento na utilização dos carotenóides no combate à hipovitaminose A.
Assuntos
Carotenoides/farmacologia , Carotenoides/uso terapêutico , Deficiência de Vitamina A/dietoterapia , Disponibilidade BiológicaRESUMO
OBJETIVO: Avaliar a aceitabilidade de flocos desidratados de abóbora, uma vez que tal produto pode constituir uma alternativa no combate à hipovitaminose A. MÉTODOS: Os flocos foram avaliados quanto às características microbiológicas, por meio das análises de coliformes a 45ºC, Escherichia coli, Staphylococcus aureus, Salmonela sp, contagem de bolores e leveduras, e características físico-químicas, por meio da análise de umidade, proteínas, lipídios, cinzas, fibra alimentar, carboidratos, carotenóides, estabilidade ao longo do tempo de armazenamento e aceitabilidade dos flocos adicionados ao feijão e ao pirão de 188 adultos e 67 crianças, respectivamente. RESULTADOS: Os flocos estavam adequados quanto às características microbiológicas e físico-químicas e os percentuais de aceitação de 95,21 por cento para os adultos e 95,52 por cento para as crianças. CONCLUSAO: Os flocos desidratados de abóbora podem ser utilizados em larga escala para o estudo do efeito deste produto no combate à hipovitaminose A.
Assuntos
Humanos , Masculino , Feminino , Pré-Escolar , Criança , Carotenoides/uso terapêutico , Cucurbita/microbiologia , Deficiência de Vitamina A/dietoterapiaRESUMO
There is an urgent need for the development of a high-energy, micronutrient-dense food, such as a spread, for clinical and emergency nutrition. The spread to be used in the International Research on Infant Supplementation (IRIS) III trial will contain carotene-rich palm oil as a source of vitamin A and energy, and heme iron from slaughterhouse blood as an iron source. All other micronutrients shall come from a pre-mix. The product shall be designed for young children, in particular, but can be consumed by adults, as well. An efficacy study will be conducted for six months in children 6 to 12 months old.