Vitamin A status of puerperal adolescents and adults attending public maternity hospitals
Keywords:
Colostrum, Infant, Postpartum period, Vitamin AAbstract
Objective
To assess the vitamin A status of puerperal adolescents and adults in relation to food intake, serum and colostrum retinol, and the supply of this vitamin to the newborn.
Methods
Dietary vitamin A intake was investigated by a food frequency questionnaire. Fasting blood and colostrum samples were collected for retinol quantification by high-performance liquid chromatography. Newborn vitamin A intake was given by multiplying milk intake by the mean colostrum retinol level.
Results
This cross-sectional study included 136 puerperal women (68 adolescents and 68 adults) seen at a public maternity hospital. The estimated dietary intake was 681.2±535 µgRAE/day for adolescents and 891.8±831.5 µgRAE/day for adults (p>0.05). The mean serum retinol levels were 40.6±9.7 µg/dL in adolescents and 44.9±10.9 µg/dL in adults (p<0.05). The mean colostrum retinol levels in adolescents and adults were 83.1±26.5 µg/dL and 81.8±29.8 µg/dL, respectively (p>0.05). The adolescents’ newborns had a mean retinol intake of 435.1±140.7 µgRAE/day, and the adults’ newborns had a mean retinol intake of 409.7 ± 150.8 µgRAE/day. Twenty-nine (42.6%) adolescents and thirty-six (52.9%) adults did not supply enough vitamin A per day to their newborns.
Conclusion
Adolescents had inadequate vitamin A intake. Adolescents and adults had similar prevalences of inadequate serum retinol. Some adolescents and adults had inadequate colostrum retinol levels, resulting in low retinol intake by their newborns.
References
World Health Organization. Adolescent health e development. In: World health statistics. Geneva: WHO; 2011 [cited 14 Feb 14]. Available from: http:// www.searo.who.int/en/Section13/Section1245
Santos RAB. Gravidez na adolescência: aspectos so ciais e psicológicos [monografia]. Minas Gerais: Uni versidade Federal de Minas Gerais; 2010.
Julicristie MO, Oliveira NS, Bergamaschi DP. Con centrações de vitamina A no leite humano e ca racterísticas socioeconômicas e nutricionais mater nas: resultados de estudos brasileiros. Rev Bras Saúde Mater Infant. 2009; 9(1):11-20. http://dx. doi.org/10.1590/S1519-38292009000100002
Sales MC, Pedraza DF. Parâmetros bioquímicos do estado nutricional de micronutrientes e seu signi ficado para as ações de saúde pública. Rev Espaço Saúde. 2013; 14(1-2):94-103. http://dx.doi.org/ 705460/S1415-5273201400030030100001
Lira LQ, Ribeiro PPC, Grilo EC, Freitas JKCO, Dimenstein R. Perfil de retinol no soro e colostro de puérperas atendidas em maternidade pública brasileira e sua associação com características maternas e obstétricas. Rev Paul Pediatr. 2011; 29(4):515-2. http://dx.doi.org/10.1590/S0103-05 822011000400008
Belarmino GO, Moura ERF, Oliveira NC, Freitas GL. Risco nutricional entre gestantes adolescentes. Acta Paul Enferm. 2009; 22(2):169-75. http://dx.doi.org/ 10.1590/S0103-21002009000200009
Monte CMG, Giugliani ERJ. Recomendações para alimentação complementar da criança em aleita mento materno. J Pediatr. 2004; 80(5 Supl.):169-75. http://dx.doi.org/0021-7557/04/80-05-Supl/S131
Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007; 39(2):175-91. http:// dx.doi.org/10.3758/BF03193146
Nascimento THCR. Avaliação do nível de retinol e beta-caroteno no colostro humano e sua associação com o estado nutricional materno em vitamina A [dissertação]. Natal: Universidade Federal do Rio Grande do Norte; 2003.
World Health Organization. Growth reference data for 5-19 years. Geneva: WHO; 2007 [cited 2014 Mar 6]. Available from: http://www.who.int/ growthref
Giuliano AR, Neilson EM, Kelly BE, Canfield LM. Simultaneous quantitation and separation of carotenoids and retinol in human milk by high- -performance liquid chromatography. Methods Enzymol. 1992; 213(1):391-9. http://dx.doi.org/10. 1016/0076-68799213141J
Ortega RM, Andrés P, Martinez RM, López-Sobaler AM. Vitamin A status during the third trimester of pregnancy in Spanish women: Influence on concentrations of vitamin A in breast milk. Am J Clin Nutr. 1998; 66(1):564-8. http://dx.doi.org/ 000077/S0021-7557200300060000900020
West Jr KP. Extent of vitamin A deficiency among preschool children and women of reproductive age. J Nutr. 2002; 132(Suppl. 9):2857S-66. http://dx. doi.org/000102/S1415-52732005000400003 00002
Macias C, Schweigert FJ. Changes in the concentration of carotenoids, vitamin A, alpha tocopherol and total lipids in human milk throughout early lactation. Ann Nutr Metab. 2001; 45(2):82-5. http://dx.doi.org/10.1159/000046711
Institute of Medicine. Dietary Reference Intakes for vitamina A, vitamin K, arsenic, boron, chromium, copper, iodine, iron, manganese, molybdenum, nickel, silicon, vanadium, and zinc. New York: National Academy Press; 2001.
Ross JS, Harvey PW. Contribution of breastfeeding to vitamin A nutrition of infants: A simulation model. Bull World Health Organ. 2003; 81(2):80-6. http://dx.doi.org/10.1590/S0042-96862003000 200003
Santana RI. Avanutri: software de avaliação nutri cional, versão 4.0. Rio de Janeiro: Avanutri Equipa mentos de Avaliação; 2009.
Lima GSP. Deficiência de vitamina A em gestantes adolescentes e seus recém-nascidos: um estudo prospectivo [tese]. Campinas: Universidade Estadual de Campinas; 2014.
Azevedo DV, Sampaio HAC. Consumo alimentar de gestantes adolescentes atendidas em serviço de assistência pré-natal. Rev Nutr. 2003; 16(3):273-80. http://dx.doi.org/10.1590/S1415-527320030003 00005
Moura EC, Rossi AVT, Sanches AL, Vendramini CM, Françoso TA. Perfil nutricional de gestantes aten didas no Centro de Saúde Escola Jardim Novo Cam pos Elíseos da PUCCAMP. Rev Nutr. 1990; 3(2):113-26.
Cançado IA, Pereira FM, Fernandes RM. Avaliação do conhecimento em nutrição de gestantes atendi das pela Estratégia de Saúde da Família (ESF) da cidade de Pará de Minas - MG. Rev Dig. 2009; 1(1):318-27.
Grune T, Lietz G, Palou A, Ross AC, Stahl W, Tang G, et al. β-carotene is an important vitamin A source for humans. J Nutr. 2010; 140(12):2268S-85S.
Yonekura L, Nagao A. Intestinal absorption of dietary carotenoids. Mol Nutr Food Res. 2007; 51(1):107-15. http://dx.doi.org/10.1002/mnfr.200 600145
Solomons NW. Vitamin A. In: Erdman Jr JW, Macdonald IA, Zeisel SH. Present knowledge innutrition. 10th ed. Washington (DC): ILSI Press; 2012. p.149-84.
Ribeiro KDS, Araújo KF, Souza HHB, Soares FB, Pereira MC, Dimenstein R. Nutritional vitamin A status in northeast Brazilian lactating. J Hum Nutr Diet. 2010; 23:154-61. http://dx.doi.org/10.1111/ j.1365-277X.2009.01026.x
Von Lintig J. Colors with functions: Elucidating the biochemical and molecular basis of carotenoid metabolism. Ann Rev Nutr. 2010; 30:35-56.
Brasil. Ministério da Saúde. Secretaria de Atenção a Saúde. Vitamina A mais: programa nacional de suplementação de vitamina A: condutas gerais. Brasília: Ministério da Saúde; 2004.
Ramalho RA, Saunders C. O papel da educação nutricional no combate às carências nutricionais. Rev Nutr. 2000; 13(1):11-6. http://dx.doi.org/27 26696/S1020-4989200200080000700048
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Copyright (c) 2023 Cristiane Santos Sânzio GURGEL, Priscila Gomes de OLIVEIRA, Débora Gabriela Fernandes ASSUNÇÃO, Juliana Fernandes dos Santos DAMETTO, Roberto DIMENSTEIN
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