| Concurrent micronutrient deficiencies in lactating mothers and their infants in Indonesia. | |
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MedLine Citation:
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PMID: 11273854 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Deficiencies of vitamin A, iron, and zinc are prevalent worldwide, affecting vulnerable groups such as lactating women and infants. However, the existence of concurrent deficiencies has received little attention. OBJECTIVE: The aim was to investigate the extent to which deficiencies of vitamin A, iron, and zinc coexist and the nutritional relation between lactating mothers and their infants. DESIGN: In a cross-sectional survey in rural West Java, Indonesia, 155 lactating mothers and their healthy infants were assessed anthropometrically and blood, urine, and breast-milk samples were obtained. RESULTS: Marginal vitamin A deficiency was found in 54% of the infants and 18% of the mothers. More than 50% of the mothers and infants were anemic and 17% of the infants and 25% of the mothers were zinc deficient. There was a strong interrelation between the micronutrient status of the mothers and infants and the concentrations of retinol and beta-carotene in breast milk. Vitamin A deficiency in infants led to an increased risk of anemia and zinc deficiency (odds ratios: 2.5 and 2.9, respectively), whereas in mothers the risk of anemia and iron deficiency (odds ratios: 3.8 and 4.8, respectively) increased. In infants, concentrations of insulin-like growth factor I were related to concentrations of plasma retinol and beta-carotene but not to zinc. CONCLUSIONS: Micronutrient deficiencies were prevalent in West Java. The micronutrient status of lactating mothers and that of their infants were closely related; breast milk was a key connecting factor for vitamin A status. Furthermore, concurrent micronutrient deficiencies appeared to be the norm. |
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Authors:
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M A Dijkhuizen; F T Wieringa; C E West; Muherdiyantiningsih; Muhilal |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: The American journal of clinical nutrition Volume: 73 ISSN: 0002-9165 ISO Abbreviation: Am. J. Clin. Nutr. Publication Date: 2001 Apr |
Date Detail:
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Created Date: 2001-03-29 Completed Date: 2001-04-19 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0376027 Medline TA: Am J Clin Nutr Country: United States |
Other Details:
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Languages: eng Pagination: 786-91 Citation Subset: AIM; IM |
Affiliation:
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Division of Human Nutrition and Epidemiology, Wageningen University, Netherlands. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Anemia, Iron-Deficiency / epidemiology Anthropometry Cross-Sectional Studies Female Humans Indonesia / epidemiology Infant Insulin-Like Growth Factor I / analysis Iron / analysis*, deficiency Lactation / blood, physiology* Male Micronutrients / deficiency* Milk, Human / chemistry* Odds Ratio Prevalence Vitamin A / analysis* Vitamin A Deficiency / epidemiology Zinc / analysis*, deficiency beta Carotene / analysis |
| Chemical | |
Reg. No./Substance:
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0/Micronutrients; 11103-57-4/Vitamin A; 67763-96-6/Insulin-Like Growth Factor I; 7235-40-7/beta Carotene; 7439-89-6/Iron; 7440-66-6/Zinc |
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