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Titolo:
Concurrent micronutrient deficiencies in lactating mothers and their infants in Indonesia
Autore:
Dijkhuizen, MA; Wieringa, FT; West, CE; Muherdiyantiningsih; Muhilal;
Indirizzi:
Univ Wageningen & Res Ctr, Div Human Nutr & Epidemiol, NL-6700 EV Wageningen, Netherlands Univ Wageningen & Res Ctr Wageningen Netherlands NL-6700 EV Netherlands Nutr Res & Dev Ctr, Bogor, Indonesia Nutr Res & Dev Ctr Bogor IndonesiaNutr Res & Dev Ctr, Bogor, Indonesia Univ Nijmegen, Med Ctr, Div Gastroenterol, Nijmegen, Netherlands Univ Nijmegen Nijmegen Netherlands Gastroenterol, Nijmegen, Netherlands
Titolo Testata:
AMERICAN JOURNAL OF CLINICAL NUTRITION
fascicolo: 4, volume: 73, anno: 2001,
pagine: 786 - 791
SICI:
0002-9165(200104)73:4<786:CMDILM>2.0.ZU;2-R
Fonte:
ISI
Lingua:
ENG
Soggetto:
BETA-CAROTENE SUPPLEMENTATION; VITAMIN-A SUPPLEMENTATION; ZINC SUPPLEMENTATION; PREGNANT-WOMEN; DOUBLE-BLIND; WEST-JAVA; GROWTH; CHILDREN; MILK; ABSORPTION;
Keywords:
vitamin A; iron; zinc; deficiency; infants; lactating mothers; anthropometry; plasma; human milk; retinol; beta-carotene; retinol binding protein; ferritin; hemoglobin; insulin-like growth factor I; Indonesia;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
40
Recensione:
Indirizzi per estratti:
Indirizzo: West, CE Univ Wageningen & Res Ctr, Div Human Nutr & Epidemiol, POB 8129, NL-6700 EV Wageningen, Netherlands Univ Wageningen & Res Ctr POB 8129 Wageningen Netherlands NL-6700 EV
Citazione:
M.A. Dijkhuizen et al., "Concurrent micronutrient deficiencies in lactating mothers and their infants in Indonesia", AM J CLIN N, 73(4), 2001, pp. 786-791

Abstract

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 and18% 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 wasa strong interrelation between the micronutrient status of the mothers andinfants 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 mothersthe risk of anemia and iron deficiency (odds ratios: 3.8 and 4.8, respectively) increased. In infants, concentrations of insulin-like growth factor Iwere 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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Documento generato il 01/12/20 alle ore 01:08:58