Combined consumption of a single high-dose vitamin A supplement with provision of vitamin A fortified oil to households maintains adequate milk retinol concentrations for 6 months in lactating Moroccan women
- PMID: 31365834
- DOI: 10.1139/apnm-2019-0116
Combined consumption of a single high-dose vitamin A supplement with provision of vitamin A fortified oil to households maintains adequate milk retinol concentrations for 6 months in lactating Moroccan women
Abstract
In Morocco, postpartum women systematically receive a single, high dose of vitamin A (VA; 200 000 IU) within the first month of giving birth and vegetable oil is fortified to increase the VA intake. The efficacy of this combined approach of supplementation and fortification for increasing maternal VA status during lactation is not known. The purpose of the study is to evaluate the effect of postpartum high dose VA supplementation and provision of VA fortified oil for household consumption on plasma and milk retinol concentrations of lactating Moroccan women during the first 6 months after giving birth. Postpartum women aged 19-40 years received a VA supplement and thereafter were randomly assigned to one of two groups to receive weekly vitamin A fortified oil (FO) or non-fortified oil (NFO) for 6 months. Serum retinol concentration was higher in the FO group than in the NFO group at 6 months after giving birth (p < 0.0001). Milk retinol per gram fat at baseline did not differ by group; by 3 months after giving birth, milk retinol per gram fat was higher in the FO group than in the NFO group (p = 0.02) and remained higher throughout the 6 months (p < 0.0001). The combination of supplementation and fortification has a more sustained impact on milk retinol concentrations than supplementation alone, which did not have a sustained impact on milk VA concentrations. The fortification approach seems to be more effective for maintaining adequate milk VA concentrations among lactating Moroccan women. Fortification seems to be a long-term solution for the problem of VA deficiency, especially among women in low-income communities.
Keywords: enrichissement; fortification; huile; lactating women; milk retinol; mère allaitante; oil; rétinol de lait; supplementation; supplémentation; vitamin A; vitamine A.
Similar articles
-
Vitamin A Status of Women and Children in Yaoundé and Douala, Cameroon, is Unchanged One Year after Initiation of a National Vitamin A Oil Fortification Program.Nutrients. 2017 May 20;9(5):522. doi: 10.3390/nu9050522. Nutrients. 2017. PMID: 28531099 Free PMC article.
-
Hypercarotenodermia in Zambia: which children turned orange during mango season?Eur J Clin Nutr. 2015 Dec;69(12):1346-9. doi: 10.1038/ejcn.2015.143. Epub 2015 Sep 2. Eur J Clin Nutr. 2015. PMID: 26330146 Review.
-
Vitamin A-fortified cooking oil reduces vitamin A deficiency in infants, young children and women: results from a programme evaluation in Indonesia.Public Health Nutr. 2015 Oct;18(14):2511-22. doi: 10.1017/S136898001400322X. Epub 2015 Jan 16. Public Health Nutr. 2015. PMID: 25591926 Free PMC article.
-
The use and interpretation of serum retinol distributions in evaluating the public health impact of vitamin A programmes.Public Health Nutr. 2012 Jul;15(7):1201-15. doi: 10.1017/S1368980012000560. Epub 2012 Mar 9. Public Health Nutr. 2012. PMID: 22401130 Review.
-
Comparison of the effects of supplemental red palm oil and sunflower oil on maternal vitamin A status.Am J Clin Nutr. 2001 Oct;74(4):501-9. doi: 10.1093/ajcn/74.4.501. Am J Clin Nutr. 2001. PMID: 11566649 Clinical Trial.
Cited by
-
Benefits and Harms of Edible Vegetable Oils and Fats Fortified with Vitamins A and D as a Public Health Intervention in the General Population: A Systematic Review of Interventions.Nutrients. 2023 Dec 18;15(24):5135. doi: 10.3390/nu15245135. Nutrients. 2023. PMID: 38140394 Free PMC article. Review.
-
Vitamin A Concentration in Human Milk: A Meta-Analysis.Nutrients. 2022 Nov 16;14(22):4844. doi: 10.3390/nu14224844. Nutrients. 2022. PMID: 36432530 Free PMC article. Review.
-
Vitamin A Nutritional Status of Urban Lactating Chinese Women and Its Associated Factors.Nutrients. 2022 Aug 3;14(15):3184. doi: 10.3390/nu14153184. Nutrients. 2022. PMID: 35956361 Free PMC article.
-
Vitamin A Requirements in Pregnancy and Lactation.Curr Dev Nutr. 2020 Aug 24;4(10):nzaa142. doi: 10.1093/cdn/nzaa142. eCollection 2020 Oct. Curr Dev Nutr. 2020. PMID: 32999954 Free PMC article. Review.
-
Role of Vitamin A in Mammary Gland Development and Lactation.Nutrients. 2019 Dec 27;12(1):80. doi: 10.3390/nu12010080. Nutrients. 2019. PMID: 31892157 Free PMC article. Review.
Publication types
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Medical