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Impact of promotion of mango and liver as sources of vitamin A for young children: a pilot study in Burkina Faso

Published online by Cambridge University Press:  02 January 2007

CP Nana ,
ID Brouwer ,
NM Zagré ,
FJ Kok  and
AS Traoré
CP Nana
Affiliation:
Centre de Recherche en Sciences Biologiques, Alimentaires et Nutritionnelles (CRSBAN), Université de Ouagadougou 03, BP7021 Ouagadougou 03, Burkina Faso
ID Brouwer*
Affiliation:
Division of Human Nutrition, Wageningen University, PO Box 8129, 6700 EV Wageningen, The Netherlands
NM Zagré
Affiliation:
Helen Keller International, Représentation au Niger, BP 11728 Niamey, Niger
FJ Kok
Affiliation:
Division of Human Nutrition, Wageningen University, PO Box 8129, 6700 EV Wageningen, The Netherlands
AS Traoré
Affiliation:
Centre de Recherche en Sciences Biologiques, Alimentaires et Nutritionnelles (CRSBAN), Université de Ouagadougou 03, BP7021 Ouagadougou 03, Burkina Faso
*
*Corresponding author: Email [email protected]
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Abstract

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Objective

To assess the effectiveness of a behaviour change approach, with or without financial support, in improving vitamin A (VA) intake and serum retinol concentration through mango and liver consumption by children.

Design

A parallel design (no control area) was used to assess changes in VA intake and serum retinol over a 15-week period.

Setting and subjects

A pilot study was implemented in the Department of Kokologho, a rural area in central west Burkina Faso. One hundred and fifty children aged 2–3 years were randomly selected and assigned to two treatment groups: PA$$ (promotional activities and financial support) and PA (promotional activities).

Results

The intervention significantly increased (P<0.001) total VA intake by 56% in PA$$ and by 50% in PA. VA intake from liver increased significantly (P<0.001) from 12.7±23.5 to 155.3±56.3 μg retinol activity equivalents (RAE) in PA$$ and from 21.6±29.7 to 135.3±44.9 μg RAE in PA. Changes in VA intake from liver were significantly higher (P=0.004) in PA$$ compared with PA. Mean serum retinol concentration increased significantly by 26% (P<0.001) in PA$$ and 30% (P<0.001) in PA. Changes in serum retinol concentration (0.13 μmol l−1 in PA$$ vs. 0.17 μmol l−1 and in PA) did not differ significantly (P=0.455) between groups over the intervention.

Conclusion

Promotional activities on mango and liver intake effectively increased VA intake and serum retinol concentrations. Although an additional beneficial effect of financial support on liver intake was observed, this did not translate into a further increase in serum retinol concentration.

Keywords

MangoLiverVitamin AFood diversificationWest Africa
Type
Research Article
Information
Public Health Nutrition , Volume 9 , Issue 6 , September 2006 , pp. 808 - 813
Copyright
Copyright © The Authors 2006

References

1Ministère de la Santé. Plan National d'Action pour la Nutrition, version révisée. Ouagadougou: Ministère de la Santé, 2001.Google Scholar
2de Pee, S, West, CE, Muhilal, CE, Kayadi, D, Hautvast, JGA. Lack of improvement in vitamin A status with increase consumption of dark-green leafy vegetables. Lancet 1995; 346: 75–81.CrossRefGoogle ScholarPubMed
3Bulux, J, Quan de Serrano, J, Giuliano, A, Perez, R, Lopez, CY, Rivera, C, et al. Plasma response of children to short-term chronic β-carotene supplementation. American Journal of Clinical Nutrition 1994; 59: 1369–75.Google Scholar
4West, CE, Eilander, A, van Lieshout, M. Consequences of revised estimates of carotenoid bioefficacy for dietary control of vitamin A deficiency in developing countries. Journal of Nutrition 2002; 132: 2920S–6S.CrossRefGoogle ScholarPubMed
5Tang, G, Gu, X, Hu, S, Xu, Q, Qin, J, Dolnikowski, GG, et al. Green and yellow vegetables can maintain body stores of vitamin A in Chinese children. American Journal of Clinical Nutrition 1999; 70: 1069–76.CrossRefGoogle ScholarPubMed
6de Pee, S, West, CE, Permaesih, D, Sri Martuti Muhilal Hautvast, JGAJ. Orange fruit is more efficient than dark green, leafy vegetables in increasing serum concentrations of retinol and β-carotene in schoolchildren in Indonesia. American Journal of Clinical Nutrition 1998; 68: 1058–67.Google Scholar
7Zagré, NM, Delpeuch, F, Traissac, P, Delisle, H. Red palm oil as a source of vitamin A for mothers and children: impact of a pilot project in Burkina Faso. Public Health Nutrition 2003; 6: 733–42.Google Scholar
8Drammeh, BS, Marquis, GS, Fonkhouser, E, Bates, C, Eto, I, Charles, B, et al. A randomized 4-months mangoes and fat trial improved vitamin A status among young Gambian children. Journal of Nutrition 2002; 132: 3693–9.CrossRefGoogle Scholar
9Ribaya-Mercado, JD, Solon, FS, Solon, MA, Cabal-Baza, MA, Perfecto, CS, Tang, G, et al. Bioconversion of plant carotenoids to vitamin A in Philipino school-aged children varies inversely with vitamin A status. American Journal of Clinical Nutrition 2000; 72: 455–65.Google Scholar
10Takyi, EK. Children's consumption of dark green leafy vegetables with added fat enhances serum retinol. Journal of Nutrition 1999; 129: 1549–54.CrossRefGoogle ScholarPubMed
11Jalal, F, Nesheim, MC, Agus, Z, Sanjur, D, Habicht, JP. Serum retinol concentration in children is affected by foods sources of β-carotene, fat intake and anthelmintic drug treatment. American Journal of Clinical Nutrition 1998; 68: 623–9.Google Scholar
12Olson, JA. Hypovitaminosis A: contemporary scientific issues. Journal of Nutrition 1994; 124: 1461S–6S.CrossRefGoogle ScholarPubMed
13Nana, CP, Brouwer, ID, Zagre, NM, Kok, FJ, Traore, AS. Community assessment of availability, consumption, and cultural acceptability of food sources of (pro)vitamin A: toward the development of a dietary intervention among preschool children in rural Burkina Faso. Food and Nutrition Bulletin 2005; 26: 356–65.CrossRefGoogle ScholarPubMed
14Ott, LR, Longnecker, M, eds. An Introduction to Statistical Methods and Data Analysis, 5th ed. Pacific Grove, CA: Duxbury–Thomson Learning, 1999.Google Scholar
15Nordeide, MB. Table de composition d'aliments du Mali. Oslo/Mali: Institut de Nutrition Université d'Oslo/Lobo Grafisk Press, 1997.Google Scholar
16Juergen, E. Printed version of the new vitamin A table. Sight and Life Newsletter 2004; 1: 25–34.Google Scholar
17National Academy of Sciences/Institute of Medicine. Dietary Reference Intake for Vitamin A, Vitamin K, Arsenic, Boron, Chromium, Copper, Iodine, Iron, Manganese, Molybdenum, Nickel, Silicon, Vanadium and Zinc. Washington, DC: National Academy Press, 2001.Google Scholar
18Food and Agriculture Organization (FAO)/World Health Organization (WHO). Requirements for Vitamin A, Iron, Folate and vitamin B12. Report of a Joint FAO/WHO Expert Consultation. Food and Nutrition Series No. 23. Rome: FAO, 1988.Google Scholar
19Underwood, BA, Chavez, M, Hankin, J, Kusin, JA, Omolulu, A, Ranchi-Proja, F, et al. Guidelines for a Development of Simplified Dietary Assessment to Identify Group At Risk for Inadequate Intake of Vitamin A. Report of the International Vitamin A Consultative Group (IVACG). Washington, DC: IVACG, 1989.Google Scholar
20Sapin, V, Alexandre, MC, Chaib, S, Bournazeau, JA, Sauvant, P, Borel, P, et al. Effect of vitamin A status at the end of term pregnancy on the saturation of retinol binding protein with retinol. American Journal of Clinical Nutrition 2000; 71: 537–43.Google Scholar
21World Health Organization (WHO). Indicators for Assessing VAD and Their Implication for Monitoring and Evaluating Intervention Programmes. Geneva: WHO, 1996.Google Scholar
22World Health Organization (WHO). Measuring Change in Nutritional Status. Geneva: WHO, 1983.Google Scholar
23Kalter, HD. Validation of the diagnosis of childhood mortality using maternal health interviews. International Journal of Epidemiology 1991; 20: 193–8.CrossRefGoogle Scholar
24Field, A. Discovering Statistics using SPSS for Windows. London: Sage Publications Ltd 2003.Google Scholar
25de Pee, S, Bloem, MW, Kiess, L. Evaluating food based programmes for their reduction of vitamin A deficiency and its consequences. Food and Nutrition Bulletin 2000; 21: 232–8.CrossRefGoogle Scholar
26Gibson, RS. Principles of Nutritional Assessment. New York: Oxford University Press 2005.Google Scholar
27Bates, CJ. Vitamin A. Lancet 1995; 345: 31–5.Google Scholar
28West, CE. Meeting requirements for vitamin A. Nutrition Reviews 2000; 58: 341–5.CrossRefGoogle ScholarPubMed
29Haskell, MJ, Pandey, P, Graham, MJ, Peerson, MJ, Shrestha, RK, Brown, KH. Recovery from impaired dark adaptation in nightblind pregnant Nepali women who received small daily doses of vitamin A as amaranth leaves, carrots, goat liver, vitamin A-fortified rice, or retinyl palmitate. American Journal of Clinical Nutrition 2005; 81: 461–71.CrossRefGoogle ScholarPubMed
30Munoz, EC, Rosado, JL, Lopez, P, Furr, HC, Allen, LH. Iron and zinc supplementation improves indicators of vitamin A status of Mexican preschoolers. American Journal of Clinical Nutrition 2000; 71: 789–94.Google Scholar
31Parvin, SG, Sivakumar, B. Nutritional status affects intestinal carotene cleavage activity and carotene conversion to vitamin A in rats. Journal of Nutrition 2000; 130: 373–7.CrossRefGoogle ScholarPubMed
32Kjolhede, CL, Stallings, RY, Dibley, MJ, Sadjimin, T, Dawiesah, S, Padmawati, S. Serum retinol level among preschool children in Central Java: demographic and socioeconomic determinants. International Journal of Epidemiology 1995; 24: 399–403.Google Scholar
33de Pee, S, Dary, O. Biochemical indicators of vitamin A deficiency: serum retinol and serum binding protein. Journal of Nutrition 2002; 132: 2895S–901S.Google Scholar
34Allen, LH. Iron supplements: scientific issues concerning efficacy and implications for research and programs. Journal of Nutrition 2002; 132: 813S–9S.Google Scholar
35International Vitamin A Consultative Group (IVACG). Vitamin A and Iron Interactions. IVACG Statement 1998. Washington, DC: International Life Science Institute Research Foundation, 1998.Google Scholar
36O'Brien, KO, Zavaleta, N, Caulfield, LE, Wen, J, Abrams, SA. Prenatal iron supplements impair zinc absorption in pregnant Peruvian women. Journal of Nutrition 2000; 130: 2251–5.Google Scholar
37Whittaker, P. Iron and zinc interactions in humans. American Journal of Clinical Nutrition 1998; 68: 442S–6S.Google Scholar
38Wieringa, FT, Dijkhuizen, MA, West, CE, Thurnham, DI, Muhilal, , van der Meer, JWM. Redistribution of vitamin A after iron supplementation in Indonesian infants. American Journal of Clinical Nutrition 2003; 77: 651–7.Google Scholar