[Nutritional status of vitamin A in mother/newborn pairs from 2 hospital nurseries in Rio de Janeiro, Brazil]. / Estado nutricional de vitamina A no binômio mãe/recém-nascido em duas maternidades no Rio de Janeiro, Brasil.

The aim of the present study was to assess maternal and newborn (umbilical blood) vitamin status in 220 mothers/newborns at birth from two public health centers in Rio de Janeiro, Brazil. The proportion of low retinol levels (cut-off point 1.05 mumol/L) in the umbilical cord of newborns (55.4%) was greater than found in their mothers (23.6%). A highly significant correlation (X2 = 14.2; p < 0.0001) was found between the levels of retinol of mothers and newborns. The overall prevalence of low levels of retinol in the mother was 23.6% whereas that of newborns was 55.4%. Umbilical cord mean concentration less than 1.05 mumol/L was significantly lower (2.49 +/- 1.08 mumol/L) in mother with vitamin A deficiency (3.21 +/- 0.97 mumol/L; p < 0.0001). Low birth weight was associated with vitamin A deficiency (X2 = 6.86; p < 0.01). These data reinforce the need for close pre-natal attention in vitamin A status.

Effects of ethanol intake on retinol concentration in the milk of lactating rats.

The effect of the consumption of ethanol (5%) on retinol concentration in milk was studied in the rat on day 12 after delivery, together with the evolution of dam body weight and pup growth rate. Female Wistar rats receiving alcohol (5%) in drinking water during lactation (N = 7) were compared to normal controls fed ad libitum (N = 6). The mean maternal alcohol intake was 3.96 +/- 0.23 g/kg body weight per day. To determine retinol levels in milk we used the Bessey and Lowry method, modified by Araújo and Flores ((1978) Clinical Chemistry, 24:386-392). The pups were separated from dams for a 2-4-h period, after which the dams were injected intraperitoneally with anesthetic and oxytocin. The concentration of retinol in milk was 162.88 +/- 10.60 micrograms/dl in the control group and 60.02 +/- 8.22 micrograms/dl in the ethanol group (P < 0.05). The ethanol group consumed less food than the controls and lost a significant amount of weight during lactation. On days 8, 10 and 12, the body weight of the pups from rats given ethanol (13.46 +/- 0.43, 16.12 +/- 0.48 and 18.60 +/- 0.91 g, respectively) were significantly lower (P < 0.05) than the weight of pups from controls (15.2 +/- 0.44, 18.36 +/- 0.54, 20.77 +/- 0.81 g). These data show that ethanol intake during the suckling period, even at low concentrations, decreases the amount of retinol in milk and, therefore, the amount available to the pups.

Effects of ethanol intake on retinol concentration in the milk of lactating rats

The effect of the consumption of ethanol (5 percent) on retinol concentration in milk studied in the rat on day 12 after delivery, together with the evolution of dam body weight and pup growth rate. Female Wistar rats receiving alcohol (5 percent) in drinking water during lactation (N=7) were compared to normal controles fed ad libitum (N=6). The mean maternal alcohol intake was 3.96 + 0.23 g/kg body weight per day. To determine retinol levels in milk we used the Bessey and Lowry method, modified by Araújo and Flores (1978) Clinical Chemistry, 24:386-392). The pups were separated from dams for a 2-4h period, after which the dams were injected intraperitoneally with anesthetic and oxytocin. The concentration of retinol in milk was 162.88 + 10.60 mug/dl in the control group and 60.02 + 8.22 mug/dl in the ethanol group (P<0.05). The ethanol group consumed less food than the controls and lost a significant amount of weight during lactation. On days 8, 10 and 12, the body weight of the pups from rats given ethanol (13.46 + 0.43, 16.12 + 0.48 and 18.60 + 0.91 g, respectively) were significantly lower (P<0.05) than the weight of pups from controls (15.2 + 0.44, 18.36 + 0.54, 20.77 + 0.81 g). These data show that ethanol intake during the suckling period, even at low concentrations, decreases the amount of retinol in milk and, therefore, the amount available to the pups.

[Hypovitaminosis A in neonates in 2 public maternity hospitals in Rio de Janeiro, Brazil]. / Hipovitaminose A em recém-nascidos em duas maternidades públicas no Rio de Janeiro, Brasil.

Vitamin A status (umbilical cord retinol levels) of 253 newborns in two public hospitals of Rio de Janeiro showed a high prevalence (55. 7%) of deficiency (retinol levels below 1.05 micromol/L). This rate of vitamin A deficiency (VAD) was independent of other nutritional and anthropometric parameters, such as low birth weight or small for gestational age. These data suggest that newborns can be as vulnerable to VAD as other population groups considered at high risk. They also suggest that special attention should be paid to this group, actually the most vulnerable to the harmful effects of VAD. Hypovitaminosis A should be among the first diagnostic hypotheses when an infant presents with an abnormality

Intrahepatic distribution of vitamin A in humans and rats.

Liver vitamin A was determined in 10 different regions of the liver from 13 rats and 17 human individuals deceased of various causes. Linear regression analysis and comparison of the values obtained from the different anatomical regions showed that, despite a high degree of heterogeneity in distribution and lack of a consistent pattern, samples from any of the sites analyzed ensure representativeness of the whole liver concentration, taken as the average of the values from the 10 samples of each liver. This means that properly trained personnel, but not necessarily specialized, could draw the liver samples, thus significantly reducing the cost of surveys of vitamin A status based on liver reserves of the vitamin determined at autopsy.