High prevalence of vitamin A deficiency in Crohn’s disease patients according to serum retinol levels and the relative dose-response test

AIM:To assess the vitamin A status of patients with Crohn’s disease(CD) by evaluating serum retinol levels and the relative dose response(RDR) test(liver retinol stores).METHODS:Vitamin A nutritional status was measured by serum retinol obtained by high performance liquid chromatography and the RDR...

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Veröffentlicht in:World journal of gastroenterology : WJG 2015-02, Vol.21 (5), p.1614-1620
Hauptverfasser: Soares-Mota, Márcia, Silva, Tianny A, Gomes, Luanda M, Pinto, Marco A S, Mendonça, Laura M C, Farias, Maria Lúcia F, Nunes, Tiago, Ramalho, Andrea, Zaltman, Cyrla
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container_end_page 1620
container_issue 5
container_start_page 1614
container_title World journal of gastroenterology : WJG
container_volume 21
creator Soares-Mota, Márcia
Silva, Tianny A
Gomes, Luanda M
Pinto, Marco A S
Mendonça, Laura M C
Farias, Maria Lúcia F
Nunes, Tiago
Ramalho, Andrea
Zaltman, Cyrla
description AIM:To assess the vitamin A status of patients with Crohn’s disease(CD) by evaluating serum retinol levels and the relative dose response(RDR) test(liver retinol stores).METHODS:Vitamin A nutritional status was measured by serum retinol obtained by high performance liquid chromatography and the RDR test for evaluation of the hepatic stores.Body composition was performed by densitometry by dual-energy X-ray absorptiometry.Vitamin A dietary intake was assessed from a semiquantitative food frequency questionnaire.RESULTS:This study included 38 CD patients and 33 controls.Low serum retinol concentrations were detected in 29% of CD patients vs 15% in controls(P < 0.005).The RDR test was positive in 37% of CD patients vs 12% in controls,which indicated inadequate hepatic vitamin A stores(P < 0.005).Individuals with hypovitaminosis A had lower BMI and body fat compared with those without this deficiency.There was no association between vitamin A deficiency and its dietary intake,ileal location,presence of disease activity and prior bowel resections.CONCLUSION:Patients with CD have higher prevalence of vitamin A deficiency,as assessed by two independent methods.
doi_str_mv 10.3748/wjg.v21.i5.1614
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0.005).The RDR test was positive in 37% of CD patients vs 12% in controls,which indicated inadequate hepatic vitamin A stores(P &amp;lt; 0.005).Individuals with hypovitaminosis A had lower BMI and body fat compared with those without this deficiency.There was no association between vitamin A deficiency and its dietary intake,ileal location,presence of disease activity and prior bowel resections.CONCLUSION:Patients with CD have higher prevalence of vitamin A deficiency,as assessed by two independent methods.</abstract><cop>United States</cop><pub>Baishideng Publishing Group Inc</pub><pmid>25663781</pmid><doi>10.3748/wjg.v21.i5.1614</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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subjects A
Serum
Absorptiometry, Photon
Adiposity
Adult
Biomarkers - blood
Body Mass Index
Brazil - epidemiology
Case-Control Studies
Chromatography, High Pressure Liquid
Crohn Disease - diagnosis
Crohn Disease - epidemiology
Crohn Disease - physiopathology
Crohn’s
Cross-Sectional Studies
disease
Vitamin
Female
Humans
Liver - chemistry
Male
Middle Aged
Nutrition Assessment
Nutritional Status
Observational Study
Predictive Value of Tests
Prevalence
retinol
Relative
Surveys and Questionnaires
Vitamin A - blood
Vitamin A Deficiency - blood
Vitamin A Deficiency - diagnosis
Vitamin A Deficiency - epidemiology
Vitamin A Deficiency - physiopathology
title High prevalence of vitamin A deficiency in Crohn’s disease patients according to serum retinol levels and the relative dose-response test
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