Promotion of orange-fleshed sweet potato increased vitamin A intakes and reduced the odds of low retinol-binding protein among postpartum Kenyan women

Journal of Nutrition

Volumn 147, Issue 5, 2017, Pages 955-963

  Girard, Amy Webb ^a   Grant, Frederick ^b   Watkinson, Michelle ^a   Okuku, Haile Selassie ^b   Wanjala, Rose ^b   Cole, Donald ^c   Levin, Carol ^d   Low, Jan ^b  

^a EMORY UNIVERSITY   (United States)

^b INTERNATIONAL POTATO CENTER   (Kenya)

^c UNIVERSITY OF TORONTO   (Canada)

^d UNIVERSITY OF WASHINGTON   (United States)

Author keywords

Agriculture; Kenya; Maternal nutrition; Orange fleshed sweet potato; Vitamin A

Indexed keywords

RETINOL; RETINOL BINDING PROTEIN;

ADULT; ANTHROPOMETRY; ARTICLE; CLINICAL EFFECTIVENESS; COHORT ANALYSIS; COMMUNITY CARE; CONFIDENCE INTERVAL; CONTROLLED STUDY; FEASIBILITY STUDY; FEMALE; FOOD SECURITY; FRUIT; HEALTH BEHAVIOR; HEALTH CARE FACILITY; HEALTH PROGRAM; HUMAN; KENYA; LACTATION; LONGITUDINAL STUDY; MATERNAL NUTRITION; MULTICENTER STUDY; NORMAL HUMAN; NUTRITION EDUCATION; NUTRITIONAL COUNSELING; NUTRITIONAL STATUS; ORANGE FLESHED SWEET POTATO; PREGNANT WOMAN; PROTEIN BLOOD LEVEL; PUERPERIUM; SUPPORT GROUP; SWEET POTATO; VEGETABLE; VITAMIN INTAKE; YOUNG ADULT; BLOOD; CHEMISTRY; DEFICIENCY; DIET THERAPY; FEEDING BEHAVIOR; HEALTH PROMOTION; INFANT; MALE; MATERNAL HEALTH SERVICE; METABOLISM; NEWBORN; PLANT TUBER; PREGNANCY; PREVALENCE; PROCEDURES; PROGRAM EVALUATION; RANDOMIZED CONTROLLED TRIAL; STANDARDS; VITAMIN A DEFICIENCY;

ADULT; FEEDING BEHAVIOR; FEMALE; HEALTH FACILITIES; HEALTH PROMOTION; HUMANS; INFANT; INFANT, NEWBORN; IPOMOEA BATATAS; KENYA; LACTATION; MALE; MATERNAL HEALTH SERVICES; NUTRITIONAL STATUS; PLANT TUBERS; POSTPARTUM PERIOD; PREGNANCY; PREVALENCE; PROGRAM EVALUATION; RETINOL-BINDING PROTEINS; VITAMIN A; VITAMIN A DEFICIENCY; YOUNG ADULT;

EID: 85020199983     PISSN: 00223166     EISSN: 15416100     Source Type: Journal    
DOI: 10.3945/jn.116.236406     Document Type: Article

References (63)

1. Hotz C, Loechl C, de Brauw A, Eozenou P, Gilligan D, Moursi M, Munhaua B, van Jaarsveld P, Carriquiry A, Meenakshi JV. A large-scale intervention to introduce orange sweet potato in rural Mozambique increases vitamin A intakes among children and women. Br J Nutr 2012;108:163-76
2. Hotz C, Loechl C, Lubowa A, Tumwine JK, Ndeezi G, Nandutu Masawi A, Baingana R, Carriquiry A, de Brauw A, Meenakshi JV, et al. Introduction of beta-carotene-rich orange sweet potato in rural Uganda resulted in increased vitamin A intakes among children and women and improved vitamin A status among children. J Nutr 2012;142:1871-80
3. Low JW, Arimond M, Osman N, Cunguara B, Zano F, Tschirley D. A food-based approach introducing orange-fleshed sweet potatoes increased vitamin A intake and serum retinol concentrations in young children in rural Mozambique. J Nutr 2007;137:1320-7
4. van Jaarsveld PJ, Faber M, Tanumihardjo SA, Nestel P, Lombard CJ, Benade AJ. Beta-carotene-rich orange-fleshed sweet potato improves the vitamin A status of primary school children assessed with the modifiedrelative-dose-response test. Am J Clin Nutr 2005;81:1080-7
5. Cole DC, Levin C, Loechl C, Theile G, Grant FW, Girard AW, Sindi K, Low J. Planning an integrated agriculture and health program and designing its evaluation: experience from Western Kenya. Eval Program Plann 2016;56:11-22
6. Kenya National Bureau of Statistics (KNBS) and ICF Macro. 2010. Kenya Demographic and Health Survey 2008-09. Calverton (MD): KNBS and ICF Macro; 2010
7. Ettyang GA, van Marken Lichtenbelt WD, Oloo A, Saris WH. Serum retinol, iron status and body composition of lactating women in Nandi, Kenya. Ann Nutr Metab 2003;47:276-83
8. WHO. Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity. Geneva (Switzerland): Vitamin and Mineral Nutrition Information System, WHO; 2011
9. Erhardt JG. Measurement of the vitamin A and iron status in blood samples [Internet]. 2011. [cited 2016 Aug 15]. Available from: http://www. nutrisurvey. de/blood_samples/
10. Erhardt JG, Estes JE, Pfeiffer CM, Biesalski HK, Craft NE. Combined measurement of ferritin, soluble transferrin receptor, retinol binding protein, and C-reactive protein by an inexpensive, sensitive, and simple sandwich enzyme-linked immunosorbent assay technique. J Nutr 2004;134:3127-32
11. Low J, Grant F, Levin C, Cole DC, Loechl C, Oyunga M, Sindi K, Thiele G, Vulule J, Ouedraogo HZ. Mama SASHA baseline report. Nairobi (Kenya): International Potato Center; 2015
12. Perumal N, Cole DC, Ouedraogo HZ, Sindi K, Loechl C, Low J, Levin C, Kiria C, Kurji J, Oyunga M. Health and nutrition knowledge, attitudes and practices of pregnant women attending and not-attending ANC clinics in Western Kenya: a cross-sectional analysis. BMC Pregnancy Childbirth 2013;13:146
13. Donner A, Klar N. Design and analysis of cluster randomization trials in health research. London: Arnold; 2000
14. Gibson R, Ferguson E. An interactive 24 hour recall for assessing the adequacy of iron and zinc intakes in developing countries. Washington (DC): HarvestPlus; 2008
15. Hotz C, Abdelrahman L, Sison C, Moursi M, Loechl C. A food composition table for central and eastern Uganda. Washington (DC): HarvestPlus; 2011
16. Bengtsson A, Narnutebi A, Alminger ML, Svanberga U. Effects of various traditional processing methods on the all-trans-beta-carotene content of orange-fleshed sweet potato. J Food Compos Anal 2008;21:134-43
17. Kowalski A. Modifiable determinants of iron deficiency and anemia among primigravidae and multigravidae in western Kenya: a secondary analysis of the Mama SASHA cohort study on vitamin A. Atlanta (GA): Hubert Department of Global Health, Rollins School of Public Health, Emory University; 2014
18. Coates J, Swindale A, Bilinsky P. Household Food Insecurity Access Scale (HFIAS) for measurement of household food access: indicator guide. Version 3. Washington (DC): FHI 360/FANTA; 2007
19. Swindale A, Bilinsky P. Household Dietary Diversity Score (HDDS) for measurement of household food access: indicator guide. Version 2. Washington (DC): FHI 360/FANTA; 2006
20. Rosen D, Haselow N, SloanN. How to use the HKI food frequency method to assess community risk of vitamin A deficiency. New York: Helen Keller International, Vitamin A Technical Assistance Program; 1993
21. FAO and FHI 360. Minimum dietary diversity for women: a guide for measurement. Rome (Italy): FAO; 2016
22. Thurnham D, McCabe G. Influence of infection and inflammation on biomarkers of nutrition al status with an emphasis on vitamin A and iron. Geneva (Switzerland): WHO; 2012
23. Engle-Stone R, Haskell MJ, Nankap M, Ndjebayi AO, Brown KH. Breast milk retinol and plasma retinol-binding protein concentrations provide similar estimates of vitamin A deficiency prevalence and identify similar risk groups among women in Cameroon but breast milk retinol underestimates the prevalence of deficiency among young children. J Nutr 2014;144:209-17
24. Engle-Stone R, Haskell MJ, Ndjebayi AO, Nankap M, Erhardt JG, Gimou MM, Brown KH. Plasma retinol-binding protein predicts plasma retinol concentration in both infected and uninfected Cameroonian women and children. J Nutr 2011;141:2233-41
25. Food and Nutrition Board, Institute of Medicine Subcommittee on Interpretation and Uses of Dietary Reference Intakes and the Standing Committee on the Scientific Evaluation of Dietary Reference Intakes. Dietary Reference Intakes: applications in dietary assessment. Washington (DC): National Academy Press; 2000
26. Food and Nutrition Board, Institute of Medicine. Dietary Reference Intakes for vitamin A, vitamin K, arsenic, boron, chromium, copper, iodine, iron, manganese, molybdenum, nickel, silicon, vanadium, and zinc. Washington (DC): National Academy Press; 2001
27. Singer JD, Willett JB. Applied longitudinal data analysis: modeling change and event occurrence. New York: Oxford University Press; 2003
28. Snijders T, Bosker R. Multilevel analysis: an introduction to basic and advanced multilevel modeling. 2nd ed. London: Sage; 2012
29. Stroup W. Generalized linear mixed models: modern concepts, methods and applications. Boca Raton (FL): CRC Press; 2012
30. Girard AW, Self JL, McAuliffe C, Olude O. The effects of household food production strategies on the health and nutrition outcomes of women and young children: a systematic review. Paediatr Perinat Epidemiol 2012;26(Suppl 1):205-22
31. Ruel MT, Alderman H; Maternal, Child Nutrition Study Group. Nutrition-sensitive interventions and programmes: how can they help to accelerate progress in improving maternal and child nutrition? Lancet 2013;382:536-51
32. Webb P, Kennedy E. Impacts of agriculture on nutrition: nature of the evidence and research gaps. Food Nutr Bull 2014;35:126-32
33. Jones KM, De Brauw A. Using agriculture to improve child health: promoting orange sweet potatoes reduces diarrhea. World Dev 2015;74:15-24
34. Kumar D, Goel NK, Kalia M, Swami HM, Singh R. Gap between awareness and practices regarding maternal and child health among women in an urban slum community. Indian J Pediatr 2008;75:455-8
35. Jamil KM, Brown KH, Jamil M, Peerson JM, Keenan AH, Newman JW, Haskell MJ. Daily consumption of orange-fleshed sweet potato for 60 days increased plasma beta-carotene concentration but did not increase total body vitamin A pool size in Bangladeshi women. J Nutr 2012;142:1896-902
36. Olney DK, Pedehombga A, Ruel MT, Dillon A. A 2-year integrated agriculture and nutrition and health behavior change communication program targeted to women in Burkina Faso reduces anemia, wasting, and diarrhea in children 3-12. 9 months of age at baseline: a clusterrandomized controlled trial. J Nutr 2015;145:1317-24
37. Turner T, Burri BJ, Jamil KM, Jamil M. The effects of daily consumption of beta-cryptoxanthin-rich tangerines and beta-carotene-rich sweet potatoes on vitamin A and carotenoid concentrations in plasma and breast milk of Bangladeshi women with low vitamin A status in a randomized controlled trial. Am J Clin Nutr 2013;98:1200-8
38. Palmer AC, Chileshe J, Hall AG, Barffour MA, Molobeka N, West KP Jr., Haskell MJ. Short-term daily consumption of provitamin A carotenoid-biofortified maize has limited impact on breast milk retinol concentrations in Zambian women enrolled in a randomized controlled feeding trial. J Nutr 2016;146:1783-92
39. Palmer AC, Siamusantu W, Chileshe J, Schulze KJ, Barffour M, Craft NE, Molobeka N, Kalungwana N, Arguello MA, Mitra M, et al. Provitamin A-biofortified maize increases serum b-carotene, but not retinol, in marginally nourished children: a cluster-randomized trial in rural Zambia. Am J Clin Nutr 2016;104:181-90
40. Haskell MJ. The challenge to reach nutritional adequacy for vitamin A: b-carotene bioavailability and conversion-evidence in humans. Am J Clin Nutr 2012;96(Suppl):1193S-203S
41. Ribaya-Mercado JD, Solon FS, Solon MA, Cabal-Barza MA, Perfecto CS, Tang G, Solon JA, Fjeld CR, Russell RM. Bioconversion of plant carotenoids to vitamin A in Filipino school-aged children varies inversely with vitamin A status. Am J Clin Nutr 2000;72:455-65
42. Tanumihardjo SA, Russell RM, Stephensen CB, Gannon BM, Craft NE, Haskell MJ, Lietz G, Schulze K, Raiten DJ. Biomarkers of Nutrition for Development (BOND)-vitamin A review. J Nutr 2016;146(Suppl):1816S-48S
43. Bengtsson A, Brackmann C, Enejder A, Alminger ML, Svanberg U. Effects of thermal processing on the in vitro bioaccessibility and microstructure of beta-carotene in orange-fleshed sweet potato. J Agric Food Chem 2010;58:11090-6
44. Berni P, Chitchumroonchokchai C, Canniatti-Brazaca SG, De Moura FF, Failla ML. Comparison of content and in vitro bioaccessibility of provitamin A carotenoids in home cooked and commercially processed orange fleshed sweet potato (Ipomea batatas Lam). Plant Foods Hum Nutr 2015;70:1-8
45. Mills JP, Tumuhimbise GA, Jamil KM, Thakkar SK, Failla ML, Tanumihardjo SA. Sweet potato b-carotene bioefficacy is enhanced by dietary fat and not reduced by soluble fiber intake in Mongolian gerbils. J Nutr 2009;139:44-50
46. Lietz G, Oxley A, Boesch-Saadatmandi C, Kobayashi D. Importance of beta, beta-carotene 15, 15#-monooxygenase 1 (BCMO1) and beta, betacarotene 9', 10'-dioxygenase 2 (BCDO2) in nutrition and health. Mol Nutr Food Res 2012;56:241-50
47. Ribaya-Mercado JD. Influence of dietary fat on beta-carotene absorption and bioconversion into vitamin A. Nutr Rev 2002;60:104-10
48. Aboud FE, Singla DR. Challenges to changing health behaviours in developing countries: a critical overview. Soc Sci Med 2012;75:589-94
49. Imhoff-Kunsch B, Flores R, Dary O, Martorell R. Wheat flour fortification is unlikely to benefit the neediest in Guatemala. J Nutr 2007;137:1017-22
50. Mildon A, Klaas N, O'Leary M, Yiannakis M. Can fortification be implemented in rural African communities where micronutrient deficiencies are greatest? Lessons from projects in Malawi, Tanzania, and Senegal. Food Nutr Bull 2015;36:3-13
51. WHO. Guideline: vitamin A supplementation in pregnant women. Geneva (Switzerland): WHO; 2011
52. Gittelsohn J. Opening the box: intrahousehold food allocation in rural Nepal. Soc Sci Med 1991;33:1141-54
53. Ndiku M, Jaceldo-Siegl K, Singh P, Sabate J. Gender inequality in food intake and nutritional status of children under 5 years old in rural Eastern Kenya. Eur J Clin Nutr 2011;65:26-31
54. Shannon K, Mahmud Z, Asfia A, Ali M. The social and environmental factors underlying maternal malnutrition in rural Bangladesh: implications for reproductive health and nutrition programs. Health Care Women Int 2008;29:826-40
55. Johnston D, Stevano S, Malapit H, Hull E, Kadiyala S. Agriculture, gendered time use, and nutritional outcomes: a systematic review. Washington (DC): International Food Policy and Research Institute; 2015
56. Alvarez S, Douthwaite B, Thiele G, Mackay R, Córdoba D, Tehelen K. Participatory impact pathways analysis: a practical method for project planning and evaluation. Dev Pract 2010;20:946-58
57. Douthwaite B, Alvarez S, Cook S, Davies R, George P, Howell J, Mackay R, Rubiano J. Participatory impact pathways analysis: a practical application of program theory in research-for-development. Can J Program Eval 2007;22:127-59
58. Baeten JM, Richardson BA, Bankson DD, Wener MH, Kreiss JK, Lavreys L, Mandaliya K, Bwayo JJ, McClelland RS. Use of serum retinol-binding protein for prediction of vitamin A deficiency: effects of HIV-1 infection, protein malnutrition, and the acute phase response. Am J Clin Nutr 2004;79:218-25
59. Larson LM, Addo OY, Sandalinas F, Faigao K, Kupka R, Flores-Ayala R, Suchdev PS. Accounting for the influence of inflammation on retinol-binding protein in a population survey of Liberian preschool-age children. Matern Child Nutr 2016 Feb 4 (Epub ahead of print; DOI: 10. 1111/mcn. 12298)
60. Palmer AC, West KP Jr., Dalmiya N, Schultink W. The use and interpretation of serum retinol distributions in evaluating the public health impact of vitamin A programmes. Public Health Nutr 2012;15:1201-15
61. Rice AL, Stoltzfus RJ, de Francisco A, Kjolhede CL. Evaluation of serum retinol, the modified-relative-dose-response ratio, and breast-milk vitamin A as indicators of response to postpartum maternal vitamin A supplementation. Am J Clin Nutr 2000;71:799-806
62. Rice AL, Stoltzfus RJ, de Francisco A, Kjolhede CL. Low breast milk vitamin A concentration reflects an increased risk of low liver vitamin A stores in women. Adv Exp Med Biol 2000;478:375-6
63. Stoltzfus RJ, Underwood BA. Breast-milk vitamin A as an indicator of the vitamin A status of women and infants. Bull World Health Organ 1995;73:703-11