Evidence map›Paper›PMID 27365785›Full record

ArticleMedical journal, Armed Forces India2011

Umbilical cord blood plasma vitamin A levels in low birth weight (LBW) babies.

K M Adhikari, B L Somani, Suprita Kalra, S S Mathai, M M Arora

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Article in Medical journal, Armed Forces India, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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4citing papers in PubMed
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4 citing papers in PubMed.

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5 · Who and what money

Authors and funding

5 authors.

K M AdhikariSenior Advisor (Paediatric) INHS Dhanvantari, Port Blair.
B L SomaniScientist G & Professor, Department of Biochemistry, AFMC, Pune - 40.
Suprita KalraGraded Specialist (Paediatrics), MH Kirkee.
S S MathaiSenior Advisor (Paediatric & Neonatology), INHS Asvini, Colaba, Mumbai - 05.
M M AroraConsultant (Biochemistry), Base Hospital, New Delhi.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRole of vitamin A in reducing the mortality in infants more than six months of age is well known. Supplementing newborn infants with vitamin A within 48 hours of birth reduces infant mortality by almost a quarter, with the greatest benefit to those of low birth weight (LBW). Studies that could highlight deficiency states in neonates, particularly LBW babies by objective measurement of vitamin A levels would help in formulating the recommendations to supplement these babies with vitamin A.

methodsCord blood plasma vitamin A levels of 154 LBW babies with birth weight in the range of 1505-2455 were analysed for plasma vitamin A (retinol) levels by HPLC method. Samples of 55 babies with normal birth weight were also analysed. LBW babies were divided into two subgroups of preterm LBW and LBW-term small for gestational age (SGA).

resultsOf the 154 babies with LBW, 92 were preterm LBW and 52 were LBW-term SGA. Mean cord blood plasma vitamin A levels were significantly lower in the preterm LBW group (n = 92) compared to levels observed in babies with normal birth weight (n = 55) and LBW-term SGA subgroups (n = 62). There was no significant difference in the mean vitamin A values between the normal birth weight babies and LBW-term SGA group. There was significant positive correlation of cord blood vitamin A levels with birth weight in the entire set of (n = 154) LBW babies (r=0.37, P < 0.0001).

conclusionThis study revealed significantly lower cord blood vitamin A levels in the preterm LBW babies. The level of vitamin A in LBW babies also correlated with their birth weight. There are enough evidence to support causative association between vitamin A deficiency state and neonatal morbidity. Simple interventions like vitamin A supplementation during a crucial stage of an infant's life may be beneficial in the long run. There is a need to establish norms for vitamin A levels and seriously examine the role of vitamin A supplementation for LBW babies during the immediate postnatal period.

Indexed as

cord bloodlow birth weightvitamin A

Identifiers

PMID27365785
PMCPMC4920823

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