Evidence map›Paper›PMID 33755155›Full record

ArticleThe Journal of nutrition2021

Determination of Vitamin A Total Body Stores in Children from Dried Serum Spots: Application in a Low- and Middle-Income Country Community Setting.

Anthony Oxley, Reina Engle-Stone, Jody C Miller, M F Dolly Reario, Ame Stormer, Mario V Capanzana, Carl V D Cabanilla, Marjorie J Haskell, Georg Lietz

Registry-linked trialOpen access · hybridAbstract readEvaluation StudyValidation Study
In one paragraph

Article in The Journal of nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03030339 (Vitamin A Status and Risk of Excessive Vitamin A Intake Among Urban Filipino Children Exposed to Multiple Vitamin A Intervention Programs), which is not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 39% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03030339 completednot on this map

Vitamin A Status and Risk of Excessive Vitamin A Intake Among Urban Filipino Children Exposed to Multiple Vitamin A Intervention Programs

TypeobservationalSponsorUniversity of California, DavisRan2016 to 2017Enrolled123ConditionsVitamin A StatusArmsHigh VA intake, recent VAS, High VA intake, Low/adequate VA intake
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 3 countries.

Anthony OxleyHuman Nutrition Research Centre, Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, United Kingdom.ORCID 0000-0002-5311-8016
Reina Engle-StoneInstitute for Global Nutrition, Department of Nutrition, University of California, Davis, CA, USA.ORCID 0000-0003-2446-6166
Jody C MillerInstitute for Global Nutrition, Department of Nutrition, University of California, Davis, CA, USA.
M F Dolly RearioHelen Keller International, Malate, Manila, Philippines.
Ame StormerHelen Keller International, Malate, Manila, Philippines.
Mario V CapanzanaFood and Nutrition Research Institute, Department of Science and Technology, Bicutan, Taguig City, Philippines.
Carl V D CabanillaFood and Nutrition Research Institute, Department of Science and Technology, Bicutan, Taguig City, Philippines.
Marjorie J HaskellInstitute for Global Nutrition, Department of Nutrition, University of California, Davis, CA, USA.
Georg LietzHuman Nutrition Research Centre, Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, United Kingdom.ORCID 0000-0002-2103-0335
University of California, Davis · USDepartment of Science and Technology · PHNewcastle University · GB

Funding

Medical Research Council MC_PC_16054
6 · The paper itself

Abstract

backgroundThe retinol isotope dilution (RID) method has been used to evaluate vitamin A (VA) status in healthy adults and children in low- and middle-income countries (LMIC) and to assess the efficacy of various VA interventions.

objectiveThe study was designed to examine whether dried serum spots (DSS) can be applied to RID when conducting VA total body store (TBS) assessments in community settings.

methodsFour days after an oral dose of 0.4 mg [13C10]retinyl acetate was administered to Filipino children (12-18 mo), a single blood draw was divided to isolate both serum and plasma. Serum (40 μL) was spotted and dried on Whatman 903 cards and shipped at ambient temperature whereas liquid plasma (LP) was frozen at -80°C and shipped on dry ice. The VA tracer to tracee ratio from DSS and LP was quantified by LC-MS/MS. Comparisons between DSS and LP paired samples (n = 72) were made for [13C10]retinol specific activity (SAp) by Pearson's correlation and for VA TBS by Bland-Altman analysis.

resultsThe sum of 3 coextracted DSS were required to consistently detect [13C10]retinol above the LC-MS/MS limit of quantitation (LOQ). [13C10]retinol SAp from DSS was highly correlated with SAp from LP (r = 0.945; P < 0.01). A comparison of methods for TBS determination using Bland-Altman analysis indicated agreement with an intraindividual difference of 24.7 μmol (4.6%). Mean total liver reserve (TLR) values from DSS and LP were 1.7 μmol/g (± 0.6 SD) and 1.6 μmol/g (± 0.6 SD), respectively.

conclusionsVA TBS can be determined from DSS thereby reducing the logistics and cost of maintaining a cold chain by shipping samples at ambient temperature and, thus, making the RID technique more feasible in LMIC community settings. This trial was registered at https://clinicaltrials.gov as NCT03030339.

Indexed as

Developing CountriesNutritional StatusNutrition AssessmentSerumChromatography, LiquidDiterpenesFemaleHumansIndicator Dilution TechniquesInfantIsotopesLiverMalePhilippinesPlasmaRefrigerationDiterpenesIsotopesretinol acetateRetinyl EstersVitamin Achildrendried blood spotsdried serum spotsliquid chromatography tandem mass spectrometryPhilippinesretinol isotope dilutionstable isotopestotal body storesvitamin A status

Identifiers

PMID33755155
PMCPMC8112776
OpenAlexW3136778686

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.