Vitamin A Bioavailability in Lactating Women With Marginal Vitamin A Status

NCT ID: NCT01420406

Last Updated: 2012-09-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

140 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-06-30

Study Completion Date

2012-06-30

Brief Summary

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The study will assess the relative bioavailability and bioefficacy of cryptoxanthin (CX) and beta-carotene (BC) from food sources for increasing breast milk carotenoid and retinol concentrations in lactating Bangladeshi women.

Detailed Description

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The specific aim is to compare the effects of orange-fleshed sweet potatoes and tangerines compared to white-fleshed sweet potatoes and vitamin A as retinyl palmitate on blood and breast milk cryptoxanthin (CX), beta-carotene (BC), and vitamin A (VA) concentrations by randomly assigning lactating Bangladeshi women to one of four treatment groups for 6 days/week for 3 weeks.

The investigators will also compare the relative vitamin A (VA) value of BC and CX from food sources by comparing the mean change in breast milk retinol concentrations of the groups that receive tangerines (CX) or orange-fleshed sweet potatoes (BC) with the mean change in breast milk retinol of the group that receives retinyl palmitate.

Conditions

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Vitamin A Deficiency

Keywords

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lactation cryptoxanthin beta-carotene vitamin A

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

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0 mg retinol

0 mg retinol activity equivalents (RAE) as white-fleshed sweet potatoes and a corn oil capsule

Group Type PLACEBO_COMPARATOR

0 mg retinol activity equivalents

Intervention Type OTHER

0 mg retinol activity equivalents (RAE) as white-fleshed sweet potatoes and a corn oil capsule

12 mg BC

12 mg of BC as orange-fleshed sweet potatoes and a corn oil capsule.

Group Type EXPERIMENTAL

12 mg of BC

Intervention Type OTHER

12 mg of BC as orange-fleshed sweet potatoes and a corn oil capsule

6 mg of CX

6 mg of CX as tangerines and a corn oil capsule

Group Type EXPERIMENTAL

6 mg of CX

Intervention Type OTHER

6 mg of CX as tangerines and a corn oil capsule

1.0 mg RAE

1.0 mg RAE vitamin A as retinyl palmitate in corn oil, and white-fleshed sweet potatoes

Group Type EXPERIMENTAL

1.0 mg RAE

Intervention Type OTHER

1.0 mg RAE vitamin A as retinyl palmitate in corn oil, and white-fleshed sweet potatoes

Interventions

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0 mg retinol activity equivalents

0 mg retinol activity equivalents (RAE) as white-fleshed sweet potatoes and a corn oil capsule

Intervention Type OTHER

12 mg of BC

12 mg of BC as orange-fleshed sweet potatoes and a corn oil capsule

Intervention Type OTHER

6 mg of CX

6 mg of CX as tangerines and a corn oil capsule

Intervention Type OTHER

1.0 mg RAE

1.0 mg RAE vitamin A as retinyl palmitate in corn oil, and white-fleshed sweet potatoes

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Healthy women in Dhaka, Bangladesh
* Lactating women in their 2nd or 3rd month of lactation who are planning to breast-feed at least 6 months
* Breast-feeding only one infant
* Age range 18 to 45 years
* Not pregnant
* Serum retinol concentrations \>0.70 umol/L and \<1.10 umol/L
* Normal concentrations of CRP (\<10 mg/L)
* At least one arm vein deemed adequate for blood collection, as evaluated by a screening nurse.
* Willing to consume the test foods daily 6 d/wk for one month

* Severe anemia (Hb \<9 mg/dL)
* Current pregnancy
* Must not have known allergy to citrus fruit (tangerines or mandarin oranges) or sweet potatoes
* Must have no obvious psychological or sociological problems-such as alcoholism, drug abuse, or severe and acute mental illness that would influence their ability to sign an inform consent agreement or to participate in study duties and activities
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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University of California, Davis

OTHER

Sponsor Role collaborator

USDA, Western Human Nutrition Research Center

FED

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Betty J Burri, PhD

Role: PRINCIPAL_INVESTIGATOR

WHNRC

Locations

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International Centre for Diarrhoeal Disease Research

Dhaka, , Bangladesh

Site Status

Countries

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Bangladesh

References

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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 Nov;98(5):1200-8. doi: 10.3945/ajcn.113.058180. Epub 2013 Sep 4.

Reference Type DERIVED
PMID: 24004891 (View on PubMed)

Other Identifiers

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WHNRC 200816672

Identifier Type: -

Identifier Source: org_study_id