Biological status and dietary intakes of Iron, Zinc and Vitamin A among women and preschool children in rural Burkina Faso

Background Food-based approaches such as biofortification are meant to sustainably address micronutrient deficiencies in poor settings. Knowing more about micronutrient intakes and deficiencies is a prerequisite to designing and evaluating interventions. Objective The objectives of the study were...

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Autores principales: Martin-Prével, Yves, Allemand, Pauline, Nikiema, Laetitia, Ayassou, Kossiwavi A., Ouedraogo, Henri Gautier, Moursi, Mourad, De Moura, Fabiana F.
Formato: Journal Article
Lenguaje:Inglés
Publicado: Public Library of Science 2016
Materias:
Acceso en línea:https://hdl.handle.net/10568/146394
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author Martin-Prével, Yves
Allemand, Pauline
Nikiema, Laetitia
Ayassou, Kossiwavi A.
Ouedraogo, Henri Gautier
Moursi, Mourad
De Moura, Fabiana F.
author_browse Allemand, Pauline
Ayassou, Kossiwavi A.
De Moura, Fabiana F.
Martin-Prével, Yves
Moursi, Mourad
Nikiema, Laetitia
Ouedraogo, Henri Gautier
author_facet Martin-Prével, Yves
Allemand, Pauline
Nikiema, Laetitia
Ayassou, Kossiwavi A.
Ouedraogo, Henri Gautier
Moursi, Mourad
De Moura, Fabiana F.
author_sort Martin-Prével, Yves
collection Repository of Agricultural Research Outputs (CGSpace)
description Background Food-based approaches such as biofortification are meant to sustainably address micronutrient deficiencies in poor settings. Knowing more about micronutrient intakes and deficiencies is a prerequisite to designing and evaluating interventions. Objective The objectives of the study were to assess biological status and dietary intakes of iron, zinc and vitamin A among women and children aged 36–59 months in rural Burkina Faso and to study relationships between intake and status to better inform future food-based interventions. Design A cross-sectional survey was carried out in two rural provinces of Burkina Faso on a random cluster sample of 480 mother-child pairs. Dietary data was obtained by 24-hour recalls repeated on a random sub-selection of 37.5% of subjects to allow calculation of nutrient’s probability of adequacy (PA). Biomarkers were measured on a sub-sample of 180 mother-child pairs. Blood samples were analyzed for hemoglobin, serum ferritin, soluble transferrin receptors (sTfR), C-reactive protein, alpha-1-glycoprotein, serum zinc concentration (SZnC) and retinol. For each micronutrient the relationship between biomarker and dietary intake was investigated by multiple linear regression models accounting for inflammatory biomarkers. Results Mean PA for iron, zinc and vitamin A was 0.49, 0.87 and 0.21 among women and 0.61, 0.95 and 0.33 among children, respectively. Prevalence of anemia, corrected low serum ferritin and high sTfR was 37.6%, 4.0% and 77.5% among women and 72.1%, 1.5% and 87.6% among children, respectively. Prevalence of low SZnC and corrected low serum retinol was 39.4% and 12.0% among women and 63.7% and 24.8% among children, respectively. There was a tendency for a positive relationship between vitamin A intakes and serum retinol among women (β = 0.0003, P = 0.06). Otherwise, no link was found between micronutrients biomarkers and intakes. Conclusion Our study depicted different images of micronutrient deficiencies when based on dietary intakes or biomarkers results, thus highlighting the need for more suitable biomarkers and more precise measures of absorbable micronutrient intakes at the individual level. It thus points to challenges in the design and evaluation of future biofortification or other food-based interventions in rural areas of Burkina Faso.
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spelling CGSpace1463942025-01-24T14:12:19Z Biological status and dietary intakes of Iron, Zinc and Vitamin A among women and preschool children in rural Burkina Faso Martin-Prével, Yves Allemand, Pauline Nikiema, Laetitia Ayassou, Kossiwavi A. Ouedraogo, Henri Gautier Moursi, Mourad De Moura, Fabiana F. ferritin sorghum carotenoids gender retinol micronutrient deficiencies convalescence inflammation iron deficiency women Background Food-based approaches such as biofortification are meant to sustainably address micronutrient deficiencies in poor settings. Knowing more about micronutrient intakes and deficiencies is a prerequisite to designing and evaluating interventions. Objective The objectives of the study were to assess biological status and dietary intakes of iron, zinc and vitamin A among women and children aged 36–59 months in rural Burkina Faso and to study relationships between intake and status to better inform future food-based interventions. Design A cross-sectional survey was carried out in two rural provinces of Burkina Faso on a random cluster sample of 480 mother-child pairs. Dietary data was obtained by 24-hour recalls repeated on a random sub-selection of 37.5% of subjects to allow calculation of nutrient’s probability of adequacy (PA). Biomarkers were measured on a sub-sample of 180 mother-child pairs. Blood samples were analyzed for hemoglobin, serum ferritin, soluble transferrin receptors (sTfR), C-reactive protein, alpha-1-glycoprotein, serum zinc concentration (SZnC) and retinol. For each micronutrient the relationship between biomarker and dietary intake was investigated by multiple linear regression models accounting for inflammatory biomarkers. Results Mean PA for iron, zinc and vitamin A was 0.49, 0.87 and 0.21 among women and 0.61, 0.95 and 0.33 among children, respectively. Prevalence of anemia, corrected low serum ferritin and high sTfR was 37.6%, 4.0% and 77.5% among women and 72.1%, 1.5% and 87.6% among children, respectively. Prevalence of low SZnC and corrected low serum retinol was 39.4% and 12.0% among women and 63.7% and 24.8% among children, respectively. There was a tendency for a positive relationship between vitamin A intakes and serum retinol among women (β = 0.0003, P = 0.06). Otherwise, no link was found between micronutrients biomarkers and intakes. Conclusion Our study depicted different images of micronutrient deficiencies when based on dietary intakes or biomarkers results, thus highlighting the need for more suitable biomarkers and more precise measures of absorbable micronutrient intakes at the individual level. It thus points to challenges in the design and evaluation of future biofortification or other food-based interventions in rural areas of Burkina Faso. 2016-03-25 2024-06-21T09:06:54Z 2024-06-21T09:06:54Z Journal Article https://hdl.handle.net/10568/146394 en Open Access Public Library of Science Martin-Prevel, Yves; Allemand, Pauline; Nikiema, Laetitia; Ayassou, Kossiwavi A.; Ouedraogo, Henri Gautier; Moursi, Mourad; and De Moura, Fabiana F. 2016. Biological status and dietary intakes of Iron, Zinc and Vitamin A among women and preschool children in rural Burkina Faso. PLoS One 11(3): e0146810. https://doi.org/10.1371/journal.pone.0146810
spellingShingle ferritin
sorghum
carotenoids
gender
retinol
micronutrient deficiencies
convalescence
inflammation
iron deficiency
women
Martin-Prével, Yves
Allemand, Pauline
Nikiema, Laetitia
Ayassou, Kossiwavi A.
Ouedraogo, Henri Gautier
Moursi, Mourad
De Moura, Fabiana F.
Biological status and dietary intakes of Iron, Zinc and Vitamin A among women and preschool children in rural Burkina Faso
title Biological status and dietary intakes of Iron, Zinc and Vitamin A among women and preschool children in rural Burkina Faso
title_full Biological status and dietary intakes of Iron, Zinc and Vitamin A among women and preschool children in rural Burkina Faso
title_fullStr Biological status and dietary intakes of Iron, Zinc and Vitamin A among women and preschool children in rural Burkina Faso
title_full_unstemmed Biological status and dietary intakes of Iron, Zinc and Vitamin A among women and preschool children in rural Burkina Faso
title_short Biological status and dietary intakes of Iron, Zinc and Vitamin A among women and preschool children in rural Burkina Faso
title_sort biological status and dietary intakes of iron zinc and vitamin a among women and preschool children in rural burkina faso
topic ferritin
sorghum
carotenoids
gender
retinol
micronutrient deficiencies
convalescence
inflammation
iron deficiency
women
url https://hdl.handle.net/10568/146394
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