[Serum vitamin A determinations and their value in determining vitamin A status]

Needle biopsy for hepatic vitamin A levels in lions (Panthera leo)

Hypovitaminosis A (HA)-related skull malformations resulting in neurologic abnormalities and death have been, and still are, reported in captive lions (Panthera leo) worldwide. Liver vitamin A (VA) concentration is the most reliable indicator of animals' VA status, and its assessment is essential in prevention and treatment of HA in lions. A percutaneous needle liver biopsy using high-performance liquid chromatography ultraviolet retinoid analysis for VA concentration measurement was validated. It was first assessed in vitro using chicken liver. Later, the safety and feasibility of ultrasound-guided percutaneous needle liver biopsy was assessed in living lions. Hepatic VA concentrations in lion liver were measured using the above laboratory method. Mean chicken hepatic VA concentration in needle biopsy (NB) and wedge biopsy (WB) of the same liver lobes were 108.66 and 60.89 microg/g wet tissue, respectively, and were significantly (P = 0.03) correlated (r = 0.74). The calculated linear regression for predicting VA concentration in WB using NB VA for chicken liver was 25.194 + 0.3234x NB (microg/g). Four ultrasound-guided percutaneous needle liver biopsies were obtained from each of the four lions under general anesthesia. Mean hepatic VA concentration was 8.25 microg/g wet tissue (range 1.43-25.29 microg/g). Mean serum VA concentration, measured in these four lions was 1,011.1 nmol/L with a standard deviation of 337.91 nmol/L (range 590.26-1,077.2 nmol/L). The lions recovered uneventfully, and no complications were observed during a 4-yr follow-up period. In conclusion, the percutaneous needle liver biopsy technique is a reliable, practical, safe tool for obtaining liver tissue samples antemortem for assessment of the VA status in lions and can be used in future studies.

Dietary intake and nutritional status of women and pre-school children in the Republic of the Maldives

OBJECTIVE

Malnutrition and poor nutritional status among children are common problems in the Republic of Maldives, a small island nation in the Indian Ocean. The aim of this study was to determine possible macro- and micronutrient deficiencies in the traditional Maldivian diet.

DESIGN

In five atolls, 333 women with children aged between 1 and 4 years who were no longer breast-fed were interviewed, using a 24-hour recall. Additionally, the weights and heights of both the women and children were measured, and blood samples from 15 women were collected for measurements of vitamins A and E, beta-carotene, homocysteine, cholesterol and haemoglobin.

RESULTS

Of the women, 22% had a body mass index (BMI) below 18.5. Of the children, 41% were stunted, 14% were wasted and 51% were underweight. The women's and children's diets were sufficient in protein (14%) and carbohydrates (67%) but deficient in fat, which contributed only 19% to the total energy intake. Consumption of dietary substances that depend on vegetable and fruit intake (e.g. beta-carotene, vitamin C, dietary fibre and folic acid) was low. The low intake of beta-carotene was underlined by low plasma concentration. The estimated iron intake was low, although blood haemoglobin levels were normal.

CONCLUSIONS

Marginal nutritional status and marginal malnutrition are due to low fat intake and selected micronutrient deficiency. Higher intakes of locally available vegetables and fruits and fat (especially for children) on a regular basis might reverse the deficits documented on the atolls.

Vitamin a Metabolism in Recessive White Canaries

In recent years, a possible defect in vitamin A metabolism in recessive white canaries (Serinus canaria,) has been repeatedly discussed. It has widely been accepted that a reduced absorption of carotenoids from the small intestine results in an insufficient synthesis of vitamin A. Moreover, the uptake of vitamin A from the lower intestine has also been discussed.

The aim of the present study was to investigate the utilization of ß-carotene and vitamin A by recessive white canaries (in comparison to coloured ones) as well as to quantify the accretion of vitamin A in the liver and vitamin A levels in plasma and fat tissues of canaries fed different doses of ß-carotene (≍ 6000iu vitamin A kg−1 diet) vs vitamin A (6000 or 18 000iu kg−1 diet).

The results were as follows:

Recommendations of vitamin A supplements for recessive white canaries should be given based on these data.

[Factors influencing the vitamin A concentration in the liver of cattle]

Nineteen long-term individual- and group-feeding experiments with 180 male calves, 338 growing bulls, 302 heifers, and 344 dairy cows were carried out in order to measure the influence of feeding (straw, silages or green fodder as roughages) and different vitamin-A supplies (0-40,000 IU per 100 kg body weight per day in growing cattle or 0-120,000 IU per dairy cow per day) on liver vitamin-A concentration. All together, 2,127 biopsies from livers were taken for retinol analysis. At the end of six growth experiments animals were slaughtered. Liver vitamin-A concentration of calves depends on their term at birth and is associated with the carotene intake of their mothers. The carotene content of feeds and the vitamin-A supply are the most important influencing factors on liver vitamin-A concentration of growing and lactating cattle. On the average, livers of calves fed with colostrum contained 100-200 IU, those of growing cattle fed with grass and legumes or with silages contained 200-300 or 100-200 IU resp., and those of cows fed with green fodder or silage contained 300-600 or 100-300 IU vitamin A resp. per g fresh liver. There were also values outside of the variations mentioned above. The vitamin-A storage capacity of liver and the effects of oral and parenteral vitamin-A supply to depleted calves and growing cattle were also tested.

[The vitamin A requirement and the vitamin A status of growing cattle. 2. Studies of fattening cattle]

Three long time individual feeding experiments (greater than 258 days) with 48 beef cattle each (dairy breed and beef breed, 50% each) were carried out in order to measure the influence of various vitamin A supply (0, 2,500, 5,000 and 10,000 IU vitamin A per 100 kg body weight and day) on fattening and slaughtering performance, vitamin A concentration of liver and serum as well as carotene concentration of serum. The bulls consumed corn silage (experiments 1 and 2; 9.4 and 18.3 mg carotene per kg dry matter) or NaOH-treated and pelleted straw (experiment 3; no carotene). The roughages were supplemented with 2 (exp. 1 and 2) and 3 kg (exp. 3) concentrate per day. The vitamin A supply of corn silage diet did not significantly influence the dry matter intake (exp. 1: means: 6.95; 6.91 to 7.05; exp. 2: means: 6.54; 6.53 to 6.54 kg dry matter per animal and day) and the daily weight gain of bulls (exp. 1: means: 1076; 1028 to 1157; exp. 2: means: 1058; 1041 to 1057 g per animal). The bulls consumed 8.87 kg dry matter per day, the daily weight gain amounted to 1030 g per animal and day in experiment 3. The bulls of unsupplemented group reduced feed intake and weight gain after 150 days, an additional vitamin A supply was necessary. At the end of experiments 1 and 2 the liver vitamin A concentration of unsupplemented groups amounted to 38.8 and 65.9 mumol/kg, it increased after vitamin A supply (up to 153.4 mumol/kg). Feeding of pelleted straw effected a liver vitamin A concentration lower than 10 mumol/kg except the group supplemented with 10,000 IU vitamin A per 100 kg body weight and day (35.7 mumol per kg fresh matter of liver). The vitamin A concentration of blood is unsuitable for evaluation of vitamin A status of cattle. The carotene content of feeds and level of vitamin A supply determined the carotene concentration of blood. Recommendations for a suitable vitamin A supply of ration of growing cattle were given depending on body weight and type of diet.

[The vitamin A requirement and the vitamin A status of growing cattle. 1. Studies of calves]

Five experiments with 18 to 36 male calves each of the black and white dairy cattle breed (age: 14-21 days, initial live weight: approximately 45 kg per animal) were carried out in order to investigate the influence of various vitamin A supply (0-80,000 IU per 100 kg LW and day) on dry matter intake and weight gain as well as the vitamin A status of liver and blood plasma over 84 days. The calves consumed a diet free of carotene and vitamin A consisting of milk replacer, concentrate and chopped wheat straw. The calves were fed in three experiments for a longer time in order to observe the further vitamin A depletion. Nine animals consumed an unsupplemented ration, nine other one got 10,000 IU vitamin A per 100 kg LW and day. Biopsies of liver and plasma samples were taken from 4 animals per group every four weeks. The various vitamin A supplementation did not significantly influence the dry matter intake (Mean: 1.67; 1.48 to 1.80 kg DM per animal and day) and the weight gain of calves (Mean: 702, 599 to 770 g per animal and day). First vitamin A deficiency symptoms (reduced feed intake, decreased weight gain, diarrhoea etc.) were observed in animals of unsupplemented group after 100 days of experiments. After 84 days the vitamin A concentration of liver of animals of unsupplemented groups decreased to 1.3-32.2% compared with the begin of experiments (60.6-155.7 mumol/kg fresh matter). Up to 51% of initial concentration were found when 10,000 IU vitamin A per 100 kg LW and day were fed. About 25,000 IU vitamin A per 100 kg LW and day were required in order to keep the initial level of vitamin A concentration of liver. The plasma vitamin A concentration is unsuitable for estimation of vitamin A status of calves. The concentration of vitamin A of liver and plasma amounted to 114 mumol per kg and 0.25 mumol per litre at the begin of experiments. The vitamin A concentration of liver of unsupplemented group decreased to 20 mumol per kg, that of plasma increased to 0.28 mumol per 1 at the end. A strong vitamin A deficiency (liver concentration: less than 10 mumol/kg) may cause a decrease of vitamin A concentration of blood.

Vitamin A deficiency. New knowledge on diagnosis, consequences and therapy

Due to the rapid development of biochemical analyses in the last 10 years different substances like vitamin A, with an apparent clarified metabolism and action, were re-estimated. As a result, new knowledge was presented which could be essential for human health. Some details and consequences are reviewed in this paper. Marginal deficiency, which also may occur in industrialized nations, cannot be determined with certainty by usual blood analyses. The reasons for marginal deficiency are either different diseases or unbalanced nutrition. From epidemiological research it is argued that low vitamin A intake is associated with a higher incidence of cancer in different tissues. However, vitamin A may lead by over-dosing to toxic side effects. There exists a possibility that vitamin A is teratogenic also in humans. Thus, for safety reasons, woman who can become pregnant should not be advised to supplement the vitamin more than twice the RDA of the US Food and Nutrition Board for pregnant women (10,000 I.U./day) if there is no clear-cut indication. On the other hand there are indications that malformations may also caused by vitamin A deficiency.