Extent of vitamin a deficiency among rural pregnant women in Bangladesh

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Title Extent of vitamin a deficiency among rural pregnant women in Bangladesh
Author Lee, Vanessa Sharon; Ahmed, Faruk; Wada, Shoko; Ahmed, Tahmeed; Ahmed, AM Shamsir; Banu, Cadi Parvin; Akhter, Nasima
Journal Name Public Health Nutrition
Editor Agneta Yngve (Editor-in-Chief)
Year Published 2008
Place of publication United Kingdom
Publisher Cambridge University Press
Abstract Objective: To investigate the prevalence of vitamin A deficiency (VAD) among pregnant women in rural Bangladesh, and examine the relationship between various factors and vitamin A status. Setting: Community Nutrition Promoter (CNP) centres in Kapasia sub-district of Gazipur district, Bangladesh. Design: A cross-sectional study. Subjects: and methods Two hundred women, aged 18-39 years, in their second or third trimester of pregnancy were selected from seventeen CNP centres in four unions of Kapasia sub-district where they usually visit for antenatal care. Various socio-economic, personal and pregnancy-related information, dietary intake of vitamin A and mid-upper arm circumference (MUAC) data were collected. Serum retinol (vitamin A) concentration was determined. Results: More than half (51 %) of the pregnant women had low vitamin A status (serum retinol <1.05 μmol/l) with 18.5 % having VAD (serum retinol <0.70 μmol/l). Fifty-three per cent of the women's vitamin A intake was less than the recommended dietary allowance. By multiple regression analysis, MUAC, per-capita expenditure on food and wealth index were found to have significant independent positive relationship with serum retinol concentration, while gestational age of the pregnant women had a negative relationship. The overall F-ratio (10.3) was highly significant (P = 0.0001), the adjusted R 2 was 0.18 (multiple R = 0.45). Conclusion: VAD is highly prevalent among rural pregnant women in Bangladesh. Gestational age, nutritional status, per-capita expenditure on food and wealth index appear to be important in influencing the vitamin A status of these women. An appropriate intervention is warranted in order to improve the vitamin A status. © The Authors 2008.
Peer Reviewed Yes
Published Yes
Alternative URI http://dx.doi.org/10.1017/S1368980008002723
Volume 11
Issue Number 12
Page from 1326
Page to 1331
ISSN 1368-9800
Date Accessioned 2009-04-30
Language en_AU
Faculty Griffith Health Faculty
Subject Nutrition and Dietetics
URI http://hdl.handle.net/10072/23246
Publication Type Journal Articles (Refereed Article)
Publication Type Code c1

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