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European Journal of Clinical Nutrition
January 2001, Volume 55, Issue 1, Pages 1 - 9
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Abstract

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Title

Increase in serum beta-carotene following dark green leafy vegetable supplementation in Mebendazole-treated school children in Bangladesh

V Persson1, F Ahmed2, M Gebre-Medhin1 & T Greiner1

1Section for International Maternal and Child Health (IMCH), Uppsala University, Uppsala, Sweden

2Institute of Nutrition and Food Science, University of Dhaka, Dhaka, Bangladesh

Correspondence to: V Persson, IMCH, Entrance 11, Uppsala University Hospital, 751 85 Uppsala, Sweden.
Email: viveka.persson@kbh.uu.se

Guarantor: V Persson.
Contributors: VP, FA, MG-M and TG were involved in the concept and planning. FA and MG-M were responsible for laboratory analyses. VP, FA and TG carried out the field work. VP and TG analysed the data. VP, FA, MG-M and TG wrote the paper.


Abstract

Objective: To study the effect of consumption of dark green leafy vegetables (DGLV) and sweet pumpkin on serum beta-carotene and retinol concentrations in children treated for Ascaris lumbricoides.

Design: Experimental study with a randomised design.

Subjects: A total of 110 primary school children aged 8–12 y in northwestern Bangladesh.

Interventions: All children were de-wormed and 2 weeks later randomly assigned to one of three groups to receive for 6 days per week, for 6 weeks, one complete meal containing either: (1) 4.4 mg beta-carotene from DGLV (n=37, after 18 dropouts); (2) 1.5 mg beta-carotene from sweet pumpkin (n=36, 18 dropouts); or (3) vegetables containing virtually no beta-carotene (control) (n=37, 18 dropouts).

Results: Significant increases (P<0.001) in mean serum beta-carotene concentrations were seen in all three study groups, with a statistically higher increase (µmol/l) in the DGLV group (0.44; 95% confidence interval (CI) 0.32, 0.55) compared to the control group (0.20; 95% CI 0.14, 0.26; P=0.002). The increase in serum retinol (µmol/l) was statistically significant (P=0.04) only in the DGLV group (mean 0.066; 95% CI 0.002, 0.13), but this increase was not different from the increase in the control group.

Conclusion: In children successfully treated for Ascaris lumbricoides, a substantial increase in serum beta-carotene was seen after feeding with a moderately high cumulative dose of DGLV for 6 weeks.

Sponsorship: Sarec (Swedish Agency for Research Cooperation in Developing Countries) (SWE-1996-155) and InDevelop, Uppsala University.

European Journal of Clinical Nutrition (2001) 55, 1–9

Keywords
vitamin A; beta-carotene; bioavailability; helminthiasis; dark-green leafy vegetables; school children


Received 10 February 2000; Revised 29 August 2000; Accepted 29 August 2000


© Macmillan Publishers Ltd 2001