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[Effect of vitamin E and vitamin C deficiency on the development of alcoholic liver diseases].

Effects of vitamin E (V.E) and vitamin C (V.C) deficiency on the progress of alcoholic liver disorder in 72 Osteogenic Disorder Shionogi (ODS) male rats were studied. Animals were divided into two groups which received 5% ethanol liquid diet (A group) or pair-fed an isocalorical liquid diet with carbohydrate replacing ethanol (C group). All animals were pair-fed with these diets free of V.E during experiment period. In first experiment, after pair-feeding with the diets free of V.C for 2 or 5 weeks, the animals were killed. In another experiment, after pair-feeding with the diets free of V.C for 4 weeks, and then with the diets addition of 0.1 or 1.0 mg/ml V.C. for 2 weeks, the animals were killed. In first experiment, hepatic V.E concentrations in rats fed with V.E. and V.C deficient diets decreased more severely than those fed with only V.E deficient diets. After 2 weeks hepatic lipid peroxide content was increased, while at 5 weeks, it's decreased both in A and C group. In another experiment, hepatic aniline hydroxylase activity increased both by ethanol administration and by addition of V.C. Total P450 and P450 2E1 contents also increased by addition of V.C. And then hepatic lipid peroxide contents increased by addition of V.C. in A groups. These results suggested that V.E and V.C deficiency disturbed alcohol-metabolic enzyme activity on the progress of alcoholic liver disorder.

Aniline Hydroxylase↗

Iron deficiency in Europe.

In Europe, iron deficiency is considered to be one of the main nutritional deficiency disorders affecting large fractions of the population, particularly such physiological groups as children, menstruating women and pregnant women. Some factors such as type of contraception in women, blood donation or minor pathological blood loss (haemorrhoids, gynaecological bleeding...) considerably increase the difficulty of covering iron needs. Moreover, women, especially adolescents consuming low-energy diets, vegetarians and vegans are at high risk of iron deficiency. Although there is no evidence that an absence of iron stores has any adverse consequences, it does indicate that iron nutrition is borderline, since any further reduction in body iron is associated with a decrease in the level of functional compounds such as haemoglobin. The prevalence of iron-deficient anaemia has slightly decreased in infants and menstruating women. Some positive factors may have contributed to reducing the prevalence of iron-deficiency anaemia in some groups of population: the use of iron-fortified formulas and iron-fortified cereals; the use of oral contraceptives and increased enrichment of iron in several countries; and the use of iron supplements during pregnancy in some European countries. It is possible to prevent and control iron deficiency by counseling individuals and families about sound iron nutrition during infancy and beyond, and about iron supplementation during pregnancy, by screening persons on the basis of their risk for iron deficiency, and by treating and following up persons with presumptive iron deficiency. This may help to reduce manifestations of iron deficiency and thus improve public health. Evidence linking iron status with risk of cardiovascular disease or cancer is unconvincing and does not justify changes in food fortification or medical practice, particularly because the benefits of assuring adequate iron intake during growth and development are well established. But stronger evidence is needed before rejecting the hypothesis that greater iron stores increase the incidence of CVD or cancer. At present, currently available data do not support radical changes in dietary recommendations. They include all means for increasing the content of dietary factors enhancing iron absorption or reducing the content of factors inhibiting iron absorption. Increased knowledge and increased information about factors may be important tools in the prevention of iron deficiency in Europe.

Adolescent↗

Will an orange a day keep the doctor away?

An 80 year old man, who relied on a home based meals-on-wheels service was admitted to hospital with non-specific symptoms, but had clinical and biochemical evidence of scurvy. Subsequently, all new admissions (n=37) to the department over a three week period were assessed for evidence of undernutrition. It was found that 73% had hypovitaminosis C, with 30% having concentrations suggestive of scurvy. There were no significant associations between level of vitamin C and type of accommodation, food provision, or age. The commonest symptom associated with vitamin C deficiency was anorexia, but overall, there was a paucity of clinical signs associated with vitamin C deficiency. The possible associations of vitamin C deficiency in the elderly are discussed.

Aged↗

[Vitamin levels in workers in the main departments of the coke-processing industry].

Providing with vitamins was studied in workers of the main shops of coal-tar chemical industry at the Karaganda Metallurgic Plant. Insufficient providing of workers with vitamins A, C, P and B was recorded. The results of the study have necessitated measures aimed at correcting vitamin-deficiency among these workers with due account for the data obtained.

Ascorbic Acid↗

The effect of ascorbic acid on the activity of lipoprotein lipase in the baboon (Papio ursinus).

The intravenous administration of heparin-released lipoprotein lipase (LPL) into the circulatory system of the baboon (Papio ursinus) is described. After a single heparin injection, a peak value of LPL activity appeared in the circulation with 5 minutes. At low doses of heparin (less than 100 units heparin/kg body mass), LPL disappeared from the circulation in an exponential fashion with a half-life of about 20 minutes. An increase in the heparin dose increased the amount of LPL released into the circulation. In baboons which were deficient in ascorbic acid, less LPL was released into the circulation after specific doses of heparin than in animals that were amply supplied with this vitamin (ascorbic acid 16 mg/kg body mass/day). The separation of plasma LOL, released by heparin, on Sephadex G-150, revealed several distinct molecular species of LPL in the eluant from the columns. In vitro studies indicated that ascorbic acid inhibited cardiac LPL strongly, whereas it had little effect on "post-heparin plasma" LPL. 2somolar concentrations of another reducing agent, mercapto-ethanol, slightly stimulated cardiac LPL in baboons.

Animals↗

Weekly micronutrient supplementation to build iron stores in female Indonesian adolescents.

Different supplementation schemes to build iron stores in female Indonesian adolescents were investigated. Subjects were 273 high-school girls allocated randomly to four treatment groups. During a 3-mo period one group received 60 mg Fe, 750 micrograms retinol, 250 micrograms folic acid, and 60 mg vitamin C per day; a second group received 60 mg Fe, 6000 micrograms retinol, 500 mg folic acid, and 60 mg vitamin C once a week; a third group received 120 mg Fe and the same amount of the other three micronutrients as the second group once a week; and a fourth group received only placebos. All subjects were dewormed and supplement allocation was double blind. Blood samples were collected at baseline, after 2 and 3 mo of supplementation, and 6 mo after the last supplement. After 2 mo of supplementation, groups supplemented weekly and daily showed similar significant improvements (P < 0.001) in hemoglobin and retinol concentrations, and supplementation for 3 instead of 2 mo did not significantly increase these two indicators. After 3 mo, the increase in ferritin was approximately equal to 27 micrograms/L in the daily and 14-15 micrograms/L in the weekly groups (P < 0.001), the latter having a final concentration of 42-45 micrograms/L. At 6 mo postsupplementation there were no significant differences among daily and weekly groups, but the ferritin concentration was still approximately equal to 10-12-micrograms/L higher (P < 0.001) than in the placebo group. The group supplemented weekly with 60 mg Fe complained less about side effects than the other supplemented groups (P < 0.05). Weekly supplementation with 60 mg Fe and 6000 micrograms retinol for 3 mo was optimal for improving the iron status of the adolescents for approximately equal to 9 mo.

Adolescent↗

Plasma vitamin C and food choice in the third Glasgow MONICA population survey.

STUDY OBJECTIVE: To determine the contribution of different foods to the estimated intakes of vitamin C among those differing in plasma vitamin C levels, and thereby inform dietary strategies for correcting possible deficiency. DESIGN: Cross sectional random population survey. SETTING: North Glasgow, Scotland, 1992. PARTICIPANTS: 632 men and 635 women, aged 25 to 74 years, not taking vitamin supplements, who participated in the third MONICA study (population survey monitoring trends and determinants of cardiovascular disease). MEASUREMENTS AND MAIN RESULTS: Dietary and sociodemographic information was collected using a food frequency and lifestyle questionnaire. Plasma vitamin C was measured in non-fasted venous blood samples and subjects categorised by cut points of 11.4 and 22.7 micromol/l as being of low, marginal or optimal vitamin C status. Food sources of dietary vitamin C were identified for subjects in these categories. Plasma vitamin C concentrations were compared among groups classified according to intake of key foods. More men (26%) than women (14%) were in the low category for vitamin C status; as were a higher percentage of smokers and of those in the older age groups. Intake of vitamin C from potatoes and chips (fried potatoes) was uniform across categories; while the determinants of optimal versus low status were the intakes of citrus fruit, non-citrus fruit and fruit juice. Optimal status was achieved by a combined frequency of fruit, vegetables and/or fruit juice of three times a day or more except in older male smokers where a frequency greater than this was required even to reach a marginal plasma vitamin C level. CONCLUSION: Fruit, vegetables and/or fruit juice three or more times a day increases plasma vitamin C concentrations above the threshold for risk of deficiency.

Adult↗

[Evaluation of dietary vitamin intake in Burgundy (France)].

The daily intake of vitamin B1, B2, B6, PP, C, A, D and E was investigated in 297 adult subjects, undergoing a check-up examination in a Health Center in Burgundy, by the 7-day self-recorded prospective protocol, to determine the prevalence of vitamin deficiency risks in an area of a West European Country. The daily vitamin intake was lower than the French Recommended Dietary Allowances: RDA (CNERNA, 1981). The intake was between 50 and 80% of RDA for vitamin B1 in 58%, B2 in 24%, B6 in 59%, PP in 43%, C in 21%, A in 8%, D in 0.6%, E in 53% of the female population and for B1 in 40%, B2 in 18.5%, B6 in 59%, PP in 46%, C in 27%, A in 11%, D in 7% and E in 47% of the male population. The daily vitamin intake was less than half of RDA vor vitamin B1 in 11%, B2 in 0.6%, B6 in 33%, PP in 6.3%, C in 4.5%, A in 0.6%, D in 98%, E in 36% in the females and for B1 in 3%, B6 in 8.5%, PP in 3.5%, C in 5%, A in 0.7%, D in 91% and E in 9% in the males. The use of a probability analysis for estimating vitamin deficiencies showed intakes below their own requirement in 37.8% for B1, 18% for B2, 58.6% for B6, 46% for PP, 29% for C, 8.3% for A, 98% for D and 43.4% for E in the males and 62.5% for B1, 20.9% for B2, 86% for B6, 46% for PP, 24% for C, 9.2% for A, 98% for D and 59.7% for E in the females. Significant correlations were found between the daily vitamin intake and the caloric intake for B1 (r = 0.64), B2 (r = 0.46), B6 (r = 0.64) and PP (r = 0.62). The significantly lower caloric intake in females than in males explains a higher proportion of vitamin deficiencies for B1, B2, B6 and PP in this population. The consumption of green vegetables and fresh fruit, and, consequently, vitamin C intake, was higher in females. Although it was not possible to determine to what extent the vitamin intake deficiency contributes to an impaired biochemical vitamin status, the dietary data of this study supply sufficient information to demonstrate high prevalences of deficient vitamin status in France, particularly for B1, B6 and E.

Adult↗

Deficiency of vitamins A, B, and C. Something to watch for.

Although specific vitamin deficiency syndromes are relatively rare in the United States, primary care physicians may encounter them in elderly patients and persons who consume minimal diets. Knowledge of such deficiencies is crucial in the evaluation of these patients. The authors discuss manifestations of deficiency of vitamins A, B, and C and recommend appropriate methods of diagnosis and treatment.

Ascorbic Acid Deficiency↗