Serum retinol levels are positively correlated with hemoglobin concentrations, independent of iron homeostasis: a population-based study

Micronutrient interactions give rise to complex issues that have an impact on preventive strategies when multiple micronutrient deficiencies coexist. The aim of this population-based study was to determine the prevalence of vitamins A and E and iron deficiencies among women 15 to 49 years of age in...

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Published in:Nutrition research (New York, N.Y.) N.Y.), 2013-04, Vol.33 (4), p.279-285
Main Authors: Jafari, Seyed Mojtaba, Heidari, Gholamreza, Nabipour, Iraj, Amirinejad, Roya, Assadi, Majid, Bargahi, Afshar, Akbarzadeh, Samad, Tahmasebi, Rahim, Sanjdideh, Zahra
Format: Article
Language:English
Subjects:
Adolescent
Adult
Anemia, Iron-Deficiency - blood
Anemia, Iron-Deficiency - epidemiology
Biological and medical sciences
chronic diseases
correlation
Cross-Sectional Studies
enzyme immunoassays
Feeding. Feeding behavior
Female
ferritin
Ferritins - blood
Fundamental and applied biological sciences. Psychology
Gastroenterology and Hepatology
hemoglobin
Hemoglobins - analysis
high performance liquid chromatography
Homeostasis
Humans
Iran - epidemiology
Iron
iron deficiency anemia
Iron, Dietary - blood
Linear Models
Micronutrient
Micronutrients - blood
Micronutrients - deficiency
Middle Aged
multivariate analysis
Prevalence
public health
Receptors, Transferrin - blood
regression analysis
risk factors
sampling
Vertebrates: anatomy and physiology, studies on body, several organs or systems
Vitamin A
Vitamin A - blood
Vitamin A Deficiency - blood
Vitamin A Deficiency - epidemiology
Vitamin E
Vitamin E - blood
Vitamin E Deficiency - blood
Vitamin E Deficiency - epidemiology
Women
Young Adult
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Tahmasebi, Rahim
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description Micronutrient interactions give rise to complex issues that have an impact on preventive strategies when multiple micronutrient deficiencies coexist. The aim of this population-based study was to determine the prevalence of vitamins A and E and iron deficiencies among women 15 to 49 years of age in the northern Persian Gulf region. We hypothesized that serum retinol levels may show correlations with hemoglobin (Hb) concentrations, independent of iron status. A total of 1242 nonpregnant women of reproductive age were selected via a multistage stratified random cluster sampling technique. Serum ferritin and soluble transferrin receptor levels were measured using enzyme immunoassay techniques. Serum retinol (vitamin A) and α-tocopherol (vitamin E) were determined for 727 women by high-performance liquid chromatography. The prevalence of anemia (Hb
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The aim of this population-based study was to determine the prevalence of vitamins A and E and iron deficiencies among women 15 to 49 years of age in the northern Persian Gulf region. We hypothesized that serum retinol levels may show correlations with hemoglobin (Hb) concentrations, independent of iron status. A total of 1242 nonpregnant women of reproductive age were selected via a multistage stratified random cluster sampling technique. Serum ferritin and soluble transferrin receptor levels were measured using enzyme immunoassay techniques. Serum retinol (vitamin A) and α-tocopherol (vitamin E) were determined for 727 women by high-performance liquid chromatography. The prevalence of anemia (Hb &lt;12 g/dL), iron deficiency (serum ferritin &lt;15 μg/L), and iron deficiency anemia was 8.7%, 25.4%, and 4.6%, respectively. Vitamin A (&lt;0.7 μmol/L) and vitamin E (&lt;11.6 μmol/L) deficiencies were found in 1.2% and 5.9% of the studied population, respectively. Multiple regression analysis revealed that serum retinol levels exhibit a significant association with Hb concentrations after controlling for serum ferritin levels, anemia associated with chronic disease, and risk factors for anemia. Therefore, most nonpregnant women of reproductive age in the northern Persian Gulf were found to have adequate serum vitamin A and E levels. However, the status of anemia and iron deficiency anemia could be considered a mild public health problem in this region. 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The aim of this population-based study was to determine the prevalence of vitamins A and E and iron deficiencies among women 15 to 49 years of age in the northern Persian Gulf region. We hypothesized that serum retinol levels may show correlations with hemoglobin (Hb) concentrations, independent of iron status. A total of 1242 nonpregnant women of reproductive age were selected via a multistage stratified random cluster sampling technique. Serum ferritin and soluble transferrin receptor levels were measured using enzyme immunoassay techniques. Serum retinol (vitamin A) and α-tocopherol (vitamin E) were determined for 727 women by high-performance liquid chromatography. The prevalence of anemia (Hb &lt;12 g/dL), iron deficiency (serum ferritin &lt;15 μg/L), and iron deficiency anemia was 8.7%, 25.4%, and 4.6%, respectively. Vitamin A (&lt;0.7 μmol/L) and vitamin E (&lt;11.6 μmol/L) deficiencies were found in 1.2% and 5.9% of the studied population, respectively. Multiple regression analysis revealed that serum retinol levels exhibit a significant association with Hb concentrations after controlling for serum ferritin levels, anemia associated with chronic disease, and risk factors for anemia. Therefore, most nonpregnant women of reproductive age in the northern Persian Gulf were found to have adequate serum vitamin A and E levels. However, the status of anemia and iron deficiency anemia could be considered a mild public health problem in this region. On the basis of multivariate analyses, we conclude that low serum retinol levels may contribute to anemia, independent of iron homeostasis.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Anemia, Iron-Deficiency - blood</subject><subject>Anemia, Iron-Deficiency - epidemiology</subject><subject>Biological and medical sciences</subject><subject>chronic diseases</subject><subject>correlation</subject><subject>Cross-Sectional Studies</subject><subject>enzyme immunoassays</subject><subject>Feeding. Feeding behavior</subject><subject>Female</subject><subject>ferritin</subject><subject>Ferritins - blood</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Gastroenterology and Hepatology</subject><subject>hemoglobin</subject><subject>Hemoglobins - analysis</subject><subject>high performance liquid chromatography</subject><subject>Homeostasis</subject><subject>Humans</subject><subject>Iran - epidemiology</subject><subject>Iron</subject><subject>iron deficiency anemia</subject><subject>Iron, Dietary - blood</subject><subject>Linear Models</subject><subject>Micronutrient</subject><subject>Micronutrients - blood</subject><subject>Micronutrients - deficiency</subject><subject>Middle Aged</subject><subject>multivariate analysis</subject><subject>Prevalence</subject><subject>public health</subject><subject>Receptors, Transferrin - blood</subject><subject>regression analysis</subject><subject>risk factors</subject><subject>sampling</subject><subject>Vertebrates: anatomy and physiology, studies on body, several organs or systems</subject><subject>Vitamin A</subject><subject>Vitamin A - blood</subject><subject>Vitamin A Deficiency - blood</subject><subject>Vitamin A Deficiency - epidemiology</subject><subject>Vitamin E</subject><subject>Vitamin E - blood</subject><subject>Vitamin E Deficiency - blood</subject><subject>Vitamin E Deficiency - epidemiology</subject><subject>Women</subject><subject>Young Adult</subject><issn>0271-5317</issn><issn>1879-0739</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><recordid>eNqFksuO0zAUQC0EYkrhDxB4g8SCFD-SOJ0FEhrxkkZiUWZtuc7N1MWxi68zqH_AZ-OSAhIbNrYsn_vQPZeQp5ytOOPt6_0qTDkBrgTjcsXEirH6HlnwTq0rpuT6PlkwoXjVSK4uyCPEPWNccSkfkgshWyZE3SzIjw2kaaQJsgvRUw934JGaBPQQ0WVXnkdqY0rgTYaefnd5R3cwxlsfty6Ur2Ah5GSyiwFfURd6OEA5QqZxoC7FQHdxhIjZoMNLakriw-R_8dXWYMmJeeqPj8mDwXiEJ-d7SW7ev_ty9bG6_vzh09Xb68o2XOWqt9ZsZQ-ybUzNxCCsaYRYDy3YrobB8l6CKGRTC8M7BsIwXqu256qXnLdCLsnLOe8hxW8TYNajQwvemwBxQl0G1Mm1ku26oPWM2hQREwz6kNxo0lFzpk8O9F7PDvTJgWZCFwcl7Nm5wrQdof8T9HvoBXhxBgxa44dkgnX4l1Oia9tiakmez9xgoja3qTA3m1KpLiJbpUqTS_JmJoo0uHOQNFoHxUjvEtis--j-1-u_Cax3wZWuvsIRcB-nFIoNzTWWAL05bdRpobhkjEnRyZ9Wjsg5</recordid><startdate>20130401</startdate><enddate>20130401</enddate><creator>Jafari, Seyed Mojtaba</creator><creator>Heidari, Gholamreza</creator><creator>Nabipour, Iraj</creator><creator>Amirinejad, Roya</creator><creator>Assadi, Majid</creator><creator>Bargahi, Afshar</creator><creator>Akbarzadeh, Samad</creator><creator>Tahmasebi, Rahim</creator><creator>Sanjdideh, Zahra</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>FBQ</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20130401</creationdate><title>Serum retinol levels are positively correlated with hemoglobin concentrations, independent of iron homeostasis: a population-based study</title><author>Jafari, Seyed Mojtaba ; Heidari, Gholamreza ; Nabipour, Iraj ; Amirinejad, Roya ; Assadi, Majid ; Bargahi, Afshar ; Akbarzadeh, Samad ; Tahmasebi, Rahim ; Sanjdideh, Zahra</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c517t-dccab3de365a402f2ca5229f6ec84efc1d3e2517542a180e2a01476d17d311623</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Anemia, Iron-Deficiency - blood</topic><topic>Anemia, Iron-Deficiency - epidemiology</topic><topic>Biological and medical sciences</topic><topic>chronic diseases</topic><topic>correlation</topic><topic>Cross-Sectional Studies</topic><topic>enzyme immunoassays</topic><topic>Feeding. Feeding behavior</topic><topic>Female</topic><topic>ferritin</topic><topic>Ferritins - blood</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Gastroenterology and Hepatology</topic><topic>hemoglobin</topic><topic>Hemoglobins - analysis</topic><topic>high performance liquid chromatography</topic><topic>Homeostasis</topic><topic>Humans</topic><topic>Iran - epidemiology</topic><topic>Iron</topic><topic>iron deficiency anemia</topic><topic>Iron, Dietary - blood</topic><topic>Linear Models</topic><topic>Micronutrient</topic><topic>Micronutrients - blood</topic><topic>Micronutrients - deficiency</topic><topic>Middle Aged</topic><topic>multivariate analysis</topic><topic>Prevalence</topic><topic>public health</topic><topic>Receptors, Transferrin - blood</topic><topic>regression analysis</topic><topic>risk factors</topic><topic>sampling</topic><topic>Vertebrates: anatomy and physiology, studies on body, several organs or systems</topic><topic>Vitamin A</topic><topic>Vitamin A - blood</topic><topic>Vitamin A Deficiency - blood</topic><topic>Vitamin A Deficiency - epidemiology</topic><topic>Vitamin E</topic><topic>Vitamin E - blood</topic><topic>Vitamin E Deficiency - blood</topic><topic>Vitamin E Deficiency - epidemiology</topic><topic>Women</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jafari, Seyed Mojtaba</creatorcontrib><creatorcontrib>Heidari, Gholamreza</creatorcontrib><creatorcontrib>Nabipour, Iraj</creatorcontrib><creatorcontrib>Amirinejad, Roya</creatorcontrib><creatorcontrib>Assadi, Majid</creatorcontrib><creatorcontrib>Bargahi, Afshar</creatorcontrib><creatorcontrib>Akbarzadeh, Samad</creatorcontrib><creatorcontrib>Tahmasebi, Rahim</creatorcontrib><creatorcontrib>Sanjdideh, Zahra</creatorcontrib><collection>AGRIS</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Nutrition research (New York, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jafari, Seyed Mojtaba</au><au>Heidari, Gholamreza</au><au>Nabipour, Iraj</au><au>Amirinejad, Roya</au><au>Assadi, Majid</au><au>Bargahi, Afshar</au><au>Akbarzadeh, Samad</au><au>Tahmasebi, Rahim</au><au>Sanjdideh, Zahra</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Serum retinol levels are positively correlated with hemoglobin concentrations, independent of iron homeostasis: a population-based study</atitle><jtitle>Nutrition research (New York, N.Y.)</jtitle><addtitle>Nutr Res</addtitle><date>2013-04-01</date><risdate>2013</risdate><volume>33</volume><issue>4</issue><spage>279</spage><epage>285</epage><pages>279-285</pages><issn>0271-5317</issn><eissn>1879-0739</eissn><coden>NTRSDC</coden><abstract>Micronutrient interactions give rise to complex issues that have an impact on preventive strategies when multiple micronutrient deficiencies coexist. The aim of this population-based study was to determine the prevalence of vitamins A and E and iron deficiencies among women 15 to 49 years of age in the northern Persian Gulf region. We hypothesized that serum retinol levels may show correlations with hemoglobin (Hb) concentrations, independent of iron status. A total of 1242 nonpregnant women of reproductive age were selected via a multistage stratified random cluster sampling technique. Serum ferritin and soluble transferrin receptor levels were measured using enzyme immunoassay techniques. Serum retinol (vitamin A) and α-tocopherol (vitamin E) were determined for 727 women by high-performance liquid chromatography. The prevalence of anemia (Hb &lt;12 g/dL), iron deficiency (serum ferritin &lt;15 μg/L), and iron deficiency anemia was 8.7%, 25.4%, and 4.6%, respectively. Vitamin A (&lt;0.7 μmol/L) and vitamin E (&lt;11.6 μmol/L) deficiencies were found in 1.2% and 5.9% of the studied population, respectively. Multiple regression analysis revealed that serum retinol levels exhibit a significant association with Hb concentrations after controlling for serum ferritin levels, anemia associated with chronic disease, and risk factors for anemia. Therefore, most nonpregnant women of reproductive age in the northern Persian Gulf were found to have adequate serum vitamin A and E levels. However, the status of anemia and iron deficiency anemia could be considered a mild public health problem in this region. On the basis of multivariate analyses, we conclude that low serum retinol levels may contribute to anemia, independent of iron homeostasis.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>23602245</pmid><doi>10.1016/j.nutres.2013.02.004</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adult
Anemia, Iron-Deficiency - blood
Anemia, Iron-Deficiency - epidemiology
Biological and medical sciences
chronic diseases
correlation
Cross-Sectional Studies
enzyme immunoassays
Feeding. Feeding behavior
Female
ferritin
Ferritins - blood
Fundamental and applied biological sciences. Psychology
Gastroenterology and Hepatology
hemoglobin
Hemoglobins - analysis
high performance liquid chromatography
Homeostasis
Humans
Iran - epidemiology
Iron
iron deficiency anemia
Iron, Dietary - blood
Linear Models
Micronutrient
Micronutrients - blood
Micronutrients - deficiency
Middle Aged
multivariate analysis
Prevalence
public health
Receptors, Transferrin - blood
regression analysis
risk factors
sampling
Vertebrates: anatomy and physiology, studies on body, several organs or systems
Vitamin A
Vitamin A - blood
Vitamin A Deficiency - blood
Vitamin A Deficiency - epidemiology
Vitamin E
Vitamin E - blood
Vitamin E Deficiency - blood
Vitamin E Deficiency - epidemiology
Women
Young Adult
title Serum retinol levels are positively correlated with hemoglobin concentrations, independent of iron homeostasis: a population-based study
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