Vitamin A deficiency and anemia among micronesian children

Michelle Lloyd-Puryear, Jean H. Humphrey, Keith P. West, Kiosi Aniol, Frank Mahoney, Joan Mahoney, Deborah G. Keenum

Research output: Contribution to journalArticlepeer-review

20 Scopus citations


Vitamin A status was assessed by conjunctival impression cytology (CIC-A) and clinical signs in 60 systematically sampled 36-83 month old children attending a hospital outpatient department on Moen, Truk. Seventeen percent had xerophthalmia (12% with XN, 5% with XN+X1B). More than half (57%) were CIC-A abnormal reflecting mild subclinical vitamin A deficiency. CIC-A abnormal children were more anemic (by hematocrit, p<0.05) and were at greater risk of middle ear infection (OR=3.5, 95% CL: 0.8, 14.5). Vitamin A deficiency appears to be a previously unrecognized nutritional problem among Micronesian children, the causes for which are speculative at present.

Original languageEnglish (US)
Pages (from-to)1007-1016
Number of pages10
JournalNutrition Research
Issue number9
StatePublished - Sep 1989


  • Micronesia
  • Truk
  • anemia
  • impression cytology
  • vitamin A deficiency

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Endocrinology
  • Nutrition and Dietetics


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