Vitamin a deficiency in micronesia: A statewide survey in chuuk

Michele A. Lloyd-Puryear; Joan Mahoney; Jean H. Humphrey; Frank Mahoney; Nachsa Siren; Consuela Moorman; Keith P. West

doi:10.1016/S0271-5317(05)80688-8

Vitamin a deficiency in micronesia: A statewide survey in chuuk

Michele A. Lloyd-Puryear
, Joan Mahoney
, Jean H. Humphrey
, Frank Mahoney
, Nachsa Siren
, Consuela Moorman
, Keith P. West

Bloomberg School of Public Health

Research output: Contribution to journal › Article › peer-review

18 Scopus citations

Abstract

Vitamin A status was assessed by clinical signs and conjunctival impression cytology (CIC-A) in 455 children 36-83 months of age in 16 at randomly selected villages in Chuuk State. Fourteen percent of the children had a history of night blindness and 6% had Bitot's spots on examination. Nearly half of the children (46%) had abnormal CIC-A status reflecting subclinical vitamin A deficiency. Children abnormal by CIC-A had lower hemoglobin levels (-0.4 μg/dl), were more stunted in their linear growth, and were twice as likely to have had a recent respiratory infection than children with normal CIC-A. Vitamin A deficiency appears to be a serious public health problem in Micronesia.

Original language	English (US)
Pages (from-to)	1101-1110
Number of pages	10
Journal	Nutrition Research
Volume	11
Issue number	10
DOIs	https://doi.org/10.1016/S0271-5317(05)80688-8
State	Published - Oct 1991

Keywords

Micronesia
impression cytology
vitamin A deficiency

ASJC Scopus subject areas

Endocrinology, Diabetes and Metabolism
Endocrinology
Nutrition and Dietetics

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10.1016/S0271-5317(05)80688-8

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@article{e28a3c0718aa44a8a2a7dbf1eb380e32,

title = "Vitamin a deficiency in micronesia: A statewide survey in chuuk",

abstract = "Vitamin A status was assessed by clinical signs and conjunctival impression cytology (CIC-A) in 455 children 36-83 months of age in 16 at randomly selected villages in Chuuk State. Fourteen percent of the children had a history of night blindness and 6\% had Bitot's spots on examination. Nearly half of the children (46\%) had abnormal CIC-A status reflecting subclinical vitamin A deficiency. Children abnormal by CIC-A had lower hemoglobin levels (-0.4 μg/dl), were more stunted in their linear growth, and were twice as likely to have had a recent respiratory infection than children with normal CIC-A. Vitamin A deficiency appears to be a serious public health problem in Micronesia.",

keywords = "Micronesia, impression cytology, vitamin A deficiency",

author = "Lloyd-Puryear, \{Michele A.\} and Joan Mahoney and Humphrey, \{Jean H.\} and Frank Mahoney and Nachsa Siren and Consuela Moorman and West, \{Keith P.\}",

note = "Funding Information: This study was supported by the United States Public Health Service, Task Force Sight and Life, Basle, and Cooperative Agreement No. DAN-0045 between the Dana Center for Preventive Ophthalmology, the Johns Hopkins University, and the Office of Mutrition, Bureau for Science and Technology, United States Agency for International Development (USAID), and NIH grant \#RR04060. The authors thank Ms. Cynthia Canner and Mr. Joseph Canner for assistance in data analysis, and the Chuuk State {"}A{"} Team: Ruben, Sos, Lippwe, Niffang, Alliven, K. Job, Mullens and the Chuukese Medical Officer Students.",

year = "1991",

month = oct,

doi = "10.1016/S0271-5317(05)80688-8",

language = "English (US)",

volume = "11",

pages = "1101--1110",

journal = "Nutrition Research",

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T2 - A statewide survey in chuuk

AU - Lloyd-Puryear, Michele A.

AU - Mahoney, Joan

AU - Humphrey, Jean H.

AU - Mahoney, Frank

AU - Siren, Nachsa

AU - Moorman, Consuela

AU - West, Keith P.

N1 - Funding Information: This study was supported by the United States Public Health Service, Task Force Sight and Life, Basle, and Cooperative Agreement No. DAN-0045 between the Dana Center for Preventive Ophthalmology, the Johns Hopkins University, and the Office of Mutrition, Bureau for Science and Technology, United States Agency for International Development (USAID), and NIH grant #RR04060. The authors thank Ms. Cynthia Canner and Mr. Joseph Canner for assistance in data analysis, and the Chuuk State "A" Team: Ruben, Sos, Lippwe, Niffang, Alliven, K. Job, Mullens and the Chuukese Medical Officer Students.

PY - 1991/10

Y1 - 1991/10

N2 - Vitamin A status was assessed by clinical signs and conjunctival impression cytology (CIC-A) in 455 children 36-83 months of age in 16 at randomly selected villages in Chuuk State. Fourteen percent of the children had a history of night blindness and 6% had Bitot's spots on examination. Nearly half of the children (46%) had abnormal CIC-A status reflecting subclinical vitamin A deficiency. Children abnormal by CIC-A had lower hemoglobin levels (-0.4 μg/dl), were more stunted in their linear growth, and were twice as likely to have had a recent respiratory infection than children with normal CIC-A. Vitamin A deficiency appears to be a serious public health problem in Micronesia.

AB - Vitamin A status was assessed by clinical signs and conjunctival impression cytology (CIC-A) in 455 children 36-83 months of age in 16 at randomly selected villages in Chuuk State. Fourteen percent of the children had a history of night blindness and 6% had Bitot's spots on examination. Nearly half of the children (46%) had abnormal CIC-A status reflecting subclinical vitamin A deficiency. Children abnormal by CIC-A had lower hemoglobin levels (-0.4 μg/dl), were more stunted in their linear growth, and were twice as likely to have had a recent respiratory infection than children with normal CIC-A. Vitamin A deficiency appears to be a serious public health problem in Micronesia.

KW - Micronesia

KW - impression cytology

KW - vitamin A deficiency

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DO - 10.1016/S0271-5317(05)80688-8

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SN - 0271-5317

VL - 11

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EP - 1110

JO - Nutrition Research

JF - Nutrition Research

IS - 10

ER -

Vitamin a deficiency in micronesia: A statewide survey in chuuk

Abstract

Keywords

ASJC Scopus subject areas

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