Exploration du statut vitaminique A

Vitamin A deficiency is still a major health issue in developing countries but remains scarce in western countries. However, vitamin A sub-deficiencies are still observed in western countries, mainly related to pathophysiological deseases (lipid malabsorption, liver diseases. . .). Seldom cases of h...

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Main Author: Borel Patrick
Format: Article
Language:English
Published: EDP Sciences 2012-07-01
Series:Oléagineux, Corps gras, Lipides
Subjects:
Online Access:http://dx.doi.org/10.1051/ocl.2012.0457
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author Borel Patrick
author_facet Borel Patrick
author_sort Borel Patrick
collection DOAJ
description Vitamin A deficiency is still a major health issue in developing countries but remains scarce in western countries. However, vitamin A sub-deficiencies are still observed in western countries, mainly related to pathophysiological deseases (lipid malabsorption, liver diseases. . .). Seldom cases of hypervitaminosis are also observed after consumption of excessive doses of vitamin A. Signs of vitamin A deficiency or excessive intake only occur very late and early indicators for assessing abnormal vitamin A status have been elaborated. The best indicator is liver vitamin A concentration, nevertheless it is rarely used as it requires a biopsy. The mostly used indicator is blood retinol concentration, even if it is challenged because of its sensitivity to numerous factors. Indicators are based on i) clinical signs of vitamin A deficiency, e.g. hemeralopia, ii) functional methods, e.g. dark adaptative test, iii) blood and tissue molecular markers, e.g. blood retinol concentration, and iv) vitamin A load tests, e.g. relative dose response test. Interpretation of these indicators results has to be done with an acute knowledge of the sensitivity limits and the interfering factors. Choosing the adequate indicator according to the assumed vitamin A status and the expected confounding factors appears to be essential. It is also recommended to cross the results of several indicators to have a better assessment of vitamin A status.
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spelling doaj.art-2c7140b7aff04e7e9be89b2ae74ed2382022-12-21T23:34:36ZengEDP SciencesOléagineux, Corps gras, Lipides1258-82101950-697X2012-07-0119421622210.1051/ocl.2012.0457ocl2012194p216Exploration du statut vitaminique ABorel PatrickVitamin A deficiency is still a major health issue in developing countries but remains scarce in western countries. However, vitamin A sub-deficiencies are still observed in western countries, mainly related to pathophysiological deseases (lipid malabsorption, liver diseases. . .). Seldom cases of hypervitaminosis are also observed after consumption of excessive doses of vitamin A. Signs of vitamin A deficiency or excessive intake only occur very late and early indicators for assessing abnormal vitamin A status have been elaborated. The best indicator is liver vitamin A concentration, nevertheless it is rarely used as it requires a biopsy. The mostly used indicator is blood retinol concentration, even if it is challenged because of its sensitivity to numerous factors. Indicators are based on i) clinical signs of vitamin A deficiency, e.g. hemeralopia, ii) functional methods, e.g. dark adaptative test, iii) blood and tissue molecular markers, e.g. blood retinol concentration, and iv) vitamin A load tests, e.g. relative dose response test. Interpretation of these indicators results has to be done with an acute knowledge of the sensitivity limits and the interfering factors. Choosing the adequate indicator according to the assumed vitamin A status and the expected confounding factors appears to be essential. It is also recommended to cross the results of several indicators to have a better assessment of vitamin A status.http://dx.doi.org/10.1051/ocl.2012.0457retinolhypervitaminosissub-deficiencyrelative dose responseeyeliver
spellingShingle Borel Patrick
Exploration du statut vitaminique A
Oléagineux, Corps gras, Lipides
retinol
hypervitaminosis
sub-deficiency
relative dose response
eye
liver
title Exploration du statut vitaminique A
title_full Exploration du statut vitaminique A
title_fullStr Exploration du statut vitaminique A
title_full_unstemmed Exploration du statut vitaminique A
title_short Exploration du statut vitaminique A
title_sort exploration du statut vitaminique a
topic retinol
hypervitaminosis
sub-deficiency
relative dose response
eye
liver
url http://dx.doi.org/10.1051/ocl.2012.0457
work_keys_str_mv AT borelpatrick explorationdustatutvitaminiquea