http://www.nytimes.com/aponline/national/AP-Vitamin-A-Growth.html
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January 7, 2002 Study: Vitamin A Helpful vs. Disease
By THE ASSOCIATED PRESS
Filed at 12:01 a.m. ET CHICAGO (AP) -- Vitamin A supplements could help improve growth in
children in developing countries with HIV, malaria and persistent diarrhea, a
study in Tanzania found. Delayed growth and vitamin A deficiency in infants and young children are
major public health problems in developing countries, where infectious
diseases like AIDS and malaria also are common. The results show that vitamin A supplements ``could constitute a low-cost,
effective intervention to decrease the burden of growth retardation in settings
where infectious disease are highly prevalent,'' says the report in January's
Pediatrics. Dr. Eduardo Villamor of Harvard University and researchers at Muhimbili
University College of Health Sciences in Dar es Salaam followed 554 Tanzanian
children for up to 12 months. Participants were 6 months to 5 years old at the outset; 24 percent had
malaria and 9 percent were HIV-infected. All were initially hospitalized with
pneumonia and received two doses of vitamin A. Most also got two more doses
four months apart after they were released. The doses -- 200,000 international units or 100,000 for infants -- were
much higher than recommended daily childhood doses but were within the
supplement ranges recommended by international aid agencies, Villamor said.
While high doses of vitamin A can cause severe side effects including liver
damage, he said none were found in the study. Four months after the first dose, height increases were particularly large
among HIV-infected infants, who grew an average of an inch more than
HIV-infected infants who got placebo supplements. This difference remained
constant throughout the study, the researchers said. Thin children who got the supplements gained an average of about one pound
more than those taking placebos, with a slightly greater difference among
infants with malaria. In addition, the risk of stunted growth associated with episodes of
persistent diarrhea lasting 14 or more days during follow-up was virtually
eliminated by vitamin A supplements, the researchers said. ^------ On the Net: Pediatrics: www.aap.org |
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