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Red palm oil as a source of vitamin A for mothers and children: impact of a pilot project in Burkina Faso

Published online by Cambridge University Press:  02 January 2007

NM Zagré ,
F Delpeuch ,
P Traissac  and
H Delisle
NM Zagré
Affiliation:
Université de Montréal, Quebec, Canada and Health Science Research Institute, Ouagadougou, Burkina Faso
F Delpeuch
Affiliation:
UR 106 – Nutrition, Food, Societies, Institut de Recherche pour le Développement (IRD), Montpellier, France
P Traissac
Affiliation:
UR 106 – Nutrition, Food, Societies, Institut de Recherche pour le Développement (IRD), Montpellier, France
H Delisle*
Affiliation:
Department of Nutrition, Université de Montréal, PO Box 6128 Downtown Station, Montreal, Quebec, Canada H3C 3J7
*
*Corresponding author: Email [email protected]
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Abstract

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Objective:

To demonstrate the effectiveness of the commercial introduction of red palm oil (RPO) as a source of vitamin A (VA) for mothers and children in a non-consuming area, as a dietary diversification strategy.

Design:

A pre–post intervention design (no control area) was used to assess changes in VA intake and status over a 24-month pilot project.

Setting and subjects:

The pilot project involved RPO promotion in 10 villages and an urban area in east-central Burkina Faso, targeting approximately 10?000 women and children aged < 5 years. A random sample of 210 mother–child (12–36-months-old) pairs was selected in seven out of the 11 pilot sites for the evaluation.

Results:

After 24 months, RPO was reportedly consumed by nearly 45% of mothers and children in the previous week. VA intake increased from 235 ± 23 μg retinol activity equivalents (RAE) to 655 ± 144 μg RAE in mothers (41 to 120% of safe intake level), and from 164 ± 14 μg RAE to 514 ± 77 μg RAE in children (36 to 97%). Rates of serum retinol < 0.70 μmoll−1 decreased from 61.8 ± 8.0% to 28.2 ± 11.0% in mothers, and from 84.5 ± 6.4% to 66.9 ± 11.2% in children. Those with a lower initial concentration of serum retinol showed a higher serum retinol response adjusted for VA intake.

Conclusions:

Commercial distribution of RPO was effective in reducing VA deficiency in the pilot sites. While it is promising as part of a national strategy, additional public health and food-based measures are needed to control VA malnutrition, which remained high in the RPO project area

Keywords

Red palm oilVitamin A nutritionFood diversificationWest AfricaEvaluation
Type
Research Article
Information
Public Health Nutrition , Volume 6 , Issue 8 , December 2003 , pp. 733 - 742
Copyright
Copyright © CAB International 2003

References

1United Nations Children's Fund (UNICEF) First Call for Children: World Declaration on the Survival, Protection and Development of Children and Plan of Action for Implementing the World Declaration on Survival, Protection and Development of Children in the 1990s. World Summit for Children. New York: UNICEF, 1990.Google Scholar
2World Health Organization (WHO)/Food and Agriculture Organization (FAO). Ending Hidden Hunger: A Policy Conference on Micronutrient Malnutrition. Montreal: WHO/FAO, 1991.Google Scholar
3Food and Agriculture Organization (FAO). International Conference on Nutrition. World Declaration and Plan of Action for NutritionRomeFAO1992.Google Scholar
4Ag Bendech, MLes pratiques prometteuses et les leçons apprises dans la lutte contre la carence en vitamine A dans les pays de l'Afrique subsaharienne Arlington, VA: Basics (USAID), 2000.Google Scholar
5Tang, G, Gu, X, Hu, S, Xu, Q, Qin, J, Dolnikowski, GG, et al. Green and yellow vegetables can maintain body stores of vitamin A in Chinese children. American Journal of Clinical Nutrition 1999; 70: 1069–76.CrossRefGoogle ScholarPubMed
6Sivan, YS, Alwin Jayakumar, Y, Arumughan, C, Sundaresan, A, Jayalekshmy, A, Suja, KP, et al. Impact of vitamin A supplementation through different dosages of red palm oil and retinol palmitate on preschool children. Journal of Tropical Pediatrics 2002; 48: 24–8.CrossRefGoogle ScholarPubMed
7Van Stuijvenberg, ME, Dhansay, MA, Lombard, CJ, Faber, M, Benade, AJ. The effect of a biscuit with red palm oil as a source of beta-carotene on the vitamin A status of primary school children: a comparison with beta-carotene from a synthetic source in a randomised controlled trial. European Journal of Clinical Nutrition 2001; 55: 657–62.CrossRefGoogle Scholar
8Van Stuijvenberg, ME, Faber, M, Dhansay, MA, Lombard, CJ, Vorster, N, Benade, AJ. Red palm oil as a source of beta-carotene in a school biscuit used to address vitamin A deficiency in primary school children. International Journal of Food Sciences and Nutrition 2000; 51 (Suppl): S43–50.CrossRefGoogle Scholar
9Mosha, TC, Laswai, HS, Mtebe, K, Paulo, AB. Control of vitamin A deficiency disorders through fortification of cassava flour with red palm oil: a case study of Kigoma district, Tanzania. Ecology of Food and Nutrition 1999; 37: 569–93.CrossRefGoogle Scholar
10Le Vuong, T, Dueker, SR, Murphy, SP. Plasma beta-carotene and retinol concentrations of children increase after a 30-d supplementation with the fruit Momordica cochinchinensis (gac). American Journal of Clinical Nutrition 2002; 75: 872–9.CrossRefGoogle Scholar
11De Pee, S. Lack of improvement in vitamin A status with increased consumption of dark-green leafy vegetables. Lancet 1995; 345: 75–81.CrossRefGoogle Scholar
12Takyi, EE. Children's consumption of dark green, leafy vegetables with added fat enhances serum retinol. Journal of Nutrition 1999; 129: 1549–54.CrossRefGoogle ScholarPubMed
13Solomons, NW. Plant sources of vitamin A and human nutrition: red palm oil does the job. Nutrition Reviews 1998; 56: 309–11.CrossRefGoogle ScholarPubMed
14Delisle, H, Zagre, NM, Ouedraogo, V. Marketing of red palm oil as a food source of vitamin A: a pilot project involving women's groups. Food and Nutrition Bulletin 2001; 22: 388–94.CrossRefGoogle Scholar
15De Pee, S, Bloem, MW, Kiess, L. Evaluating food-based programmes for their reduction of VAD and its consequences. Food and Nutrition Bulletin 2000; 21: 232–8.CrossRefGoogle Scholar
16Habicht, JP, Victoria, CG, Vaughan, JP. Evaluation designs for adequacy, plausibility and probability of public health programme performance and impact. International Journal of Epidemiology 1999; 28: 10–8.CrossRefGoogle ScholarPubMed
17Bouyer, J. Méthodes statistiques: médecine, biologie. Paris: ESTEM-INSERM, 1996.Google Scholar
18National Academy of Sciences/Institute of Medicine. Dietary Reference Intakes for Vitamin A, Vitamin K, Arsenic, Boron, Chromium, Copper, Iodine, Iron, Manganese, Molybdenum, Nickel, Silicon, Vanadium and Zinc. Washington, DC: National Academy Press 2001.Google Scholar
19Brown, KH, Black, RE, Robertson, AD, Akhtar, NA, Ahmed, G, Becker, S. Clinical and field studies of human lactation: methodological considerations. American Journal of Clinical Nutrition 1982; 35: 745–56.CrossRefGoogle ScholarPubMed
20De Kanashiro, HC, Brown, KH, Lopez de Romana, G, Lopez, T, Black, RE. Consumption of food and nutrients by infants in Huascar (Lima), Peru. American Journal of Clinical Nutrition 1990; 52: 995–1004.CrossRefGoogle ScholarPubMed
21Prentice, AM, Paul, AA, Prentice, A, Black, AK, Cole, TJ, Whitehead, RG. Cross-cultural differences in lactational performance. In: Hamosh, M, Goldman, AS, eds. Human Lactation: Maternal and Environmental Factors. New York: Plenum Press, 1986.Google Scholar
22Food and Agriculture Organization (FAO). Besoins en vitamine A, fer, acide folique et vitamine B12. Rapport d'une consultation conjointe FAO/OMS d'experts Rome: FAO, 1989.Google Scholar
23Underwood, BA, Chavez, M, Hankin, J, Kusin, JAOmolulu, A, Ranchi-Proja, F, et al. Guidelines for the Development of a Simplified Dietary Assessment to Identify Groups at Risk for Inadequate Intake of Vitamin A. Report of the IVACG. Washington, DC: International Vitamin A Consultative Group, 1989.Google Scholar
24Sapin, V, Alexandre, MC, Chaib, S, Bournazeau, JA, Sauvant, P, Borel, P, et al. Effect of vitamin A status at the end of term pregnancy on the saturation of retinol binding protein with retinol. American Journal of Clinical Nutrition 2000; 71: 537–43.CrossRefGoogle ScholarPubMed
25World Health Organization (WHO). Indicators for Assessing VAD and Their Application in Monitoring and Evaluating Intervention Programmes. Geneva: WHO, 1996.Google Scholar
26Kalter, HD, Gray, RH, Black, RE, Gultiano, SA. Validation of the diagnosis of childhood morbidity using maternal health interviews. International Journal of Epidemiology 1991; 20: 193–8.CrossRefGoogle ScholarPubMed
27Shah, BV, Barnwell, BG, Bieler, GS. SUDAAN User's Manual, Release 7.5. Research Triangle Park, NC: Research Triangle Institute, 1997.Google Scholar
28Institut National de Statistique et de Démographie (INSD). EDS 1993 – Enquête Démographique et de Santé du Burkina Faso 1993. Columbia, MD: Macro International Inc., 1994.Google Scholar
29Institut National de Statistique et de Démographie (INSD). EDS 1999 – Enquête Démographique et de Santé du Burkina Faso 1999. Columbia, MD: Macro International Inc., 2000.Google Scholar
30Schaumberg, DA, Connor, JO, Semba, RD. Risk factors of xerophthalmia in the Republic of Kirabiti. European Journal of Clinical Nutrition 1996; 50: 761–4.Google Scholar
31Sommer, A, West, KP. Vitamin A Deficiency: Health, Survival and Vision. New York: Oxford University Press, 1996.CrossRefGoogle Scholar
32Van Vliet, T. Absorption of beta carotene and other carotenoids in humans and animal models. European Journal of Clinical Nutrition 1996; 50 (Suppl.): S32–7.Google ScholarPubMed
33Delisle, H, Bakari, S, Gevry, G, Picard, C, Ferland, G. Teneur en provitamine A de feuilles vertes traditionnelles au Niger. Cahiers Agriculture 1997; 6: 553–60.Google Scholar
34De Pee, S, West, CE, Permaesih, D, Martuti, S, Muhilal, , Hautvest, JG. Orange fruit is more effective than are dark-green, leafy vegetables in increasing serum concentrations of retinol and beta-carotene in schoolchildren in Indonesia. American Journal of Clinical Nutrition 1998; 68: 1058–67.CrossRefGoogle ScholarPubMed
35West, CE. Meeting requirements for vitamin A. Nutrition Reviews 2000; 58: 341–5.CrossRefGoogle ScholarPubMed
36Van Lieshout, M, West, CE, Muhilal, , Permaesih, D, Wang, Y, Xu, X, et al. Bioefficacy of beta-carotene dissolved in oil studied in children in Indonesia. American Journal of Clinical Nutrition 2001; 73: 949–58.CrossRefGoogle ScholarPubMed
37Food and Agriculture Organization (FAO). Besoins en vitamine A, thiamine, riboflavine et niacine. Rapport d'un groupe mixte FAO/OMS d'experts. Réunions de la FAO sur la Nutrition, Rapport No. 41 . Rome:FAO, 1967.Google Scholar
38Hickenbottom, S, Follett, JR, Lin, Y, Dueker, SR, Burri, BJ, Neidlinger, TR, et al. Variability in conversion of beta-carotene to vitamin A in men as measured by using a double-tracer study design. American Journal of Clinical Nutrition 2002; 75: 900–7.CrossRefGoogle ScholarPubMed
39Lin, Y, Dueker, SR, Burri, BJ, Neidlinger, TR, Clifford, AJ. Variability of the conversion of beta-carotene to vitamin A in women measured by using a double-tracer study design. American Journal of Clinical Nutrition 2000; 71: 1545–54.CrossRefGoogle ScholarPubMed
40Van Vliet, T, Schreurs, WH, van den Berg, H. Intestinal beta-carotene absorption and cleavage in men: response of beta-carotene and retinyl esters in the triglyceride-rich lipoprotein fraction after a single oral dose of beta-carotene. American Journal of Clinical Nutrition 1995; 62: 110–6.CrossRefGoogle ScholarPubMed
41Borel, P, Grolier, P, Mekki, N, Boirie, Y, Rochette, Y, Le Roy, B, et al. Low and high responders to pharmacological doses of beta-carotene: proportion in the population, mechanisms involved and consequences on beta-carotene metabolism. Journal of Lipid Research 1998; 39: 2250–60.CrossRefGoogle ScholarPubMed
42Smith, FR, Goodman, DS. The effects of diseases of liver, thyroid and kidneys on the transport of vitamin A in human plasma. Journal of Clinical Investigation 1971; 50: 2426–36.CrossRefGoogle ScholarPubMed
43Sklan, D, Halevy, O, Donoghue, S. The effect of different dietary levels of vitamin A on metabolism of copper iron and zinc in the chick. International Journal for Vitamin and Nutrition Research 1987; 57: 11–8.Google ScholarPubMed
44Sklan, D. Carotene-cleavage activity in chick intestinal mucosa cytosol: association with a high-molecular-weight lipid–protein aggregate fraction and partial characterization of the activity. British Journal of Nutrition 1983; 50: 417–25.CrossRefGoogle ScholarPubMed
45Rahman, MM, Wahed, MAFuchs, GJ, Baqui, AH, Alvarez, JO. Synergistic effect of zinc and vitamin A on the biochemical indexes of vitamin A nutrition in children. American Journal of Clinical Nutrition 2002; 75: 92–8.CrossRefGoogle ScholarPubMed
46Christian, P, Khatry, SK, Yamini, S, Stallings, R, LeClerq, SC, Shrestha, SR, et al. Zinc supplementation might potentiate the effect of vitamin A in restoring night vision in pregnant Nepalese women. American Journal of Clinical Nutrition 2001; 73: 1045–51.CrossRefGoogle ScholarPubMed
47Ribaya-Mercado, JD, Solon, FS, Solon, MA, Cabal-Baza, MA, Perfecto, CSTang, G, et al. Bioconversion of plant carotenoids to vitamin A in Filipino school-aged children varies inversely with vitamin A status. American Journal of Clinical Nutrition 2000; 72: 455–65.CrossRefGoogle ScholarPubMed
48Parvin, SG, Sivakumar, B. Nutritional status affects intestinal carotene cleavage activity and carotene conversion to vitamin A in rats. Journal of Nutrition 2000; 130: 573–7.CrossRefGoogle ScholarPubMed
49Fawzi, WW, Mbise, R, Spiegelman, D, Fataki, M, Hertzmark, E, Ndossi, G. Vitamin A supplements and diarrheal and respiratory tract infections among children in Dar es Salaam, Tanzania. Journal of Pediatrics 2000; 137: 660–7.CrossRefGoogle ScholarPubMed
50Tarini, A, Bakari, S, Delisle, H. La qualité nutritionnelle globale de l'alimentation d'enfants nigériens se reflète sur leur croissance. Cahiers Santé 1999; 9: 23–31.Google Scholar
51Ramakrishnan, U, Martorell, RLatham, MC, Abel, R. Dietary vitamin A intakes of preschool-age children in South India. Journal of Nutrition 1999; 129: 2012–27.CrossRefGoogle ScholarPubMed
52Van Stuijvenberg, ME, Kvalvig, JD, Faber, M, Kruger, M, Kenoyer, DG, Benade, AJ. Effect of iron-, iodine-, and beta-carotene-fortified biscuits on the micronutrient status of primary school children: a randomized controlled trial. [published erratum appears in American Journal of Clinical Nutrition 1999; 69: 1294] American Journal of Clinical Nutrition 1999; 69: 497–503.CrossRefGoogle ScholarPubMed
53Wolde-Gebriel, Z, Demeke, T, West, CE. Xerophthalmia in Ethiopia: a nationwide ophthalmological, biochemical and anthropometric survey. European Journal of Clinical Nutrition 1991; 45: 469–78.Google Scholar
54Zagre, NM, Tarini, A. L'huile de palme rouge: au delà de la vitamine A, des antioxydants. Médecine et Nutrition 2001; 37: 53–8.Google Scholar
55Qureshi, AA, Qureshi, N, Wright, JJ, Shen, Z, Kramer, G, Gapor, A, et al. Lowering the serum cholesterol in hypercholesterolemic humans by tocotrienols (palmvitee). American Journal of Clinical Nutrition 1991; 53: 1021S–6S.CrossRefGoogle ScholarPubMed
56Brown, L, Rimm, EB, Seddon, JM, Giovannucci, EL, Chasan-Taber, L, Spiegelman, D, et al. A prospective study of carotenoid intake and risk of cataract extraction in US men. American Journal of Clinical Nutrition 1999; 70: 517–24.CrossRefGoogle ScholarPubMed
57Chasan-Taber, L, Willett, WC, Seddon, JM, Stampfer, MJ, Rosner, B, Colditz, GA, et al. A prospective study of carotenoid and vitamin A intakes and risk of cataract extraction in US women. American Journal of Clinical Nutrition 1999; 70: 509–16.CrossRefGoogle ScholarPubMed
58Vogt, TM, Mayne, ST, Graubard, BI, Swanson, CA, Sowell, AL, Schoenberg, JB, et al. Serum lycopene, other serum carotenoids, and risk of prostate cancer in US blacks and whites. American Journal of Epidemiology 2002; 155: 1023–32.CrossRefGoogle ScholarPubMed
59Sato, R, Helzlsouer, KJ, Alberg, AJ, Hoffman, SC, Nokus, EP, Comstock, GW. Prospective study of carotenoids, tocopherols, and retinoid concentrations and the risk of breast cancer. Cancer Epidemiology, Biomarkers & Prevention 2002; 11: 451–7.Google ScholarPubMed