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September 15-16, 2017 | Dallas, USA

International Conference on

VITAMINS, NUTRIGENOMICS & MALNUTRITION

Insights Nutr Metab 2017

Volume 1 Issue 1

V

itamin A is a fat soluble vitamin essential for growth, reproduction,

and immune function. The US has mandated skimmed and low fat

milk to be fortified with retinyl palmitate since 1978 and other products

are voluntarily fortified. We evaluated the vitamin A requirements of

young women in the US using the

13

C

2

-retinol isotope dilution (

3

C

2

-RID)

test at baseline and follow-up after daily supplements. No prior research

has evaluated the estimated average requirement (EAR) in this age and

gender group as defined in the dietary reference intakes of the US. Women

consumed food containing 175 μg retinol activity equivalents (RAE) daily

for 12 wk. For the middle 6 wk, women (

n

= 41) were randomized to take a

daily supplement of 0, 175 μg, or 525 μg retinol as retinyl palmitate. Dietary

vitamin A intake decreased from baseline in the groups given supplements

with 0 and 175 μg retinol (P=0.005 and 0.018, respectively) but not in the

group given the 525 μg supplement (P=0.25). Mean baseline liver reserves

132±92 μg (0.46±0.32 μmol) retinol/g liver were >0.1 μmol/g, the cut-off for

deficiency (P<0.05). Liver reserves and total body vitamin A did not change

in any group during the intervention (P>0.05). An estimate for daily RAE

intake to maintain the total body vitamin A pool and liver concentrations

was approximately 300 μg RAE/d. The EAR (500 μg RAE) for vitamin A for

well-nourished women aged 19 – 30 y provides robust liver stores and may

be higher than necessary. Furthermore, in a recent study with US adult

cadavers (n = 27; 49-101 y), six subjects (22%) had vitamin A deficiency

and nine subjects (33%) had hypervitaminosis A (>1 μmol/g liver); histology

corroborated hypervitaminosis A. In conclusion, the vitamin A requirements

of US adults need reevaluation and the causes of hypervitaminosis A should

be determined.

Speaker Biography

SA Tanumihardjo manages a progressive research team in Nutritional Sciences. She

serves as the Director of the Undergraduate Certificate in Global Health and is on the

Executive Board for the Global Health Institute. She teaches at the undergraduate

and graduate level including international field experiences. She has more than three

decades of experience with vitamin A and carotenoids. Her multidisciplinary research

approach is enhanced by her educational background in chemistry, biochemistry, and

nutrition. She has authored >160 research publications and chapters. Her research

group works with animal models and outcomes often applied to humans. She has

been an invited speaker at >250 meetings. Her research efforts were recognized as

an endowed chair at University of Wisconsin-Madison (Friday Chair for Vegetable

Processing Research; 2009). Other awards include membership on WHO’s Expert

Advisory Panel on Nutrition (2012), G Malcolm Trout Visiting Scholar Award for

lectureship at Michigan State University (2011), Ruth Pike Lectureship Award at

Pennsylvania State University (2007), Alex Malaspina ILSI Future Leader Award (2004),

and Dannon Institute Creative Leadership training (2001).

e:

sherry@nutrisci.wisc.edu

Vitamin A requirements are likely overestimated but many US adults do not have optimal status

SA Tanumhardjo

University of Wisconsin-Madison, USA