Nutritional Deficiencies
Ascorbic Acid -
updated: 24 November 2008
Combinations of low thiamin, riboflavin, vitamin B6 and vitamin C intake among Dutch adults. (Dutch Nutrition Surveillance System).
J Am Coll Nutr. 1994 Aug;13(4):383-91
van der Beek EJ, Löwik MR, Hulshof KF, Kistemaker C.
OBJECTIVE: Clustering of low vitamin intake may entail a greater functional and/or health risk than the summation of separate low intakes may suggest. Therefore, the prevalence of combined low thiamin, riboflavin, vitamin B6 and vitamin C intake in various adult sex-age groups in The Netherlands was estimated. METHODS: Nutritional risks were evaluated by comparing the calculated intakes with the recommendations for each vitamin. For this purpose the data of a subsample of 3353 adults of a nationwide food consumption survey were used, which had been collected in 1987-88 within the framework of the Dutch Nutrition Surveillance System. Food consumption data were obtained through 2-day dietary records. Respondents were segmented into tertiles based on their vitamin intake per 1000 kcal (4.2 MJ) to adjust for energy intake. RESULTS: As compared with the RDAs, mean overall intake was lowest for vitamin B6. Based on tertile analyses, the risk for inadequate intake was relatively high for vitamin C, small for riboflavin and intermediate for thiamin and vitamin B6. Low vitamin densities clustered somewhat since the prevalence of combined low intakes for all four vitamins was higher than expected from probability calculations. This interdependence was mainly the result of a higher consumption of alcoholic beverages and of other food products with a low vitamin density. CONCLUSION: In affluent societies nutritional risk assessment should not be based solely on single vitamins but should also be oriented at combined low intake levels.
Publication Types:
Online - Abstract
Vitamin C status in elderly women: a comparison between women living in a nursing home and women living independently
J Am Diet Assoc. 1993 Feb;93(2):167-72
Löwik MR, Hulshof KF, Schneijder P, Schrijver J, Colen AA, van Houten P.
The vitamin C status in blood fractions in 135 elderly women aged 65 years and older was studied within the framework of the Dutch Nutrition Surveillance System. Mean (+/- standard deviation) vitamin C intake (mg/day) was lower among women living in a nursing home (54 +/- 27 mg/day) than among women living in service flats (97 +/- 55 mg/day) and women living independently (132 +/- 44 mg/day). (Service flats are apartments in which the rent includes housekeeping and, when ordered, meal service.) Marginal vitamin C values (< 23 mumol/L) in blood fractions and even levels as low as those found in clinical scurvy (< 11 mumol/L) were frequently observed. In the nursing home, 35% of the women had plasma vitamin C values below 11 mumol/L, and 23% had values between 11 and 23 mumol/L. Blood levels were not significantly affected by age, smoking status, or use of particular drugs but were strongly (r = .47 or, after logarithmic transformation, r = .64) associated with daily intake of vitamin C. Low intake of vitamin C resulted from an overall low food consumption and selective restriction of food products rich in vitamin C. Vitamin C losses caused by food preparation practices and distribution in the nursing home's catering system reduced actual vitamin C intake levels but these losses were not substantially greater than those that are assumed to occur as a result of preparation practices by women living independently.
Publication Types:
- Dutch Nutrition Surveillance System
Online - Abstract
Estimated prevalence and predictors of vitamin C deficiency within UK's low-income population
J Public Health (Oxf). 2008 Sep 23
Mosdøl A, Erens B, Brunner EJ.
BACKGROUND: Recent case reports of scurvy indicate that vitamin C deficiency may be more prevalent that generally assumed. The Low Income Diet and Nutrition Survey (2003-05) of a representative sample of the low-income/materially deprived UK population included a plasma vitamin C measurement. METHODS: Adults aged >/=19 years from all countries/regions of UK were screened to identify low-income/materially deprived households. A valid plasma vitamin C measurement was made in 433 men and 876 women. The results were weighted for sampling probability and non-response. RESULTS: An estimated 25% of men and 16% of women in the low-income/materially deprived population had plasma vitamin C concentrations indicative of deficiency (<11 micromol l(-1)), and a further fifth of the population had levels in the depleted range (11-28 micromol l(-1)). Being a man, reporting low-dietary vitamin C intake, not taking vitamin supplements and smoking were predictors of plasma vitamin C levels
Publication Types:
Online - Abstract
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