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© 2002 The American Society for Nutritional Sciences J. Nutr. 132:3693-3699, December 2002


Community and International Nutrition

A Randomized, 4-Month Mango and Fat Supplementation Trial Improved Vitamin A Status among Young Gambian Children1,2

Bakary S. Drammeh*,{dagger}, Grace S. Marquis**3, Ellen Funkhouser*, Chris Bates{ddagger}, Isao Eto{dagger}{dagger} and Charles B Stephensen{ddagger}{ddagger}

* Department of Epidemiology and International Health, University of Alabama at Birmingham, Birmingham, AL 35294 {dagger} Medical Research Council, Keneba, The Gambia, West Africa ** Department of Food Science and Human Nutrition, Iowa State University, Ames, IA 50011 {ddagger} Medical Research Council, Human Nutrition Research, Cambridge, U.K. {dagger}{dagger} Department of Nutrition Sciences, University of Alabama at Birmingham, Birmingham, AL 35294 {ddagger}{ddagger} U.S. Department of Agriculture, Western Human Nutrition Research Center and Department of Nutrition, University of California, Davis, CA 95616

3To whom correspondence should be addressed. E-mail: gmarquis{at}iastate.edu.

Supplementation with carotene-rich fruits may be an effective and sustainable approach to prevent vitamin A deficiency. To test the effectiveness of mango supplementation, 176 Gambian children, aged 2 to 7 y, were randomly assigned to one of four treatments: 75 g of dried mango containing ~150 µg retinol activity equivalents with (MF) or without (M) 5 g of fat, 5 d/wk for 4 mo or 60,000 µg of vitamin A (A) or placebo (P) capsule at baseline. After 4 mo, plasma ß-carotene was greater in both the M (P < 0.05) and MF (P = 0.07) groups compared with the P group. After controlling for baseline plasma retinol, elevated acute phase proteins and age, plasma retinol concentrations in the A and MF, but not M, groups were higher than in the P group at the end of the study (P < 0.01). Increases in retinol concentrations, however, were small in both groups. These results support the use of dietary supplementation with dried mangoes and a source of fat as one of several concurrent strategies that can be used to help maintain vitamin A status of children in developing countries where there is a severe seasonal shortage of carotenoid-rich foods.


KEY WORDS: • vitamin A deficiency • carotenoids • ß-carotene • mango • The Gambia




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