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Updated: Aug 18, 2026

Quantitative Analysis of Dietary Vitamin A Metabolites in Murine Ocular and Non-Ocular Tissues Using High-Performance Liquid Chromatography
Published on: December 27, 2024
Relationship between age and serum vitamin A in children aged 4-11 y
C J Lewis1, M A McDowell, C T Sempos
1Food and Drug Administration, HFF-265, Washington, DC 20204.
Insights
Younger children (4-5 years) have lower serum vitamin A levels than older children (9-11 years), even after accounting for supplements. This suggests age-related physiological differences impact vitamin A status interpretation.
Area of Science:
- Pediatric Nutrition
- Biochemistry
- Public Health
Background:
- Serum vitamin A is a key indicator of nutritional status in children.
- Previous research has not fully elucidated the age-specific variations in serum vitamin A concentrations.
- Understanding these variations is crucial for accurate nutritional assessment.
Purpose of the Study:
- To investigate the association between age and serum vitamin A concentrations in children.
- To determine if age-related differences in vitamin A levels persist after controlling for confounding factors.
- To assess the need for age-specific interpretive criteria for serum vitamin A.
Main Methods:
- Utilized data from the National Health and Nutrition Examination Survey II (NHANES II) and Hispanic HANES.
- Analyzed total serum vitamin A and serum retinol values in children aged 4-11 years.
- Employed multivariate analyses to identify and control for potential confounders, including vitamin-mineral supplement use.
Main Results:
- Younger children (4-5 years) exhibited significantly lower serum vitamin A concentrations compared to older children (9-11 years).
- This age-related difference was observed for both total serum vitamin A and serum retinol measures.
- The association remained consistent across the distribution of vitamin A values, independent of supplement intake.
Conclusions:
- Age is a significant factor influencing serum vitamin A concentrations in children.
- The observed differences likely stem from normal physiological variations related to development.
- Current criteria for interpreting serum vitamin A may require age-specific adjustments for pediatric populations.
Abstract:
The association between age and serum vitamin A concentrations in children was examined by using total serum vitamin A values from the second National Health and Nutrition Examination Survey (NHANES II) and serum retinol values for Mexican Americans from the Hispanic HANES. Analyses included multivariate strategies to identify confounders of serum vitamin A. After the effect of the use of vitamin-mineral supplements on total serum vitamin A values was controlled for, the data indicated that younger children (aged 4-5 y) have lower serum vitamin A concentrations than do older children (aged 9-11 y) regardless of whether the measure was total serum vitamin A or serum retinol. This relationship was systematic across the distribution of values and suggested that the difference may be due to normal physiological events. A different interpretive criterion may be needed for younger and older children when serum vitamin A is used to indicate vitamin A status.
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