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Assessment of vitamin A nutriture in preschool children--a multi-approach

G Kothari1, L I Bhattacharjee, E G Naik

  • 1Bombay Slums Project, India.

Insights

Impression cytology effectively detects early vitamin A deficiency in children. This method correlates well with other indicators, showing keratinization in buccal cells even in subclinical cases.

Area of Science:

  • Ophthalmology
  • Nutritional Science
  • Pediatrics

Background:

  • Xerophthalmia, a condition linked to vitamin A deficiency, can cause vision impairment in children.
  • Impression cytology has shown potential for diagnosing mild xerophthalmia.

Purpose of the Study:

  • To evaluate vitamin A status in 150 preschool children using a multi-pronged approach.
  • To examine the correlation between impression cytology and other vitamin A status indicators.

Main Methods:

  • Assessed vitamin A nutriture in 150 preschool children.
  • Utilized impression cytology as one method to evaluate vitamin A status.
  • Correlated impression cytology findings with other established indicators of vitamin A status.

Main Results:

  • A significant correlation was observed between impression cytology and other indicators of vitamin A status.
  • Keratinization of buccal mucosal cells was closely linked to vitamin A deficiency.
  • This correlation was evident even in subclinical states of vitamin A deficiency.

Conclusions:

  • Impression cytology is a reliable method for assessing vitamin A status in preschool children.
  • The test can detect subclinical vitamin A deficiency by identifying buccal cell keratinization.
  • This diagnostic approach aids in early intervention for vitamin A deficiency.

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