Journal Article

Vitamin A Deficiency and Other Nutritional Indices During Pregnancy in Human Immunodeficiency Virus Infection: Prevalence, Clinical Correlates, and Outcome

David N. Burns, Gordon FitzGerald, Richard Semba, Ronald Hershow, Carmen Zorrilla, Jane Pitt, Hunter Hammill, Ellen R. Cooper, Mary Glenn Fowler and Sheldon Landesman

in Clinical Infectious Diseases

Published on behalf of Infectious Diseases Society of America

Volume 29, issue 2, pages 328-334
Published in print July 1999 | ISSN: 1058-4838
Published online July 1999 | e-ISSN: 1537-6591 | DOI: http://dx.doi.org/10.1086/520210
Vitamin A Deficiency and Other Nutritional Indices During Pregnancy in Human Immunodeficiency Virus Infection: Prevalence, Clinical Correlates, and Outcome

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Vitamin A levels in plasma and other nutritional indices were measured during pregnancy for 449 women enrolled in a multicenter cohort study of mother-to-infant transmission of human immuno-deficiency virus type 1 (HIV-1). During the third trimester, 29.6% of the women had low (20 to <30 μg/dL) and 11.1% had very low (<20 μg/dL) vitamin A levels. Vitamin A and body mass index, serum albumin levels, and hemoglobin levels were weakly correlated. After adjustment for other covariates, women with low and very low vitamin A levels before the third trimester were more likely to deliver infants with low birth weight (<2500 g) than were those with higher levels (odds ratio [OR], 4.58; 95% confidence interval [CI], 1.57–13.4; and OR, 6.99; 95% CI, 1.09–45.0, respectively). However, there was no statistically significant association between vitamin A level and mother-toinfant transmission of HIV-1. Anemia and low body mass index before the third trimester were associated with an increased risk of transmission in univariate analyses but not in multivariate analyses.

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Subjects: Infectious Diseases ; Immunology ; Public Health and Epidemiology ; Microbiology

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