Vitamin Status and Diet in Elderly with Low and High Socioeconomic Status: The Lifelines-MINUTHE Study.

Socioeconomic health inequalities are an important global public health problem. However, it is not well known to what extent socioeconomic inequalities culminate in impaired vitamin status and whether this is mediated by diet. We, therefore, aimed to assess vitamin status in a population already at increased risk of micronutrient deficiency, i.e., elderly with high and low socioeconomic status (SES), and to investigate whether potential differences therein were mediated by diet quality. Vitamin status in 1605 individuals (60-75 years) from the Lifelines- Micronutrients and Health inequalities in Elderly (MINUTHE) Study was assessed by measuring folic acid and the vitamins B6, B12, D, A, E, and K. Multinomial logistic and linear regression analyses were applied to test the associations between SES and vitamin status. Mediation analysis was used to explore the interrelationship between SES, diet quality, and vitamin status. Low SES was associated with poorer status of vitamin B6, vitamin B12, and, notably, folic acid. Moreover, multivitamin deficiencies were more prevalent in the low SES group. Diet quality was found to mediate the associations of SES with folic acid (for 39.1%), vitamin B6 (for 37.1%), and vitamin B12 (for 37.2%). We conclude that low SES is a risk factor for a spectrum of vitamin deficiencies. Diet quality can partially explain the socioeconomic differences in vitamin status, suggesting that policymakers can mitigate socioeconomic inequality in nutritional status through improving diet quality.

[Effect of vitamin sufficiency on adaptation syndrome in growing rats].

The influence of vitamin supply of growing male -Wistar rats (n=21) with an initial body weight 53,5±0,9 g on their resistance to a single distress induced by the electric shock has been investigated. Control rats within 21 days received a complete semisynthetic diet,providingadequate amounts of vitamins. Combined vitamin deficiency in experimental rats was caused by 5-fold decrease of vitamin mixture amount in the feed and the total vitamin E exclusion from the mixture. On the 21st day, one day before the end of the experiment, both groups of rats were subjected to stress impact (electrocutaneous irritation on paws, 0,4 mA for 8 sec) and then animals were placed in metabolic cages to collect urine. By the end of the experiment, the animals with the combined vitamin deficiency lag behind in growth. Vitamin B2, A, B1 and E liver content decreased in experimental rats by 1,6, 2,3, 4,4 and 15 fold accordingly. Retinol plasma concentration was significantly reduced by 18%, α-tocopherol level - by 5 fold, urinary excretionof riboflavin and 4-pyridoxic acid (vitamin B6 metabolite) was significantly reduced by 6,5 and 2,46 times accordingly. MDA blood plasma concentration and the urinary ratio of oxidized and not oxidized form of 8-hydroxy-2'-deoxy-guanosine did not differ in both groups of rats. Urinary excretion of stress biomarker corticosterone in rats with combined vitamin deficit was 2,5-fold higher than in control rats. Thus, reducing of vitamins supply resulted in an increase of urine corticosterone in stressed rats, that characterized the intensity of general adaptation syndrome. This fact shows the importance of optimal sufficiency with vitamins in nonspecific (general) resistance to stress.

[The experimental model of alimentary polyhypovitaminosis of different degree in rats].

A model of the alimentary polyhypovitaminosis varying degrees basing on partitive simultaneous reduction of all vitamins in rats diet has been proposed. The model has a principal difference from other experimental models, based on complete exclusion of 1 or 2 vitamins from animal diet. The proposed model allows you to get as close to the actually observed combined deficiency of several vitamins among the population. 5-fold decrease of vitamin mixture resulted in the fact that animals received 20-23% of vitamins D, A, B2, 33% of vitamin B1 and 57% of vitamin E from the content of these vitamins in the diet of animals from control group because of some nature vitamins contained in such diet basic components as casein (vitamins D, A, B1, B2) and sunflower oil (vitamin E). After one month treatment a deep deficiency of all vitamins has developed in rats from this group. Liver level of vitamin A decreased 8,5-fold, vitamins E and B1 - approximately 2-fold, vitamins C and B2 by 22%. Urinary excretion of vitamin B1 and B2 declined 2 and 5,3 fold. Blood plasma concentration of vitamin A decreased 1,9 fold, and E - 1,4 fold, B2 - by 30%. Activities of blood plasma vitamin B6-dependent enzymes reduced 1,4-fold. 2-fold decrease in the amount of vitamin mixture ensured intake about 50-59% of vitamins D, A, B2, and B1 and about 71% of vitamin E of those contained in the diet of animals from control group. Vitamin status indexes of these animals occupied an intermediate position. They have developed a moderate deficit of these essential micronutrients. The proposed model may be useful for metabolic disorders identification, the study of vitamins and minerals assimilation, investigations of the influence of biologically active components of food on these processes, as well as the development of personalized approaches to the correction of vitamin insufficient accuracy.

[Characteristics of nutrition and vitamin supply in girls with metabolic syndrome].

Assessment of actual nutrition in girls with metabolic syndrome revealed excess dietary energy value due to the higher intake of fat and carbohydrates (mono- and disaccharides in particular) and the low intake of vitamin E. The vitamin status of the majority of girls with metabolic syndrome showed varying blood and urinary vitamin E, C, and B, deficiencies.

[Nitrogenous metabolism vitamin provision and anthrometric indices by Uzbek young with a different nutrition status].

Nitrogenous metabolism, vitamin provision and anthroponietric indices were inventigated in 1560 Uzbek youths (18-21 years old) with diverse alimentary status. Changes cheatinine in urine, insufficient vitamines content and violations of authropometric indices were revald in patients with protein-calorie deficiency.

Urinary excretion of vitamin B12 depends on urine volume in Japanese female university students and elderly.

Recent studies have shown that urinary excretion of water-soluble vitamins reflects their intake in humans. However, some have reported that physical characteristics and urine volume may affect the amount of vitamin compounds found in urine. We hypothesized that physical characteristics and urine volume could affect urinary excretion of B-group vitamins. Twenty-four-hour urine samples were collected from 186 free-living Japanese women aged 19 to 21 years and 104 free-living Japanese subjects aged 70 to 84 years. Correlations between urinary output of each B-group vitamin and body height, body weight, body mass index, body surface area, urine volume, and urinary creatinine were determined. Only urinary vitamin B(12) was strongly correlated to urine volume in young (r = 0.683, P < .001) and elderly (r = 0.523, P < .001) subjects. To confirm this finding, 20 Japanese adults were orally administered 1.5 mg of cyanocobalamin (500-fold higher daily intake); and correlations between urinary vitamin B(12) and urine volume were determined. The load of cyanocobalamin increased vitamin B(12) content in the urine by only 1.3-fold. Urinary vitamin B(12) was strongly correlated with urine volume on the day before taking, the day of taking, and the day after taking cyanocobalamin (r = 0.745, P < .001; r = 0.897, P < .0001; and r = 0.855, P < .0001, respectively). We conclude that urinary excretion of vitamin B(12) is dependent upon urine volume, but not on intake of vitamin B(12). Physical characteristics and urine volume are less important for B-group vitamins except for vitamin B(12) as biomarker.

[Vitamin sufficiency to preschool and young school age children from a group at risk for emergence of bone mineralization disorders]. / Obespechennost' vitaminami detei doshkol'nogo i mladshego shkol'nogo vozrasta iz gruppy riska po vozniknoveniiu narushenii mineralizatsii kostnoi tkani.

Vitamin status of 36 children 5-8 years old (Moscow) from the decreased bone mineral density risk group has been evaluated. Only 6-14 per cent of children had deep vitamin deficit. Vitamin B1 and B2 insufficiency has been observed 1.6 fold rarely among children additionally receiving vitamin supplement. The relation between urinary calcium and vitamins B1, B2 and B6 excretion has been shown. No difference was found in calcium excretion rate irrespective of additional vitamin intake. Although no correlation between urinary calcium/creatinine excretion and urinary vitamins C, B1, B2 and B6 excretion has been found children with increased calcium/creatinine index are insufficiently supplied with four vitamins more often. The data obtained could not be regarded as negation of the vitamin sufficiency importance for calcium metabolism and osteogenesis disturbance prevention.

[Removal of nicotinic acid 7-14C from the body of rats on a varying supply of vitamin PP]. / Vyvedennia nikotynovoï kysloty 7-14C z orhanizmu shchuriv za riznoï zabezpechenosti vitaminom PP

Dynamic was studied for nicotinic acid (NA-7-14C) and its total metabolites excretion with area of animals under different physiological states (standard PP-avitaminosis). Various "efficiency" is shown for systems regulating homeostasis of this vitamin. When it is administered both in the amount close to the physiological dose (50 mg per 1 kg of weight) and exceeding the dose (500 mg per 1 kg of weight). The data obtained make it possible to draw a conclusion that the biological halflife period of Na-7-14C administered in excess of a physiological dose depends mainly on the rate of the unchanged vitamin PP excretion with urea and when it is administered in the physiological amount the period depends on the rate of the acid-metabolic transformations in the organism.