The impact of vitamin A supplementation on physical growth of children is dependent on season.
OBJECTIVE
To determine the impact of vitamin A supplementation on physical growth in young children.


METHODS
Randomized, double blind, placebo controlled trial.


METHODS
Urban slum community clinic.


METHODS
900 children, aged 12-59 months, attending the community clinic with diarrhea of < or = 7 d were included in the trial.


METHODS
Each child was given a single dose capsule containing 200,000 IU vitamin A or placebo at enrollment.


METHODS
Mean increments in weight and height during the 90 d period post supplementation.


RESULTS
In all children, the mean increments in weight following supplementation were 0.66 kg (s.d. 0.5) and 0.64 kg (s.d. 0.6) in the vitamin A and placebo groups (P = 0.5). The mean increments in height were also similar in the two treatment groups (P = 0.5). Serum vitamin A was measured in 40 randomly selected children in each group; the proportion of subclinical deficiency (serum retinol < 20 micrograms/dl) was 62.5% in those enrolled during summer (April through July) as compared to 21.1% in those enrolled during the remaining cooler months of the year (P = 0.02). In the children supplemented with vitamin A during summer, the mean increment in weight was 140 g more than those who received placebo (95% confidence interval CI 30-250); there was also a significant reduction in the proportion of children who were wasted (< -2 weight-for-height Z-score) at end study (Odds Ratio 0.53, 95% CI 0.28-1.0, P = 0.03). There was no significant impact of vitamin A on height increments in children supplemented during summer.


CONCLUSIONS
Vitamin A supplementation in 12-59 month old children improves weight gain in the subsequent three months only in the summer season, but not during the rest of the year.
Bahl
R
R
Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.
Bhandari
N
N
Taneja
S
S
Bhan
M K
MK
D001827:Body Height; D001835:Body Weight; D001942:Breast Feeding; D002675:Child, Preschool; D004311:Double-Blind Method; D005260:Female; D006128:Growth; D006801:Humans; D007223:Infant; D008297:Male; D009752:Nutritional Status; D010919:Placebos; D012621:Seasons; D014801:Vitamin A / Q000008:administration & dosage* / Q000097:blood
D010919:Placebos; D014801:Vitamin A