title: Biological Status and Dietary Intakes of Iron, Zinc and Vitamin A among Women and Preschool Children in Rural Burkina Faso.
abstract: BACKGROUND
  Food-based approaches such as biofortification are meant to sustainably address micronutrient deficiencies in poor settings. Knowing more about micronutrient intakes and deficiencies is a prerequisite to designing and evaluating interventions.
  
  
  OBJECTIVE
  The objectives of the study were to assess biological status and dietary intakes of iron, zinc and vitamin A among women and children aged 36-59 months in rural Burkina Faso and to study relationships between intake and status to better inform future food-based interventions.
  
  
  METHODS
  A cross-sectional survey was carried out in two rural provinces of Burkina Faso on a random cluster sample of 480 mother-child pairs. Dietary data was obtained by 24-hour recalls repeated on a random sub-selection of 37.5% of subjects to allow calculation of nutrient's probability of adequacy (PA). Biomarkers were measured on a sub-sample of 180 mother-child pairs. Blood samples were analyzed for hemoglobin, serum ferritin, soluble transferrin receptors (sTfR), C-reactive protein, alpha-1-glycoprotein, serum zinc concentration (SZnC) and retinol. For each micronutrient the relationship between biomarker and dietary intake was investigated by multiple linear regression models accounting for inflammatory biomarkers.
  
  
  RESULTS
  Mean PA for iron, zinc and vitamin A was 0.49, 0.87 and 0.21 among women and 0.61, 0.95 and 0.33 among children, respectively. Prevalence of anemia, corrected low serum ferritin and high sTfR was 37.6%, 4.0% and 77.5% among women and 72.1%, 1.5% and 87.6% among children, respectively. Prevalence of low SZnC and corrected low serum retinol was 39.4% and 12.0% among women and 63.7% and 24.8% among children, respectively. There was a tendency for a positive relationship between vitamin A intakes and serum retinol among women (β = 0.0003, P = 0.06). Otherwise, no link was found between micronutrients biomarkers and intakes.
  
  
  CONCLUSIONS
  Our study depicted different images of micronutrient deficiencies when based on dietary intakes or biomarkers results, thus highlighting the need for more suitable biomarkers and more precise measures of absorbable micronutrient intakes at the individual level. It thus points to challenges in the design and evaluation of future biofortification or other food-based interventions in rural areas of Burkina Faso.
authors.affiliation: Institut de Recherche pour le Développement, Research Unit 204 'Nutripass', Montpellier, France.
authors.forename: Yves
authors.initials: Y
authors.lastname: Martin-Prevel
authors.affiliation: Institut de Recherche pour le Développement, Research Unit 204 'Nutripass', Montpellier, France.
authors.forename: Pauline
authors.initials: P
authors.lastname: Allemand
authors.affiliation: Institut de Recherche en Sciences de la Santé, Ouagadougou, Burkina Faso.
authors.forename: Laetitia
authors.initials: L
authors.lastname: Nikiema
authors.affiliation: Institut de Recherche pour le Développement, Research Unit 204 'Nutripass', Montpellier, France.
authors.forename: Kossiwavi A
authors.initials: KA
authors.lastname: Ayassou
authors.affiliation: Institut de Recherche en Sciences de la Santé, Ouagadougou, Burkina Faso.
authors.forename: Henri Gautier
authors.initials: HG
authors.lastname: Ouedraogo
authors.affiliation: HarvestPlus, International Food Policy Research Institute, Washington, DC, United States of America.
authors.forename: Mourad
authors.initials: M
authors.lastname: Moursi
authors.affiliation: HarvestPlus, International Food Policy Research Institute, Washington, DC, United States of America.
authors.forename: Fabiana F
authors.initials: FF
authors.lastname: De Moura
mesh_terms: D000328:Adult; D002050:Burkina Faso; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007501:Iron / Q000008:administration & dosage*; D008297:Male; D014801:Vitamin A / Q000008:administration & dosage*; D015032:Zinc / Q000008:administration & dosage*
chemical_list: D014801:Vitamin A; D007501:Iron; D015032:Zinc