The low prevalence rate of vitamin E deficiency in urban adults of Wuhan from central China: findings from a single-center, cross-sectional study

Ying Shen1, Ke Liu1, Xia Luo1, Liming Cheng1
1Department of Laboratory Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, People’s Republic of China

Tóm tắt

Abstract Background Vitamin E is an essential nutrient in human body famous for its antioxidant and non-antioxidant functions. However, little is known about vitamin E deficiency status in urban adults of Wuhan from central China. Our aim is to describe the distribution of both circulating and lipid-adjusted serum vitamin E concentration in urban adults of Wuhan. Methods We hypothesized that the prevalence rate of vitamin E deficiency would be low in Wuhan in consideration of the Chinese food composition. A cross-sectional study with 846 adults was performed in a single-center. Concentrations of vitamin E were measured by liquid chromatography coupled with tandem mass spectrometry (LC–MS/MS). Results The median (interquartile range, IQR) of serum vitamin E concentration was 27.40 (22.89–33.20) μmol/L while that of serum vitamin E concentration adjusted by total cholesterol or the sum of cholesterol (TC) and triglyceride (TG) (the sum of cholesterol and triglyceride, TLs) were 6.20 (5.30–7.48) and 4.86 (4.10–5.65) mmol/mol, respectively. No significant difference of the circulating and TC-adjusted vitamin E concentration was found between male and female except for vitamin E/TLs. However, concentrations of vitamin E increased significantly (r = 0.137, P < 0.001) with age, but lipid-adjusted concentrations of vitamin E did not. On analysis of risk factors, the subjects characterized by hypercholesterolemia are more likely to exhibit higher circulating but lower lipid-adjusted vitamin E level due to adequacy of the serum carriers for delivery of vitamin E. Only 0.47% of the population were below 12 μmol/L of vitamin E defined as functional deficiency. Conclusion The prevalence rate of vitamin E deficiency in urban adults of Wuhan is low, which is important and useful to clinicians for clinical decision-making in public health practice.

Từ khóa


Tài liệu tham khảo

Lodge JK. Mass spectrometry approaches for vitamin E research. Biochem Soc Trans. 2008;36:1066–70.

Zhang XH, Feng MH, Liu F, Qin L, Qu RJ, Li DL, et al. Subacute oral toxicity of BDE-15, CDE-15, and HODE-15 in ICR male mice: assessing effects on hepatic oxidative stress and metals status and ascertaining the protective role of vitamin E. Environ Sci Pollut Res. 2014;21:1924–35.

Manosso LM, Camargo A, Dafre AL, Rodrigues ALS. Vitamin E for the management of major depressive disorder: possible role of the anti-inflammatory and antioxidant systems. Nutr Neurosci. 2020;14:1–15.

Matsura T. Protective effect of tocotrienol on in vitro and in vivo models of Parkinson’s disease. J Nutr Sci Vitaminol. 2019;65:S51-53.

Zingg JM, Azzi A. Non-antioxidant activities of vitamin E. Curr Med Chem. 2004;11:1113–33.

Dror DK, Allen LH. Vitamin E deficiency in developing countries. Food Nutr Bull. 2011;32:124–43.

Jiang Q. Natural forms of vitamin E: metabolism, antioxidant, and anti-inflammatory activities and their role in disease prevention and therapy. Free Radic Biol Med. 2014;72:76–90.

Hall WL, Jeanes MY, Lodge JK. Hyperlipidemic subjects have reduced uptake of newly absorbed vitamin E into their plasma lipoproteins, erythrocytes, platelets, and lymphocytes, as studied by deuterium-labeled alpha-tocopherol biokinetics. J Nutr. 2005;135:58–63.

Jensen SK, Lauridsen C. Alpha-tocopherol stereoisomers. Vitam Horm. 2007;76:281–308.

Azzini E, Polito A, Fumagall A, Intorre F, Venneria E, Durazzo A, et al. Mediterranean diet effect: an Italian picture. Nutr J. 2011;10:125.

Ford L, Farr J, Morris P, Berg J. The value of measuring serum cholesterol-adjusted vitamin E in routine practice. Ann Clin Biochem. 2006;43:130–4.

Traber MG. Vitamin E inadequancy in humans causes and consequences. Adv Nutr. 2014;5:503–14.

Thurnham DI, Davies JA, Crump BJ, Situnayake RD, Davis M. The use of different lipids to express serum tocopherol: lipid ratios for the measurement of vitamin E status. Ann Clin Biochem. 1986;23:514–20.

Gunanti IR, Marks GC, Al-Mamun A, Long KZ. Low serum concentrations of carotenoids and vitamin E are associated with high adiposity in Mexican-American children. J Nutr. 2014;1444:489–95.

Wang JQ, Lin X, Bloomgarden ZT, Ning G. The Jiangnan diet, a healthy diet pattern for Chinese. J Diabetes. 2020;12:365–71.

Zaaboul F, Liu YF. Vitamin E in foodstuff: nutritional, analytical, and food technology aspects. Com Rev Food Saf. 2022;21:964–98.

Lwanga SK, Lamshhow S. Sample determination in health studies; a practical manual. Geneva: World Health Organization; 1991.

Péter S, Eggersdorfer M, Weber P. Vitamin E intake and serum levels in the general population: a global perspective. In: Weber P, Birringer M, Blumberg JB, Eggersdorfer M, Frank J, editors. Vitamin E in human health. Cham: Springer; 2019.

Rosada A, Kassner U, Weidemann F, König M, Buchmann N, Steinhagen-Thiessen E, et al. Hyperlipidemias in elderly patients: results from the berlin aging study II (BASEII), a cross-sectional study. Lipids Health Dis. 2020;19:92.

Lu JP, Lu Y, Wang XC, Li XY, Linderman GC, Wu CQ, et al. Prevalence, awareness, treatment, and control of hypertension in China: data from 1·7 million adults in a population-based screening study (China PEACE million persons project). Lancet. 2017;390:2549–58.

Kitsantas P, Wu H. Body mass index, smoking, age and cancer mortality among women: a classification tree analysis. J Obstet Gynaecol Res. 2013;39:1330–8.

Péter S, Friedel A, Roos FF, Wyss A, Eggersdorfer M, Hoffmann K, et al. A systematic review of global alpha-tocopherol status as assessed by nutritional intake levels and blood serum concentrations. Int J Vitam Nutr Res. 2015;85(5–6):261–81.

Rigotti A. Absorption, transport, and tissue delivery of vitamin E. Mol Aspects Med. 2007;28:423–36.

Kayden HJ, Traber MG. Absorption, lipoprotein transport, and regulation of plasma concentrations of vitamin E in humans. J Lipid Res. 1993;34:343–58.

Traber MG, Jialal I. Measurement of lipid-soluble vitamins–further adjustment needed? Lancet. 2000;355:2013–4.

Gouado I, Ejoh RA, Kenne M, Ndifor F, Mbiapo FT. Serum concentration of vitamins A and E and lipid in a rural population of north Cameroon. Ann Nutr Metab. 2005;49:26–32.

Sun GZ, Li Z, Guo L, Zhou Y, Yang HM, Sun YX. High prevalence of dyslipidemia and associated risk factors among rural Chinese adults. Lipids Health Dis. 2014;13:189.

Qi L, Ding X, Tang W, Li Q, Mao D, Wang Y. Prevalence and risk factors associated with dyslipidemia in Chongqing, China. Int J Environ Res Public Health. 2015;12:13455–65.

Yao XG, Frommlet F, Zhou L, Zu F, Wang HM, Yan ZT, et al. The prevalence of hypertension, obesity and dyslipidemia in individuals of over 30 years of age belonging to minorities from the pasture area of Xinjiang. BMC Public Health. 2010;10:91.

Mendes R, Themudo Barata JL. Aging and blood pressure. Acta Med Port. 2008;21:193–8.

Gross M, Yu X, Hannan P, Prouty C, Jacobs DR. Lipid standardization of serum fat-soluble antioxidant concentrations: the YALTA study. Am J Clin Nutr. 2003;77:458–66.

Khoo KL, Tan H, Liew YM, Sambhi JS, Aljafri AM, Hatijah A. Blood pressure, body mass index, heart rate and levels of blood cholesterol and glucose of volunteers during national heart weeks, 1995–1997. Med J Malaysia. 2000;55:439–50.

Liao CC, Su TC, Chien KL, Wang JK, Chiang CC, Lin CC, et al. Elevated blood pressure, obesity, and hyperlipidemia. J Pediatr. 2009;155:79–83.

Oldewage-Theron WH, Samuel FO, Djoulde RD. Serum concentration and dietary intake of vitamins A and E in low-income South. Clin Nutr. 2010;29:119–23.

Assantachai P, Lekhakula S. Epidemiological survey of vitamin deficiencies in older Thai adults: implications for national policy planning. Public Health Nutr. 2007;10:65–70.

Ford ES, Schleicher RL, Mokdad AH, Ajani UA, Liu S. Distribution of serum concentrations of alpha-tocopherol and gamma-tocopherol in the US population. Am J Clin Nutr. 2006;84:375–83.

Obeid OA, Al-Ghali RM, Khogali M, Hwalla N. Vitamins A and E status in an urban Lebanese population: a case study at Dar al-fatwa area, Beirut. Int J Vitam Nutr Res. 2006;76:3–8.

Kang MJ, Lin YC, Yeh WH, Pan WH. Vitamin E status and its dietary determinants in Taiwanese–results of the nutrition and health survey in Taiwan 1993–1996. Eur J Nutr. 2004;43:86–92.

Sauberlich HE, Dowdy RP, Skala JH. Laboratory tests for the assessment of nutritional status. Crit Rev Clin Lab Sci. 1973;4:215–340.

Food and Agriculture Organization of the United Nations. Agriculture food and nutrition for Africa-A resource book for teachers of agriculture, http://www.fao.org/3/W0078E/W0078E00.html.; 1997. Accessed 21 Jan 2021.