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 Release 22.0, Sept. 2008
 
Chapter : ch12. Nutrition Section : Vitamin Assessment
  Vitamin A Relative Dose Response

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Overview :

Results of the relative dose response, in the absence of malabsorption or with intravenous dosing, correlate with vitamin A stores and with dark adaptation.

 

Dose given: retinyl palmitate, either 1 mg as water miscible solution IV over 30 minutes or 0.45 mg in corn oil given po.

 

relative dose response, as percentage =

= 100% ( 1 - ((plasma vitamin A prior to dose) / (plasma vitamin A 5 hrs after dose)))

 

where:

• Vitamin A is expressed in µg/dL in conventional units (µmol/L for SIU)

 

Interpretation:

• The normal relative dose response is < 10%.

• Values > 15% indicate depleted liver vitamin A stores.

• Decreased levels are seen with: malabsorption, cirrhosis, chronic cholestasis, hepatocellular disease, protein-caloric malnutrition, zinc deficiency.

 

  References:

Mobarhan S, Russell RM, et al. Evaluation of the relative dose response test for vitamin A nutriture in cirrhotics. Am J Clin Nutri. 1981; 34:2264-2270.

Russell RM, et al. Protein-Energy Malnutrition and Liver Dysfunction Limit the Usefulness of the Relative Dose Response (RDR) Test for Predicting Vitamin A Deficiency. Human Nutrition: Clinical Nutrition. 1983; 37C:361-371.

Tietz NW (editor). Clinical Guide to Laboratory Tests, Third Edition. W.B. Saunders Co. 1995. page 634-637.

 

 

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