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Antioxidant status and acute malaria in children in Kampala, Uganda.

Abstract
Although antioxidant status has been implicated in the pathogenesis of malaria, these factors need further characterization. A longitudinal study was conducted involving 273 children 1-10 years of age with acute, uncomplicated malaria in Kampala, Uganda. Plasma vitamin A, carotenoids, and vitamin E were measured at enrollment and on day 7. Malaria parasitemia was measured at enrollment, on day 3, and on day 7. Malaria parasitemia had completely cleared in 57.1% and 85.3% of children by day 3 and day 7, respectively. Plasma vitamin A, alpha-carotene, beta-carotene, lycopene, lutein/zeaxanthin, and vitamin E were depressed at enrollment and increased by day 7. Multivariate analyses showed that higher plasma lycopene concentrations at enrollment were associated with clearance of parasitemia between enrollment and day 3 (odds ratio = 1.46, 95% confidence interval = 1.07-2.06, per 0.10 micromol/L of lycopene). This study suggests that children with acute malaria have depressed plasma concentrations of antioxidants, and that higher plasma lycopene is associated with more rapid clearance of malaria parasitemia.
AuthorsA Metzger, G Mukasa, A H Shankar, G Ndeezi, G Melikian, R D Semba
JournalThe American journal of tropical medicine and hygiene (Am J Trop Med Hyg) Vol. 65 Issue 2 Pg. 115-9 (Aug 2001) ISSN: 0002-9637 [Print] United States
PMID11508384 (Publication Type: Comparative Study, Journal Article, Research Support, Non-U.S. Gov't, Research Support, U.S. Gov't, Non-P.H.S., Research Support, U.S. Gov't, P.H.S.)
Chemical References
  • Antioxidants
  • Xanthophylls
  • Zeaxanthins
  • beta Carotene
  • Vitamin A
  • Vitamin E
  • Carotenoids
  • alpha-carotene
  • Lycopene
  • Lutein
Topics
  • Acute Disease
  • Animals
  • Antioxidants (analysis)
  • Carotenoids (blood)
  • Child
  • Child, Preschool
  • Female
  • Humans
  • Infant
  • Lutein (blood)
  • Lycopene
  • Malaria, Falciparum (blood, epidemiology, parasitology)
  • Male
  • Parasitemia
  • Plasmodium falciparum (isolation & purification)
  • Uganda (epidemiology)
  • Vitamin A (blood)
  • Vitamin E (blood)
  • Xanthophylls
  • Zeaxanthins
  • beta Carotene (analogs & derivatives, blood)

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