This study assessed the liver
vitamin A concentrations at birth in a group of very low birth weight neonates (n = 25) (less than 1500 g
birth weight, less than 32 wk gestation), dying within 24 h of birth, prior to possible changes in
vitamin A status induced by postnatal intervention. Serum concentrations of
vitamin A and
retinol-binding protein were also measured in 16 of these neonates. The mean (+/- SD) liver
vitamin A concentration was 30.0 +/- 12.9 micrograms/g (range 2.0-49.0 micrograms/g). The mean (+/- SD) serum
vitamin A concentration was 13.0 +/- 4.7 micrograms/dl (range 6.7-22.8 micrograms/dl). The mean (+/- SD) serum
retinol-binding protein concentration was 2.2 +/- 0.8 mg/dl (range 1.5-4.8 mg/dl). Liver
vitamin A, serum
vitamin A, and serum
retinol-binding protein concentrations did not correlate significantly with gestational age or
birth weight. Linear regression analysis did not show a significant correlation between liver
vitamin A, and serum
vitamin A or
retinol-binding protein concentrations. This study provides reference values for
vitamin A concentrations at birth in very low birth weight neonates, which may be helpful in future studies designed to evaluate postnatal changes in the
vitamin A status of these high-risk neonates.