Prasad A S, Oberleas D, Moghissi K S, Stryker J C, Lei K Y
Am J Clin Nutr. 1975 Apr;28(4):385-91. doi: 10.1093/ajcn/28.4.385.
Clinical, biochemical and nutritional data were collected from a large population of women using oral contraceptive agents. Higher incidence of abnormal clinical signs related to malnutrition were observed in the lower (B) as compared to the higher (A) socioeconomic groups, and also in the nonsupplemented groups as compared to the supplemented groups in the B subjects. As a rule the intake of oral contraceptive agent subjects of vitamin A, C, B6 and folic acid did not differ from that of the controls As expected, subjects from the supplemented groups had higher intake of vitamin A, C, B6, thiamin, riboflavin and folic acid, and A groups had higher intake of vitamin C, B6, riboflavin and folic acid. Increased plasma vitamin A and decreased carotene levels were observed in oral contraceptive agent users. In general oral contraceptive agents had little or no effect on plasma ascorbic acid. Urinary excretion of both thiamin and riboflavin in subjects using oral contraceptive agents were lower in A groups. Erythrocyte folate and plasma pyridoxal phosphate was decreased in A groups due to oral contraceptive agents. Subjects who took supplements had higher levels of plasma vitamin A, ascorbic acid and folate. But urinary thiamin and riboflavin were higher only in group A subjects who took supplements.
从大量使用口服避孕药的女性群体中收集了临床、生化和营养数据。与较高社会经济群体(A组)相比,较低社会经济群体(B组)中与营养不良相关的异常临床体征发生率更高;在B组受试者中,未补充营养的组与补充营养的组相比,情况也是如此。通常,口服避孕药使用者对维生素A、C、B6和叶酸的摄入量与对照组并无差异。正如预期的那样,补充营养组的受试者对维生素A、C、B6、硫胺素、核黄素和叶酸的摄入量更高,且A组对维生素C、B6、核黄素和叶酸的摄入量更高。口服避孕药使用者的血浆维生素A水平升高,胡萝卜素水平降低。总体而言,口服避孕药对血浆抗坏血酸几乎没有影响。A组中使用口服避孕药的受试者硫胺素和核黄素的尿排泄量较低。由于口服避孕药,A组受试者的红细胞叶酸和血浆磷酸吡哆醛水平降低。服用补充剂的受试者血浆维生素A、抗坏血酸和叶酸水平较高。但仅在服用补充剂的A组受试者中,硫胺素和核黄素的尿排泄量较高。