Resveratrol and Saccharin As Adherence Markers Discriminate Between Daily, Intermittent, or Non-consumption of Small-Quantity Lipid-Based Nutrient Supplements

Abstract

ObjectivesAn objective adherence marker is needed to track consumption of nutrient supplements in nutrition intervention trials and programs targeted to young children and women of reproductive age in low-income countries. Here, resveratrol and saccharin are evaluated as adherence markers for tracking short-term intermittent or daily consumption of a small-quantity lipid-based nutrient supplement (SQ-LNS) in US women in a ten-day controlled feeding study. MethodsSixty-three women were randomly assigned to receive daily for 10 d either: SQ-LNS containing trans-resveratrol (10 mg) and sodium saccharin (10 mg) (SQ-LNS/RS); 2) control SQ-LNS without the markers (SQ-LNS/C); or 3) alternating SQ-LNS/RS or SQ-LNS/C to simulate intermittent consumption. Urine concentrations of saccharin and trans-resveratrol-3-O-sulfate were measured in pooled urine samples collected 0–4 h post-consumption of the assigned SQ-LNS product on study days 4, 5, 9 and 10. Cutoff values were determined for urinary concentrations of each compound for classifying participants as consumers or non-consumers of SQ-LNS/RS. Then, participants were classified as daily, intermittent or non-consumers of SQ-LNS/RS based on their overall consumption pattern (number of days classified as a consumer during the 10-d period). ResultsThe cutoff value for urinary trans-resveratrol-3-O-sulfate (0.80 μmol/L) classified participants correctly as consumers or non-consumers in 97% of samples; the cutoff value for urinary saccharin (6.92 μmol/L) classified participants correctly in 93% of samples. Overall, 95% of daily, 95% of intermittent, and 100% of control group participants were classified correctly into their consumption pattern based on urinary trans-resveratrol-3-O-sulfate concentrations during the 10-d period; and 75% of daily, 95% of intermittent, and 100% of control participants were classified correctly based on urinary saccharin concentrations. ConclusionsThe results suggest that urinary concentrations of saccharin and trans-resveratrol-3-O-sulfate may be useful for qualitative assessment of daily vs. intermittent vs. non-consumption of SQ-LNS; further work is needed to assess the usefulness of the markers in the intended target populations. Funding SourcesBill & Melinda Gates Foundation