Measurement / residue studyindependent cross-checkabstract checked I-MEAT-106 standard review

One portion of beef liver can far exceed the vitamin A limit

Analysis of retinol concentrations in bovine liver and its habitual consumption by pregnant women.

Overview

Praxedes de Aquino RC et al.. Ann Nutr Metab 2006 · PMID 16809900 · DOI 10.1159/000094295

100 g of beef liver contained about 5,200-17,000 ug of vitamin A, well above the 3,000 ug daily safety limit.

Does the study support the specific claim? No · Methodological quality: moderate

Original publication

Plain-language summary

Study explained simply
What did the researchers want to find out?

Measure vitamin A in beef liver.

How was the study done?

HPLC analysis plus survey.

How many people, animals or samples were studied?

60 livers; 100 pregnant women.

What was actually found?

Very high retinol levels; many pregnant women ate liver.

How large was the observed effect?

1.7-5.6 x UL per 100 g.

What do the results mean in everyday life?

Liver is very rich in vitamin A; pregnant women should avoid it.

What are the study's limitations?

Brazilian cattle.

What does it say about Elawady's specific claim?

Contradicts unlimited liver.

Do the results apply to Germany and Europe?

Moderate.

What can explicitly not be concluded from this study?

It does not measure birth outcomes.

Scientific in-depth review

1. Full reference

Authors
Praxedes de Aquino RC et al.
Journal
Ann Nutr Metab
Year
2006
Identifier
PMID 16809900 DOI 10.1159/000094295
Verification
verified – PubMed efetch 2026-10-26; Crossref works API 2026-10-26
Retracted
no
Corrections
none
Extent checked
abstract only
Conflicts of interest and funding

Non-US government support (PubMed).

2. Research question

How much retinol does bovine liver contain and how often do pregnant women eat it?

3. Study design and population

Study design
Measurement / residue study – Food analysis (HPLC) plus food-frequency survey of pregnant women
Population

60 bovine liver samples; 100 pregnant women, Natal, Brazil

Country

Brazil

Period

not stated in abstract

Sample size

60 liver samples; 100 women

Inclusion and exclusion criteria

not detailed in abstract

4. Methods and endpoints

Exposure / intervention

Bovine liver consumption

Comparator

Not applicable

Endpoints

Retinol concentration; liver consumption frequency

Statistical methods

Descriptive

5. Actual results

Results

Retinol: 16,947.8 +/- 6,866.9 ug/100 g (Nelore breed) and 5,213.1 +/- 2,517.2 ug/100 g (undefined breed). 73% of pregnant women consumed liver; in 71% of cases the advice to eat liver came from qualified professionals.

Absolute risks

not reported

Authors' conclusion

Daily consumption of bovine liver is not recommended for pregnant women, regardless of the animal's genetic origin.

6. Strengths

  • Direct measurement of retinol

7. Weaknesses

  • Single region; small sample

8. Risk of bias

Orienting tool
none applicable
Type of assessment
simplified assessment (abstract only)
Full formal assessment
no
Overall risk of bias
some concerns
Rationale

Descriptive.

9. Assessment of the statistical interpretation

A 100 g portion provides 5,213-16,948 ug retinol, i.e. 1.7-5.6 times the EFSA UL (stats/C-MEAT-03_liver_vitaminA.py).

10. Relevance to the specific claim

Quantifies why liver cannot be 'allowed without limit': one portion can exceed the vitamin A upper limit several-fold.

11. Independent contrary findings

Retinol content varies widely by breed and feeding.

12. Transferability to Germany and Europe

Retinol content of Egyptian liver not measured here.

13. Overall methodological judgement

Supports the safety concern.

Multidimensional assessment
Multidimensional assessment
Authenticity of the sourceverified
Methodological qualitymoderate
Risk of biassome concerns
Precision of resultsmoderate
Directnessdirect
Reproducibilitypartly replicated
Consistency with the overall evidenceconsistent
Regional transferabilitymoderate
Adequacy of the interpretation (by the archive)not applicable

14. Open questions

Retinol in Egyptian beef, buffalo and lamb liver.

15. Linked fact checks