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
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 | |
|---|---|
| Authenticity of the source | verified |
| Methodological quality | moderate |
| Risk of bias | some concerns |
| Precision of results | moderate |
| Directness | direct |
| Reproducibility | partly replicated |
| Consistency with the overall evidence | consistent |
| Regional transferability | moderate |
| Adequacy of the interpretation (by the archive) | not applicable |
14. Open questions
Retinol in Egyptian beef, buffalo and lamb liver.
15. Linked fact checks
- Liver and organ meats (lamb liver, beef liver, trotters, head meat, tripe/mumbar, veal) are allowed without a stated frequency limit. – Studies contradicting or limiting the claim