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<front>
<journal-meta>
<journal-id journal-id-type="doi">10.1111/(ISSN)1749-6632</journal-id>
<journal-id journal-id-type="publisher-id">NYAS</journal-id>
<journal-title-group>
<journal-title xml:lang="en">Annals of the New York Academy of Sciences</journal-title>
<abbrev-journal-title abbrev-type="publisher" xml:lang="en">Ann. N.Y. Acad. Sci.</abbrev-journal-title>
</journal-title-group>
<issn publication-format="ppub">0077-8923</issn>
<issn publication-format="epub">1749-6632</issn>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.1111/nyas.14695</article-id>
<article-id pub-id-type="publisher-id">NYAS14695</article-id>
<article-categories>
<subj-group subj-group-type="JEL-classification" xml:lang="en">
<subject>NYASBIOL3577</subject>
</subj-group>
<subj-group subj-group-type="JEL-classification" xml:lang="en">
<subject>NYASNUTR1013</subject>
</subj-group>
<subj-group subj-group-type="JEL-classification" xml:lang="en">
<subject>NYASPUBL8657</subject>
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<subject>Original Article</subject>
</subj-group>
<subj-group subj-group-type="heading" xml:lang="en">
<subject>ORIGINAL ARTICLES</subject>
</subj-group>
</article-categories>
<title-group>
<article-title xml:lang="en">Thiamine deficiency in Gambian women of reproductive age</article-title>
<alt-title alt-title-type="left-running-head">Bourassa <italic>et al</italic>.</alt-title>
<alt-title alt-title-type="right-running-head">Thiamine deficiency in Gambian women</alt-title>
</title-group>
<contrib-group>
<contrib id="nyas14695-cr-0001" contrib-type="author" corresp="yes">
<name>
<surname>Bourassa</surname>
<given-names>Megan W.</given-names>
</name>
<contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1201-3397</contrib-id>
<email>mbourassa@nyas.org</email>
<xref ref-type="corresp" rid="correspondenceTo">*</xref>
<xref ref-type="aff" rid="nyas14695-aff-0001">
<sup>1</sup>
</xref>
</contrib>
<contrib id="nyas14695-cr-0002" contrib-type="author">
<name>
<surname>Gomes</surname>
<given-names>Filomena</given-names>
</name>
<contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1702-1433</contrib-id>
<xref ref-type="aff" rid="nyas14695-aff-0001">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="nyas14695-aff-0004">
<sup>4</sup>
</xref>
</contrib>
<contrib id="nyas14695-cr-0003" contrib-type="author">
<name>
<surname>Jones</surname>
<given-names>Kerry S.</given-names>
</name>
<contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7380-9797</contrib-id>
<xref ref-type="aff" rid="nyas14695-aff-0002">
<sup>2</sup>
</xref>
</contrib>
<contrib id="nyas14695-cr-0004" contrib-type="author">
<name>
<surname>Koulman</surname>
<given-names>Albert</given-names>
</name>
<xref ref-type="aff" rid="nyas14695-aff-0002">
<sup>2</sup>
</xref>
</contrib>
<contrib id="nyas14695-cr-0005" contrib-type="author">
<name>
<surname>Prentice</surname>
<given-names>Andrew M.</given-names>
</name>
<xref ref-type="aff" rid="nyas14695-aff-0003">
<sup>3</sup>
</xref>
</contrib>
<contrib id="nyas14695-cr-0006" contrib-type="author">
<name>
<surname>Cerami</surname>
<given-names>Carla</given-names>
</name>
<contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7634-0955</contrib-id>
<xref ref-type="aff" rid="nyas14695-aff-0003">
<sup>3</sup>
</xref>
</contrib>
</contrib-group>
<aff id="nyas14695-aff-0001">
<label>
<sup>1</sup>
</label>

<named-content content-type="organisation-division">Nutrition Science</named-content>

<institution>The New York Academy of Sciences</institution>

<city>New York</city>
 <named-content content-type="country-part">New York</named-content>

</aff>
<aff id="nyas14695-aff-0002">
<label>
<sup>2</sup>
</label>

<named-content content-type="organisation-division">NIHR BRC Nutritional Biomarker Laboratory, MRC Epidemiology Unit</named-content>

<institution>University of Cambridge</institution>

<city>Cambridge</city>
 <country country="GB">United Kingdom</country>

</aff>
<aff id="nyas14695-aff-0003">
<label>
<sup>3</sup>
</label>

<institution>MRC Unit The Gambia at London School of Hygiene &amp; Tropical Medicine</institution>

<city>Banjul</city>
 <country country="GM">The Gambia</country>

</aff>
<aff id="nyas14695-aff-0004">
<label>
<sup>4</sup>
</label>

<institution>NOVA Medical School</institution>

<city>Lisbon</city>
 <country country="PT">Portugal</country>

</aff>
<author-notes>
<corresp id="correspondenceTo"><label>*</label>Address for correspondence: Megan W. Bourassa, Nutrition Science, The New York Academy of Sciences, New York, NY. <email>mbourassa@nyas.org</email><break/></corresp>
</author-notes>
<pub-date date-type="pub" publication-format="electronic"><day>20</day>
<month>09</month>
<year>2021</year>
</pub-date><fpage/><lpage/><history>

<date date-type="rev-recd">
<day>19</day>
<month>08</month>
<year>2021</year>
</date>

<date date-type="received">
<day>11</day>
<month>07</month>
<year>2021</year>
</date>

<date date-type="accepted">
<day>25</day>
<month>08</month>
<year>2021</year>
</date>

</history>
<permissions>
<copyright-statement content-type="issue-copyright">© 2021 The New York Academy of Sciences</copyright-statement>
<copyright-statement content-type="article-copyright">© 2021 The Authors. <italic>Annals of the New York Academy of Sciences</italic> published by Wiley Periodicals LLC on behalf of New York Academy of Sciences</copyright-statement>
<copyright-year>2021</copyright-year>
<copyright-holder>© 2021 The Authors. Annals of the New York Academy of Sciences published by Wiley Periodicals LLC on behalf of New York Academy of Sciences</copyright-holder>
<license>
<ali:license_ref>http://creativecommons.org/licenses/by/4.0/</ali:license_ref>
<license-p>This is an open access article under the terms of the <ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution</ext-link> License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract xml:lang="en" abstract-type="main">
<title>Abstract</title>
<p xml:lang="en">Thiamine deficiency disorders are associated with a variety of clinical symptoms affecting the nervous and cardiovascular systems. There is growing recognition that thiamine deficiency can occur in populations well beyond the classical region of South Asia, and at‐risk populations include those who receive a large proportion of their energy from polished white rice (or other low‐thiamine staple foods) and with low dietary diversity. Reports of thiamine deficiency in West Africa over the last century have suggested that this has historically been an issue in this population, but in more recent decades, these reports have been limited to prison populations. To understand if thiamine deficiency might be an unrecognized problem in the communities of this region, erythrocyte samples collected during the wet and dry seasons from 226 women of reproductive age (mean age = 28 years old) were assessed for thiamine status by measuring the erythrocyte transketolase activity coefficient (ETKac). Overall, 35.8% of the sample was at high risk of thiamine deficiency (ETKac ≥ 1.25). Risk of thiamine deficiency was significantly higher in the wet (47.9%) compared with the dry season (22.9%) (<italic>P</italic> &lt; 0.001). To our knowledge, this is the first report of biochemical thiamine deficiency in a free‐living population in West Africa in the 21st century and suggests that further investigation is warranted.</p>
</abstract>
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</front>
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