Impact of zinc supplementation on subsequent morbidity and growth in Bangladeshi children with persistent diarrhoea
- PMID: 17615905
- PMCID: PMC3013265
Impact of zinc supplementation on subsequent morbidity and growth in Bangladeshi children with persistent diarrhoea
Abstract
This study was conducted to explore whether supplementation of zinc to children during persistent diarrhoea has any subsequent effect on morbidity and growth. A prospective follow-up study was conducted among children, aged 3-24 months, with persistent diarrhoea, who participated earlier in a double-blind randomized placebo-controlled trial. During persistent diarrhoea, children were randomly allocated to receive either zinc in multivitamin syrup or only multivitamin syrup for two weeks. After recovering from diarrhoea, 76 children in the multi-vitamin syrup and 78 children in the zinc plus multivitamin syrup group were followed up for subsequent morbidity and growth. Weekly morbidity and two-weekly anthropometric data were collected for the subsequent 12 weeks. Data showed that episodes and duration of diarrhoea were reduced by 38% and 44% respectively with supplementation of zinc. There was no significant difference in the incidence or duration of respiratory tract infection between the zinc-supplemented and the non-supplemented group. Improved linear growth was observed in underweight children (weight-for-age <70% of the National Center for Health Statistics standard) who received zinc compared to those who did not receive.
Figures
Similar articles
-
Impact of zinc supplementation on subsequent growth and morbidity in Bangladeshi children with acute diarrhoea.Eur J Clin Nutr. 1999 Jul;53(7):529-34. doi: 10.1038/sj.ejcn.1600734. Eur J Clin Nutr. 1999. PMID: 10452407 Clinical Trial.
-
Impact of zinc supplementation on persistent diarrhoea in malnourished Bangladeshi children.Acta Paediatr. 1998 Dec;87(12):1235-9. doi: 10.1080/080352598750030898. Acta Paediatr. 1998. PMID: 9894821 Clinical Trial.
-
Zinc supplementation in the management of shigellosis in malnourished children in Bangladesh.Eur J Clin Nutr. 2008 Jul;62(7):849-55. doi: 10.1038/sj.ejcn.1602795. Epub 2007 Jun 6. Eur J Clin Nutr. 2008. PMID: 17554249 Clinical Trial.
-
Preventive zinc supplementation among infants, preschoolers, and older prepubertal children.Food Nutr Bull. 2009 Mar;30(1 Suppl):S12-40. doi: 10.1177/15648265090301S103. Food Nutr Bull. 2009. PMID: 19472600 Review.
-
Zinc for diarrhoea management in Sub-Saharan Africa: a review.East Afr Med J. 2007 Sep;84(9):441-9. doi: 10.4314/eamj.v84i9.9554. East Afr Med J. 2007. PMID: 18074963 Review.
Cited by
-
Zinc supplements for preventing otitis media.Cochrane Database Syst Rev. 2014 Jun 29;2014(6):CD006639. doi: 10.1002/14651858.CD006639.pub4. Cochrane Database Syst Rev. 2014. PMID: 24974096 Free PMC article.
-
Factors Associated with the Duration of Moderate-to-Severe Diarrhea among Children in Rural Western Kenya Enrolled in the Global Enteric Multicenter Study, 2008-2012.Am J Trop Med Hyg. 2017 Jul;97(1):248-258. doi: 10.4269/ajtmh.16-0898. Am J Trop Med Hyg. 2017. PMID: 28719331 Free PMC article.
-
Effect on longitudinal growth and anemia of zinc or multiple micronutrients added to vitamin A: a randomized controlled trial in children aged 6-24 months.BMC Public Health. 2010 Mar 18;10:145. doi: 10.1186/1471-2458-10-145. BMC Public Health. 2010. PMID: 20298571 Free PMC article. Clinical Trial.
-
Zinc supplementation for the promotion of growth and prevention of infections in infants less than six months of age.Cochrane Database Syst Rev. 2020 Apr 8;4(4):CD010205. doi: 10.1002/14651858.CD010205.pub2. Cochrane Database Syst Rev. 2020. PMID: 32266964 Free PMC article.
-
Zinc supplementation for acute and persistent watery diarrhoea in children: A systematic review and meta-analysis.J Glob Health. 2024 Dec 6;14:04212. doi: 10.7189/jogh.14.04212. J Glob Health. 2024. PMID: 39641338 Free PMC article.
References
-
- Scrimshaw NS, Taylor CE, Gordon JE. Effect of infection on nutritional status. In: Scrimshaw NS, Taylor CE, Gordon JE, editors. Interaction of nutrition and infection. Geneva: World Health Organization; 1968. pp. 3–329. (WHO monograph series no. 57).
-
- Tomkins AM, Dunn DT, Hayes RJ. Nutritional status and risk of morbidity among young Gambian children allowing for social and environmental factors. Trans R Soc Trop Med Hyg. 1989;83:282–7. - PubMed
-
- Bhutta ZA, Black RE, Brown KH, Gardner JM, Gore S, Hidayat A, et al. Prevention of diarrhea and pneumonia by zinc supplementation in children in developing countries: pooled analysis of randomized controlled trials. Zinc Investigator's Collabortive Group. J Pediatr. 1999;135:689–97. - PubMed
-
- Walravens PA, Hambridge KM. Growth of infants fed a zinc supplemented formula. Am J Clin Nutr. 1976;26:1114–21. - PubMed
-
- Nakamura T, Nishiyama S, Futagoishi, Suginohara Y, Matsuda I, Higashi A. Mild to moderate zinc deficiency in short children: efficacy of zinc supplementation on linear growth velocity. J Pediatr. 1993;123:65–69. - PubMed
Publication types
MeSH terms
Substances
Grants and funding
LinkOut - more resources
Full Text Sources
Medical