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Effect of zinc intake on serum/plasma zinc status in infants: a meta-analysis
A systematic review and meta‐analysis of available randomised controlled trials (RCTs) was conducted to evaluate the effect of zinc (Zn) intake on serum/plasma Zn status in infants. Out of 5500 studies identified through electronic searches and reference lists, 13 RCTs were selected after applying t...
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Published in: | Maternal and child nutrition 2013-07, Vol.9 (3), p.285-298 |
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creator | Nissensohn, Mariela Sánchez Villegas, Almudena Fuentes Lugo, Daniel Henríquez Sánchez, Patricia Doreste Alonso, Jorge Lowe, Nicola M. Hall Moran, Victoria Skinner, Anna Louise Warthon Medina, Marisol Serra-Majem, Lluis |
description | A systematic review and meta‐analysis of available randomised controlled trials (RCTs) was conducted to evaluate the effect of zinc (Zn) intake on serum/plasma Zn status in infants. Out of 5500 studies identified through electronic searches and reference lists, 13 RCTs were selected after applying the exclusion/inclusion criteria. The influence of Zn intake on serum/plasma Zn concentration was considered in the overall meta‐analysis. Other variables were also taken into account as possible effect modifiers: doses of Zn intake, intervention duration, nutritional status and risk of bias. The pooled β of status was 0.09 [confidence interval (CI) 0.05 to 0.12]. However, a substantial heterogeneity was present in the analyses (I2 = 98%; P = 0.00001). When we performed a meta‐regression, the effect of Zn intake on serum/plasma Zn status changed depending on the duration of the intervention, the dose of supplementation and the nutritional situation (P ANCOVA = 0.054; |
doi_str_mv | 10.1111/mcn.12045 |
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Out of 5500 studies identified through electronic searches and reference lists, 13 RCTs were selected after applying the exclusion/inclusion criteria. The influence of Zn intake on serum/plasma Zn concentration was considered in the overall meta‐analysis. Other variables were also taken into account as possible effect modifiers: doses of Zn intake, intervention duration, nutritional status and risk of bias. The pooled β of status was 0.09 [confidence interval (CI) 0.05 to 0.12]. However, a substantial heterogeneity was present in the analyses (I2 = 98%; P = 0.00001). When we performed a meta‐regression, the effect of Zn intake on serum/plasma Zn status changed depending on the duration of the intervention, the dose of supplementation and the nutritional situation (P ANCOVA = 0.054; <0.001 and <0.007, respectively). After stratifying the sample according to the effect modifiers, the results by duration of intervention showed a positive effect when Zn intake was provided during medium and long periods of time (4–20 weeks and >20 weeks). A positive effect was also seen when doses ranged from 8.1 to 12 mg day−1. In all cases, the pooled β showed high evidence of heterogeneity. Zn supplementation increases serum/plasma Zn status in infants, although high evidence of heterogeneity was found. Further standardised research is urgently needed to reach evidence‐based conclusions to clarify the role of Zn supplementation upon infant serum/plasma Zn status, particularly in Europe.</description><identifier>ISSN: 1740-8695</identifier><identifier>ISSN: 1740-8709</identifier><identifier>EISSN: 1740-8709</identifier><identifier>DOI: 10.1111/mcn.12045</identifier><identifier>PMID: 23647725</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Databases, Factual ; Dietary Supplements ; Europe ; EURRECA ; Humans ; Infant ; infants ; Nutritional Status ; Randomized Controlled Trials as Topic ; Review ; serum/plasma Zn status ; Zinc - administration & dosage ; Zinc - blood ; Zinc - pharmacokinetics ; zinc intake</subject><ispartof>Maternal and child nutrition, 2013-07, Vol.9 (3), p.285-298</ispartof><rights>2013 John Wiley & Sons Ltd</rights><rights>2013 John Wiley & Sons Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4535-fe94c8d2ec8f2ae6a4efbbeb0e1bacdc39bd6ae10c83e85687b8b52124d99bd53</citedby><cites>FETCH-LOGICAL-c4535-fe94c8d2ec8f2ae6a4efbbeb0e1bacdc39bd6ae10c83e85687b8b52124d99bd53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6860590/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6860590/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27923,27924,53790,53792</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23647725$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nissensohn, Mariela</creatorcontrib><creatorcontrib>Sánchez Villegas, Almudena</creatorcontrib><creatorcontrib>Fuentes Lugo, Daniel</creatorcontrib><creatorcontrib>Henríquez Sánchez, Patricia</creatorcontrib><creatorcontrib>Doreste Alonso, Jorge</creatorcontrib><creatorcontrib>Lowe, Nicola M.</creatorcontrib><creatorcontrib>Hall Moran, Victoria</creatorcontrib><creatorcontrib>Skinner, Anna Louise</creatorcontrib><creatorcontrib>Warthon Medina, Marisol</creatorcontrib><creatorcontrib>Serra-Majem, Lluis</creatorcontrib><title>Effect of zinc intake on serum/plasma zinc status in infants: a meta-analysis</title><title>Maternal and child nutrition</title><addtitle>Matern Child Nutr</addtitle><description>A systematic review and meta‐analysis of available randomised controlled trials (RCTs) was conducted to evaluate the effect of zinc (Zn) intake on serum/plasma Zn status in infants. Out of 5500 studies identified through electronic searches and reference lists, 13 RCTs were selected after applying the exclusion/inclusion criteria. The influence of Zn intake on serum/plasma Zn concentration was considered in the overall meta‐analysis. Other variables were also taken into account as possible effect modifiers: doses of Zn intake, intervention duration, nutritional status and risk of bias. The pooled β of status was 0.09 [confidence interval (CI) 0.05 to 0.12]. However, a substantial heterogeneity was present in the analyses (I2 = 98%; P = 0.00001). When we performed a meta‐regression, the effect of Zn intake on serum/plasma Zn status changed depending on the duration of the intervention, the dose of supplementation and the nutritional situation (P ANCOVA = 0.054; <0.001 and <0.007, respectively). After stratifying the sample according to the effect modifiers, the results by duration of intervention showed a positive effect when Zn intake was provided during medium and long periods of time (4–20 weeks and >20 weeks). A positive effect was also seen when doses ranged from 8.1 to 12 mg day−1. In all cases, the pooled β showed high evidence of heterogeneity. Zn supplementation increases serum/plasma Zn status in infants, although high evidence of heterogeneity was found. Further standardised research is urgently needed to reach evidence‐based conclusions to clarify the role of Zn supplementation upon infant serum/plasma Zn status, particularly in Europe.</description><subject>Databases, Factual</subject><subject>Dietary Supplements</subject><subject>Europe</subject><subject>EURRECA</subject><subject>Humans</subject><subject>Infant</subject><subject>infants</subject><subject>Nutritional Status</subject><subject>Randomized Controlled Trials as Topic</subject><subject>Review</subject><subject>serum/plasma Zn status</subject><subject>Zinc - administration & dosage</subject><subject>Zinc - blood</subject><subject>Zinc - pharmacokinetics</subject><subject>zinc intake</subject><issn>1740-8695</issn><issn>1740-8709</issn><issn>1740-8709</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><recordid>eNp1kE9v1DAQxS0EoqX0wBdAOcIhXTuO_4QDElraBaktEipqb9bEGYNp4iyxAyyfnizpruiho5HG0vvNG-sR8oLREzbVorPhhBW0FI_IIVMlzbWi1ePdW1bigDyL8TulfFtPyUHBZalUIQ7JxalzaFPWu-yPDzbzIcEtZn3IIg5jt1i3EDuYtZggjXFCpnYQUnyTQdZhghwCtJvo43PyxEEb8fhuHpEvZ6dXyw_5-afVx-W789yWgovcYVVa3RRotSsAJZTo6hpriqwG21he1Y0EZNRqjlpIrWpdi4IVZVNNkuBH5O3sux7rDhuLIQ3QmvXgOxg2pgdv7ivBfzNf-59GaklFRSeDV3cGQ_9jxJhM56PFtoWA_RgN41IKpSu-vfV6Ru3Qxzig259h1GzjN1P85l_8E_vy_3_tyV3eE7CYgV--xc3DTuZiebmzzOcNHxP-3m_AcGuk4kqY68uV-axuqqub92dmxf8CeXOgeQ</recordid><startdate>201307</startdate><enddate>201307</enddate><creator>Nissensohn, Mariela</creator><creator>Sánchez Villegas, Almudena</creator><creator>Fuentes Lugo, Daniel</creator><creator>Henríquez Sánchez, Patricia</creator><creator>Doreste Alonso, Jorge</creator><creator>Lowe, Nicola M.</creator><creator>Hall Moran, Victoria</creator><creator>Skinner, Anna Louise</creator><creator>Warthon Medina, Marisol</creator><creator>Serra-Majem, Lluis</creator><general>Blackwell Publishing Ltd</general><general>John Wiley and Sons Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201307</creationdate><title>Effect of zinc intake on serum/plasma zinc status in infants: a meta-analysis</title><author>Nissensohn, Mariela ; Sánchez Villegas, Almudena ; Fuentes Lugo, Daniel ; Henríquez Sánchez, Patricia ; Doreste Alonso, Jorge ; Lowe, Nicola M. ; Hall Moran, Victoria ; Skinner, Anna Louise ; Warthon Medina, Marisol ; Serra-Majem, Lluis</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4535-fe94c8d2ec8f2ae6a4efbbeb0e1bacdc39bd6ae10c83e85687b8b52124d99bd53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Databases, Factual</topic><topic>Dietary Supplements</topic><topic>Europe</topic><topic>EURRECA</topic><topic>Humans</topic><topic>Infant</topic><topic>infants</topic><topic>Nutritional Status</topic><topic>Randomized Controlled Trials as Topic</topic><topic>Review</topic><topic>serum/plasma Zn status</topic><topic>Zinc - administration & dosage</topic><topic>Zinc - blood</topic><topic>Zinc - pharmacokinetics</topic><topic>zinc intake</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nissensohn, Mariela</creatorcontrib><creatorcontrib>Sánchez Villegas, Almudena</creatorcontrib><creatorcontrib>Fuentes Lugo, Daniel</creatorcontrib><creatorcontrib>Henríquez Sánchez, Patricia</creatorcontrib><creatorcontrib>Doreste Alonso, Jorge</creatorcontrib><creatorcontrib>Lowe, Nicola M.</creatorcontrib><creatorcontrib>Hall Moran, Victoria</creatorcontrib><creatorcontrib>Skinner, Anna Louise</creatorcontrib><creatorcontrib>Warthon Medina, Marisol</creatorcontrib><creatorcontrib>Serra-Majem, Lluis</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Maternal and child nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nissensohn, Mariela</au><au>Sánchez Villegas, Almudena</au><au>Fuentes Lugo, Daniel</au><au>Henríquez Sánchez, Patricia</au><au>Doreste Alonso, Jorge</au><au>Lowe, Nicola M.</au><au>Hall Moran, Victoria</au><au>Skinner, Anna Louise</au><au>Warthon Medina, Marisol</au><au>Serra-Majem, Lluis</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of zinc intake on serum/plasma zinc status in infants: a meta-analysis</atitle><jtitle>Maternal and child nutrition</jtitle><addtitle>Matern Child Nutr</addtitle><date>2013-07</date><risdate>2013</risdate><volume>9</volume><issue>3</issue><spage>285</spage><epage>298</epage><pages>285-298</pages><issn>1740-8695</issn><issn>1740-8709</issn><eissn>1740-8709</eissn><abstract>A systematic review and meta‐analysis of available randomised controlled trials (RCTs) was conducted to evaluate the effect of zinc (Zn) intake on serum/plasma Zn status in infants. Out of 5500 studies identified through electronic searches and reference lists, 13 RCTs were selected after applying the exclusion/inclusion criteria. The influence of Zn intake on serum/plasma Zn concentration was considered in the overall meta‐analysis. Other variables were also taken into account as possible effect modifiers: doses of Zn intake, intervention duration, nutritional status and risk of bias. The pooled β of status was 0.09 [confidence interval (CI) 0.05 to 0.12]. However, a substantial heterogeneity was present in the analyses (I2 = 98%; P = 0.00001). When we performed a meta‐regression, the effect of Zn intake on serum/plasma Zn status changed depending on the duration of the intervention, the dose of supplementation and the nutritional situation (P ANCOVA = 0.054; <0.001 and <0.007, respectively). After stratifying the sample according to the effect modifiers, the results by duration of intervention showed a positive effect when Zn intake was provided during medium and long periods of time (4–20 weeks and >20 weeks). A positive effect was also seen when doses ranged from 8.1 to 12 mg day−1. In all cases, the pooled β showed high evidence of heterogeneity. Zn supplementation increases serum/plasma Zn status in infants, although high evidence of heterogeneity was found. Further standardised research is urgently needed to reach evidence‐based conclusions to clarify the role of Zn supplementation upon infant serum/plasma Zn status, particularly in Europe.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>23647725</pmid><doi>10.1111/mcn.12045</doi><tpages>14</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Databases, Factual Dietary Supplements Europe EURRECA Humans Infant infants Nutritional Status Randomized Controlled Trials as Topic Review serum/plasma Zn status Zinc - administration & dosage Zinc - blood Zinc - pharmacokinetics zinc intake |
title | Effect of zinc intake on serum/plasma zinc status in infants: a meta-analysis |
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