“…This assumption is supported by the absence of a signi®cant relationship between IGF-1 and s-zinc. Besides growth hormone, dietary zinc and protein are two of the main determinants of IGF-1 synthesis (Thissen et al, 1994), which is shown by experimental and human studies of de®cient and supplemented subjects (Branda AEo-Neto et al, 1995;Ninh et al, 1996;Cossack, 1984). No relationship is found between s-zinc and IGF-1 in children with delayed growth (Mokni et al, 1993), con®rming that the growth-stimulating effect of zinc is only partially mediated by IGF-1; alternatively zinc regulation of IGF-1 may occur at tissue or at cellular level (Branda AEo-Neto et al, 1995); on the other hand IGF-1 levels were positively associated with weight gain but not with linear growth, which could relate to its link with obesity (Gourmelen et al, 1994).…”