Zinc and iron deficiency and their interrelations in low-income African American and Hispanic children in Atlanta

Cole, Conrad R.; Grant, Frederick; Swaby-Ellis, E. Dawn; Smith, Joy L.; Jacques, Anne; Northrop-Clewes, Christine A.; Caldwell, Kathleen L.; Pfeiffer, Christine M.; Ziegler, Thomas R.

doi:10.3945/ajcn.2009.28089

Cited by 79 publications

(65 citation statements)

References 38 publications

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“…Çalışmada anemili çocukların çinko eksikliği açısından değerlendirilmesi gerektiği bildirilmiştir. Bu ilişki daha önce de yayınlarda bildirilmiş olup, çinko ve demirin aynı besin kaynaklarından teminine bağlanmıştır [16] .…”

Section: Discussionunclassified

Evaluation of Serum Zinc Levels in Iron Deficiency Anemia In Children

Ataman¹

2017

Haydarpasa Numune Med J

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Giriş ve Amaç:Demir eksikliği anemisi gelişmekte olan ülkelerde önemli bir sorun teşkil etmektedir. Demir eksikliği anemisi tespit edilen çocukların ve ailelerinin demografik özelliklerini, serum çinko düzeyi ile karşılaştırmayı amaçladık. Yöntem ve Gereçler: Haydarpaşa Numune Eğitim ve Araştırma Hastanesi Çocuk Sağlığı ve Hastalıkları Polikliniği'nde 01.11.2013-01.12.2013 tarihleri arasında 6 ay-12 yaş arasındaki demir eksikliği anemisi olan çocukların boy ve ağırlık persentillerine bakılarak, beslenme alışkanlığı ve ailenin gelir düzeyi sorgulanarak, serum çinko örneği için kan alındı. Hastalardan alınan kan örneklerinden çinko düzeyi saptanarak çinko düzeylerindeki farklılıkların demir eksikliği anemisi ile ilişkisi değerlendirildi. Bulgular: Demir eksikliği anemisi olan hastalardan bakılan serum çinko düzeyi ile cinsiyet, beslenme, aile gelir düzeyi, aile eğitim durumu arasında istatiksel olarak anlamlı fark bulunmadı (p>0.05). Çinko düzeyi ile yaş ve ağırlık arasında anlamlı pozitif korelasyon mevcuttu (p<0.05). Çinko düzeyi ile boy ve Fe/Febk yüzde değeri arasında anlamlı korelasyon yoktu (p>0.05). Tartışma ve Sonuç: Biz bu çalışmada demir eksikliği anemisi olan çocuklarda anlamlı bir çinko eksikliği tespit etmedik. Bunu çalışmaya alınan çocuk yaş grubu yelpazesinin geniş olmasına, özellikle büyük çocukların çinko ihtiyacını kuruyemişten ve proteinden karşılayabilmesine bağlıyoruz. Ancak konuyla ilgili daha fazla sayıda hasta içeren çalışmalara ihtiyaç vardır.

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Section: Discussionunclassified

Evaluation of Serum Zinc Levels in Iron Deficiency Anemia In Children

Ataman¹

2017

Haydarpasa Numune Med J

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“…[11][12][13][14][15] This large variation is because of several factors such as socioeconomic status and educational and cultural background of children's family, beyond the disease itself. 16 In malnourished children a decreased tolerance to chemotherapy is well known. It comprises an increased infection rate, which contributes to a poor outcome of the disease.…”

Section: Discussionmentioning

confidence: 99%

Zinc supplementation in children and adolescents with acute leukemia

et al. 2013

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LZZ Consolo, P Melnikov, FZ Cô nsolo, VA Nascimento and JCDV Pontes BACKGROUND/OBJECTIVES: Zinc is known as an essential micronutrient for human health because of its structural and biochemical functions, influencing growth and affecting multiple aspects of the immune system. Zinc has been extensively studied in neoplastic processes but its role in children with leukemia still remains to be elucidated in several aspects. The aim of this study was to evaluate the effects of oral zinc supplementation on weight gain and infectious episodes in children and adolescents with acute leukemia. SUBJECTS/METHODS: This study included 38 patients, and was carried out as a randomized, double-blind, placebo-controlled investigation. The dosage of plasma zinc levels and the evaluation of nutritional status were performed during a period of 60 days. Zinc was supplemented orally, 2 mg/kg/day, in the form of amino acid salt. RESULTS:The results showed that plasma zinc concentrations did not increase significantly with the addition of the micronutrient. However, from a clinical point of view, it has become evident that supplementary zinc exerts a positive effect on nutritional status as positive weight gain. Moreover, the number of infection episodes was significantly reduced, possibly because of the immune stimuli. CONCLUSIONS: In conclusion, zinc supplementation can prevent some of the chemotherapy adverse effects in children with leukemia, improving their quality of life.

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“…Na infância, essas deficiências podem ocasionar problemas no crescimento e no desenvolvimento, assim como distúrbios imunológicos que contribuem para o aumento da morbimortalidade infantil com ênfase nas doenças infecciosas [2][3][4] .…”

Section: N T R O D U ç ã Ounclassified

“…Na África do Sul, a coexistência das deficiências de zinco e de ferro foi maior do que a coexistência da deficiência de vitamina A com a deficiência de zinco 36 . Outro estudo, com crianças afro-americanas e hispânicas da cidade de Atlanta, Estados Unidos, apontou associação entre deficiência de zinco e anemia ao indicar o maior risco de deficiência de zinco entre as crianças anêmicas 3 . A correlação entre indicadores do estado nutricional de vitamina A e das concentrações de hemoglobina tem sido observada na literatura, como em estudo conduzido com crianças da Jordânia 40 .…”

Section: I S C U S S ã Ounclassified

Isolated and combined prevalence of anemia, vitamin A deficiency and zinc deficiency in preschool children 12-72 months for the government of Paraíba

Pedraza

Sales

2014

Rev. Nutr.

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OBJECTIVE: To estimate the isolated and combined prevalence of anemia, vitamin A deficiency and zinc deficiency in pre-school children, as well as the distribution of isolated deficiencies according to gender, age and prior supplementation with vitamin A. METHODS: Cross-sectional study with pre-school children in the state of Paraíba, Brazil. Analysis of the average concentrations of hemoglobin, serum retinol and serum zinc, according to gender, age and previous vitamin A supplementation of children were carried out as well as the risk of simultaneous occurrence of micronutrient deficiencies in the presence of these deficiencies. RESULTS: The prevalence of anemia, vitamin A deficiency and zinc deficiency were 15.4%, 23.3% and 13.8%, respectively. The anemia was significantly associated with age (p<0.01). Children previously supplemented by vitamin A had higher serum retinol concentrations than children without supplements, an effect that was not observed for concentrations of hemoglobin or serum zinc. The prevalence of anemia associated with vitamin A deficiency was 5.8%, with the chance of vitamin A deficiency and anemia coexist 2.21 times (95%CI=1.03-4.84) higher in the case of vitamin A deficiency or anemia rather than in the absence of these conditions. CONCLUSION: The high prevalence of micronutrient deficiencies which are important in child growth, as well as the coexistence of nutritional deficiencies, point out the need to strengthen nutrition intervention strategies that consider this issue.

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Zinc and iron deficiency and their interrelations in low-income African American and Hispanic children in Atlanta

Abstract: The prevalence of zinc deficiency and anemia was high in this population of low-income minority children, especially among African Americans. Further investigation of the incidence of zinc deficiency and the ability of anemia to screen for it is warranted.

Cited by 79 publications

References 38 publications

Evaluation of Serum Zinc Levels in Iron Deficiency Anemia In Children

Evaluation of Serum Zinc Levels in Iron Deficiency Anemia In Children

Zinc supplementation in children and adolescents with acute leukemia

Isolated and combined prevalence of anemia, vitamin A deficiency and zinc deficiency in preschool children 12-72 months for the government of Paraíba

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