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Zinc Kinetics Correlate With Length‐for‐Age z Scores in Bangladeshi Infants

ترتبط حركية الزنك بدرجات الطول بالنسبة للعمر z عند الرضع البنغلاديشيين
Authors: Meryl E. Wastney; Julie M. Long; Christine M McDonald; Nancy F. Krebs; M. Munirul Islam; Tahmeed Ahmed; Afsana Mim Khandaker; +3 Authors

Zinc Kinetics Correlate With Length‐for‐Age z Scores in Bangladeshi Infants

Abstract

Objectives:Stunting [length‐for‐age z score (LAZ) <−2] has multiple causes and is prevalent in areas with low dietary zinc (Zn) intake. Zinc kinetics from non‐stunted infants were used in a published model for predicting linear growth; here, we directly measure zinc kinetics in stunted infants.Methods:Zinc kinetics were determined in 9‐month‐old Bangladeshi infants (n = 10), who were non‐wasted [weight‐for‐length z score (WLZ) >−2], ranging in LAZ from −2.9 to −0.43. Stable isotopes were administered 2 hours after a meal as oral (70Zn) and intravenous (67Zn) tracers. After isotope administration, blood was sampled within 5 hours and all urine and feces were collected for 24 hours. Urine was sampled twice‐daily out to 9 days. Data were analyzed by compartmental modeling. Daily zinc intake was estimated by the model as the sum of zinc used for growth plus that lost via urine and feces. Zinc absorbed (the amount required to maintain steady state) was the sum of zinc used for growth plus urine and endogenous fecal excretions.Results:The LAZ score correlated with serum zinc concentration (R = 0.77, P = 0.001), urinary zinc excretion (R = 0.66, P = 0.010), and fractional zinc absorption from calculated daily intake (R = 0.58, P = 0.030). In stunted infants (n = 8), the amount of zinc absorbed did not increase with calculated zinc intake unlike published values for non‐stunted infants.Conclusions:Zinc kinetics in Bangladeshi infants correlate with LAZ and show that malabsorption of supplemental sources of zinc may occur in stunted infants.

Keywords

Zinc deficiency (plant disorder), Physiology, Excretion, Organic chemistry, Nursing, FOS: Health sciences, Urine, Feces, Copper and Zinc in Health and Disease, Health Sciences, Pathology, Humans, Micronutrient, Internal medicine, Biology, Growth Disorders, Maternal and Child Nutrition in Developing Countries, Nutrition and Dietetics, Regulation of Iron Metabolism and Anemia, Gastroenterology, Infant, Paleontology, Hematology, Diet, Zinc, Chemistry, FOS: Biological sciences, Medicine, Animal science

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selected citations
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This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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