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The effect of zinc supplementation on linear growth, body composition, and growth factors in preterm infants
N Marta Díaz-Gómez1, Eduardo Doménech, Flora Barroso
1Research Unit, University Hospital of the Canaries, La Laguna, Spain. nmdiaz@ull.es
Insights
Zinc supplementation improved linear growth in premature infants. This study found that supplementing formula with zinc led to greater increases in length and total body water.
Area of Science:
- Neonatal nutrition
- Pediatric growth and development
- Mineral metabolism
Background:
- Premature infants often experience growth challenges.
- Nutritional deficiencies, including zinc, can impair growth in this population.
- Optimizing nutrient intake is crucial for catch-up growth and long-term health outcomes.
Purpose of the Study:
- To investigate the impact of zinc supplementation on linear growth.
- To assess effects on body composition and key growth factors in preterm infants.
- To determine optimal zinc and copper levels in formula for premature infants.
Main Methods:
- A double-blind, randomized clinical trial involving 36 preterm infants.
- Infants received standard formula with or without supplemental zinc and copper.
- Measurements included anthropometry, bioelectrical impedance, and serum/erythrocyte mineral and growth factor levels.
Main Results:
- The zinc-supplemented group showed significantly greater linear growth.
- Increased total body water and serum skeletal alkaline phosphatase (sALP) levels were observed in the supplemented group.
- Higher serum and erythrocyte zinc levels and lower serum copper levels were noted in the supplemented group.
Conclusions:
- Zinc supplementation positively influences linear growth in premature infants.
- Adequate zinc intake is essential for promoting healthy growth and development in this vulnerable population.
- Further research could explore long-term growth trajectories and optimal supplementation strategies.
Objective:
The aim of our study was to evaluate the effect of zinc supplementation on linear growth, body composition, and growth factors in premature infants.
Design:
Thirty-six preterm infants (gestational age: 32.0 +/- 2.1 weeks, birth weight: 1704 +/- 364 g) participated in a longitudinal double-blind, randomized clinical trial. They were randomly allocated either to the supplemental (S) group fed with a standard term formula supplemented with zinc (final content 10 mg/L) and a small quantity of copper (final content 0.6 mg/L), or to the placebo group fed with the same formula without supplementation (final content of zinc: 5 mg/L and copper: 0.4 mg/L), from 36 weeks postconceptional age until 6 months corrected postnatal age. At each evaluation, anthropometric variables and bioelectrical impedance were measured, a 3-day dietary record was collected, and a blood sample was taken. We analyzed serum levels of total alkaline phosphatase, skeletal alkaline phosphatase (sALP), insulin growth factor (IGF)-I, IGF binding protein-3, IGF binding protein-1, zinc and copper, and the concentrations of zinc in erythrocytes.
Results:
The S group had significantly higher zinc levels in serum and erythrocytes and lower serum copper levels with respect to the placebo group. We found that the S group had a greater linear growth (from baseline to 3 months corrected age: Delta score deviation standard length: 1.32 +/-.8 vs.38 +/-.8). The increase in total body water and in serum levels of sALP was also significantly higher in the S group (total body water: 3 months; corrected age: 3.8 +/-.5 vs 3.5 +/-.4 kg, 6 months; corrected age: 4.5 +/-.5 vs 4.2 +/-.4 kg; sALP: 3 months; corrected age: 140.2 +/- 28.7 vs 118.7 +/- 18.8 micro g/L).
Conclusions:
Zinc supplementation has a positive effect on linear growth in premature infants.
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