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Published on: May 16, 2019
Serum zinc levels in children with acute gastroenteritis
Akgün Olmez1, S Songül Yalçin, Kadriye Yurdakök
1Division of Child Neurology, Department of Pediatrics, Hacettepe University Facutly of Medicine, Ankara, Turkey. dr_akgun@yahoo.com
Insights
Serum zinc levels in infants with acute gastroenteritis were not significantly affected by the illness itself. Gastroenteritis did not further deplete zinc in cases of existing mild or subclinical zinc deficiency.
Area of Science:
- Pediatric Nutrition
- Gastroenterology
- Clinical Biochemistry
Background:
- Acute gastroenteritis is a common childhood illness.
- Zinc deficiency can impact immune function and recovery.
- Understanding zinc status during illness is crucial for management.
Purpose of the Study:
- To investigate serum zinc levels in infants with acute gastroenteritis.
- To compare zinc levels on admission and after recovery.
- To assess the impact of gastroenteritis on zinc status.
Main Methods:
- Prospective study of 82 infants (2-24 months) with acute gastroenteritis.
- Exclusion of infants with infections, chronic diseases, or malnutrition.
- Comparison with 41 healthy infants as a control group.
Main Results:
- Mean serum zinc levels on admission (Zn1) and after recovery (Zn2) were similar to controls.
- Zn2 was significantly lower than Zn1, but clinical significance is debated.
- No statistical difference in zinc levels between patients and controls.
- Dehydration status did not alter Zn1 or Zn2.
- 39% of controls had low zinc, indicating subclinical deficiency.
Conclusions:
- Acute gastroenteritis does not significantly alter serum zinc levels in well-nourished infants.
- The disease state does not further decrease zinc levels in patients with pre-existing asymptomatic or subclinical zinc deficiency.
Background:
The aim of the present study was to determine the serum zinc levels on admission and 7-10 days after clinical recovery from acute gastroenteritis of <8 days' duration.
Methods:
This prospective study included 82 infants aged 2-24 months who had no associated bacterial infection, chronic disease, prior antibiotic use, moderate or severe malnutrition or dysentery. Forty-one healthy children formed the control group.
Results:
The mean serum zinc level on admission (Zn1) was 11.85 +/- 2.83 micromol/L and at 7-10 days after recovery (Zn2) was 10.92 +/- 2.17 micromol/L; mean serum zinc level of the control group was 11.81 +/- 3.45 micromol/L. Zn2 was significantly lower than Zn1, but there was no statistical difference between the mean of the control group and Zn1 and Zn2. When dehydrated patients were excluded from the patient group, Zn1 and Zn2 did not differ. Although asymptomatic, 39% of the control group had low zinc. Serum zinc levels were not affected by sex, age, clinical characteristics of the patients or severity of gastroenteritis.
Conclusion:
Serum zinc levels of the patients admitted with acute gastroenteritis without any other disease and without moderate or severe malnutrition were not affected by disease state. Gastroenteritis did not further decrease serum zinc levels in patients with asymptomatic or subclinical zinc deficiency.
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