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Published on: May 16, 2019
Therapeutic zinc and copper supplementation in acute diarrhea does not influence short-term morbidity and growth:
Archana B Patel1, Michael J Dibley, Manju Mamtani
1Lata Medical Research Foundation, Indira Gandhi Government Medical College, Nagpur, India.
Insights
Zinc and copper supplementation did not significantly improve outcomes for children with acute diarrhea. This 12-week study found no short-term benefits, suggesting therapeutic mineral supplementation may not always be effective.
Area of Science:
- Pediatrics
- Nutritional Science
- Clinical Trials
Background:
- Acute diarrhea is a major cause of childhood morbidity globally.
- Zinc supplementation is recommended by WHO for diarrhea treatment, but its efficacy is debated.
- The role of combined zinc and copper supplementation is less understood.
Purpose of the Study:
- To evaluate the impact of zinc and copper supplementation on morbidity and growth in children with acute diarrhea.
- To assess short-term benefits of therapeutic mineral supplementation in pediatric diarrhea.
Main Methods:
- A double-blind, randomized controlled clinical trial was conducted.
- 724 children aged 6-59 months with acute diarrhea were enrolled.
- Outcomes including morbidity and growth were monitored over 12 weeks.
Main Results:
- No significant association was found between zinc supplementation and any of the 11 evaluated outcomes.
- Combined zinc and copper supplementation also showed no significant effect on morbidity or growth.
- The study did not demonstrate short-term benefits of therapeutic zinc or zinc and copper supplementation.
Conclusions:
- Therapeutic zinc supplementation may not consistently provide short-term benefits in children with acute diarrhea.
- Combined zinc and copper supplementation did not show a significant advantage over zinc alone in this cohort.
- Further research may be needed to identify specific contexts or populations where these supplements are beneficial.
Abstract:
Our objective was to evaluate the effect of zinc and copper supplementation in acute diarrhea on morbidity and growth during 12 weeks of follow-up. In a double-blind randomized controlled clinical trial of 724 children aged 6-59 months, none of the 11 evaluated outcomes showed significant association with zinc or zinc and copper supplementation. Thus, therapeutic zinc supplementation may not always yield short-term -benefits.
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