Effects of Zinc supplementation on nutritional status in children with chronic kidney disease: A randomized trial

Zinc is an essential micronutrient for human beings and its deficiency a ects their normal growth and development. Objective: The main aim was to evaluate the e ect of two doses of zinc supplementation (ZS) on the nutritional status in chronic kidney disease (CKD) children. Methods: A randomized-tri...

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Detalles Bibliográficos
Autores: Escobedo Monge, Marlene Fabiola, Ayala Macedo, Guido, Shakihara, Graciela, Peralta, Silvia, Almaraz Gómez, Ana, Barrado Esteban, Enrique, Marugán de Miguelsanz, José Manuel
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2019
País:España
Institución:Universidad de Valladolid
Repositorio:UVaDOC. Repositorio Documental de la Universidad de Valladolid
OAI Identifier:oai:uvadoc.uva.es:10324/39902
Acceso en línea:https://doi.org/10.3390/nu11112671
http://uvadoc.uva.es/handle/10324/39902
Access Level:acceso abierto
Palabra clave:Zinc
Hypozincemia
Kidney - Diseases
Descripción
Sumario:Zinc is an essential micronutrient for human beings and its deficiency a ects their normal growth and development. Objective: The main aim was to evaluate the e ect of two doses of zinc supplementation (ZS) on the nutritional status in chronic kidney disease (CKD) children. Methods: A randomized-trial multicentric study was conducted in 48 CKD (23 females) patients under 18-years-old, for a year. At random, participants took 30 or 15 mg/day of ZS, respectively. Anthropometric measurements and biochemical analysis were performed. Hypozincemia was determined by serum zinc concentration (SZC) using atomic absorption spectrophotometry. The positive or negative change in patients’ body mass index (BMI) Z-score, serum albumin, zinc and C-reactive protein (CRP) levels were used to evaluate the e ect of ZS. Results: Mean SZC was normal before and after ZS. Despite ZS, there were no significant changes in serum albumin, zinc and CRP levels. A positive and significant association was observed between SZC and serum albumin before (p = 0.000) and after (p = 0.007) ZS. In both groups of ZS, there was a small but positive and significant change in body mass and normalization in BMI Z-score, hypoalbuminemia, hypozincemia and high CRP, especially with 30 mg/day of ZS. Conclusions: Zinc supplementation may be beneficial for nutritional status in children and adolescents with CKD