Van Biervliet Stéphanie, Van Biervliet Jean-Pierre, Bernard Dirk, Vercaemst Raf, Blaton Vic
Department of Paediatric Gastroenterology and Nutrition, UZ Ghent, Ghent, Belgium.
Biol Trace Elem Res. 2003 Jul;94(1):33-40. doi: 10.1385/BTER:94:1:33.
Many reports mention marginal zinc status in childhood. Information on serum zinc (Zn) in Belgian children since the last reports are old and feeding habits are changing. Four hundred fifty-seven healthy children (0-14 yr, 262 boys) had a venipuncture after an overnight fast during a vaccination campaign. Serum Zn, alpha-tocopherol (alpha-T), cholesterol, low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C), apolipoprotein B (Apo B), Apo A, and malondialdehyde (MDA) were determinated. The median Zn value is lower in infants than in older children (respectively 11.6 micromol/L vs 12.8 micromol/L). The type of infant feeding does not influence the serum Zn concentrations (breast-feeding, adapted, hypoallergenic, soy, or thickened). No children had increased serum MDA concentrations and the value is not influenced by the Zn concentration. Children presenting higher serum Zn values also have significantly higher serum alpha-T levels. In infants, there is a significant positive correlation between serum Zn and cholesterol, LDL-C, and Apo B. In this apparently healthy population, no signs of abnormal in vivo peroxidation of fatty acids are observed, even in the children with low serum Zn. More sensitive methods for the detection of peroxidation are necessary for determination of in vivo effects of marginal trace element status.
许多报告都提到了儿童期锌缺乏的边缘状态。自上次报告以来,关于比利时儿童血清锌(Zn)的信息已陈旧,且饮食习惯正在改变。457名健康儿童(0至14岁,262名男孩)在疫苗接种活动期间禁食过夜后接受了静脉穿刺。测定了血清锌、α-生育酚(α-T)、胆固醇、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)、载脂蛋白B(Apo B)、载脂蛋白A和丙二醛(MDA)。婴儿的锌中位数低于大龄儿童(分别为11.6微摩尔/升和12.8微摩尔/升)。婴儿喂养方式不影响血清锌浓度(母乳喂养、适度水解、低敏、大豆或增稠配方奶)。没有儿童的血清MDA浓度升高,其值也不受锌浓度的影响。血清锌值较高的儿童血清α-T水平也显著较高。在婴儿中,血清锌与胆固醇、LDL-C和Apo B之间存在显著正相关。在这个看似健康的人群中,即使是血清锌水平低的儿童,也未观察到体内脂肪酸异常过氧化的迹象。需要更灵敏的过氧化检测方法来确定边缘微量元素状态的体内效应。