AbdulWahab Atqah, Zeidan Aseel, Avades Tony, Chandra Prem, Soliman Ashraf
Department of Pediatrics, Hamad Medical Corporation, P.O. Box 3050, Doha, Qatar.
Weill Cornell Medicine, P.O. Box 3050, Doha, Qatar.
Children (Basel). 2018 Mar 16;5(3):42. doi: 10.3390/children5030042.
Asthma is one of the most common chronic disorders among children. Zinc (Zn) is an essential dietary antioxidant and may have a special role in assisting the airways of asthmatic subjects. The primary objective of this study was to measure serum Zn levels among asthmatic school children and to compare this to the serum Zn level in non-asthmatic children. The secondary objective was to investigate the relationship between Zn levels and the degree of asthma control. A cross-sectional study following forty asthmatic children and forty matched non-asthmatic children of both genders was conducted. Weight, height, body mass index (BMI), BMI Z-scores, serum Zn, hemoglobin, total protein, and albumin concentrations were measured in both groups. Serum immunoglobulin E (IgE) levels, the forced expiratory volume in 1 second (FEV1), and dosage of inhaled steroids were measured in asthmatic school children. The results show the mean Zn level among asthmatic children was 12.78 ± 1.8 μmol/L. Hypozincemia was detected in four asthmatic children. Asthma and control groups were matched in age, gender, and BMI Z score ( > 0.05). No significant difference was observed in Zn levels, hemoglobin, albumin, and total protein between both groups ( > 0.05). Among asthmatics, Zn levels were not significantly associated with the degree of asthma control (well controlled, mean Zn = 12.9 ± 1.5, partially controlled, mean Zn = 11.9 ± 1.6, and uncontrolled, mean Zn = 3.62 ± 2.2) ( = 0.053). The Zn level was not correlated with the FEV1 Z score. There was no significant association between Zn level and the dosage of inhaled steroids or IgE concentrations ( > 0.05). The findings show that Zn may not play a major role in the degree of asthma control. Larger studies are needed to confirm these results.
哮喘是儿童中最常见的慢性疾病之一。锌(Zn)是一种必需的膳食抗氧化剂,可能在协助哮喘患者气道方面发挥特殊作用。本研究的主要目的是测量哮喘学龄儿童的血清锌水平,并将其与非哮喘儿童的血清锌水平进行比较。次要目的是研究锌水平与哮喘控制程度之间的关系。对40名哮喘儿童和40名匹配的非哮喘儿童(男女均有)进行了一项横断面研究。测量了两组儿童的体重、身高、体重指数(BMI)、BMI Z评分、血清锌、血红蛋白、总蛋白和白蛋白浓度。测量了哮喘学龄儿童的血清免疫球蛋白E(IgE)水平、1秒用力呼气量(FEV1)和吸入类固醇的剂量。结果显示,哮喘儿童的平均锌水平为12.78±1.8μmol/L。在4名哮喘儿童中检测到低锌血症。哮喘组和对照组在年龄、性别和BMI Z评分方面相匹配(>0.05)。两组之间的锌水平、血红蛋白、白蛋白和总蛋白无显著差异(>0.05)。在哮喘患者中,锌水平与哮喘控制程度无显著相关性(控制良好,平均锌=12.9±1.5;部分控制,平均锌=11.9±1.6;未控制,平均锌=3.62±2.2)(P=0.053)。锌水平与FEV1 Z评分无关。锌水平与吸入类固醇剂量或IgE浓度之间无显著关联(>0.05)。研究结果表明,锌可能在哮喘控制程度中不起主要作用。需要更大规模的研究来证实这些结果。