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危地马拉城郊儿童的生长发育和身体组成与锌状态的关系:一项锌干预纵向试验

Growth and body composition of periurban Guatemalan children in relation to zinc status: a longitudinal zinc intervention trial.

作者信息

Cavan K R, Gibson R S, Grazioso C F, Isalgue A M, Ruz M, Solomons N W

机构信息

Division of Applied Human Nutrition, University of Guelph, Ontario, Canada.

出版信息

Am J Clin Nutr. 1993 Mar;57(3):344-52. doi: 10.1093/ajcn/57.3.344.

DOI:10.1093/ajcn/57.3.344
PMID:8438768
Abstract

Changes in growth, body composition, and zinc indexes were evaluated after 25 wk in a double-blind zinc-supplementation study of 162 periurban Guatemalan children aged 81.5 +/- 7.0 mo (mean +/- SD). Children receiving the zinc supplement (10 mg Zn/d as amino acid chelate) for 90.1 +/- 9.2 d had higher mean fasting plasma zinc (16.2 +/- 2.9 vs 14.9 +/- 2.1 mumol/L, P < 0.01), a greater increase in median triceps skinfold Z score (0.50 vs 0.38, P < 0.05), and a smaller deficit in median midarm circumference (MAC) Z score (-0.03 vs -0.20, P < 0.05) compared with the placebo group. Initial hair zinc classified as < 1.68 and > 1.68 mumol/g was the only laboratory variable that explained some of the variance in final Z scores of midarm-muscle area (P < 0.05) and MAC (P < 0.01). Children responded to the zinc supplement with changes in indexes of body composition rather than growth.

摘要

在一项针对162名危地马拉城郊81.5±7.0个月(均值±标准差)儿童的双盲补锌研究中,25周后评估了生长、身体成分和锌指标的变化。接受90.1±9.2天补锌(10毫克锌/天,以氨基酸螯合物形式)的儿童,其空腹血浆锌均值更高(16.2±2.9对14.9±2.1微摩尔/升,P<0.01),肱三头肌皮褶厚度Z评分中位数的增加幅度更大(0.50对0.38,P<0.05),与安慰剂组相比,上臂中部周长(MAC)Z评分中位数的不足更小(-0.03对-0.20,P<0.05)。初始头发锌含量分为<1.68和>1.68微摩尔/克,是唯一能解释上臂肌肉面积最终Z评分(P<0.05)和MAC(P<0.01)部分差异的实验室变量。儿童对补锌的反应是身体成分指标发生变化,而非生长指标。

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