Skip to main content
Log in

Assessment of zinc status in man

  • Symposium: Micronutrients and Health
  • Published:
The Indian Journal of Pediatrics Aims and scope Submit manuscript

Conclusions

The assessment of human zinc nutritional status has proven to be difficult and challenging task over the course of many years. Dietary and medical history and physical examination may all provide important clues. Of the many laboratory assays for measurement of tissue zinc concentration and functional indices of zinc status, plasma zinc, despite many limitations, remains the assay of choice. Utilization of stable isotope techniques to evaluate zinc homeostasis include measurement of absorption of exogenous zinc, excretion of endogenous zinc and estimation of the combined size of the pools of zinc that are readily available on a whole organism level. Such measurements are starting to yield useful new insights into zinc status. While this approach appears to offer the potential for significant progress on a research basis, it does not provide techniques that are readily applied on a large scale or under ‘field’ conditions. Carefully designed, randomized, placebo controlled supplementation trials are almost invariably required to delineate the clinical and metabolic effects of correcting putative deficiency states. In the case of zinc, these can serve the additional role of confirming the underlying zinc deficiency state.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Hambidge KM. Assessing the trace element status of man.Proceedings of the Nutrition society 1988; 47 (1): 37–44.

    Article  PubMed  CAS  Google Scholar 

  2. Ferguson EL, Gibson RS, Opare-Obisaw C et al. The zinc nutriture of preschool children living in two African countries.J Nutr 1993; 123: 1487–96.

    PubMed  CAS  Google Scholar 

  3. Lei S, xiang M, Miller LV et al. Zinc homeostasis in young Chinese women with a marginal zinc intake,Am J Clin Nutr, 1994, in press.

  4. Hambidge KM. Zinc and diarrhoeal disease in young children.Acta Pediatr Suppl, 1992; 381: 82–86.

    Article  CAS  Google Scholar 

  5. Chesters JK, Quarterman J. Effect of zinc deficiency on food intake and feeding patterns of rats.Br J Nutr, 1970; 24: 1061–69.

    Article  PubMed  CAS  Google Scholar 

  6. Krebs NF, Hambidge KM, Walravens PA. Increased food intake of young children receiving a zinc supplement.Am J of Dis in Child, 1984; 138: 270–273.

    CAS  Google Scholar 

  7. Hambidge KM, Silverman A. Pica with rapid improvement after dietary zinc supplementation.Arch of Dis in Child 1973; 48: 567–568.

    CAS  Google Scholar 

  8. Golden MHN, Golden BE. Trace elements potential importance in human nutrition with particular reference to zinc and vanadium.Br Med Bulletin, 1981; 37: 31–36.

    CAS  Google Scholar 

  9. Hambidge KM, Casey CE, Krebs NF. Zinc. In:Trace Elements in Human and Animal Nutrition, 5th Edition, (Mertz W, ed), Academic Press, Florida, 1986; 2: 1–137.

    Google Scholar 

  10. Crofton RW, Aggett PJ, Gvozdanovic S et al. Zn metabolism in celiac disease.Am J Clin Nutr, 1990; 52: 379–82.

    PubMed  CAS  Google Scholar 

  11. Krebs NF, Reidinger C, Westcott JE et al. Stable isotope studies of zinc metabolism in infants. In:Kinetic Models of Trace Element/Mineral Metabolism During Development, CRC Press, Incorp., Boca Raton, FL, 1994.

    Google Scholar 

  12. Canfield WK, Hambidge KM, Johnson LK. Zinc nutriture in type I diabetes mellitus: Relationship to growth and metabolic control.J Pediatr Gastro Nutr, 1984; 3 577–584.

    CAS  Google Scholar 

  13. Hambidge Km, Krebs NF, Zerbe GO, Lilly JR. Plasma and urine zinc in infants and children with extra-hepatic biliary atresia.J Pediatr Gastro Nutr, 1987; 6: 872–877.

    Article  CAS  Google Scholar 

  14. Fell GS, Fleck A, Cuthbertson DP. Urinary Zn levels as an indicator of muscle catabolism.Lancet, 1973; 1: 280–82.

    Article  PubMed  CAS  Google Scholar 

  15. Walravens PA, Hambidge KM, Neldner KH et al. Zinc metabolism in acrodermatitis enteropathica.J Pediatr 1978; 93: 71–73.

    Article  PubMed  CAS  Google Scholar 

  16. King JC, Hambidge K, Wescott JL et al. Daily variation in plasma zinc concentrations in women fed meals at six-hour intervals.J. Nutr, 1994; 508–516.

  17. Hambidge KM, Goodall M, Stall C, Pritts J. Post-prandial and daily changes in plasma zinc.J Trace Elements Electrolytes Health Disease 1989; 3 (1): 55–57.

    CAS  Google Scholar 

  18. Wallock LM, King JC, Hambdige KM, Pritts J. Meal-induced changes in plasma, erythrocyte and urinary zinc levels in adult women.Am J Clin Nutr 1993; 58: 695–701.

    PubMed  CAS  Google Scholar 

  19. Hambidge KM, King JC, Kern DL, English JL. Pre-breakfast plasma zinc concentrations: The effect of previous meals.J Trace Elements Electrolytes Health Disease, 1991; 4: 229–231.

    Google Scholar 

  20. Davies IJT, Musa M, Dormandy TL. Measurements of plsma zinc.J Clin Path; 1968; 21: 359–365.

    Article  PubMed  CAS  Google Scholar 

  21. Melman D, Hambidge KM, Westtcot JL. Effects of dietary zinc restriction on postprandial changes in plasma zinc.Am J clin Nutr, 1993; 58: 702–4.

    Google Scholar 

  22. English JL, Hambidge KM. Plasma and serum zinc concentrations: Effect of time between collection and separation.Clinica Chimica Acta, 1988; 175 (3): 211–216.

    Article  CAS  Google Scholar 

  23. Foote JW, Delves HT. Albamun bound and2-macroglobulin bound zinc concentrations in the sera of healthy adults.J Clin Pathol, 1984; 37: 1050–4.

    Article  PubMed  CAS  Google Scholar 

  24. Etzel KR, Shapiro SG, Cousins RJ. Regulation of liver metallothionein and plasma Zn by the glucocorticoid dexamethasone.Biochem biophys Res Commun, 1979; 89: 1120–26.

    Article  PubMed  CAS  Google Scholar 

  25. Schroeder JJ, Cousins RJ. Interleukin 6 regulates metallothionein gene expression and Zn metabolism in hepatocyte monolayer cultures.Proc Natl Acad Sci USA, 1990; 87 (8): 3137–41.

    Article  PubMed  CAS  Google Scholar 

  26. Walravens PA, Hambidge KM, Koepfer DM. Zinc supplementation in infants with a nutritional pattern of failure to thrive: a double-blind, controlled study.Pediatrics 1989; 84 (4): 532–538.

    Google Scholar 

  27. Hambidge KM. Hair analyses: Worthless vitamins, limited for minerals.Am J Clin Nutr 1982; 36: 943–949.

    PubMed  CAS  Google Scholar 

  28. Gibson RS, Smit Vanderkooy PD, McDonald AC et al. A growth-limiting, mild Zn-deficiency syndomre in some Southern Ontario boys with low height percentiles.Am J Clin Nutr, 1989; 49: 1266–73.

    PubMed  CAS  Google Scholar 

  29. Milne DB, Ralston NVC, Wallwork JC. Zn content of blood cellular components and lympth node and spleen lymphocytes in severely Zn-deficient rats.J Nutr, 1985; 1115: 1073–78.

    Google Scholar 

  30. Thomas EA, Bailey LB, Kauwell GA et al. Erythrocyte metallothionein response to dietary Zn in humans.J Nutr, 1992 122 (12): 2408–14.

    PubMed  CAS  Google Scholar 

  31. Krebs NF, Miller LV, Naake VL et al. The use of stable isotope techniques to assess zinc metabolism.J Nutr Biochem, 1994, in Press.

  32. Friel N, Naake VL, Miller LV, Hambidge KM. The analysis of stable isotopes in urine to determine the fractional absorption of zinc.Am J Clin Nutr, 1992, 55: 473–7.

    PubMed  CAS  Google Scholar 

  33. Kirchgessner M, Schwarz FJ. Trace element deficiency and its diagnosis by radioisotope injection. 1978; IAEA-SM, 205/110: 81–96.

  34. Krebs NF, Reidinger C, Miller LV et al. Zinc absorption and fecal excretion of endogenous zinc in the breastfed infant. In: Trace Elements in Man and Animals −8. (Anke M, Meissner, Mills CF, eds), Verlag Media Touristik, 1993: 1110–1113.

  35. Jackson MJ, Jones DA, Edwards RHT et al. Zn homeostasis in man: studies using a new stable isotope-dilution technique.Br J Nutr, 1984; 34: 1929–30.

    Google Scholar 

  36. Baer MT, King JC, Tamura T et al. Nitrogen utilization, enzyme activity, glucose introlerance and leukocyte chemotaxis in human experimental zinc depletion.Am J Clin Nutr, 1985; 41: 1220–1235.

    PubMed  CAS  Google Scholar 

  37. King JC. Assessment of techniques for determining human zinc requirements.J Am Diet Assoc, 1986; 86 (11): 1523–28.

    PubMed  CAS  Google Scholar 

  38. Chester JK. Metabolism and biochemistry of Zn. Clinical, Biochemical, and Nutritional Aspects of Trace Elements (Prasad, As, ed) Alan R. Liss, New York, NY. 1982.

    Google Scholar 

  39. Bettger WJ, O’Dell BL. A critical physiological role of zinc in the structure and function of biomembranes.Life Sci, 1918; 28: 1425–1438.

    Article  Google Scholar 

  40. Williams RJP. An introduction to the biochemistry of Zn. Zn in Human Biology (Mills CF, ed) Springer-Verlag, 1–10, 1989.

  41. Zalewski PD, Forbes IJ, Seamark RF et al. Flux of intracellular labile zinc during apoptosis (gene-directed cell death) revealed by a specific chemical probe, Zinquin.Chem & Bio, 1994; 1 (3): 153–161.

    Article  CAS  Google Scholar 

  42. Wastney ME, Aamodt RL, Rumble WF, Henkin RI. Kinetic analysis of zinc metabolism and its regulation in normal humans.Am J Physiol, 1986; 251: R398-R408.

    PubMed  CAS  Google Scholar 

  43. Miller LV, Hambidge Km, Naake VL. et al. Size of the zinc pools that exchange rapidly with plasma zinc in humans: Alternative techniques for measuring and relation to dietary zinc intake.J Nutr 1994; 124 (2): 268–76.

    PubMed  CAS  Google Scholar 

  44. Hambidge KM, Krebs NF, Miller LV et al. Zinc that exchanges readily with zinc in plasma: observations in infants and adults. In: Trace Elements in Man and Animals—8. (Anke M, Meissner, Mills CF, eds), Verlag Media Touristik, 1993: 1105–09.

  45. Lowe NM, Bremner I, Jackson MJ. Plasma65Zn kinetics in the rat.Br J Nutr, 1991; 65: 445–55.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Hambidge, M., Krebs, N. Assessment of zinc status in man. Indian J Pediatr 62, 169–180 (1995). https://doi.org/10.1007/BF02752323

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02752323

Keywords

Navigation