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Title: Influence of zinc on growth and development and on energy intakes of children with chronic renal failure

Thesis/Dissertation ·
OSTI ID:6647517

This investigation assessed whether zinc acetate supplementation (2 mg/kg BW, maximum 40 mg/ka/child) in Children with End Stage Renal Disease, improved energy intakes and, in turn, growth and development. Height, weight, mid-arm circumference, triceps fatfold, hand wrist radiographs, and Tanner Staging measurements were taken at the beginning of the study, prior to zinc supplementation, and at the end of the study period. Clinical analyses for serum sodium, chloride, potassium, calcium, phosphorus, magnesium, alkaline phosphatase, total protein, albumin, blood urea nitrogen, creatinine, and CO/sub 2/ were routinely completed monthly. Simultaneously, plasma zinc and copper and erythrocyte zinc and 3 day food diaries were completed. Mean growth velocity in males was 4.07 +/- 2.02 cm/yr (non-supplemented), 2.98 +/- 2.33 cm/yr (supplemented) and in females, 3.88 +/- 0.73 cm/yr (non-supplemented), 3.28 +/- 2.10 cm/yr (supplemented). There were no significant differences between the supplemented and non-zinc supplemented males or females in growth velocity. Bone maturation as determined through hand wrist radiographs, improved in 4 of 6 zinc supplemented subjects. Before zinc supplementation, 50%, 92%, and 42% of the subjects met 67% of their RDA for age and sex for energy, protein, and zinc, respectively. After zinc acetate supplementation, the percentage of subjects meeting 67% of the RDA for energy, protein, and dietary zinc were 67%, 100%, and 67%, respectively. There was a trend toward increased dietary energy, protein, and zinc intake with zinc acetate supplementation.

Research Organization:
Michigan State Univ., East Lansing (USA)
OSTI ID:
6647517
Resource Relation:
Other Information: Thesis (Ph. D.)
Country of Publication:
United States
Language:
English

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