Serum Zinc Levels in Thai Children with Acute Diarrhoea
Introduction: Diarrhoea remains a leading cause of morbidity and mortality in children in developing countries. Zinc has been recommended by the WHO for the prophylaxis and treatment of acute diarrhoea. However, data on zinc levels in children remains scarce. Aim: To assess serum zinc levels in chil...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2018-06-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://jcdr.net/articles/PDF/11576/34703_CE[Ra1]_F(SHU)_PF1(SH_OM)_PFA(OM)_PN(SL).pdf |
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| author | Sanguansak Rerksuppaphol Nicharee Na-Songkhla Lakkana Rerksuppaphol |
| author_facet | Sanguansak Rerksuppaphol Nicharee Na-Songkhla Lakkana Rerksuppaphol |
| author_sort | Sanguansak Rerksuppaphol |
| collection | DOAJ |
| description | Introduction: Diarrhoea remains a leading cause of morbidity and mortality in children in developing countries. Zinc has been recommended by the WHO for the prophylaxis and treatment of acute diarrhoea. However, data on zinc levels in children remains scarce. Aim: To assess serum zinc levels in children admitted with acute diarrhoea to the paediatric unit of Srinakharinwirot University Hospital, Thailand. Materials and Methods: A cross-sectional study was conducted in children admitted to hospital with the diagnosis of acute diarrhoea, between July 2016 and February 2017. Children < 60 months, with watery and/or mucous stool >3 times within previous 24 hours were included. Anthropometric parameters were recorded. Serum electrolytes, Complete Blood Count (CBC) and serum zinc levels were measured. Children with serum zinc level lower than thresholds as recommended by the International Zinc Nutrition Consultation Group criteria and time of collection were defined as zinc deficient. The results were descriptively presented as mean and standard deviation, median and Interquartile Range (IQR), or frequency and percentage. Pearson’s chi-square or Fisher-exact test was used to compare proportions between groups, whereas, Student’s t-test or Mann-Whitney U-test was used to verify the differences of continuous variables. Results: Fifty children with acute diarrhoea were included in the study (50% female). The median duration of diarrhoea prior to admission was 24.0 hours (IQR, 12.0-72.0 hours) and the frequency of diarrhoeal episodes in preceding 24 hours was 4 times (IQR, 3-6 times). Mean serum zinc concentration at admission was 69.2±18.5µg/dL. A total of 22 (44%) children had zinc deficiency. There were no significant differences in demographic and clinical characteristics between patients with normal zinc levels and those with zinc deficiency. Conclusion: There is a high prevalence of low zinc levels in Thai children with acute diarrhoea. More efforts are needed towards improved coverage of zinc supplementation. |
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| format | Article |
| id | doaj.art-1a8a2784d1354d0c97967ad35cc72d48 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-22T14:30:43Z |
| publishDate | 2018-06-01 |
| publisher | JCDR Research and Publications Private Limited |
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| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-1a8a2784d1354d0c97967ad35cc72d482022-12-21T18:22:45ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2018-06-01126SC01SC0410.7860/JCDR/2018/34703.11576Serum Zinc Levels in Thai Children with Acute DiarrhoeaSanguansak Rerksuppaphol0Nicharee Na-Songkhla1Lakkana Rerksuppaphol2Associate Professor, Department of Paediatrics, Faculty of Medicine, Srinakhariwirot University, Thailand.Resident, Department of Paediatrics, Faculty of Medicine, Srinakharinwirot University, Thailand.Assistant Professor, Department of Preventive Medicine, Faculty of Medicine, Srinakharinwirot University, Thailand.Introduction: Diarrhoea remains a leading cause of morbidity and mortality in children in developing countries. Zinc has been recommended by the WHO for the prophylaxis and treatment of acute diarrhoea. However, data on zinc levels in children remains scarce. Aim: To assess serum zinc levels in children admitted with acute diarrhoea to the paediatric unit of Srinakharinwirot University Hospital, Thailand. Materials and Methods: A cross-sectional study was conducted in children admitted to hospital with the diagnosis of acute diarrhoea, between July 2016 and February 2017. Children < 60 months, with watery and/or mucous stool >3 times within previous 24 hours were included. Anthropometric parameters were recorded. Serum electrolytes, Complete Blood Count (CBC) and serum zinc levels were measured. Children with serum zinc level lower than thresholds as recommended by the International Zinc Nutrition Consultation Group criteria and time of collection were defined as zinc deficient. The results were descriptively presented as mean and standard deviation, median and Interquartile Range (IQR), or frequency and percentage. Pearson’s chi-square or Fisher-exact test was used to compare proportions between groups, whereas, Student’s t-test or Mann-Whitney U-test was used to verify the differences of continuous variables. Results: Fifty children with acute diarrhoea were included in the study (50% female). The median duration of diarrhoea prior to admission was 24.0 hours (IQR, 12.0-72.0 hours) and the frequency of diarrhoeal episodes in preceding 24 hours was 4 times (IQR, 3-6 times). Mean serum zinc concentration at admission was 69.2±18.5µg/dL. A total of 22 (44%) children had zinc deficiency. There were no significant differences in demographic and clinical characteristics between patients with normal zinc levels and those with zinc deficiency. Conclusion: There is a high prevalence of low zinc levels in Thai children with acute diarrhoea. More efforts are needed towards improved coverage of zinc supplementation.https://jcdr.net/articles/PDF/11576/34703_CE[Ra1]_F(SHU)_PF1(SH_OM)_PFA(OM)_PN(SL).pdfgastroenteritismineralsnutritional deficiency |
| spellingShingle | Sanguansak Rerksuppaphol Nicharee Na-Songkhla Lakkana Rerksuppaphol Serum Zinc Levels in Thai Children with Acute Diarrhoea Journal of Clinical and Diagnostic Research gastroenteritis minerals nutritional deficiency |
| title | Serum Zinc Levels in Thai Children with Acute Diarrhoea |
| title_full | Serum Zinc Levels in Thai Children with Acute Diarrhoea |
| title_fullStr | Serum Zinc Levels in Thai Children with Acute Diarrhoea |
| title_full_unstemmed | Serum Zinc Levels in Thai Children with Acute Diarrhoea |
| title_short | Serum Zinc Levels in Thai Children with Acute Diarrhoea |
| title_sort | serum zinc levels in thai children with acute diarrhoea |
| topic | gastroenteritis minerals nutritional deficiency |
| url | https://jcdr.net/articles/PDF/11576/34703_CE[Ra1]_F(SHU)_PF1(SH_OM)_PFA(OM)_PN(SL).pdf |
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