Zinc and the nutritional status in the aged

Authors

  • Thais Borges CESAR Universidade Estadual Paulista Júlio de Mesquita Filho
  • Silvia Regina WADA Universidade Estadual Paulista Júlio de Mesquita Filho
  • Renata Gracioso BORGES Universidade Estadual Paulista Júlio de Mesquita Filho

Keywords:

bioavailability, nutritional status, aged, diet zinc, plasma zinc

Abstract

Objective
This study evaluated the plasmatic zinc associated to the nutritional status of 80 elderly subjects, registered at
the Rehabilitation Center of Araraquara, São Paulo, Brazil, from 1998 to 1999.

Methods
The 24-hour Dietary Recall and Food Frequency Questionnaire were applied and the consumption of nutrients,
including mineral zinc, was calculated based on the responses. Induced Coupled Plasma Atomic Emission
Spectroscopy, was used to measure plasmatic zinc levels. In addition, the following complementary data for
nutrition evaluation were collected: the measurement of body weight, height, and triceps fold thickness.

Results
The diet of women was found satisfactory in protein and lipids, but low in carbohydrate and energy. Men had
adequate intake of energy, but with low intake of carbohydrate, and high intake of protein and lipids. The
average intake of zinc by women (10.8±4.1mg/d) and men (19.7±7.2mg/d) were in accord to the recommended
levels. Plasma zinc averages in women (7.2± 3.5µmol/L) and men (6.5±3.8µmol/L) were lower than the reference
values. No correlation between zinc intake and zinc level in the plasma was detected, but zinc level in the
plasma was positively correlated to protein intake; nonetheless, this correlation was found negative respective
to age.

Conclusions
High intake of legumes and low intake of animal protein, associated to poor energy diets for women, apparently
decreased the bioavailability of zinc in the diet. The diet of the elderly should be nutritionally controlled, in
order to improve the bioavailability of micronutrients such as zinc, and to prevent or correct any deficiency by
supplementation.

References

Salgueiro MJ, Bioch MZ, Lysionek A, Sarabia MI, Caro R, Paoli TD, et al. Zinc as an essential micronutrient: a review. Nutr Res. 2000; 20(5): 737-55.

Biesalski HK, Brummer RJ, König J, O’Connell MA, Ovesen L, Rechkemmer G, et al. Micronutrients deficiencies: Hohenheim Consensus Conference. Eur J Nutr. 2003; 42(6):353-63.

McClain CJ, McClain M, Barve S, Boosalis MG. Trace metals and the elderly. Clin Geriatr Med. 2002; 18(4):801-18.

Mocchegiani E, Muzzioli M, Giacconi R. Zinc and immunoresistance to infection in aging: new biological tools. Trends Pharmacol Sci. 2000; 21(6):205-8.

Kelly EJ, Quaife CJ, Froelick GJ, Palmiter RD. Metallothionein I and II protect against zinc deficiency and zinc toxicity in mice. J Nutr. 1996; 126(7):1782-90.

Chandra RK. Nutrition and immunity in the elderly. Nutr Rev. 1992; 50(12):367-71.

Sandström B. Bioavailability of zinc. Eur J Clin Nut. 1997; 51(Suppl 1):S17-9.

Nutritional Research Council. Dietary Reference Intakes for Vitamin A, Vitamin K, Arsenic, Boron, Chromium, Copper, Iodine, Iron, Manganese, Molybdenum, Nickel, Silicon, Vanadium, and Zinc. Washington (DC): National Academy Press (USA); 2002.

Hotz C, Peerson JM, Brown KH. Suggested lower cutoffs of serum zinc concentrations for assessing zinc status: Reanalysis of the second National Health and Nutrition Examination Survey data (1976-1980). Am J Clin Nutr. 2003; 78(4):756-64.

Hiza HA, Pratt C, Mardis AL, Anand R. Body mass index and health. USDA Center for Nutrition Policy and Promotion. Insight. 2000; 16.

Nutrition Screening Initiative, NSI-2002. A Physician’s Guide to Nutrition in Chronic Disease Management for Older Adults. Leawood (KS): American Academy of Family Physicians; 2002.

Falciglia G, O’Connor J, Gedling E. Upper arm anthropometry norms in elderly white subjects. J Am Diet Assoc. 1988; 88(5):569-74.

Thompson FE, Byers T. Dietary assessment resource manual. J Nutr. 1994; 124(11 Suppl):S224-31.

Escola Paulista de Medicina, UNIFESP. Sistema de apoio à decisão em Nutrição - Nutri [programa de computador]. Versão 2.5 CIS, São Paulo; 2000.

Nutritional Research Council. Recommended Dietary Allowances, 10th ed. Washington (DC): National Academy Press (USA); 1989.

USDA Nutrient Database for Standard Reference, Abbreviated. Food Composition [computer program]. FNIC website, Release 13, Washington (DC); 2003.

Jandel Scientific Software Corporation. Sigma Stat for Windows [computer program]. Version 1.0: statistical software. San Rafael (CA); 1992-4.

Tavares EL, Anjos LA dos. Perfil antropométrico da população idosa brasileira. Resultados da pesquisa nacional sobre a saúde e nutrição. Cad Saúde Pública. 1999; 15(4):759-68.

Silva RCP, Telarolli Jr R, Cesar TB. Sobrepeso e obesidade em idosos de Araraquara, SP. Alim Nutr. 2003; 2:157-63.

De Groot CP, Perdigal AL, Deurenberg P. Longitudinal changes in anthropometric characteristics of the elderly Europeans. Seneca Investigators. Eur J Clin Nutr. 1996; 50(Suppl 2): S9-15.

Morrisson SG. Feeding the elderly population. Nurs Clin North Am. 1997; 32(4):791-812.

Moreiras O, van Staveren WA, Amorim Cruz JA, Carbajal A, de Henauw S, Grunenberger F, et al. Longitudinal changes in the intake of energy and macronutrients of elderly Europeans. SENECA Investigators. Eur J Clin Nutr. 1996; 50(2): S67-76.

Pepersack T, Rotsaert P, Benoit F, Willems D, Fuss M, Bordouux P, et al. Prevalence of zinc deficiency and its clinical relevance among hospitalised elderly. Arch Gerontol Geriatr. 2001; 33(3): 243-53.

Del Pozo S, Cuadrado C, Moreiras O. Age-related changes in the dietary intake of elderly individuals. The Euronut-SENECA study. Nutr Hosp. 2003; 18(6):348-52.

Knudsen E, Sandström B, Solgaard P. Zinc, cooper and magnesium absorption from a fibre-rich diet. J Trace Elem Med Biol. 1996; 10(2):68-76.

Russell RM. Changes in gastrointestinal function attributed to aging. Am J Clin Nutr. 1992; 55 (6 Suppl):S1203-7.

Ma J, Batts NM. Zinc and copper intakes and their major food sources for older adults in the 1994-1996 continuing survey of food intakes by individuals (CFSII). J Nutr. 2000; 130(11):2838-43.

Cesar TB, Wada SR, Borges RG. Nutritional Evaluation and Adherence to Dietary Guidelines of a Healthy Elderly Group. Alim Nutr. 2003; 1:17-22.

USDA Center for Nutrition Policy and Promotion. A focus for nutrition for the elderly. It’s time to take a closer look. Nutr Insights. 1999; 14.

Published

2023-09-22

How to Cite

Borges CESAR, T. ., WADA, S. R., & Gracioso BORGES, R. . (2023). Zinc and the nutritional status in the aged. Brazilian Journal of Nutrition, 18(3). Retrieved from https://periodicos.puc-campinas.edu.br/nutricao/article/view/9837

Issue

Section

ORIGINAL ARTICLE