TY - JOUR AU - Díaz-Gómez, N.M. AU - Doménech, E. AU - Barroso, F. AU - Castells, S. AU - Cortabarria, C. AU - Jiménez, A. T1 - The effect of zinc supplementation on linear growth, body composition, and growth factors in preterm infants LA - eng PY - 2003 SP - 1002 EP - 1009 T2 - Pediatrics SN - 0031-4005 VL - 111 IS - 5 I AB - Objective. The aim of our study was to evaluate the effect of zinc supplementation on linear growth, body composition, and growth factors in premature infants. Design. Thirty-six preterm infants (gestational age: 32.0 ± 2.1 weeks, birth weight: 1704 ± 364 g) participated in a longitudinal double-blind, randomized clinical trial. They were randomly allocated either to the supplemental (S) group fed with a standard term formula supplemented with zinc (final content 10 mg/L) and a small quantity of copper (final content 0.6 mg/L), or to the placebo group fed with the same formula without supplementation (final content of zinc: 5 mg/L and copper: 0.4 mg/L), from 36 weeks postconceptional age until 6 months corrected postnatal age. At each evaluation, anthropometric variables and bioelectrical impedance were measured, a 3-day dietary record was collected, and a blood sample was taken. We analyzed serum levels of total alkaline phosphatase, skeletal alkaline phosphatase (sALP), insulin growth factor (IGF)-I, IGF binding protein-3, IGF binding protein-1, zinc and copper, and the concentrations of zinc in erythrocytes. Results. The S group had significantly higher zinc levels in serum and erythrocytes and lower serum copper levels with respect to the placebo group. We found that the S group had a greater linear growth (from baseline to 3 months corrected age: Δ score deviation standard length: 1.32 ± .8 vs .38 ± .8). The increase in total body water and in serum levels of sALP was also significantly higher in the S group (total body water: 3 months; corrected age: 3.8 ± .5 vs 3.5 ± .4 kg, 6 months; corrected age: 4.5 ± .5 vs 4.2 ± .4 kg; sALP: 3 months; corrected age: 140.2 ± 28.7 vs 118.7 ± 18.8 μg/L). Conclusions. Zinc supplementation has a positive effect on linear growth in premature infants. DO - 10.1542/peds.111.5.1002 UR - https://portalciencia.ull.es/documentos/5e3adccc299952629a0249d5 DP - Dialnet - Portal de la Investigación ER -