Evidence map›Paper›PMID 35276840›Full record

Trial reportNutrients2022

Exchangeable Zinc Pool Size Reflects Form of Zinc Supplementation in Young Children and Is Not Associated with Markers of Inflammation.

Julie M Long, Afsana Mim Khandaker, Rahvia Alam Sthity, Jamie E Westcott, Andrei Matveev, Robert E Black, Janet C King, Kazi Munisul Islam, Shams El Arifeen, Tahmeed Ahmed and 3 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Nutrients, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 40% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. [Innovative Practices of Precision Nutrition in Obesity Intervention: From Theory to Application].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2025
    Article
  5. Review
  6. Zinc homeostasis and redox alterations in obesity.Frontiers in endocrinology · 2023
    Review
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 5 institutions in 2 countries.

Julie M LongDepartment of Pediatrics, University of Colorado Denver Anschutz Medical Campus, Aurora, CO 80045, USA.
Afsana Mim KhandakerNutrition and Clinical Services Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka 1212, Bangladesh.ORCID 0000-0001-6045-6200
Rahvia Alam SthityNutrition and Clinical Services Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka 1212, Bangladesh.ORCID 0000-0001-5988-358X
Jamie E WestcottDepartment of Pediatrics, University of Colorado Denver Anschutz Medical Campus, Aurora, CO 80045, USA.
Andrei MatveevDepartment of Mathematical and Statistical Sciences, University of Colorado Denver, Denver, CO 80204, USA.
Robert E BlackInstitute for International Programs, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21218, USA.
Janet C KingInternational Zinc Nutrition Consultative Group, University of California, San Francisco, CA 94158, USA.
Kazi Munisul IslamNutrition and Clinical Services Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka 1212, Bangladesh.
Shams El ArifeenNutrition and Clinical Services Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka 1212, Bangladesh.
Tahmeed AhmedNutrition and Clinical Services Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka 1212, Bangladesh.
M Munirul IslamNutrition and Clinical Services Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka 1212, Bangladesh.
Christine M McDonaldInternational Zinc Nutrition Consultative Group, University of California, San Francisco, CA 94158, USA.ORCID 0000-0003-1231-9003
Nancy F KrebsDepartment of Pediatrics, University of Colorado Denver Anschutz Medical Campus, Aurora, CO 80045, USA.
International Centre for Diarrhoeal Disease Research · BDUniversity of California, San Francisco · USUniversity of Colorado Anschutz Medical Campus · USJohns Hopkins University · USUniversity of Colorado Denver · US

Funding

Bill & Melinda Gates Foundation OPP 1150161
6 · The paper itself

Abstract

A sensitive and reliable biomarker of zinc status has yet to be identified, but observational research suggests that the exchangeable zinc pool (EZP) size may be a possible biomarker. This randomized, placebo-controlled trial aimed to compare the change in EZP size from baseline to endline in 174 children who were preventatively supplemented with 10 mg of zinc as part of a multiple micronutrient power (MNP) or as a standalone dispersible tablet for 24 weeks versus a placebo powder. The effects of systemic inflammation on EZP size were also evaluated. Zinc stable isotopes were administered intravenously to children at baseline and endline, and the EZP was measured by the urine extrapolation method. A total of 156 children completed the study with the zinc dispersible tablet group having the greatest increase in EZP (14.1 mg) over 24 weeks when compared with the MNP group (6.8 mg) (p < 0.01) or placebo group (2.0 mg) (p < 0.001). Median EZP size was not different between children with normal or elevated serum inflammatory markers. EZP size was responsive to longitudinal zinc supplementation and reflected the expected difference in bioavailability for two forms of supplementation. The apparent absence of an effect of inflammation on EZP size may offer an advantage for use as a biomarker for group comparisons between different interventions.

Indexed as

Dietary SupplementsZincBiomarkersChildChild, PreschoolHumansInflammationPowdersBiomarkersPowdersZincBangladeshbiomarkerEZPinflammationserum zinczinc isotopes

Identifiers

PMID35276840
PMCPMC8838617
OpenAlexW4206938258

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.