Evidence map›Paper›PMID 36478064›Full record

SynthesisNutrition reviews2023

Toward revising dietary zinc recommendations for children aged 0 to 3 years: a systematic review and meta-analysis of zinc absorption, excretion, and requirements for growth.

Marena Ceballos-Rasgado, Nicola M Lowe, Victoria H Moran, Andrew Clegg, Simonette Mallard, Catherine Harris, Jason Montez, Maria Xipsiti

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Nutrition reviews, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 31% 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

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

  1. Pooled it
  2. Article
  3. 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

8 authors at 3 institutions in 3 countries.

Marena Ceballos-RasgadoCentre for Global Development, University of Central Lancashire, Preston, United Kingdom.ORCID 0000-0002-4075-5366
Nicola M LoweCentre for Global Development, University of Central Lancashire, Preston, United Kingdom.ORCID 0000-0002-6934-2768
Victoria H MoranCentre for Global Development, University of Central Lancashire, Preston, United Kingdom.
Andrew CleggSynthesis, Economic Evaluation and Decision Science (SEEDS) Group, Applied Health Research Hub, University of Central Lancashire, Preston, United Kingdom.
Simonette MallardNew Zealand College of Public Health Medicine, Wellington, New Zealand.
Catherine HarrisSynthesis, Economic Evaluation and Decision Science (SEEDS) Group, Applied Health Research Hub, University of Central Lancashire, Preston, United Kingdom.
Jason MontezNutrition and Food Safety Department, World Health Organization, Geneva, Switzerland.
Maria XipsitiFood and Nutrition Division, Food and Agriculture Organization of the United Nations, Rome, Italy.
University of Lancashire · GBFood and Agriculture Organization of the United Nations · ITWorld Health Organization · CH

Funding

World Health Organization 001
6 · The paper itself

Abstract

contextThe Food and Agriculture Organization of the United Nations and the World Health Organization are updating their dietary zinc recommendations for children aged 0 to 3 years.

objectiveThe aim of this review was to retrieve and synthesize evidence regarding zinc needs for growth as well as zinc losses, absorption, and bioavailability from the diet. DATA SOURCES: MEDLINE, Embase, and Cochrane Library databases were searched electronically from inception to August 2020. Studies assessing the above factors in healthy children aged 0 to 9 years were included, with no limits on study design or language. DATA EXTRACTION: Ninety-four studies reporting on zinc content in tissue (n = 27); zinc absorption (n = 47); factors affecting zinc bioavailability (n = 30); and endogenous zinc losses via urine, feces, or integument (n = 40) met the inclusion criteria. Four reviewers extracted data and two reviewers checked for accuracy. DATA ANALYSES: Studies were synthesized narratively, and meta-analyses of zinc losses and gains as well the subgroups of age, type of feeding, country's income, and molar ratio of phytate to zinc were conducted. Meta-analysis revealed an overall mean (95%CI) urinary and endogenous fecal zinc excretion of 17.48 µg/kg/d (11.80-23.15; I2 = 94%) and 0.07 mg/kg/d (0.06-0.08; I2 = 82%), respectively, with a mean fractional zinc absorption of 26.75% (23.69-29.81; I2 = 99%). Subgrouping by age revealed differences in mean values associated with the transition from milk-based diets to solid food during the first 3 years of life.

conclusionThis review synthesizes data that may be used to formulate zinc requirements in young children. Results should be interpreted with caution because of considerable heterogeneity in the evidence. SYSTEMATIC REVIEW REGISTRATION: PROSPERO registration number CRD42020215236.

Indexed as

DietZincBiological AvailabilityChildChild, PreschoolFecesFoodHumansZincchildreninfantsmeta-analysissystematic reviewzinczinc absorptionzinc bioavailabilityzinc excretionzinc requirements

Identifiers

PMID36478064
PMCPMC10331589
OpenAlexW4310951401

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.