Evidence map›Paper›PMID 40158044›Full record

ArticleBiological trace element research2025

Association of Higher Intakes of Dietary Zinc with Higher Ferritin or Hemoglobin: a Cross-sectional Study from NHANES (2017-2020).

Hanieh Abdi, Mohammad Safargar, Mihnea-Alexandru Găman, Camellia Akhgarjand, Kousalya Prabahar, Haniye Zarezadeh, Xin Ying Chan, Parsa Jamilian, Hamed Kord-Varkaneh

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Article in Biological trace element research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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

9 authors.

Hanieh Abdi *Student Research Committee, Hamadan University of Medical Sciences, Hamadan, Iran.
Mohammad Safargar *Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran.
Mihnea-Alexandru Găman *Faculty of Medicine, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
Camellia AkhgarjandDepartment of Clinical Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran.
Kousalya PrabaharDepartment of Pharmacy Practice, Faculty of Pharmacy, University of Tabuk, Tabuk, Saudi Arabia.
Haniye ZarezadehDepartment of Psychology, Faculty of Education and Psychology, Azarbaijan Shahid Madani University, Tabriz, Iran.
Xin Ying ChanDepartment of Acute Medical Unit, Aintree University Hospital NHS Trust, Liverpool, UK.
Parsa JamilianSchool of Medicine, Keele University, Staffordshire, UK. Jamilianparsa@gmail.com.
Hamed Kord-VarkanehUrology and Nephrology Research Center, Shahid Labbafinejad Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. hamedkord39@yahoo.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Zinc is an essential trace element that plays a critical role in numerous physiological processes, including immune function, cell growth, and particularly iron metabolism. This study aimed to explore the association between dietary zinc intake and key biomarkers of iron status, specifically serum ferritin and hemoglobin levels, in a representative sample of the US population. A cross-sectional analysis was conducted using data from the 2017-2020 National Health and Nutrition Examination Survey (NHANES), which included 15,560 participants. Dietary zinc intake was assessed through 24-h dietary recall, and serum ferritin and hemoglobin levels were measured through laboratory tests. Participants were grouped into quartiles based on their zinc intake. Multivariable linear regression models were applied to evaluate the relationship between dietary zinc intake and ferritin and hemoglobin levels, adjusting for potential confounders such as age, sex, body mass index (BMI), waist circumference, energy intake, macronutrients, and micronutrients. These adjustments ensured a more accurate analysis of the associations between zinc intake and iron markers. Our findings demonstrate that higher dietary zinc intake is significantly associated with elevated serum ferritin (B = 6.17, p = 0.027) and hemoglobin (B = 0.048, p = 0.019) levels, independent of other factors. Participants in the highest zinc intake quartile also showed higher hematocrit and mean corpuscular volume (MCV) levels compared to those in the lowest quartile. These results suggest that adequate dietary zinc intake may play a crucial role in improving iron status and reducing the risk of iron-deficiency anemia, particularly in populations at risk. Future research is necessary to further elucidate the mechanisms behind this relationship and to inform public health nutritional guidelines.

Indexed as

DietFerritinsHemoglobinsZincAdultCross-Sectional StudiesFemaleHumansMaleMiddle AgedNutrition SurveysFerritinsHemoglobinsZincAnemiaDietFerritinHemoglobinIronNHANESZinc

Identifiers

PMID40158044

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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.