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1
2
Makkia Saleem
2011-ag-4214
M.Sc. (Hons.)
(HND) 2nd Semester
NIFSAT 2
Role in human health
Deficiency: Global & local scenario
Prevention
Diet diversification
Conclusion
3
 Trace micronutrient
 2nd most abundant
 Don’t store in body
(Motta et al., 2011) 4
Immune
Function
Protein
Synthesis
Gene
Expression
Cell
Division
Metabolism
(Prasad, 2013)
Cognition
Development
5
ROLE
Age Male Female Pregnancy Lactation
0–6 months 2 mg 2 mg
7–12 months 3 mg 3 mg
1–3 years 3 mg 3 mg
4–8 years 5 mg 5 mg
9–13 years 8 mg 8 mg
14–18 years 11 mg 9 mg 12 mg 13 mg
19+ years 11 mg 8 mg 11 mg 12 mg
(NIH, 2016) 6
Importance of zinc in human is illustrated by the effects
of zinc deficiency
(Prasad, 2013) 7
Impaired cognition
Depression
Acne/ thin hair
Diarrhea
Anorexia
Low immunity
Poor growth
Mal Digestion
Infertility
(Prasad, 2013) 8
Global
 17.3% is at risk of inadequate zinc intake
Pakistan
 41.3% of non-pregnant women
 47.6% of pregnant women
 39.2% of children
(GOP, 2011; Wessells et al., 2012) 9
Non-pregnant women Children under 5 years of age
Deficient
Deficient
Deficient
Deficient
Non-Deficient
Non-Deficient
NNS 2001
NNS 2011
(GOP, 2011) 10
 Inadequate intake
 Increased requirements
 Malabsorption
 Increased losses
(Roohani et al., 2013) 11
12
 Dietary diversification
 Supplementation
 Fortification
 Bio-fortification
(Shrimpton et al., 2013)1
3
Oyster
Chicken
Beef
Milk Cashews
Beans
Pea
Sunflower
seeds
Chickpeas
(USDA-NAL, 2016) 14
15(Rosalind et al., 2009)
 Agricultural interventions
 Production and promotion of animal source foods
 Processing strategies
16(Rosalind et al., 2009)
Refers to the fraction of intake, that absorbed into blood
and used for physiologic functions of body
Factors
 Individual's zinc status
 Total zinc content of the diet
 Availability of soluble zinc
17(Shrimpton et al., 2013)
Inhibitors
 Phytic acid
 Calcium
 Inorganic iron
Enhancers
 Proteins
 Vitamin A
18(Shrimpton et al., 2013)
Antibiotics
Quinolone
Tetracycline
Penicillamine
19(Shrimpton et al., 2013)
20(Rosalind et al., 2009)
21(Rosalind et al., 2009)
 Zinc, the 2nd most abundant trace micronutrient
 Almost 40 to 50% vulnerable group are zinc
deficient
 Strategies like diet diversification, fortification and
supplementation are helpful in alleviating
deficiency
22
“Diversified your food choice”
23
 GOP (Government of Pakistan). 2011. National Nutrition Survey
Pakistan. Nutrition Wing, Cabinet Division, Government of
Pakistan.
 Motta, D.D. and R. Dingledine. 2011. Unraveling the role of zinc
in memory. Proc. Natl. Acad. Sci. USA. 108:3103-3104.
 NIH (National Institute of Health). 2016. Zinc. Available at:
https://ods.od.nih.gov/factsheets/Zinc-HealthProfessional/.
Accessed on: March 15th, 2016.
 Prasad, A.S. 2013. Discovery of human zinc deficiency: its impact
on human health and disease. Adv. Nutri. 4:176-190.
24
 Roohani, N., R. Hurrell, R. Kelishadi and R. Schulin. 2013. Zinc
and its importance for human health: An integrative review. J.
Res. Med. Sci. 18:144-157.
 Rosalind S., Gibson and V.P. Anderson. 2009. A review of
interventions based on dietary diversification or modification
strategies with the potential to enhance intakes of total and
absorbable zinc. Food Nutri. Bul. 30:108-143.
 Shrimpton, R., R. Gross, I.D. Hill and M. Young. 2005. Zinc
deficiency: What are the most appropriate interventions?. BMJ.
330:347-349.
25
 USDA-NAL (United State Department of Agriculture-National
Agriculture Library). 2016. Dietary reference intakes for vitamin
A, vitamin K, arsenic, boron, chromium, copper, iodine, iron,
manganese, molybdenum, nickel, silicon, vanadium, and zinc.
Available at: https://fnic.nal.usda.gov/dietary-guidance/dri-
nutrient-reports/vitamin-vitamin-k-arsenic-boron-chromium-
copper-iodine-iron. Accessed on: March 15th, 2016.
 Wessells, K.R., G.M. Singh and K.H. Brown. 2012. Estimating
the global prevalence of inadequate zinc intake from national
food balance sheets: effects of methodological assumptions. PLoS
ONE. 7:1-13.
26
27
28
29
30

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Diet diversification to mitigate zinc defficiency

  • 1. 1
  • 3. Role in human health Deficiency: Global & local scenario Prevention Diet diversification Conclusion 3
  • 4.  Trace micronutrient  2nd most abundant  Don’t store in body (Motta et al., 2011) 4
  • 6. Age Male Female Pregnancy Lactation 0–6 months 2 mg 2 mg 7–12 months 3 mg 3 mg 1–3 years 3 mg 3 mg 4–8 years 5 mg 5 mg 9–13 years 8 mg 8 mg 14–18 years 11 mg 9 mg 12 mg 13 mg 19+ years 11 mg 8 mg 11 mg 12 mg (NIH, 2016) 6
  • 7. Importance of zinc in human is illustrated by the effects of zinc deficiency (Prasad, 2013) 7
  • 8. Impaired cognition Depression Acne/ thin hair Diarrhea Anorexia Low immunity Poor growth Mal Digestion Infertility (Prasad, 2013) 8
  • 9. Global  17.3% is at risk of inadequate zinc intake Pakistan  41.3% of non-pregnant women  47.6% of pregnant women  39.2% of children (GOP, 2011; Wessells et al., 2012) 9
  • 10. Non-pregnant women Children under 5 years of age Deficient Deficient Deficient Deficient Non-Deficient Non-Deficient NNS 2001 NNS 2011 (GOP, 2011) 10
  • 11.  Inadequate intake  Increased requirements  Malabsorption  Increased losses (Roohani et al., 2013) 11
  • 12. 12
  • 13.  Dietary diversification  Supplementation  Fortification  Bio-fortification (Shrimpton et al., 2013)1 3
  • 16.  Agricultural interventions  Production and promotion of animal source foods  Processing strategies 16(Rosalind et al., 2009)
  • 17. Refers to the fraction of intake, that absorbed into blood and used for physiologic functions of body Factors  Individual's zinc status  Total zinc content of the diet  Availability of soluble zinc 17(Shrimpton et al., 2013)
  • 18. Inhibitors  Phytic acid  Calcium  Inorganic iron Enhancers  Proteins  Vitamin A 18(Shrimpton et al., 2013)
  • 22.  Zinc, the 2nd most abundant trace micronutrient  Almost 40 to 50% vulnerable group are zinc deficient  Strategies like diet diversification, fortification and supplementation are helpful in alleviating deficiency 22
  • 23. “Diversified your food choice” 23
  • 24.  GOP (Government of Pakistan). 2011. National Nutrition Survey Pakistan. Nutrition Wing, Cabinet Division, Government of Pakistan.  Motta, D.D. and R. Dingledine. 2011. Unraveling the role of zinc in memory. Proc. Natl. Acad. Sci. USA. 108:3103-3104.  NIH (National Institute of Health). 2016. Zinc. Available at: https://ods.od.nih.gov/factsheets/Zinc-HealthProfessional/. Accessed on: March 15th, 2016.  Prasad, A.S. 2013. Discovery of human zinc deficiency: its impact on human health and disease. Adv. Nutri. 4:176-190. 24
  • 25.  Roohani, N., R. Hurrell, R. Kelishadi and R. Schulin. 2013. Zinc and its importance for human health: An integrative review. J. Res. Med. Sci. 18:144-157.  Rosalind S., Gibson and V.P. Anderson. 2009. A review of interventions based on dietary diversification or modification strategies with the potential to enhance intakes of total and absorbable zinc. Food Nutri. Bul. 30:108-143.  Shrimpton, R., R. Gross, I.D. Hill and M. Young. 2005. Zinc deficiency: What are the most appropriate interventions?. BMJ. 330:347-349. 25
  • 26.  USDA-NAL (United State Department of Agriculture-National Agriculture Library). 2016. Dietary reference intakes for vitamin A, vitamin K, arsenic, boron, chromium, copper, iodine, iron, manganese, molybdenum, nickel, silicon, vanadium, and zinc. Available at: https://fnic.nal.usda.gov/dietary-guidance/dri- nutrient-reports/vitamin-vitamin-k-arsenic-boron-chromium- copper-iodine-iron. Accessed on: March 15th, 2016.  Wessells, K.R., G.M. Singh and K.H. Brown. 2012. Estimating the global prevalence of inadequate zinc intake from national food balance sheets: effects of methodological assumptions. PLoS ONE. 7:1-13. 26
  • 27. 27
  • 28. 28
  • 29. 29
  • 30. 30

Editor's Notes

  1. Recommended Dietary Allowance (RDA): average daily level of intake sufficient to meet the nutrient requirements of nearly all (97%–98%) healthy individuals. Adequate Intake (AI): established when evidence is insufficient to develop an RDA and is set at a level assumed to ensure nutritional adequacy. Tolerable Upper Intake Level (UL): maximum daily intake unlikely to cause adverse health effects
  2. Biol Trace Elem Res : Biological Trace Element Research Proc. Natl. Acad. Sci. USA Proceedings of the National Academy of Sciences Adv. Nutr. Advances in Nutrition: Front. Behav. Neurosci Frontiers in Behavioral Neuroscience Front. Aging Neurosci Frontiers in Aging Neuroscience J. Res. Med. Sci. International Journal of Research in Medical Sciences Br. Med. Bull. British Medical Bulletin: