Cunha Thais A, Vermeulen-Serpa Karina M, Grilo Evellyn C, Dourado-Júnior Mário E T, Bezerra Breno G P, Torres Núbia R S M, Lopes Márcia M G D, Leite-Lais Lucia, Brandão-Neto José, Vale Sancha H L
Postgraduate Health Sciences Program Federal University of Rio Grande Do Norte, Natal, Rio Grande Do Norte, Brazil.
Department of Internal Medicine Federal University of Rio Grande Do Norte, Natal, Rio Grande Do Norte, Brazil.
J Nutr Metab. 2024 Sep 18;2024:5522139. doi: 10.1155/2024/5522139. eCollection 2024.
The study hypothesized that zinc supplementation would increase or preserve lean body mass in Duchenne muscular dystrophy (DMD) patients. Therefore, we aimed to evaluate the body composition of DMD patients before and after zinc supplementation.
The study is a clinical trial comprising 21 boys diagnosed with DMD. Dietary intake parameters were evaluated before zinc supplementation. Serum zinc levels, anthropometry, and body composition were measured in three moments, four months apart. The patients received 5, 10, or 15 mg of zinc bis-glycine supplementation according to age as an oral solution daily for four months. The sample was distributed into two groups according to serum zinc status: zinc deficiency (G1) or adequate zinc (G2).
There was a significant difference in lean body mass between the groups: zinc deficiency (G1) or adequate zinc (G2), at three times (=0.041, 0.016, and 0.009, respectively). After oral zinc supplementation, serum zinc levels were not different between groups. We did not observe differences when associating the parameters between times and groups.
Zinc supplementation was able to maintain lean body mass and fat mass in patients with DMD with previous deficiencies. Therefore, it is necessary to have a prior screening of serum zinc levels to observe changes after supplementation.
该研究假设补充锌会增加或维持杜氏肌营养不良症(DMD)患者的瘦体重。因此,我们旨在评估补充锌前后DMD患者的身体成分。
该研究是一项临床试验,包括21名被诊断为DMD的男孩。在补充锌之前评估饮食摄入参数。在三个时间点测量血清锌水平、人体测量学指标和身体成分,时间间隔为四个月。患者根据年龄每天口服5、10或15毫克双甘氨酸锌补充剂,持续四个月。根据血清锌状态将样本分为两组:锌缺乏组(G1)或锌充足组(G2)。
两组之间的瘦体重存在显著差异:锌缺乏组(G1)和锌充足组(G2)在三个时间点分别为(=0.041、0.016和0.009)。口服锌补充剂后,两组之间的血清锌水平没有差异。我们在关联时间和组别的参数时未观察到差异。
补充锌能够维持先前存在锌缺乏的DMD患者的瘦体重和脂肪量。因此,有必要对血清锌水平进行预先筛查,以观察补充后的变化。