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Minerals, trace elements, Vit. D and bone health

Effect of phytase on zinc absorption from a millet-based porridge fed to young Burkinabe children

Abstract

Background/Objectives:

Fortifying cereal staples with zinc is a strategy for increasing zinc intake in young children in developing countries. However, phytic acid (PA) naturally present in cereals strongly decreases zinc absorption. A stable-isotope zinc absorption study was conducted in young children to investigate the ability of the PA-degrading enzyme phytase to improve zinc absorption, when added to a cereal porridge immediately before consumption.

Subjects/Methods:

Fractional absorption of zinc (FAZ) was estimated in 35 young healthy Burkinabe children using the double-isotopic tracer ratio method with 67Zn as oral tracer and 70Zn as intravenous tracer, in a crossover design. The test meals were: (a) a millet-based porridge containing 1.4 mg total zinc (native plus 1 mg added as ZnSO4) with a PA:Zn molar ratio of 7.7; (b) the same porridge with the enzyme phytase (20.5 phytase units (FTU)) added immediately before consumption. The exchangeable zinc pool (EZP) was determined as a potential measure of long-term zinc intake in 20 of the 35 children and compared with FAZ.

Results:

Mean FAZ increased from 9.5±3.4 to 16.0±5.1% (P<0.0001), when phytase was added to the meal. The mean EZP was 3.6±0.5 mg/kg. There was no correlation between the EZP and FAZ values for either of the two test meals.

Conclusions:

Adding phytase immediately prior to consumption of a zinc-fortified cereal-based complementary food can improve zinc absorption in young children.

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References

  1. Krebs NF, Miller LV, Hambidge KM . Zinc deficiency in infants and children: a review of its complex and synergistic interactions. Paediatr Int Child Health 2014; 34: 279–288.

    Article  Google Scholar 

  2. Gibson RS, Bailey KB, Gibbs M, Ferguson EL . A review of phytate, iron, zinc, and calcium concentrations in plant-based complementary foods used in low-income countries and implications for bioavailability. Food Nutr Bull 2010; 31: S134–S146.

    Article  Google Scholar 

  3. Das JK, Kumar R, Salam RA, Bhutta ZA . Systematic review of zinc fortification trials. Ann Nutr Metab 2013; 62 (suppl 1): 44–56.

    Article  CAS  Google Scholar 

  4. Brown KH, Hambidge KM, Ranum P Zinc Fortification Working Group. Zinc fortification of cereal flours: current recommendations and research needs. Food Nutr Bull 2010; 31: S62–S74.

    Article  Google Scholar 

  5. Troesch B, Egli I, Zeder C, Hurrell RF, de Pee S, Zimmermann MB . Optimization of a phytase-containing micronutrient powder with low amounts of highly bioavailable iron for in-home fortification of complementary foods. Am J Clin Nutr 2009; 89: 539–544.

    Article  CAS  Google Scholar 

  6. Cercamondi CI, Egli IM, Mitchikpe E, Tossou F, Hessou J, Zeder C et al. Iron bioavailability from a lipid-based complementary food fortificant mixed with millet porridge can be optimized by adding phytase and ascorbic acid but not by using a mixture of ferrous sulfate and sodium iron EDTA. J Nutr 2013; 143: 1233–1239.

    Article  CAS  Google Scholar 

  7. Thacher TD, Aliu O, Griffin IJ, Pam SD, O'Brien KO, Imade GE et al. Meals and dephytinization affect calcium and zinc absorption in Nigerian children with rickets. J Nutr 2009; 139: 926–932.

    Article  CAS  Google Scholar 

  8. Egli I, Davidsson L, Zeder C, Walczyk T, Hurrell R . Dephytinization of a complementary food based on wheat and soy increases zinc, but not copper, apparent absorption in adults. J Nutr 2004; 134: 1077–1080.

    Article  CAS  Google Scholar 

  9. Brnic M, Wegmuller R, Zeder C, Senti G, Hurrell RF . Influence of phytase, EDTA, and polyphenols on zinc absorption in adults from porridges fortified with zinc sulfate or zinc oxide. J Nutr 2014; 144: 1467–1473.

    Article  CAS  Google Scholar 

  10. Wessells KR, Brown KH . Estimating the global prevalence of zinc deficiency: results based on zinc availability in national food supplies and the prevalence of stunting. PLoS One 2012; 7: e50568.

    Article  Google Scholar 

  11. Wessells KR, Ouedraogo ZP, Rouamba N, Hess SY, Ouedraogo JB, Brown KH . Short-term zinc supplementation with dispersible tablets or zinc sulfate solution yields similar positive effects on plasma zinc concentration of young children in Burkina Faso: a randomized controlled trial. J Pediatr 2012; 160: U129–U94.

    Article  Google Scholar 

  12. Taylor J, Taylor JRN, Kini F, Cereal Biofortification: Strategies, Challenges and Benefits, 2012.

  13. Bruyeron O, Denizeau M, Berger J, Treche S . Marketing complementary foods and supplements in Burkina Faso, Madagascar, and Vietnam: lessons learned from the Nutridev program. Food Nutr Bull 2010; 31: S154–S167.

    Article  Google Scholar 

  14. Ouèdraogo HZ, Traoré T, Zéba A, Dramaix-Wilmet M, Hennart P, Donnen P . A local-ingredient-based, processed flour to improve the energy, iron and zinc intakes of young children: a community-based intervention. Int J Food Sci Nutr 2009; 60: 87–98.

    Article  Google Scholar 

  15. Tripathi B, Platel K . Finger millet (Eleucine coracana flour as a vehicle for fortification with zinc. J Trace Elem Med Bio 2010; 24: 46–51.

    Article  CAS  Google Scholar 

  16. Lestienne I, Besancon P, Caporiccio B, Lullien-Pellerin V, Treche S . Iron and zinc in vitro availability in pearl millet flours (Pennisetum glaucum with varying phytate, tannin, and fiber contents. J Agric Food Chem 2005; 53: 3240–3247.

    Article  CAS  Google Scholar 

  17. Krebs NF, Westcott JE, Culbertson DL, Sian L, Miller LV, Hambidge KM . Comparison of complementary feeding strategies to meet zinc requirements of older breastfed infants. Am J Clin Nutr 2012; 96: 30–35.

    Article  CAS  Google Scholar 

  18. King JC, Shames DM, Lowe NM, Woodhouse LR, Sutherland B, Abrams SA et al. Effect of acute zinc depletion on zinc homeostasis and plasma zinc kinetics in men. Am J Clin Nutr 2001; 74: 116–124.

    Article  CAS  Google Scholar 

  19. Feillet-Coudray C, Meunier N, Rambeau M, Brandolini-Bunlon M, Tressol JC, Andriollo M et al. Long-term moderate zinc supplementation increases exchangeable zinc pool masses in late-middle-aged men: the Zenith Study. Am J Clin Nutr 2005; 82: 103–110.

    Article  CAS  Google Scholar 

  20. WHO Multicentre Growth Reference Study Group. WHO Child Growth Standards based on length/height, weight and age. Acta Pædiatr Suppl 2006; 450: 76–85.

    Google Scholar 

  21. WHO, UN Children's Fund, UN University Iron Deficiency Anaemia: Assessment, Prevention and Control. A Guide for Programme Managers. World Health Organization: Geneva, Switzerland, 2001.

  22. Hotz C, Brown KH . International Zinc Nutrition Consultative Group (IZiNCG) technical document #1. Assessment of the risk of zinc deficiency in populations and options for its control. Food Nutr Bull 2004; 25: 91–204.

    Google Scholar 

  23. Lowe NM, Woodhouse LR, Matel JS, King JC . Comparison of estimates of zinc absorption in humans by using 4 stable isotopic tracer methods and compartmental analysis. Am J Clin Nutr 2000; 71: 523–529.

    Article  CAS  Google Scholar 

  24. Yang L, Yang X, Piao J, Tian Y, Li P, Wang Y et al. Studies on zinc bioavailability from a representative diet in Chinese urban women of childbearing age using a double label stable isotope technique. J Trace Elem Med Biol 2005; 19: 159–164.

    Article  CAS  Google Scholar 

  25. Jalla S, Westcott J, Steirn M, Miller LV, Bell M, Krebs TF . Zinc absorption and exchangeable zinc pool sizes in breast-fed infants fed meat or cereal as first complementary food. J Pediatr Gastroenterol Nutr 2002; 34: 35–41.

    Article  CAS  Google Scholar 

  26. Miller LV, Hambidge KM, Naake VL, Hong ZY, Westcott JL, Fennessey PV . Size of the zinc pools that exchange rapidly with plasma zinc in humans - alternative techniques for measuring and relation to dietary zinc intake. J Nutr 1994; 124: 268–276.

    Article  CAS  Google Scholar 

  27. Krebs NF, Miller LV, Naake VL, Lei S, Westcott JE, Fennessey PV et al. The Use of stable-isotope techniques to assess zinc-metabolism. J Nutr Biochem 1995; 6: 292–301.

    Article  Google Scholar 

  28. Makower RU . Extraction and determination of phytic acid in beans (Phaseolus-Vulgaris. Cereal Chem 1970; 47: 288–295.

    CAS  Google Scholar 

  29. Vanveldhoven PP, Mannaerts GP . Inorganic and organic phosphate measurements in the nanomolar range. Anal Biochem 1987; 161: 45–48.

    Article  CAS  Google Scholar 

  30. IZiNCG International Zinc Nutrition Consultative Group, Assessing Population Zinc Status with Serum Zinc Concentration. Davis (CA): University of California; 2007. Available at http://www.izincg.org (accessed on July 2013).

  31. Biasucci LM . CDC/AHA Workshop on Markers of Inflammation and Cardiovascular Disease: Application to Clinical and Public Health Practice: clinical use of inflammatory markers in patients with cardiovascular diseases: a background paper. Circulation 2004; 110: E560–E567.

    Article  Google Scholar 

  32. Friel JK, Naake VL Jr, Miller LV, Fennessey PV, Hambidge KM . The analysis of stable isotopes in urine to determine the fractional absorption of zinc. Am J Clin Nutr 1992; 55: 473–477.

    Article  CAS  Google Scholar 

  33. Sandstrom B, Arvidsson B, Cederblad A, Bjornrasmussen E . Zinc-absorption from composite meals.1. The significance of wheat extraction rate, zinc, calcium, and protein-content in meals based on bread. Am J Clin Nutr 1980; 33: 739–745.

    Article  CAS  Google Scholar 

  34. de Romaña DL, Lönnerdal B, Brown KH . Absorption of zinc from wheat products fortified with iron and either zinc sulfate or zinc oxide. Am J Clin Nutr 2003; 78: 279–283.

    Article  Google Scholar 

  35. Hettiarachchi M, Liyanage C, Hilmers D, Griffin I, Abrams SA . Changing the zinc:iron ratio in a cereal-based nutritional supplement has no effect on percent absorption of iron and zinc in Sri Lankan children. Br J Nutr 2010; 103: 1015–1022.

    Article  CAS  Google Scholar 

  36. FAO/WHO Joint FAO/WHO Expert Consultation on Human Vitamin and Mineral Requirements; Vitamin and Mineral Requirements in Human Nutrition: Report of a Joint FAO/WHO Expert Consultation, Bangkok, Thailand, 21–30 September 1998. 2004.

  37. Sian L, Hambidge KM, Westcott JL, Miller LV, Fennessey PV . Influence of a meal and incremental doses of zinc on changes in zinc-absorption. Am J Clin Nutr 1993; 58: 533–536.

    Article  CAS  Google Scholar 

  38. Miller LV, Krebs NF, Hambidge KM . A mathematical model of zinc absorption in humans as a function of dietary zinc and phytate. J Nutr 2007; 137: 135–141.

    Article  CAS  Google Scholar 

  39. Miller LV, Hambidge KM, Krebs NF . Zinc absorption is not related to dietary phytate intake in infants and young children based on modeling combined data from multiple studies. J Nutr 2015; 145: 1763–1769.

    Article  CAS  Google Scholar 

  40. Troesch B, van Stujivenberg ME, Smuts CM, Kruger HS, Biebinger R, Hurrell RF et al. A micronutrient powder with low doses of highly absorbable iron and zinc reduces iron and zinc deficiency and improves weight-for-age Z-scores in South African children. J Nutr 2011; 141: 237–242.

    Article  CAS  Google Scholar 

  41. Sian L, Xiang MY, Miller LV, Tong L, Krebs NF, Hambidge KM . Zinc absorption and intestinal losses of endogenous zinc in young Chinese women with marginal zinc intakes. Am J Clin Nutr 1996; 63: 348–353.

    Article  CAS  Google Scholar 

  42. Lee D, Prasad AS, Hydrick-Adair C, Brewer G, Johnson PE . Hemeostasis of zinc in marginal human zinc deficiency: role of absorption and endogenous excretion of zinc. J Lab Clin Med 1993; 122: 549–556.

    CAS  PubMed  Google Scholar 

  43. King JC . Does zinc absorption reflect zinc status? Int J Vitam Nutr Res 2010; 80: 300–306.

    Article  CAS  Google Scholar 

  44. Chung CS, Stookey J, Dare D, Welch R, Nguyen TQ, Roehl R et al. Current dietary zinc intake has a greater effect on fractional zinc absorption than does longer term zinc consumption in healthy adult men. Am J Clin Nutr 2008; 87: 1224–1229.

    Article  CAS  Google Scholar 

  45. Hambidge KM, Miller LV, Westcott JE, Sheng X, Krebs NF . Zinc bioavailability and homeostasis. Am J Clin Nutr 2010; 91: 1478S–1483S.

    Article  CAS  Google Scholar 

  46. Manary MJ, Hotz C, Krebs NF, Gibson RS, Westcott JE, Broadhead RL et al. Zinc homeostasis in Malawian children consuming a high-phytate, maize-based diet. Am J Clin Nutr 2002; 75: 1057–1061.

    Article  CAS  Google Scholar 

  47. Ariff S, Krebs NF, Soofi S, Westcott J, Bhatti Z, Tabassum F et al. Absorbed zinc and exchangeable zinc pool size are greater in Pakistani infants receiving traditional complementary foods with zinc-fortified micronutrient powder. J Nutr 2014; 144: 20–26.

    Article  CAS  Google Scholar 

  48. Chomba E, Westcott CM, Westcott JE, Mpabalwani EM, Krebs NF, Patinkin ZW et al. Zinc absorption from biofortified maize meets the requirements of young rural Zambian children. J Nutr 2015; 145: 514–519.

    Article  CAS  Google Scholar 

  49. May T, Westcott C, Thakwalakwa C, Ordiz MI, Maleta K, Westcott J et al. Resistant starch does not affect zinc homeostasis in rural Malawian children. J Trace Elem Med Biol 2015; 30: 43–48.

    Article  CAS  Google Scholar 

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Acknowledgements

We acknowledge the technical assistance of Adam Krzystek, and of all the collaborators of the pediatric and the pharmacy department of the University Hospital Yalgado Ouédraogo in Ouagadougou, particularly, professor Ludovic Kam, professor Pierre Guissou, Robert Tionsa and Mariam Lankoandé. We thank all the participants and their families for their participation in the study. We thank Dr Tahirou Traoré from GRET—Projet Nutrifaso, Ouagadougou, Burkina Faso for the supply of the unfortified MISOLA flour. We express thanks to DSM Nutritional Products, Switzerland for donating the phytase. This study has been supported by the INSTAPA project, which received funding from the European Union’s Seventh Framework Programme (FP7/2007-2013) under grant agreement no. 211484.

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Correspondence to M Brnić.

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Brnić, M., Hurrell, R., Songré-Ouattara, L. et al. Effect of phytase on zinc absorption from a millet-based porridge fed to young Burkinabe children. Eur J Clin Nutr 71, 137–141 (2017). https://doi.org/10.1038/ejcn.2016.199

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