Abstract
Objective:
Inadequate intakes of micronutrients in elderly negatively affect the nutritional status. Zinc is an essential micronutrient in the elderly, especially in relation to its impact on immune function, bone mass, cognitive function and oxidative stress. However, data are lacking on zinc intake and status during normal ageing. In this study, we evaluate the intake and status of zinc in late middle-aged and older free-living subjects.
Design:
Dietary zinc intake and zinc status in 188 middle-aged subjects from Clermont-Ferrand (Fr) and Coleraine (UK), and in 199 older subjects from Grenoble (Fr) and Roma (It) were assessed at the entry in the ZENITH study.
Results:
In relation to the zinc RDA for people older than 55 y, zinc intakes in most of the middle-aged and older subjects (more than 96%) in the present study were adequate. Older people had significantly lower (P<0.01) energy intakes as compared to middle-aged. Zinc intake expressed per MJ was also significantly (P<0.01) higher in older people compared to middle-aged. Erythrocyte and urinary zinc concentrations were significantly (P<0.001) higher in middle-aged subjects compared to older ones. The prevalence of biological Zn deficiency in free-living ageing European people was low (<5%).
Conclusion:
The results of the present study showed a relatively low prevalence of zinc deficiencies in healthy free-living late middle-age and older subjects. These results should be useful for health professionals to have reference data on zinc intake and status for a healthy ageing.
Sponsorship:
The ZENITH study is supported by the European Commission ‘Quality of Life and Management of Living Resources’ Fifth Framework Programme, Contract No: QLK1-CT-2001-00168.
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References
Age-Related Eye Disease Study Research Group (2002): The effect of five-year zinc supplementation on serum zinc, serum cholesterol and hematocrit in persons randomly assigned to treatment group in the age-related eye disease study: AREDS Report No. 7. J. Nutr. 132, 697–702.
Andriollo et al (2005): Serum zinc concentration and food intake profile in a healthy French population: the SU.VI.MAX study. J. Trace Elem. Med. Biol. (in press).
Arnaud J, Bellanger J, Chappuis P, Favier A & Galliot M (1985): Recommendations for the assay of serum copper by flame atomic absorption spectrometry. Ann. Biol. Clin. 43, 297–318.
Arnaud J, Bellanger J, Bienvenu F, Chappuis P & Favier A (1986): Recommended method for assaying serum zinc with flame atomic absorption. Ann. Biol. Clin. 44, 77–87.
Atlante Ragionato di Alimentazione (1999): Instituto Scotti Bassani, Milano 1990 and con fotografie Edt Tierre: Firenze.
Bailey AL, Maisey S, Southon S, Wright AJ, Finglas PM & Fulcher RA (1997): Relationships between micronutrient intake and biochemical indicators of nutrient adequacy in a ‘free-living’ elderly UK population. Br. J. Nutr. 77, 225–242.
Bogden JD (2004): Influence of zinc on immunity in the elderly. J. Nutr. Health Aging. 8, 48–54.
Bureau I, Anderson RA, Arnaud J, Rayssiguier Y, Favier AE & Roussel AM (2002): Trace mineral status in post menopausal women: impact of hormonal replacement therapy. J. Trace Elem. Med. Biol. 16, 9–13.
Chernoff R (2005): Micronutrient requirements in older women. Am. J. Clin. Nutr. 81, 1240S–1245S.
De Groot CP, Van Staveren WA, Dirren H & Hautvast JG (1996): Summary and conclusions of the report on the second data collection period and longitudinal analyses of the SENECA Study. Eur. J. Clin. Nutr. 50, S123–S124.
Del Corso L, Pastine F, Protti MA, Romanelli AM, Moruzzo D, Ruocco L & Pentimone F (2000): Blood zinc, copper and magnesium in aging. A study in healthy home-living elderly. Panminerva Med. 42, 273–277.
Diaz Romero C, Henriquez Sanchez P, Lopez Blanco F, Rodriguez Rodriguez E & Serra Majem L (2002): Serum copper and zinc concentrations in a representative sample of the Canarian population. J. Trace Elem. Med. Biol. 16, 75–81.
DietroMetro (1999): Indagine Alimentare con fotografie. Florence, Italy: Tierre Editions.
Dittmann J, Fung SJ, Vickers JC, Chuah MI, Chung RS & West AK (2005): Metallothionein biology in the ageing and neurodegenerative brain. Neurotox. Res. 7, 87–93.
Drewnowski A & Shulz JM (2001): Impact of aging on eating behaviours, food choices, nutrition, and health status. J. Nutr. Heath Aging 5, 75–79.
Faure P, Ducros V, Couzy F, Favier A & Ferry M (2005): Rapidly exchangeable pool study of zinc in free-living or institutionalized elderly women. Nutrition 21, 831–837.
Girodon F, Galan P, Monget AL, Boutron-Ruault MC, Brunet-Lecomte P, Preziosi P, Arnaud J, Manuguerra JC & Hercberg S (1999): Impact of trace elements and vitamin supplementation on immunity and infections in institutionalized elderly patients: a randomized controlled trial. MIN. VIT. AOX. geriatric network. Arch. Intern. Med. 159, 748–754.
Hotz C, Peerson JM & Brown KH (2003): Suggested lower cut-offs of serum zinc concentrations for assessing zinc status: reanalysis of the second National Health and Nutrition Examination Survey data (1976–1980). Am. J. Clin. Nutr. 78, 756–764.
Hyun T, Barrett-Connor E & Milne D (2004): Zinc intakes and plasma concentrations in men with osteoporosis: the Rancho Bernardo Study. Am. J. Clin. Nutr. 80, 715–721.
King JC, Hambidge KM, Westcott JM, Kern DL & Marshall G (1994): Daily variation in plasma zinc concentrations in women fed meals at six-hour intervals. J. Nutr. 124, 508–516.
Lowe NM, Fraser WD & Jackson MJ (2002): Is there a potential therapeutic value of copper and zinc for osteoporosis? Proc. Nutr. Soc. 61, 181–185.
McClain CJ, McClain M, Barve S & Boosalis MG (2002): Trace metals in the elderly. Clin. Geriatr. Med. 18, 801–818.
Meydani M (2001): Nutrition interventions in aging and age associated disease. Ann. NY Acad. Sci. 928, 226–235.
Mocchegiani E, Bertoni-Freddari C, Marcellini F & Malavolta M (2005): Brain, aging, and neurodegeneration: Role of zinc ion availability. Prog. Neurobiol. 75, 367–390.
Mocchegiani E, Marcellini F & Pawelec G (2004): Nutritional zinc, oxidative stress and immunosenescence: biochemical, genetic, and lifestyle implications for healthy ageing. Biogerontology 5, 271–273.
Paik HY, Joung H, Lee JY, Lee HK, King JC & Keen CL (1999): Serum extracellular superoxide dismutase activity as an indicator of zinc status in humans. Biol. Trace Elem. Res. 69, 45–57.
Pelus E, Arnaud J, Ducros V, Faure H, Favier A & Roussel AM (1994): Trace element (Cu, Zn, Fe, Mn, Se) intakes in a group of French men using the duplicate diet technique. Int. J. Food Sci. Nutr. 45, 63–70.
Pepersack T, Rotsaert P, Benoit F, Willems D, Fuss M, Bourdoux P & Duchateau J (2001): Prevalence of zinc deficiency and its clinical relevance among hospitalised elderly. Arch. Gerontol. Geriatr. 33, 243–253.
Polito A, Meunier N, Andriollo-Sanchez M, Catasta G, Azzini E, Simpson EEA, O'Connor JM, Roussel AM, Ferry M, Coudray C & Maiani G (2005): Screening and recruitment procedure of late middle-aged and older subjects: the ZENITH study. Eur. J. Clin. Nutr. 59, S8–S12.
Prasad AS, Bao B, Beck FW, Kucuk O & Sarkar FH (2004): Antioxidant effect of zinc in humans. Free Radic. Biol. Med. 37, 1182–1190.
Ravaglia G, Forti P, Maioli F, Nesi B, Pratelli L, Savarino L, Cucinotta D & Cavalli G (2000): Blood micronutrient and thyroid hormone concentrations in the oldest-old. J. Clin. Endocrinol. Metab. 85, 2260–2265.
Roussel AM & Ferry M (2002): Oxidative stress and ageing. Nutr. Clin. Metab. 16, 285–292.
Rukgauer M, Klein J & Kruse-Jarres JD (1997): Reference values for the trace elements copper, manganese, selenium and zinc in the serum/plasma of children, adolescents and adults. J. Trace Elem. Med. Biol. 11, 92–98.
Savanvitch C, Deschamps V, Arnault N, Castelbon K, Bertrais S, Menne L & Hercberg S (2005): Evolution de la consommation alimentaire dans l'étude SU.VI.MAX. Cah. Nutr. Diet. 40 (2), 97–102.
Schmuck A, Roussel AM, Arnaud J, Ducros V, Favier A & Franco A (1996): Analyzed dietary intakes, plasma concentrations of zinc, copper, and selenium, and related antioxidant enzyme activities in hospitalized elderly women. J. Am. Coll. Nutr. 15, 462–468.
Schumacher M, Domingo JL & Corbella J (1994): Zinc and copper levels in serum and urine: relationship to biological, habitual and environmental factors. Sci. Total Environ. 148, 67–72.
Sibai AM, Zard C, Adra N, Baydoun M & Hwalla N (2003): Variations in nutritional status of elderly men and women according to place of residence. Gerontology 49, 215–224.
SU.VI.MAX (1994): Portions alimentaires. Manuel photo pour l'estimation des quantités. Paris, France: Polytechnica Editions.
Tudor R, Zalewski PD & Ratnaike RN (2005): Zinc in health and chronic disease. J. Nutr. Health Aging 9, 45–51.
Van Grevenhof J & Funderburg K (2003): Prevention of nutritional deficiencies in the elderly. J. Okla State Med. Assoc. 96, 150–153.
Acknowledgements
We wish to thank Dr J Arnaud (Grenoble Hospital CHRG, France) and her technicians for measurement of all the Zn status parameters.
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Guarantor: A-M Roussel.
Contributors: MAS contributed to the analysis and writing of the study. IHF, NM, ET, MZ, MB, AP, JMO, MF and A-MR contributed to design, execution, analysis and writing of the study. CC is the ZENITH project coordinator. All authors read and contributed to finalisation of the manuscript.
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Andriollo-Sanchez, M., Hininger-Favier, I., Meunier, N. et al. Zinc intake and status in middle-aged and older European subjects: the ZENITH study. Eur J Clin Nutr 59 (Suppl 2), S37–S41 (2005). https://doi.org/10.1038/sj.ejcn.1602296
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DOI: https://doi.org/10.1038/sj.ejcn.1602296