Could giardiasis be a risk factor for low zinc status in schoolchildren from northwestern Mexico? A cross-sectional study with longitudinal follow-up

Bibliographic Details
Title: Could giardiasis be a risk factor for low zinc status in schoolchildren from northwestern Mexico? A cross-sectional study with longitudinal follow-up
Authors: Valencia Mauro E, Esparza Julián, Leyva Johanna G, Méndez Rosa O, Morales Gloria G, Quihui Luis
Source: BMC Public Health, Vol 10, Iss 1, p 85 (2010)
Publisher Information: BMC, 2010.
Publication Year: 2010
Collection: LCC:Public aspects of medicine
Subject Terms: Public aspects of medicine, RA1-1270
More Details: Abstract Background Both giardiasis and zinc deficiency are serious health problems worldwide. In Mexico, the prevalence of G. intestinalis was estimated at 32% in 1994. It remains a health problem in northwestern Mexico. Recent surveys (1987, 1995, and 1999) reported zinc deficiency in the Mexican population. The association of giardiasis and malabsorption of micronutrients has been well documented, although the association with zinc remains controversial. This study investigated the association between giardiasis and zinc deficiency in schoolchildren from northwestern Mexico. Methods We combined a cross-sectional design with a longitudinal follow-up six months after parasite treatment. The baseline sample consisted of 114 schoolchildren (mean age 8.8 yr) from seven suburban public schools, grouped as Giardia-free (n = 65, 57%) and Giardia-infected (n = 49, 43%). Three stool analyses per child were done using Faust's method. Children with giardiasis received secnidazole. Serum zinc was determined by atomic absorption spectrophotometry. Height and weight were measured. Socioeconomic information was obtained in an oral questionnaire, and daily zinc intake was assessed using 24 hour-recalls. Pearson's correlation and ANCOVA and paired t-test analyses were used to determine the association between giardiasis and zinc status. Results Longitudinal analysis demonstrated a significant increase of the mean serum zinc levels in the Giardia-infected group six months after treatment (13.78 vs. 19.24 μmol/L μmol/L; p = 0.001), although no difference was found between the Giardia-free and the Giardia-infected groups (p = 0.86) in the baseline analysis. Z scores for W/A and H/A were lower in the Giardia-infected than in the Giardia-free group (p < 0.05). No difference was observed in the socioeconomic characteristics and mean daily intakes of zinc between the groups (p > 0.05). Conclusions Giardiasis may be a risk factor for zinc deficiency in schoolchildren from northwestern Mexico.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1471-2458
Relation: http://www.biomedcentral.com/1471-2458/10/85; https://doaj.org/toc/1471-2458
DOI: 10.1186/1471-2458-10-85
Access URL: https://doaj.org/article/82a443e731a04dbba8afa135e4601ac7
Accession Number: edsdoj.82a443e731a04dbba8afa135e4601ac7
Database: Directory of Open Access Journals
More Details
ISSN:14712458
DOI:10.1186/1471-2458-10-85
Published in:BMC Public Health
Language:English