Zinc deficiency, obesity and stunting can be observed together in some developing countries. Moreover, zinc deficiency may enhance fat deposition and decrease lean body mass. In term of health, adequate absorbable zinc in food is essential for human health and growth. On the other hand, zinc deficiency affects children’s physical growth and deteriorates health status and increases the risk and severity of a variety of infectious diseases. The aim of the study is to assess zinc nutritional status among early adolescents in the GazaStrip-Palestine. Methods: A cross sectional study had been performed on 296 adolescents aged 12-15 years old. Three areas in theGazaStrip were chosen randomly. Systematically, pupils of 7th, 8th and 9th grades were selected. Height and weight measures were taken. Questionnaires including dietary habit and physical activities of pupils were collected in addition to serum zinc level measure. Results: The overall prevalence of serum zinc deficiency among adolescents was 42.5%. Zinc deficiency was more prevalent among the females (47.7%) than the males (37.2%). The overall prevalence of high body mass index was 29%. The overall prevalence of stunting was 7.6%. The stunted males (8.8%) were more prevalent than the females (6.4%). Forty-nine percent of the females live in sedentary life style, whereas 55% of the males practiced active and very active leisure physical activity. The females were less consuming of meat, eggs and milk than the males. Serum zinc level is associated positively with consumption of meat, BMI for age, stunting and physical activities. Conclusion: Zinc deficiency is prevalent among adolescents. Serum zinc level was affected positively by consumption of animal food sources. Zinc deficiency is associated positively with the life style characteristic of adolescents in the GazaStrip.
References
[1]
Ferraz, I.S., Daneluzzi, J.C., Vannucchi, H., Jordao Jr., A.A., Ricco, R.G., Del Ciampo, L.A., Martinelli Jr., C.E., D’Angio, E.A.A., Bonilha, L.R.C.M. and Custódio, V.I.C. (2007) Zinc serum levels and their association with Vit A deficiency on preschool children. Journal de Pediatria, 83, 512-517. doi:10.2223/JPED.1725
[2]
World Health Organization (WHO). (2007) Preventing and controlling micronutrient deficiencies in populations affected by an emergency. http://www.searo.who.int/LinkFiles/Nutrition_for_Health_and_Development_WHO_UNICEF_statement_emergency.pdf
[3]
Hess, S.Y. and Brown, K.H. (2009) International zinc nutrition consultative group technical document No. 2. Systematic reviews of zinc intervention strategies. Food and Nutrition Bulletin, 30, 1. http://www.foodandnutritionbulletin.org/downloads/FNB_v30n1_Supplement_izinc.pdf
[4]
World Bank. (2003) Nutrition Thematic Group (TG) Adolescent nutrition at glance. www.worldbank.org
[5]
World Health Organization (WHO). (2006) Adolescent nutrition: A review of the situation in selected south-east Asian countries.
[6]
Weisstaub, G., Hertrampf, E., LApez de Roma, D., Salazar, G., Bugue, C. and Castillo, D.C. (2007) Plasma zinc concentration, body composition and physical activity in obese preschool children. Biological Trace Element Research, 118, 167-174. doi:10.1007/s12011-007-0026-8
[7]
Brun, J.F., Dieu-Cambrezy, C., Charpiat, A., Fons, C., Fedou, C., Micallef, J.P., Fussellier, M., Bardet L. and Orsetti A. (1995) Serum zinc in highly trained adolescent gymnasts. Biological Trace Element Research, 47, 273-278. doi:10.1007/BF02790127
[8]
Van, M.D., Sutherland, B., Lowe, N.M., Turnland, J.R. and King, J.C. (1999) The effects of zinc depletion on peak force and total work of knee and shoulder extensor and flexor muscles. European Journal of Clinical Nutrition, 9, 125-135.
[9]
Lukaski, H.C. (2005) Low dietary zinc decreases erythrocyte carbonic anhydrase activities and impairs cardio-respiratory function in men during exercise. American Journal of Clinical Nutrition, 81, 1045-1051.
[10]
Center for Disease Control and Prevention. http://www.cdc.gov/epiinfo/
[11]
Rolfes Sh., R., Pinna, K. and Whitney, E. (2006) Understanding normal and clinical nutrition. 7th Edition, Thomson Wadsworth, Belmont.
[12]
World Health Organization (WHO). (2005) Nutrition in adolescence—Issues and challenges for the health sector. http://whqlibdoc.who.int/publications/2005/9241593660_eng.pdf
[13]
IZiNCG (International zinc consultant group). (2007) Assessing population zinc status with serum zinc concentration: Technical brief 2. http://www.izincg.org/publications/files/English_brief2.pdf
[14]
Al Sabbah, H., Vereecken, C., Kolsteren, P., Abdeen, Z. and Maes, L. (2007) Food habits and physical activity patterns among Palestinian adolescents: Findings from the national study of the Palestinian schoolchildren (HBSCWBG2004). Public Health Nutrition, 10, 739-746. doi:10.1017/S1368980007665501
[15]
Abudayya, A., Thoresen, M., Abed, Y. and Holmboe-Ottesen, G. (2007) Overweight, stunting and anemia are public health problems among low socioeconomic groups in school adolescents (12-15y) in the North Gaza Strip. Nutrition Research, 27, 762-771. doi:10.1016/j.nutres.2007.09.017
[16]
Kanoa, B.J., Abu-Nada, O.S. and Zabut, B.M. (2009) Nutritional status correlated with sociodemographic and economic factors among preparatory school-aged children in the Gaza Strip. Journal of Public Health, 17, 113-119. doi:10.1007/s10389-008-0229-2
[17]
World Food Programme (WFP) and Food and Agriculture Organization (FAO). (2009) Emergency food security assessment in the Gaza strip. http://www.apis.ps/documents/Gaza%20Rapid%20Qualitative%20EFSA%20-%20FINAL%20Feb09.pdf
[18]
World Health Organization (WHO). (2004) Comparative quantification of health risks Caulfield L. E. and Black R. E. chapter 5 zinc deficiency. http://www.who.int/healthinfo/global_burden_disease/cra/en/index.html
[19]
Wetherilt, H., Ackurt, F., Brubacher, G., Okan, B., Aktas, S. and Turdu, S. (1992) Blood vitamin and mineral levels in 7-17 years old Turkish children. International Journal for Vitamin and Nutrition Research, 62, 21-29.
[20]
Mahmoodi, M.R. and Kimiagar, S.M. (2001) Prevalence of zinc deficiency in junior high school students of Tehran City. Biological Trace Element Research, 81, 93-103. doi:10.1385/BTER:81:2:093
[21]
Hettiarachch, M., Liyanage, Ch., Wickremasinghe R., Hilmers, D.C. and Abrams, S.A. (2006) Prevalence and severity of micronutrient deficiency: A cross-sectional study among adolescents in Sri Lanka. Asia Pacific Journal of Clinical Nutrition, 15, 56-63.
[22]
Gibson, R.S., Manger, M.S., Krittaphol W. Pongcharoen, T., Gowachirapant S., Bailey, K.B. and Winichagoon, P. (2007) Does zinc deficiency play a role in stunting among primary school children in NE Thailand? British Journal of Nutrition, 97, 167-175. doi:10.1017/S0007114507250445