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Effect of zinc supplementation on mortality in children aged 1–48 months: a community-based randomised placebo-controlled trial
Abstract
Background Studies from Asia have suggested that zinc supplementation can reduce morbidity and mortality in children, but evidence from malarious populations in Africa has been inconsistent. Our aim was to assess the effects of zinc supplementation on overall mortality in children in Pemba, Zanzibar.Methods We enrolled 42,546 children aged 1-36 months, contributing a total of 56,507 child-years in a randomised, double-blind, placebo-controlled trial in Pemba, Zanzibar. Randomisation was by household. 21 274 children received daily supplementation with zinc 10 mg (5 mg in children younger than 12 months) for mean 484.7 days (SD 306.6). 21,272 received placebo. The primary endpoint was overall mortality, and analysis was by intention to treat. This study is registered as an International Standard Randomised Clinical Trial, number ISRCTN59549825.Findings Overall, there was a non-significant 7% (95% CI -6% to 19%; p=0.29) reduction in the relative risk of all-cause mortality associated with zinc supplementation.Interpretation We believe that a meta-analysis of all studies of mortality and morbidity, will help to make evidence-based recommendations for the role of zinc supplementation in public health policy to improve mortality, morbidity, growth, and development in young children.
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“Re-Analysis of the same trials for disease-specific outcomes, which is necessary to extrapo late effects to populations with different causes of death, reduced their statistical power and gave 95% CIs that spanned 1·0.”
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“randomised trials of zinc supplementation were designed to detect effects on total mortality.36,153”
Citations
Cites
WHO estimates of the causes of death in children
Bryce, J., Boschi-Pinto, C., Shibuya, K., & Black, R. E. (2005) · The Lancet · doi:10.1016/s0140-6736(05)71877-8 · Cited by 2,108
Self-citationSazawal, S., Black, R. E., Ramsan, M., Chwaya, H. M., Stoltzfus, R. J., Dutta, A., Dhingra, U., Kabole, I., Deb, S., Othman, M. K., et al. (2006) · The Lancet · doi:10.1016/s0140-6736(06)67962-2 · Cited by 981
Self-citationBhutta, Z. A., Black, R. E., Brown, K. H., Gardner, J. M., Gore, S., Hidayat, A., Khatun, F., Martorell, R., Ninh, N. X., Penny, M. E., et al. (1999) · The Journal of Pediatrics · doi:10.1016/s0022-3476(99)70086-7 · Cited by 731
Self-citationA critical physiological role of zinc in the structure and function of biomembranes
Bettger, W. J., & O’Dell, B. L. (1981) · Life Sciences · doi:10.1016/0024-3205(81)90374-x · Cited by 631
Sazawal, S., Black, R. E., Jalla, S., Mazumdar, S., Sinha, A., & Bhan, M. K. (1998) · Pediatrics · doi:10.1542/peds.102.1.1 · Cited by 543
Self-citationHazard Plotting for Incomplete Failure Data
Nelson, W. B. (1969) · Journal of Quality Technology · doi:10.1080/00224065.1969.11980344 · Cited by 526
Beck, F. W., Prasad, A. S., Kaplan, J., Fitzgerald, J. T., & Brewer, G. J. (1997) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.1997.272.6.e1002 · Cited by 345
The burden of malaria mortality among African children in the year 2000
Rowe, A. K., Rowe, S., Snow, R. W., Korenromp, E. L., Schellenberg, J., Stein, C., Nahlen, B. L., Bryce, J., Black, R. E., & Steketee, R. W. (2006) · International Journal of Epidemiology · doi:10.1093/ije/dyl027 · Cited by 297
Self-citationZinc supplementation and stunted infants in Ethiopia: a randomised controlled trial
Umeta, M., West, C. E., Haidar, J., Deurenberg, P., & HAUTVAST, J. G. A. J. (2000) · The Lancet · doi:10.1016/s0140-6736(00)02348-5 · Cited by 296
Nutritional influences on linear growth: a general review.
Allen, L. H. (1994) · PubMed · Cited by 292
Protection of mice against Babesia, and Plasmodium with BCG
Clark, I. A., ALLISON, A. C., & Cox, F. E. G. (1976) · Nature · doi:10.1038/259309a0 · Cited by 292
Baqui, A. H., Black, R. E., Arifeen, S. E., Yunus, M., Chakraborty, J., Ahmed, S., & Vaughan, J. P. (2002) · BMJ · doi:10.1136/bmj.325.7372.1059 · Cited by 284
Self-citationHuber, S. A., & Pfaeffle, B. (1994) · Journal of Virology · doi:10.1128/jvi.68.8.5126-5132.1994 · Cited by 245
Brooks, W. A., Santosham, M., Naheed, A., Goswami, D. R., Wahed, M., Diener‐West, M., Faruque, A. S., & Black, R. E. (2005) · The Lancet · doi:10.1016/s0140-6736(05)67109-7 · Cited by 225
Self-citationMüller, O., Becher, H., van Zweeden, A. B., Ye, Y., Diallo, D. A., Konate, A. T., Gbangou, A., Kouyate, B., & Garenne, M. (2001) · BMJ · doi:10.1136/bmj.322.7302.1567 · Cited by 209
A trial of zinc supplementation in young rural Gambian children
Bates, C. J., Bates, P., Dardenne, M., Prentice, A., Lunn, P. G., Northrop‐Clewes, C. A., Hoare, S., Cole, T. J., Horan, S. J., Longman, S. C., et al. (1993) · British Journal Of Nutrition · doi:10.1079/bjn19930026 · Cited by 203
Sazawal, S., Black, R. E., Menon, V. P., Dinghra, P., Caulfield, L. E., Dhingra, U., & Bagati, A. (2001) · PEDIATRICS · doi:10.1542/peds.108.6.1280 · Cited by 195
Self-citationShankar, A. H., Genton, B., Baisor, M., Paino, J., Tamja, S., Adiguma, T., Wu, L. S. F., Rare, L., Bannon, D., Tielsch, J. M., et al. (2000) · American Journal of Tropical Medicine and Hygiene · doi:10.4269/ajtmh.2000.62.663 · Cited by 171
IL-12, IFN-γ, and T Cell Proliferation to Measles in Immunized Infants
Gans, H. A., Maldonado, Y., Yasukawa, L. L., Beeler, J. A., Audet, S. A., Rinki, M., DeHovitz, R., & Arvin, A. M. (1999) · The Journal of Immunology · doi:10.4049/jimmunol.162.9.5569 · Cited by 161
IL-12, IFN-gamma, and T cell proliferation to measles in immunized infants.
Gans, H. A., Maldonado, Y., Yasukawa, L. L., et al. (1999) · PubMed · Cited by 152
Sazawal, S., Black, R. E., Bhan, M. K., Jalla, S., Bhandari, N., Sinha, A., & Majumdar, S. (1996) · The Journal of Nutrition · doi:10.1093/jn/126.2.443 · Cited by 146
Self-citationMassaga, J. J., Kitua, A. Y., Lemnge, M. M., Akida, J. A., Malle, L., Rønn, A. M., Theander, T. G., & Bygbjerg, I. C. (2003) · The Lancet · doi:10.1016/s0140-6736(03)13504-0 · Cited by 146
Mahalanabis, D., Lahiri, M., Paul, D. K., Gupta, S., Gupta, A., Wahed, M. A., & Khaled, M. A. (2004) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/79.3.430 · Cited by 143
Osendarp, S. J. M., van Raaij, J. M., Darmstadt, G. L., Baqui, A. H., HAUTVAST, J. G. A. J., & Fuchs, G. J. (2001) · The Lancet · doi:10.1016/s0140-6736(00)04260-4 · Cited by 140
Moran, T. M., Park, H., Fernández-Sesma, A., & Schulman, J. L. (1999) · The Journal of Infectious Diseases · doi:10.1086/314952 · Cited by 136
Lira, P. I., Ashworth, A., & Morris, S. S. (1998) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/68.2.418s · Cited by 127
Zinc requirements and zinc intakes of breast-fed infants
Krebs, N., & Hambidge, K. M. (1986) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/43.2.288 · Cited by 118
Thompson, S. G., Pyke, S., & Hardy, R. (1997) · Statistics in Medicine · doi:10.1002/(sici)1097-0258(19970930)16:18 · Cited by 99
Osendarp, S. J. M., Santosham, M., Black, R. E., Wahed, M., van Raaij, J. M., & Fuchs, G. J. (2002) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/76.6.1401 · Cited by 96
Self-citationInfant Survival Is Improved by Oral Iodine Supplementation ,
Cobra, C., Muhilal, Rusmil, K., Rustama, D. S., Djatnika, Suwardi, S. S., Permaesih, D., Muherdiyantiningsih, Martuti, S., & Semba, R. D. (1997) · Journal of Nutrition · doi:10.1093/jn/127.4.574 · Cited by 91
High IL-13 production by human neonatal T cells: neonate immune system regulator?
Ribeiro-do-Couto, L. M., Boeije, L. C. M., Kroon, J., Hooibrink, B., Breur-Vriesendorp, B. S., Aarden, L. A., & Boog, C. J. P. (2001) · European Journal of Immunology · doi:10.1002/1521-4141(200111)31:11 · Cited by 91
Kikafunda, J. K., Walker, A. F., Allan, E. F., & Tumwine, J. K. (1998) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/68.6.1261 · Cited by 80
Transport of Electrolytes, Water, and Glucose in Zinc Deficiency
Ghishan, F. K. (1984) · Journal of Pediatric Gastroenterology and Nutrition · doi:10.1097/00005176-198409000-00022 · Cited by 78
Sempértegui, F., Estrella, B., Correa, E., Aguirre, L., Saa, B., Torres, M., Navarrete, F. E., Alarcon, C. R., Carrión, J., Rodríguez, et al. (1996) · PubMed · Cited by 71
Hepatitis B Vaccination Associated With Higher Female Than Male Mortality in Guinea-Bissau
Garly, M., Jensen, H., Martins, C. L., Balé, C., Baldé, M. A., Lisse, I. M., & Aaby, P. (2004) · The Pediatric Infectious Disease Journal · doi:10.1097/01.inf.0000145700.77286.94 · Cited by 67
Efficacy of zinc in young infants with acute watery diarrhea
Brooks, W. A., Santosham, M., Sk, R., Faruque, A. S., Wahed, M., Nahar, K., Khan, A. I., Khan, M. A., Fuchs, G. J., & Black, R. E. (2005) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/82.3.605 · Cited by 64
Self-citationPit, D. S. S., Polderman, A. M., Schulz-Key, H., & Soboslay, P. T. (2000) · Allergy · doi:10.1034/j.1398-9995.2000.00477.x · Cited by 62
Gebhard, R. L., Karouani, R., Prigge, W. F., & McClain, C. J. (1983) · Journal of Nutrition · doi:10.1093/jn/113.4.855 · Cited by 60
Zinc Supplementation for the Treatment of Diarrhea in Infants in Pakistan, India and Ethiopia
Walker, C. L. F., Bhutta, Z. A., Bhandari, N., Teka, T., Shahid, F., Taneja, S., Black, R. E., & Zinc Study Group (2006) · Journal of Pediatric Gastroenterology and Nutrition · doi:10.1097/01.mpg.0000232018.40907.00 · Cited by 60
Self-citationRandomised study of effect of different doses of vitamin A on childhood morbidity and mortality
Benn, C. S., Martins, C. L., Rodrigues, A., Jensen, H., Lisse, I. M., & Aaby, P. (2005) · BMJ · doi:10.1136/bmj.38670.639340.55 · Cited by 60
Garly, M., Jensen, H., Martins, C. L., et al. (2004) · PubMed · Cited by 59
Serum zinc and copper levels in the maternal blood and cord blood of neonates
Iqbal, A. S. M., Shahidullah, M. S., Islam, M. N., Akhter, S., & Banu, S. (2001) · The Indian Journal of Pediatrics · doi:10.1007/bf02723246 · Cited by 42
Longitudinal study of intracellular T cell cytokine production in infants compared to adults
Buck, R. H., Cordle, C. T., Thomas, D., Winship, T. R., Schaller, J. P., & Dugle, J. E. (2002) · Clinical & Experimental Immunology · doi:10.1046/j.1365-2249.2002.01851.x · Cited by 40
Makonnen, B., Venter, A. V. D., & Joubert, G. (2003) · Journal of Tropical Pediatrics · doi:10.1093/tropej/49.6.340 · Cited by 36
Fischer, J. E., Johnson, J. E., Johnson, T. R., & Graham, B. S. (2000) · The Journal of Infectious Diseases · doi:10.1086/315806 · Cited by 31
Valentiner‐Branth, P., Perch, M., Nielsen, J. O., Steinsland, H., Garly, M., Fischer, T. K., Sommerfelt, H., Mølbak, K., & Aaby, P. (2006) · Vaccine · doi:10.1016/j.vaccine.2006.01.035 · Cited by 27
Atabani, S. F., Landucci, G., Steward, M. W., Whittle, H. C., Tilles, J. G., & Forthal, D. N. (2000) · Clinical and Diagnostic Laboratory Immunology · doi:10.1128/cdli.7.1.111-113.2000 · Cited by 25
Forthal, D. N., Landucci, G., Habis, A., Laxer, M. A., Javato-Laxer, M., Tilles, J. G., & Janoff, E. N. (1995) · The Journal of Infectious Diseases · doi:10.1093/infdis/172.6.1587 · Cited by 8
Non-specific effect of measles vaccination on all-cause child mortality: revisited.
Kabir, Z., & Aaby, P. (2005) · PubMed · Cited by 3
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Metadata
- Authors
- Sazawal, S., Black, R. E., Ramsan, M., Chwaya, H. M., Dutta, A., Dhingra, U., Stoltzfus, R. J., Othman, M. K., & Kabole, F. M.
- Affiliations
- Johns Hopkins University (US)
- Public Health Laboratory Ivo de Carneri (TZ)
- United Nations Children's Fund (US)
- Cornell University (US)
- Corresponding author
- Black, Robert E
- Venue
- The Lancet
- Publisher
- Elsevier BV
- Published
- 2007-03
- Volume
- 369
- Issue
- 9565
- Pages
- 927-934
- ISSN
- 0099-5355 (ISSN-L)
- 0140-6736
- OpenAlex
- W2146384937
- Cited by
- 138
- References
- 49
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 3 · 2023: 5 · 2022: 1 · 2021: 6 · 2020: 3 · 2019: 3 · 2018: 1 · 2017: 6 · 2016: 5 · 2015: 5 · 2014: 9 · 2013: 9 · 2012: 11
- FWCI
- 17.03
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Lancet (publishedVersion)
- PubMed (publishedVersion)
- Funders
- United States Agency for International Development
- Bill and Melinda Gates Foundation
- United Nations Foundation
- Johns Hopkins Bloomberg School of Public Health
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Child Nutrition and Water Access
- Health Sciences › Nursing › Nutrition and Dietetics › Trace Elements in Health
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
- Keywords
- zinc supplementation, child mortality, infant and young child nutrition, micronutrient supplementation, all-cause mortality, community-based trial
- MeSH terms
- Cause of Death, Child, Preschool, Communicable Disease Control, Communicable Diseases, Community Health Services, Diarrhea, Infantile, Double-Blind Method, Female, Follow-Up Studies, Humans, Infant, Malaria, Male, Mosquito Control, Socioeconomic Factors, Tanzania, Zinc, Age Distribution, Sex Distribution, Dietary Supplements, Child Mortality
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