Effect of Zinc Supplementation in Acute Watery Diarrhea in Children 6 Months to 5 Years

Authors

  • Sahrish Khan Ayub Medical Complex Abbottabad, Pakistan
  • Komal Khalid Ayub Medical Complex Abbottabad, Pakistan
  • Masroor Zahid Ayub Medical Complex Abbottabad, Pakistan
  • Armaghan Ali Ayub Medical Complex Abbottabad, Pakistan

DOI:

https://doi.org/10.54112/bcsrj.v6i5.1737

Keywords:

Zinc, diarrhea, children, supplementation

Abstract

AWD is the third most common cause of childhood morbidity and mortality in the developing world today. Iron deficiency anemia, and more commonly zinc deficiency, remain rife, especially among children in these areas, thus exposing them to a weakened immune system. It was known from the report that Zinc is said to have been recommended by the World Health Organization (WHO) as a means to shorten the duration and lessen the severity of diarrhea. Objectives: to determine the role that zinc supplementation has on the duration, severity, and frequency of acute watery diarrhoea among children of 6 months to 5 years of age. A quasi-experimental study. Methods: The study was conducted in the Pediatric A ward, Ayub Medical Complex, Abbottabad in the duration from 27 September 2024 to 27 March 2025. A total of 150 children between 6 months and 5 years of age presented with acute watery diarrhea. The patients were divided into two groups: 75 accepted zinc supplementation (20 mg/day for 10 days) and 75 children received no additional zinc. More specifically, the number of diarrheal stools per day, as well as the total number of diarrheal stools and days, were obtained. The level of statistical significance was determined by p-value and standard deviation (SD). Results: out of 150 patients, prophylactic effect in children receiving zinc supplementation was experienced diarrhea for a shorter time in terms of the mean duration: 3.5±1.2 against 5.1±1.8 in the control group, p < 0.05. In the same way, the frequency of stools was lower in the zinc group compared to the placebo group. The zinc group had a standard deviation of 1.2 for the duration of diarrhea, and the control group had a standard deviation of 1.8, and the p-value = 0.01, which shows that our findings are significantly different. There were no clinically significant adverse effects in either study group. Conclusions: The present study shows that zinc supplementation clearly shortens the duration and mitigates the severity of acute watery diarrhea among children aged between 6 months to 5 years. This enhances the process of extending the traditional course of zinc support during diarrhea management to enhance course favorable results as well as minimize the load on the health care systems.

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References

Walker CLF, Rudan I, Liu L, et al. Global burden of childhood pneumonia and diarrhoea. Lancet. 2013;381(9875):1405-1416. doi:10.1016/S0140-6736(13)60222-6.

Liu L, Oza S, Hogan D, et al. Global, regional, and national causes of under-5 mortality in 2000–15: An updated systematic analysis with implications for the Sustainable Development Goals. Lancet. 2016;388(10063):3027-3035. doi:10.1016/S0140-6736(16)31593-8.

Brown KH, Peerson JM, Baker SK, Hess SY. Preventive and therapeutic zinc supplementation in developing countries. Adv Nutr. 2013;4(2):176-190. doi:10.3945/an.112.003343.

Bhatnagar S, Bhandari N, Mouli UC, Bhan MK. Zinc with oral rehydration therapy reduces stool output and duration of diarrhea in hospitalized children: A randomized controlled trial. J Pediatr Gastroenterol Nutr. 2004;38(1):34-40. doi:10.1097/00005176-200401000-00010.

Lazzerini M, Wanzira H. Oral zinc for treating diarrhoea in children. Cochrane Database Syst Rev. 2016;2016(12). doi:10.1002/14651858.CD005436.pub5.

Patro B, Golicki D, Szajewska H. Meta-analysis: The effectiveness of zinc supplementation in the management of acute diarrhea in children. Aliment Pharmacol Ther. 2008;28(6):713-723. doi:10.1111/j.1365-2036.2008.03793.x.

Jones KM, Thitiri J, Ngari M, Berkley JA. Zinc as an adjunct therapy in children with diarrhea and underlying malnutrition: A randomized controlled trial. Am J Clin Nutr. 2018;107(4):856-863. doi:10.1093/ajcn/nqy034.

Hussain SZ, Lone MI, Iqbal J, et al. Zinc supplementation for the management of acute diarrhea in children: A systematic review and meta-analysis. J Pediatr Gastroenterol Nutr. 2020;71(2):236-242. doi:10.1097/MPG.0000000000002775.

Roy SK, Tomkins AM, Akramuzzaman SM, et al. Randomized controlled trial of zinc supplementation in malnourished Bangladeshi children with acute diarrhoea. Arch Dis Child. 1997;77(3):196-200.

Bhatnagar S, Wadhwa N. Zinc as adjunct therapy in diarrhoea. Indian J Pediatr. 2001;68(11):1079-1082.

Hambidge KM. Zinc and diarrhoea. Acta Paediatr Scand Suppl. 1986;319:137-143.

Bhutta ZA, Black RE, Brown KH, et al. Prevention of diarrhea and pneumonia by zinc supplementation in children in developing countries: Pooled analysis of randomized controlled trials. J Pediatr. 1999;135(6):689-697.

Strand TA, Chandyo RK, Bahl R, et al. Effectiveness and cost-effectiveness of zinc as adjunct therapy for severe pneumonia in children in low- and middle-income countries: Systematic review. BMC Infect Dis. 2011;11:128.

Yakoob MY, Theodoratou E, Jabeen A, et al. Preventive zinc supplementation in developing countries: Impact on mortality and morbidity due to diarrhea, pneumonia, and malaria. BMC Public Health. 2011;11(Suppl 3).

Baqui AH, Black RE, El Arifeen S, et al. Effect of zinc supplementation on morbidity and mortality in Bangladeshi children: Community randomized trial. BMJ. 2002;325(7372):1059.

Penny ME, Peerson JM, Marin RM, et al. Randomized, placebo-controlled trial of the effect of zinc supplementation on the duration of acute diarrhea in children in Lima, Peru. Pediatrics. 1999;103(5).

Prasad AS. Zinc: Role in immunity, oxidative stress, and chronic inflammation. Curr Opin Clin Nutr Metab Care. 2009;12(6):646-652.

Shankar AH, Prasad AS. Zinc and immune function: The biological basis of altered resistance to infection. Am J Clin Nutr. 1998;68(2 Suppl):447S-463S.

Castillo-Duran C, Vial P, Uauy R. Trace mineral balance during acute diarrhea in infants. J Pediatr. 1988;113(3):452-457.

Black MM. Zinc deficiency and child development. Am J Clin Nutr. 1998;68(2 Suppl):464S-469S.

Ruel MT, Rivera JA, Santizo MC, et al. Impact of zinc supplementation on morbidity from diarrhea and respiratory infections among rural Guatemalan children. Pediatrics. 1997;99(6):808-813.

Black RE, Victora CG, Walker SP, et al. Maternal and child undernutrition and overweight in low-income and middle-income countries. Lancet. 2013;382(9890):427-451.

Fischer Walker CL, Fontaine O, Young MW, et al. Zinc and low osmolarity oral rehydration salts for diarrhoea: A renewed call to action. PLoS Med. 2009;6(6).

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Published

2025-05-31

How to Cite

Khan, S. ., Khalid, K. ., Zahid, M. ., & Ali, A. . (2025). Effect of Zinc Supplementation in Acute Watery Diarrhea in Children 6 Months to 5 Years. Biological and Clinical Sciences Research Journal, 6(5), 55–58. https://doi.org/10.54112/bcsrj.v6i5.1737

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Original Research Articles