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Zinc Transfer to the Breastfed Infant

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Abstract

Zinc is a micronutrient which is critical tonormal growth and development. Zinc concentrations inhuman milk decline sharply during the early months postpartum, regardless of maternal zinc intake. Milk zinc concentrations do not increase in responseto increased maternal zinc intake if maternal zincstatus is adequate. The mechanism of zinc secretion intomilk is not fully understood. A mutation in the gene for a zinc transporter protein may accountfor abnormally low milk zinc concentrations associatedwith severe zinc deficiency in breastfed infants. Thezinc requirements of breastfed infants are generally met with exclusive breastfeeding through 5-6months of age, due to the favorable bioavailability ofthe zinc in human milk. Because of declining milk zincconcentrations and intake, zinc status in exclusively breastfed infants is likely to become marginalbeyond 6 months of age, and may become suboptimal forsome infants if exclusive breastfeeding continues. Thechoice of complementary foods is important to maintain adequate zinc status in breastfedinfants after 6 months.

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REFERENCES

  1. R. J. Cousins (1998). A role of zinc in the regulation of gene expression. Proc. Nutr. Soc. 57:307–311.

    PubMed  Google Scholar 

  2. K. M. Hambidge, Human zinc deficiency. Zinc and Health: Current Status and Future Directions, a National Institutes of Health Workshop. J. Nutr. (in press).

  3. C. E. Casey, K. M. Hambidge, and M. C. Neville (1985). Studies in human lactation: Zinc, copper, manganese and chromium in human milk in the first month of lactation. Am. J. Clin. Nutr. 41:1193–1200.

    PubMed  Google Scholar 

  4. R. M. Feeley, R. R. Eitenmiller, J. B. Jones, H. Barnhart (1983). Copper, iron, and zinc contents of human milk at early stages of lactation. Am. J. Clin. Nutr. 37:443–448.

    PubMed  Google Scholar 

  5. N. F. Krebs, K. M. Hambidge, M. A. Jacobs, and J. Oliva-Rasbach (1985). The effects of a dietary zinc supplement during lactation on longitudinal changes in maternal zinc status and milk zinc concentrations. Am. J. Clin. Nutr. 41:560–570.

    PubMed  Google Scholar 

  6. N. F. Krebs, C. J. Reidinger, S. Hartley, A. D. Robertson, and K. M. Hambidge (1995). Zinc supplementation during lactation: Effects on maternal status and milk zinc concentrations. Am. J. Clin. Nutr. 61:1030–1036.

    PubMed  Google Scholar 

  7. K. G. Dewey, D. A. Finley, and B. Lonnerdal (1984). Breast milk volume and composition during late lactation (7–20 months). J. Pediatr. Gastroenterol. Nutr. 3:713–720.

    PubMed  Google Scholar 

  8. C. Garza, C. A. Johnson, E. O'Brien-Smith, and B. L. Nichols (1983). Changes in the nutrient composition of human milk during gradual weaning. Am. J. Clin. Nutr. 37:61–65.

    PubMed  Google Scholar 

  9. E. Lauber and M. Reinhardt. (1979). Studies on the quality of breast milk during 23 months of lactation in a rural community of the Ivory Coast. Am. J. Clin. Nutr. 32:1159–1173.

    PubMed  Google Scholar 

  10. E. Vuori and P. Kuitunen (1979). The concentrations of copper and zinc in human milk: A longitudinal study. Acta Paediatr. Scand. 68:33–37.

    PubMed  Google Scholar 

  11. L. A. Vaughn, C. W. Weber, and S. R. Kemberling (1979). Longitudinal changes in mineral content of human milk. Am. J. Clin. Nutr. 32:2301–2306.

    PubMed  Google Scholar 

  12. N. F. Krebs, C. J. Reidinger, A. D. Robertson, and K. M. Hambidge (1994). Growth and intakes of energy and zinc in infants fed human milk. J. Pediatr. 124:32–39.

    PubMed  Google Scholar 

  13. E. Sievers, H. D. Oldigs, K. Dorner, and J. Schaub (1992). Longitudinal zinc balances in breast-fed and formula-fed infants. Acta Paediatr. 81:1–6.

    PubMed  Google Scholar 

  14. N. F. Krebs and K. M. Hambidge (1986). Zinc requirements and zinc intakes of breast fed infants. Am. J. Clin. Nutr. 43:288–292.

    PubMed  Google Scholar 

  15. N. F. Krebs (1998). Zinc supplementation during lactation. Am. J. Clin. Nutr. 68:509S-512S.

    PubMed  Google Scholar 

  16. B. Lonnerdal, B. Hoffman, and L. S. Hurley (1982). Zinc and copper binding proteins in human milk. Am. J. Clin. Nutr. 36:1170–1176.

    PubMed  Google Scholar 

  17. C. E. Casey, A. Smith, and P. Zhang (1995). Microminerals in human and animal milks. In R. G. Jensen (ed.), Handbook of Milk Composition, Academic Press, San Diego, California, p. 634.

    Google Scholar 

  18. R. J. MacMahon and R. J. Cousins (1998). Mammalian zinc transporters. J. Nutr. 128:667–670.

    PubMed  Google Scholar 

  19. L. Huang and J. Gitschier (1997). A novel gene involved in zinc transport is deficient in the lethal milk mouse. Nat. Genetics 17:292–297.

    Google Scholar 

  20. J. E. Piletz and R. E. Ganschow (1978). Zinc deficiency in murine milk underlies expression of the lethal milk (lm) mutation. Science 199:181–183.

    PubMed  Google Scholar 

  21. J. E. Piletz (1979). Lethal milk mutation results in dietary zinc deficiency in nursing mice. Am. J. Clin. Nutr. 31:560–562.

    Google Scholar 

  22. A. W. Zimmerman, K. M. Hambidge, M. L. Lepow, R. D. Greenberg, M. L. Stover, and C. E. Casey (1982). Acrodermatitis in breast-fed premature infants: Evidence for a defect of mammary zinc secretion. Pediatrics 69:176–183.

    PubMed  Google Scholar 

  23. S. A. Atkinson, D. Whelan, R. K. Whyte, and B. Lonnerdal (1989). Abnormal zinc content in human milk. Am. J. Dis. Child. 143:608–611.

    PubMed  Google Scholar 

  24. R. M. Reifen and S. H. Zlotkin (1993). Microminerals. In R. C. Tsang, A. Lucas, R. Uauy, and S. H. Zlotkin (eds.). Nutritional Needs of the Preterm Infant, Williams and Wilkins, Philadelphia, Pennsylvania pp. 195–207.

    Google Scholar 

  25. A. M Bye, A. Goodfellow, and D. J. Atherton (1985). Transient zinc deficiency in a full-term breast-fed infant of normal birth weight. Pediatr. Dermatol. 2:308–311.

    PubMed  Google Scholar 

  26. V. Khoshoo, J. Kjarsgaard, B. Krafchick, and S. H. Zlotkin (1992). Zinc deficiency in a full-term breast-fed infant: Unusual presentation. Pediatrics 89:1094–1095.

    PubMed  Google Scholar 

  27. Y. Kuramoto, Y. Igarashi, S. Kato, and H. Tagami (1986). Acquired zinc deficiency in two breast-fed mature infants. Acta. Derm. Venereol. (Stockholm) 66:359–361.

    Google Scholar 

  28. L. J. Roberts, C. F. Shadwick, and P. R. Bergstresser (1987). Zinc deficiency in two full-term breast-fed infants. J. Am. Acad. Dermatol. 16:301–304.

    PubMed  Google Scholar 

  29. M. G. Lee, K. T. Hong, and J. J. Kim (1990). Transient symptomatic zinc deficiency in a full-term breast-fed infant. J. Am. Acad. Dermatol. 23:375–379.

    PubMed  Google Scholar 

  30. M. T. Glover and D. J. Atherton (1988). Transient zinc deficiency in two full-term breast-fed siblings associated with low maternal breast milk zinc concentrations. Pediatr. Dermatol. 5:10–13.

    PubMed  Google Scholar 

  31. M. E. C. Moore, R. J. Moran, and H. L. Green (1984). Zinc supplementation in lactating women: evidence for mammary control of zinc secretion. J. Pediatr. 105:600–602.

    PubMed  Google Scholar 

  32. P. B. Moser-Veillon and R. D. Reynolds (1990). A longitudinal study of pyridoxine and zinc supplementation of lactating women. Am. J. Clin. Nutr. 52:134–141.

    Google Scholar 

  33. M. V. Karra, A. Kirksey, O. Galal, N. S. Bassily, G. G. Harrison, and N. W. Jerome (1988). Zinc, calcium, and magnesium concentrations in milk from American and Egyptian women throughout the first 6 months of lactati. Am. J. Clin. Nutr. 47:642–648.

    PubMed  Google Scholar 

  34. National Research Council, (1989) Recommended Dietary Allowances Tenth Edition, National Academy Press, Washington, DC.

    Google Scholar 

  35. W. J. Miller, M. W. Neatherly, R. P. Gentry, D. M. Blackmon, and P. E. Stake (1974). Adaptations in zinc metabolism by lactating cows fed a low-zinc practical-type diet. In W. G. Hoekstra, J. W. Suttie, W. E. Ganther, and W. Mertz (eds.), Trace Element Metabolism in Man and Animals II, University Park Press, New York, pp. 550–552.

    Google Scholar 

  36. P. B. Mutch and L. S. Hurley (1974). Effect of zinc deficiency during lactation on postnatal growth and development of rats. J. Nutr. 104:828–842.

    PubMed  Google Scholar 

  37. R. M. Ortega, P Andres, R. M. Martinez, A. M. Lopez-Sobaler, and M. E. Quintas (1997). Zinc levels in maternal milk: The influence of nutritional status with respect to zinc during the third trimester of pregnancy. Eur. J. Clin. Nutr. 51:253–258.

    PubMed  Google Scholar 

  38. L. Salmenpera, J. Perheeptupa, V. Nanto, and M. A. Siimes (1994). Low zinc intake during exclusive breast-feeding does not impair growth. J. Pediatr. Gastroenterol. Nutr. 18:361–370.

    PubMed  Google Scholar 

  39. S. A. Atkinson, D. Fraser, R. Stanhope, and R. Whyte (1988). Zinc balance in premature infants fed their mothers' milk: Effect of postnatal age. In L. S. Hurley, B. Lonnerdal, C. L. Keen, and R. B. Rucker (eds.), Trace Element Metabolism in Man and Animals, Sixth Edition, Plenum Publishing Corp. New York, pp. 219–220.

    Google Scholar 

  40. M. Obladen, A. Loui, W. Kampmann, and H. Renz (1998). Zinc deficiency in rapidly growing preterm infants. Acta Paediatr. 87:685–691.

    PubMed  Google Scholar 

  41. P. A. Walravens, K. M. Hambidge, and K. H. Neldner (1978). Zinc metabolism in acrodermatitis enteropathica. J. Pediatr. 93:71–73.

    PubMed  Google Scholar 

  42. B. Sandstrom, A. Cederblad, and B. Lonnerdal (1983). Zinc absorption from human milk, cow's milk, and infant formulas. Am. J. Dis. Child. 137:726–729.

    PubMed  Google Scholar 

  43. N. F. Krebs, C. J. Reidinger, L. V. Miller, and K. M. Hambidge (1996). Zinc homeostasis in breastfed infants. Pediatr. Res. 39:661–665.

    PubMed  Google Scholar 

  44. N. F. Krebs, C. J. Reidinger, L. V. Miller, and M. Borschel (1999). Zinc homeostasis in normal infants fed a casein hydrolysate formula. J. Pediatr. Gastroenterol. Nutr. (in press).

  45. S. H. Zlotkin and G. M. Cherian (1988). Hepatic metallothionein as a source of zinc and cysteine during the first year of life. Pediatr. Res. 24:326–329.

    PubMed  Google Scholar 

  46. P. Coni, A. Ravarino, A. M. G. Farci, F. Callea, P. VanEyken, R. Sciot, R. Ambu, A. Marras, V. Costa, G. Faa, and V. J. Desmet (1996). Zinc content and distribution in the newborn liver. J. Pediatr. Gastroenterol. Nutr. 23:125–129.

    PubMed  Google Scholar 

  47. E. M. Widdowson, D. A. T. Southgate, and E. Hey (1988). Fetal growth and body composition. In B. S. Lindblad (ed.), Perinatal Nutrition, Academic Press, New York, pp. 3–14.

    Google Scholar 

  48. K. G. Dewey, M. J. Heinig, L. A. Nommsen, J. M. Peerson, and B. Lonnerdal (1992). Growth of breast-fed and formula-fed infants from 0 to 18 months: The DARLING study. Pediatrics 89:1035–1041.

    PubMed  Google Scholar 

  49. Nutr Committee, Canadian Pediatr Soc. (1995). Nutrient needs and feeding of premature infants. Can. Med. Assoc. J. 152:1765–1785.

    Google Scholar 

  50. J. T. Stocker and L. P. Dehner (1992) Pediatric Pathology, J.B. Lippincott, Philadelphia, Pennsylvania pp. 1302–1305.

    Google Scholar 

  51. M. J. Dauncey, J. C. L. Shaw, and J. Urman (1977). The absorption and retention of magnesium, zinc and copper by low birthweight infants fed pasteurized human breast milk. Pediatr. Res. 11:1033–1039.

    PubMed  Google Scholar 

  52. R. A. Ehrencrantz, P. A. Gettner, C. M. Nelli, E. A. Sherwonit, J. Williams, B. T. G. Ting, and M. Janghorbani (1989). Zinc and copper nutritional studies in very low birth weight infants: Comparison of stable isotopic extrinsic tag and chemical balance methods. Pediatr. Res. 26:298–307.

    PubMed  Google Scholar 

  53. S. Jalla, N. F. Krebs, D. J. Rodden, and L. V. Miller (1997). Zinc homeostasis in very low birth weight infants—a comparison of human milk and formulas. Pediatric Res. 41:233A.

    Google Scholar 

  54. I. P. M. Wauben, B Paes, J. K. Shah, and S. A. Atkinson (1997). Adequate zinc status to six months corrected age in premature infants fed mother's milk pre-and post-hospital discharge. In P. W. F. Fischer, M. R. L. L'Abbe, K. A. Cockrell, and R. S. Gibson (eds.), Trace Elements in Man and Animals-9: Proc. Ninth Int'l. Symp. Trace Elements in Man and Animals, NRC Research Press, Ottawa, Canada. pp. 279–281.

    Google Scholar 

  55. I. Lombeck and A. Fuchs (1994). Zinc and copper in infants fed breast-milk or different formula. Eur. J. Pediatr. 153:770–776.

    PubMed  Google Scholar 

  56. K. M. Hambidge, P. A. Walravens, C. E. Casey, R. M. Brown, and C. Bender (1979). Plasma zinc concentrations of breastfed infants. J. Pediatr. 94:607–608.

    PubMed  Google Scholar 

  57. P. Hemalatha, P. Bhaskaram, P. A. Kumar, M. M. Khan, and M. A. Islam (1997). Zinc status of breastfed and formula-fed infants of different gestational ages. J. Tropical Pediatr. 43:52–54.

    Google Scholar 

  58. K. F. Michaelsen, G. Samuelson, T. W. Graham, and B. Lonnerdal (1994). Zinc intake, zinc status and growth in a longitudinal study of healthy Danish infants. Acta Paediatr. 83:115–121.

    Google Scholar 

  59. J. G. Dorea (1993). Is zinc a first limiting nutrient in human milk? Nutr. Res. 13:659–666.

    Google Scholar 

  60. P. A. Walravens, A. Chakar, R. Mokni, J. Denise, and D. Lemonnier (1992). Zinc supplements in breastfed infants. Lancet 340:683–685.

    PubMed  Google Scholar 

  61. N. F. Krebs, J. E. Westcott, and N. Butler-Simon (1996). Effect of a zinc supplement on growth of normal breastfed infants. FASEB J. 10:A230 (Abstr).

    Google Scholar 

  62. M. J. Heinig, K. H. Brown, B. Lonnerdal, and K. G. Dewey (1998). Zinc supplementation does not affect growth, morbidity, or motor development of U.S. breastfed infants at 4–10 months. FASEB J. 12:A970 (Abstr).

    Google Scholar 

  63. R. E. Black (1998). Therapeutic and preventive effects of zinc on serious childhood infectious diseases in developing countries. Am. J. Clin. Nutr. 68:476S-479S.

    PubMed  Google Scholar 

  64. L. H. Allen (1998). Zinc and micronutrient supplements for children. Am. J. Clin. Nutr. 68:495S-498S.

    PubMed  Google Scholar 

  65. S Jalla, M. E. Steirn, L. V. Miller, and N. F. Krebs (1998). Comparison of zinc absorption from beef vs. iron fortified rice cereal in breastfed infants. FASEB J. 12:346A.

    Google Scholar 

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Krebs, N.F. Zinc Transfer to the Breastfed Infant. J Mammary Gland Biol Neoplasia 4, 259–268 (1999). https://doi.org/10.1023/A:1018797829351

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