Abstract
Marginal zinc deficiency (MZD), the subclinical stage of zinc deficiency, is common in industrialized societies. Serum zinc, the most common biomarker of zinc status, lacks sensitivity and specificity to diagnose this deficiency. Hair zinc, however, is sensitive and specific enough to detect MZD in children. Differences in hair zinc associated with age and sex have been reported. These differences have not been investigated thoroughly; therefore, interpretation of the results of hair analyses is difficult. This cross-sectional study was designed to examine the hair zinc status of a group of Vancouver preschoolers (24–71 months) and assess the age- and sex-based differences in their hair zinc. Hair samples were obtained (n = 719) and analyzed for zinc using inductively coupled plasma mass spectrometry. Our results indicated a mean hair zinc of 115 ± 43 μg/g with 17% below the low hair zinc cutoff (70 μg/g). Boys and girls had comparable mean hair zinc, while girls had a significantly higher occurrence of low hair zinc than boys (21% vs. 12%). Children <4 years of age had significantly lower mean hair zinc and higher rate of low hair zinc compared to children ≥4. Our study provides important reference values for the hair zinc of healthy North American preschoolers.


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Prasad AS, Halstead JA, Nadimi M (1961) Syndrome of iron deficiency anemia, hepatosplenomegaly, hypogonadism, dwarfism and geophagia. AJM 31:220–223
Prasad AS, Miale FZ, Sandsted HH, Schulert AR, Darby WJ (1963) Biochemical studies on dwarfism, hypogonadism, and anemia. Arch Intern Med 111:407–428
Hambidge KM, Hambidge C, Jacobs M, Baum JD (1972) Low levels of zinc in hair, anorexia, poor growth, and hypogeusia in children. Pediatr Res 6:868–874
Walravens PA, Krebs NF, Hambidge KM (1983) Linear growth of low income preschool children receiving a zinc supplement. Am J Clin Nutr 38:195–201
Smit Vanderkooy PD, Gibson RS (1987) Food consumption patterns of Canadian preschool children in relation to zinc and growth status. Am J Clin Nutr 45:609–616
Gibson RS, Vanderkooy PD, MacDonald AC, Goldman A, Ryan BA, Berry MA (1989) Growth-limiting, mild zinc-deficiency syndrome in some southern Ontario boys with low height percentiles. Am J Clin Nutr 49:1266–1273
Hambidge KM, Chavez MN, Brown RM, Walravens PA (1979) Zinc nutritional status of young middle-income children and effects of consuming zinc-fortified breakfast cereals. Am J Clin Nutr 32:2532–2539
Walravens PA, Hambidge KM (1976) Growth of infants fed zinc supplemented formula. Am J Clin Nutr 29:1114–1121
Ploysangam A, Falciglia GA, Brehm BJ (1997) Effect of marginal zinc deficiency on human growth and development. J Trop Pediatr 43:192–198
Yehuda S, Yehuda M (2006) Long lasting effects of infancy iron deficiency—preliminary results. J Neural Transm 71:197–200
Gibson RS (1989) Assessment of trace element status in humans. Prog Food Nutr Sci 13:67–111
Hambidge KM (1980) Hair analysis. Pediatr Clin North Am 27:855–860
Assarian GS, Oberleas D (1977) Effect of washing procedures on trace-element content of hair. Clin Chem 23:1771–1772
Sky-Peck HH (1990) Distribution of trace elements in human hair. Clin Physiol Biochem 8:70–80
Deppisch LM, Centeno JA, Gemmel DJ, Torres NL (1999) Andrew Jackson’s exposure to mercury and lead: poisoned president? JAMA 282:569–571
Puchyr RF, Bass DA, Gajewski R, Calvin M, Marquardt W, Urek K, Druvan ME, Quig D (1998) Preparation of hair for measurement of elements by inductively coupled plasma-mass spectrometry (ICP-MS). Biol Tr Elem Res 62:167–182
Clesceri LS (1998) Standard Methods for Examination of Water and Wastewater. 20th Edition
Center for Disease Control (2000) CDC growth charts. Retrieved December 7, 2004 from http://www.cdc.gov/nchs/about/major/nhanes/growthcharts/datafiles.htm
Hambidge KM, Walravens PA, Webster J, White S, Anthony M, Roth ML (1976) Zinc nutrition of preschool children in the Denver Head Start program. Am J Clin Nutr 29:734–738
Lombeck I, Wilhelm L, Hafner D, Roloff K, Ohnesorge KL (1988) Hair zinc of young children from rural and urban areas in North Rhine-Westphalia, Federal Republic of Germany. Eur J Pediatr 147:179–183
Heinersdorff N, Tylor TG (1979) Concentration of zinc in the hair of school children. Arch Dis Child 54:958–960
Sazawal S, Bentley M, Black RE, Dhingra P, George S, Bhan MK (1996) Effect of zinc supplementation on observed activity in low socioeconomic Indian preschool children. Pediatrics 98:1132–1137
Zachwieja Z, Chlopicka J, Schlege-Zawadzka M, Zagrodzk P, Wypchlo J Krosniak M (1995) Evaluation of zinc content in children’s hair. Biol Trace Elem Res 47:141–145
Sakai T, Warishi M, Nishiyama K (2000) Changes in trace element concentrations in hair of growing children. Biol Trace Elem Res 77:43–51
Nakano T, Fediuk K, Kassi N, Egeland GM (2005) Dietary nutrients and anthropometry of Dene/Metis and Yukon children. Int J Circumpolar Health 64:147–156
Kuhnlein HV, Receveur O, Soueida R, Berti PR (2007) Unique patterns of dietary adequacy in three cultures of Canadian Arctic indigenous peoples. Public Health Nutr 5:1–12
Ganjii V, Hampl JS, Betts NM (2003) Race-, gender- and age-specific differences in dietary micronutrient intakes of US children. Int J Food Sci Nutr 54:485–490
Glynn L, Emmett P, Rogers I (2005) ALSPAC Study Team. Food and nutrient intakes of a population sample of 7-year-old children in the south-west of England in 1999/2000—what difference does gender make? J Hum Nutr Diet 18:7–19
Touvier M, Lioret S, Vanrullen I, Bocle JC, Boutron-Ruault MC, Berta JL, Volatier JL (2006) Vitamin and mineral inadequacy in the French population: estimation and application for the optimization of food fortification. Int J Vitam Nutr Res 76:343–351
Klevay LM (1970) Hair as a biopsy material. I. Assessment of zinc nutrition. Nutrition 23:284–289
Van Wouwe JP (1995) Clinical and laboratory assessment of zinc deficiency in Dutch children. A review. Biol Trace Elem Res 49:211–225
Meng Z (1998) Age- and sex-related differences in zinc and lead levels in human hair. Biol Trace Elem Res 61:79–87
Barriball KL, While AE (1999) Non-response in survey research: a methodological discussion and development of an explanatory model. J Adv Nurs 30:677–686
Groves RM, Couper MP (1992) Correlates of non response in personal visit surveys. Am Stat Assoc Proc Sect Survey Res Meth 13:102–111
Mishra SI, Dooley D, Catalano R, Serxner S (1993) Telephone health surveys: potential bias from noncompletion. Am J Public Health 83:94–99
Goyder J, Warriner K, Miller S (2002) Evaluating Socioeconomic Status (SES) bias in survey nonresponse. J Stat 18:1–11
Jackson R, Chambless LE, Yang K (1996) Differences between respondents and nonrespondents in a multicenter community-based study vary by gender ethnicity. The Atherosclerosis Risk in Communities (ARIC) Study Investigators. J Clin Epidemiol 49:1441–1446
Shahar E, Folsom AR, Jackson R (1996) The effect of non-response on prevalence estimates for a referent population: insights from a population-based cohort study. Ann Epidemiol 6:498–506
Acknowledgments
The authors would like to thank the West Coast Child Care Resource Centre for granting us the access to the childcare and preschool centers under their jurisdiction and to the personnel of these centers for their strong support throughout this study. We also like to extend our heartfelt gratitude to our survey volunteers for their dedication and hard work in the process of data collection. This study was supported by a grant from the Human Early Learning Program (HELP).
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Vaghri, Z., Barr, S., Wong, H. et al. Age-Based Differences in Hair Zinc of Vancouver Preschoolers. Biol Trace Elem Res 126 (Suppl 1), 21–30 (2008). https://doi.org/10.1007/s12011-008-8215-7
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DOI: https://doi.org/10.1007/s12011-008-8215-7


