Evaluation of micronutrient profile of North Indian children with cystic fibrosis: a case-control study

Pediatr Res. 2014 Jun;75(6):762-6. doi: 10.1038/pr.2014.30. Epub 2014 Apr 6.

Abstract

Background: Data on the micronutrient levels in children with cystic fibrosis (CF) are not available from developing countries, wherein the nutritional profile of children is quite different from that of Western countries.

Methods: Levels of fat-soluble vitamins (A, D, and E) and trace metals (iron, copper, and zinc) were measured in 27 CF cases and 27 controls.

Results: CF cases had significantly low levels of all studied micronutrients compared with controls, and the levels were even lower in cases with exacerbation than in stable CF cases. Prevalence of deficiency of vitamin D, vitamin E, iron, copper, and zinc was significantly higher in cases than in controls, whereas vitamin A deficiency was almost equal in both the groups.

Conclusion: The prevalence of deficiency of vitamins A, D, and E and iron, copper, and zinc was high in CF cases, and their levels were significantly lower in cases than controls. CF cases should be regularly monitored for these micronutrients, and appropriate supplementation should be considered.

MeSH terms

  • Avitaminosis / epidemiology*
  • Avitaminosis / etiology
  • Case-Control Studies
  • Child
  • Child Nutritional Physiological Phenomena / physiology*
  • Child, Preschool
  • Chromatography, High Pressure Liquid
  • Copper / blood
  • Cystic Fibrosis / complications
  • Cystic Fibrosis / physiopathology*
  • Humans
  • India / epidemiology
  • Infant
  • Iron / blood
  • Micronutrients / physiology*
  • Nutritional Status / physiology*
  • Spectrophotometry, Atomic
  • Vitamin A / blood
  • Vitamin D / blood
  • Vitamin E / blood
  • Zinc / blood

Substances

  • Micronutrients
  • Vitamin A
  • Vitamin D
  • Vitamin E
  • Copper
  • Iron
  • Zinc