L. Salmenpera et al., LOW ZINC INTAKE DURING EXCLUSIVE BREAST-FEEDING DOES NOT IMPAIR GROWTH, Journal of pediatric gastroenterology and nutrition, 18(3), 1994, pp. 361-370
We studied zinc nutrition in exclusively breast-fed infants whose grow
th deviated from the norm. Their number fell from 200 at birth to 116
at the age of 6 months and 36 at the age of 9 months. The mothers rece
ived 0, 20, or 40 mg Zn f i as sulfate daily. Breast milk intake and c
oncentrations of zinc in milk as well as in maternal and infant serum
were measured. Individual zinc concentrations in milk showed channelin
g. The 20-mg supplement had no effect on the parameters measured. In c
ontrast, 40 mg increased the maternal serum zinc concentration by 2 mo
nths and slowed the normal decline of milk zinc concentration by 6 mon
ths. Maternal supplementation had no effect on infant serum concentrat
ions; they remained lower than adult levels throughout the Ist year of
life. Zinc intake was low (about one-tenth of RDA), but it seemed to
be adequate; the serum concentrations of the infants were stable after
the age of 2 months. Low zinc concentrations in serum were not associ
ated with impaired growth. On the contrary, the infants with the highe
st rates of growth had the lowest zinc concentrations. The infant seru
m zinc concentrations were channeled, but they were also influenced by
the zinc intake. Reference values for breast-fed infants are given.