Open Access Peer-reviewed Research Article

Assessment of the dietary pattern and serum zinc concentrations of adults in Umuahia North Local Government Area, Abia State

Main Article Content

Peace Nkennaya Ugbonta corresponding author
Alphonsus C. Obi-Okaro
Nkiru N. Ezeama

Abstract

Dietary pattern is a parameter that assesses the general profile of food and nutrient consumption which is characterized on the basis of the usual eating habits. This study was conducted to assess the dietary pattern and serum zinc concentrations of adults in Umuahia North Local Government Area, Abia State. To achieve this, a cross-sectional analytical study design was conducted on a designed questionnaire distributed amongst 252 respondents to collate data on their socio-demographic characteristics on age, sex, marital status, religion, occupation, and educational levels. Food Frequency Questionnaire (FFQ) was also carried out to assess adults’ dietary patterns daily, weekly, sometimes and none, on some foods such as cereals, vegetables, legumes, milk & dairy, meat, fish & seafood, eggs, roots, and tubers. Serum zinc was conducted on 50 volunteered adults from the study area. Serum zinc levels present in the collected blood samples were analyzed with the aid of an Atomic Adsorption Spectrophotometer (AAS). Data obtained was analyzed with the aid of SPSS software on mean, standard deviation, t-test, and ANOVA for the hypothesis. Serum zinc deficiency was defined as a zinc level of less than 46 ug/dl from a reference book. The mean concentrations of serum zinc of healthy adults conducted were recorded as male 49.566 ± 19.384, female 24.017±6.999, 38.025±24.862 (18-25years ), 37.305±18.263 (26-40years) and 39.294±19.446 (41-55years) respectively. The results revealed that serum zinc concentrations in the participating healthy adults were within the reference level of 46 ug/dl, and also statistically significant at a p-value of 0.01 for the alternate hypothesis. Also, the relationship test of association between dietary pattern and serum zinc concentration is statistically significant as their p-value was less than 0.05 (0.027). Also, the tests confer with the alternate hypothesis that the association between dietary pattern and serum zinc concentration of adults in Umuahia North LGA is statistically significant. This study, therefore, recommends that studies should be carried out in other areas where symptoms of zinc deficiency are evident.

Keywords
dietary pattern, zinc deficiency, serum zinc concentration, micronutrient

Article Details

How to Cite
Ugbonta, P. N., Obi-Okaro, A. C., & Ezeama, N. N. (2023). Assessment of the dietary pattern and serum zinc concentrations of adults in Umuahia North Local Government Area, Abia State. Advances in Health and Behavior, 6, 253-262. https://doi.org/10.25082/AHB.2023.01.002

References

  1. Dary O and Hurrell R. Guidelines on food fortification with micronutrients. World Health Organization, Food and Agricultural Organization of the United Nations: Geneva, Switzerland, 2006, 2006: 1-376.
  2. Sánchez-Villegas A and Martínez-Lapiscina EH. A healthy diet for your heart and your brain. The Prevention of Cardiovascular Disease Through the Mediterranean Diet, 2018, 169-197. https://doi.org/10.1016/B978-0-12-811259-5.00011-1
  3. Naja F, Nasreddine L, Itani L, et al. Dietary patterns and their association with obesity and sociodemographic factors in a national sample of Lebanese adults. Public health nutrition, 2011, 14(9): 1570-1578. https://doi.org/10.1017/S136898001100070X
  4. Langsetmo L, Poliquin S, Hanley D A, et al. Dietary patterns in Canadian men and women ages 25 and older: relationship to demographics, body mass index, and bone mineral density. BMC musculoskeletal disorders, 2010, 11: 1-11. https://doi.org/10.1186/1471-2474-11-20
  5. Hu FB. Dietary pattern analysis: a new direction in nutritional epidemiology. Current opinion in lipidology, 2002, 13(1): 3-9. https://doi.org/10.1097/00041433-200202000-00002
  6. Bédard A, Goulet J, Riverin M, et al. Effects of a dietary intervention promoting the adoption of a Mediterranean food pattern on fast-food consumption among healthy French-Canadian women. British journal of nutrition, 2010, 104(11): 1662-1665. https://doi.org/10.1017/S000711451000262X
  7. Kjøllesdal MR, Holmboe-Ottesen G, Mosdøl A, et al. The relative importance of socioeconomic indicators in explaining differences in BMI and waist: hip ratio, and the mediating effect of work control, dietary patterns and physical activity. British journal of nutrition, 2010, 104(8): 1230-1240. https://doi.org/10.1017/S0007114510001868
  8. Kant AK. Dietary patterns: biomarkers and chronic disease risk. Applied physiology, nutrition, and metabolism, 2010, 35(2): 199-206. https://doi.org/10.1139/H10-005
  9. Chasapis CT, Loutsidou AC, Spiliopoulou CA, et al. Zinc and human health: an update. Archives of toxicology, 2012, 86: 521-534. https://doi.org/10.1007/s00204-011-0775-1
  10. Gaur S and Agnihotri R. Trace mineral micronutrients and chronic periodontitis—a review. Biological trace element research, 2017, 176: 225-238. https://doi.org/10.1007/s12011-016-0832-y
  11. Galetti V, Mitchikpè CES, Kujinga P, et al. Rural Beninese children are at risk of zinc deficiency according to stunting prevalence and plasma zinc concentration but not dietary zinc intakes. The Journal of nutrition, 2016, 146(1): 114-123. https://doi.org/10.3945/jn.115.216606
  12. Lynch RJM. Zinc in the mouth, its interactions with dental enamel and possible effects on caries; a review of the literature. International dental journal, 2011, 61: 46-54. https://doi.org/10.1111/j.1875-595X.2011.00049.x
  13. Bhowmik D, Chiranjib K and Kumar S. A potential medicinal importance of zinc in human health and chronic. International Journal of Pharmaceutics, 2010, 1(1): 5-11.
  14. Khalid N, Ahmed A, Bhatti M S, et al. A question mark on zinc deficiency in 185 million people in Pakistan—possible way out. Critical reviews in food science and nutrition, 2014, 54(9): 1222-1240. https://doi.org/10.1080/10408398.2011.630541
  15. Kumera G, Awoke T, Melese T, et al. Prevalence of zinc deficiency and its association with dietary, serum albumin and intestinal parasitic infection among pregnant women attending antenatal care at the University of Gondar Hospital, Gondar, Northwest Ethiopia. BMC Nutrition, 2015, 1(1): 1-11. https://doi.org/10.1186/s40795-015-0026-6
  16. 16. Daudu, O. U., Ajiboye, M., Ajala, S and Buru, M. E. S. IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-ISSN: 2279-0853, p-ISSN: 2279-0861, 2017, 16(5): 34-35. https://doi.org/10.9790/0853-1605063435
  17. Kapka-Skrzypczak L. Dietary habits and body image perception among Polish adolescents and young adults-a population based study. Annals of Agricultural and Environmental Medicine, 2012, 19(2).
  18. Wilson G. The politics of local government reforms and democratic governance in Nigerian local governments. Developing Country Studies, 2013, 3(1).
  19. Petry NM. A comparison of young, middle-aged, and older adult treatment-seeking pathological gamblers. The gerontologist, 2002, 42(1): 92-99. https://doi.org/10.1093/geront/42.1.92
  20. Hajiani E, Parsi A, ErfanianTaghvaie K, et al. The Relationship between Serum Zinc Level and Liver Elastrography Using Fibroscan in Non-Alcoholic Fatty Liver Patients. Journal of Babol University of Medical Sciences, 2018, 20(3): 29-35.
  21. Parham M, Amini M, Aminorroaya A, et al. Effect of zinc supplementation on microalbuminuria in patients with type 2 diabetes: a double blind, randomized, placebo-controlled, cross-over trial. The review of diabetic studies: RDS, 2008, 5(2): 102. https://doi.org/10.1900/RDS.2008.5.102
  22. Charan J and Biswas T. How to calculate sample size for different study designs in medical research? Indian journal of psychological medicine, 2013, 35(2): 121-126. https://doi.org/10.4103/0253-7176.116232
  23. Gupta M, Mahajan VK, Mehta KS, et al. Zinc therapy in dermatology: A review. Dermatology Research and Practice. 2014. https://doi.org/10.1155/2014/709152
  24. Gupta S, Brazier AKM and Lowe NM. Zinc deficiency in low-and middle-income countries: prevalence and approaches for mitigation. Journal of Human Nutrition and Dietetics, 2020, 33(5): 624-643. https://doi.org/10.1111/jhn.12791
  25. World Health Organization. The world health report 2002: reducing risks, promoting healthy life. World Health Organizationm 2022.
  26. World Health Organization. The Millennium Development Goals report, New York, United Nations, 2008.
  27. Abebe Y, Bogale A, Hambidge KM, et al. Inadequate intakes of dietary zinc among pregnant women from subsistence households in Sidama, Southern Ethiopia. Public health nutrition, 2008, 11(4): 379-386. https://doi.org/10.1017/S1368980007000389
  28. Jeon BR, Seo M, Lee YW, et al. Improving the blood collection process using the active-phlebotomist phlebotomy system. Clinical Laboratory, 2011, 57(1): 21.
  29. Kennedy CU, Chukwuebuka NO and Uchenna E. Serum zinc levels in apparently healthy children in Nigeria: Are they acceptable. Nigerian Medical Journal: Journal of the Nigeria Medical Association, 2020, 61(6): 291. https://doi.org/10.4103/nmj.NMJ_20_20
  30. L’vov BV. Fifty years of atomic absorption spectrometry. Journal of Analysis Chemistry, 2005, 60: 382-392. https://doi.org/10.1007/s10809-005-0103-0
  31. Bolann BJ, Rahil-Khazen R, Henriksen H, et al. Evaluation of methods for trace-element determination with emphasis on their usability in the clinical routine laboratory. Scandinavian journal of clinical and laboratory investigation, 2007, 67(4): 353-366. https://doi.org/10.1080/00365510601095281
  32. Velebil D. Lead and Zinc Deposit Bleiberg in Carinthia (Austria). Minerál (Brno), 2005, 13: 41-48.
  33. Forlanini AOSC. Assessment of reference values for selected elements in a healthy urban population. Ann Ist Super Sanita, 2005, 41(2): 181-187.
  34. Parizadeh SMR, Kazemi-Bajestani SMR, Shapouri-Moghaddam A, et al. Serum zinc and copper concentrations and socioeconomic status in a large Persian cohort. Asian Biomedicine, 2011, 5(3): 329-335.
  35. Pathak P, Kapil U, Dwivedi SN, et al. Serum zinc levels amongst pregnant women in a rural block of Haryana state, India. Asia Pacific journal of clinical nutrition, 2008, 17(2): 276-279.
  36. Plum LM, Rink L and Haase H. The essential toxin: impact of zinc on human health. International journal of environmental research and public health, 2010, 7(4): 1342-1365. https://doi.org/10.3390/ijerph7041342
  37. Rojas AI and Phillips TJ. Patients with chronic leg ulcers show diminished levels of vitamins A and E, carotenes, and zinc. Dermatologic Surgery, 1999, 25(8): 601-604. https://doi.org/10.1046/j.1524-4725.1999.99074.x
  38. International Zinc Consultative Group (IZiNCG). Technical document no.1:Assessment of the risk of zinc deficiency in populations and options for its control. Food and Nutrition Bulletin, 20004, 25: S94-S204.
  39. International Zinc Consultative Group (IZiNCG). (2009).Systematic Review of zinc Intervention strategies. Food and Nutrition Bulletin, 2009, 30(1/2): S5-S133.
  40. Hess SY, Peerson JM, King JC, et al. Use of serum zinc concentration as an indicator of population zinc status. Food and nutrition bulletin, 2007, 28(3): S403-S429. https://doi.org/10.1177/15648265070283S303
  41. Walingo MK. Indigenous food processing methods that improve zinc absorption and bioavailability of plant diets consumed by the Kenyan population. African Journal of Food, Agriculture, Nutrition and Development, 2009, 9(1): 523-535. https://doi.org/10.4314/ajfand.v9i1.19210
  42. Samman S. Zinc and copper. In Mann JI, Truswell AS (eds). Essentials of Human Nutrition. 2nd ed. New York: Oxford University Press, 2022, 159-166.
  43. Pathak P, Kapil U, Dwivedi SN, et al. Serum zinc levels amongst pregnant women in a rural block of Haryana state, India. Asia Pacific journal of clinical nutrition, 2008, 17(2): 276-279.
  44. Lonnerdal B. Dietary factors influencing zinc absorption. The Journal of nutrition, 20000, 130(5): S1378-S1383. https://doi.org/10.1093/jn/130.5.1378S
  45. Chandyo RK, Strand TA, Mathisen M, et al. Zinc deficiency is common among healthy women of reproductive age in Bhaktapur, Nepal. The Journal of nutrition, 2009, 139(3): 594-597. https://doi.org/10.3945/jn.108.102111