Evaluation of Zinc Supplement on Biochemical Parameters among Pulmonary Tuberculosis Patients

Bahareh Zolfaghari, Parisa Mohamadi, Solmaz Morsali, Azita Aliakbarniya, Zohreh Nasiri, Massoumeh Hotelchi
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Abstract

Introduction: Zinc (Zn) is an essential micronutrient in humans, and its deficiency is reported in many disorders, including tuberculosis (TB). The current study's goal is to evaluate the anti-TB effect of Zn supplementation among pulmonary tuberculosis patients.    Material and Methods: In this study, 74 newly diagnosed tuberculosis patients referred to Qom Health Center were distributed into two groups of receiving 50 mg of zinc sulfate and placebo. All patients in both groups received the same antituberculosis antibiotics. Before starting treatment and after two and six months of treatment with antituberculosis drugs, the serum levels of zinc and biochemical parameters were measured by atomic absorption spectrophotometry and a RA1000 Auto Analyzer, respectively.      Results: After two months of treatment, the serum Zn concentration in the Zn receiving group was higher than the placebo group. After anti-TB treatment, body mass index (BMI) and serum albumin were significantly higher than pretreatment in both groups. The serum alkaline phosphatase changes, uric acid, creatinine, and urea were not significantly different in both groups at different times. Conclusion: The supplementation of Zn micronutrient results in improved BMI, serum Zn, and other biochemical parameters compared to before treatment.
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补充锌对肺结核患者生化指标的影响
锌(Zn)是人体必需的微量营养素,据报道,许多疾病都缺乏锌,包括结核病(TB)。本研究的目的是评价补充锌对肺结核患者的抗结核作用。材料与方法:本研究将74例就诊于库姆卫生院的新诊断结核病患者分为两组,分别给予50mg硫酸锌和安慰剂。两组患者均使用相同的抗结核抗生素。治疗开始前、治疗2个月和治疗6个月后,分别用原子吸收分光光度法和RA1000自动分析仪测定血清锌水平和生化指标。结果:治疗2个月后,锌接受组血清锌浓度明显高于安慰剂组。抗结核治疗后,两组患者体重指数(BMI)和血清白蛋白均显著高于治疗前。两组在不同时间血清碱性磷酸酶、尿酸、肌酐、尿素变化无显著差异。结论:与治疗前相比,补充锌微量营养素可改善BMI、血清锌等生化指标。
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