Skip to main content
Log in

Impact of Giardia lamblia on Growth, Serum Levels of Zinc, Copper, and Iron in Egyptian Children

  • Published:
Biological Trace Element Research Aims and scope Submit manuscript

Abstract

The aim of this study is to evaluate the serological levels of zinc, copper and iron in Giardia lamblia-infected children and to study the effect of giardiasis on their weight compared to controls. We studied 30 children, 1–10 years old, who attended the outpatient clinics of Cairo university pediatric hospital, with gastrointestinal complaints and diagnosed as having giardiasis by stools examination, they were enrolled as a study group. The control group consisted of 30 age- and sex-matched healthy children, free of gastrointestinal complaints and free of giardiasis. Serological levels of zinc, copper, and iron were measured by atomic absorption spectrophotometer. The infected group had significantly lower weight, serum iron, and zinc than controls (P = 0.035, <0.001, and <0.001 respectively) and 63.3% of patients infected with giardiasis were 1–5 years old. In the infected cases, 60% suffered from of abdominal pain, 50% from weight loss, and 40% had intermittent diarrhea. Infected cases with weight percentiles below the fifth had significantly lower serum iron than those with normal percentiles (>5th). In conclusion, most giardiasis-infected children were between 1 and 5 years, with significant affection of weight, abdominal pain, and/or intermittent diarrhea. Serum zinc and iron levels were significantly decreased in the infected group compared to control (P < 0.001).

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Coles CL, Levy A, Dagan R, Deckelbaum RJ, Fraser D (2009) Risk factors for the initial symptomatic giardia infection in a cohort of young Arab-Bedouin children. Ann Trop Paediatr 29:291–300

    Article  PubMed  CAS  Google Scholar 

  2. Savioli L, Smith H, Thompson A (2006) Giardia and cryptosporidium join the 'neglected diseases initiative'. Trends Parasitol 22:203–208

    Article  PubMed  CAS  Google Scholar 

  3. Ensink JH, van der Hoek W, Amerasinghe FP (2006) Giardia duodenalis infection and wastewater irrigation in Pakistan. Trans R Soc Trop Med Hyg 100:538–542

    Article  PubMed  Google Scholar 

  4. Farthing MJ (1992) New perspectives in giardiasis. J Med Microbiol 37:1–2

    Article  PubMed  CAS  Google Scholar 

  5. Parija SC (2004) Intestinal, oral and genital flagellates. In: Textbook of Medical Parasitology (Protozoology and Helminthology) 2nd edition. All India Publisher and Distributor, Chennai, pp 62–70

  6. Karakas Z, Demirel N, Tarakcioglu M, Mete N (2001) Serum zinc and copper levels in southeastern Turkish children with giardiasis or amebiasis. Biol Trace Elem Res 84:11–18

    Article  PubMed  CAS  Google Scholar 

  7. Ertan P, Yereli K, Kurt O, Balcioglu IC, Onag A (2002) Serological levels of zinc, copper and iron elements among Giardia lamblia infected children in Turkey. Pediatr Int 44:286–288

    Article  PubMed  CAS  Google Scholar 

  8. Garcia LS (1990) Laboratory methods for diagnosis of parasitic infections. In: Baron EJ, Finegold SM (eds) Bailey and Scott's diagnostic microbiology, 8th edn. C. V. Mosby, St. Louis, pp 776–861

    Google Scholar 

  9. Squitti R, Lupoi D, Pasqualetti P, Dal Forno G, Vernieri F, Chiovenda P, Rossi L, Cortesi M, Cassetta E, Rossini PM (2002) Elevation of serum copper levels in Alzheimer's disease. Neurology 59:1153–1161

    PubMed  CAS  Google Scholar 

  10. Reynoldson JA, Behnke JM, Gracey M, Horton RJ, Spargo R, Hopkins RM, Constantine CC, Gilbert F, Stead C, Hobbs RP, Thompson RC (1998) Efficacy of albendazole against Giardia and hookworm in a remote Aboriginal community in the north of Western Australia. Acta Trop 71:27–44

    Article  PubMed  CAS  Google Scholar 

  11. Culha G, Sangun MK (2007) Serum levels of zinc, copper, iron, cobalt, magnesium, and selenium elements in children diagnosed with Giardia intestinalis and Enterobiosis vermicularis in Hatay, Turkey. Biol Trace Elem Res 118:21–26

    Article  PubMed  CAS  Google Scholar 

  12. Heresi G, Cleary TG (1997) Giardia. Pediatr Rev 18:243–247

    Article  PubMed  CAS  Google Scholar 

  13. Muller N, von Allmen N (2005) Recent insights into the mucosal reactions associated with Giardia lamblia infections. Int J Parasitol 35:1339–1347

    Article  PubMed  CAS  Google Scholar 

  14. Gendrel D, Treluyer JM, Richard-Lenoble D (2003) Parasitic diarrhea in normal and malnourished children. Fundam Clin Pharmacol 17:189–197

    Article  PubMed  CAS  Google Scholar 

  15. Stephenson LS, Latham MC, Ottesen EA (2000) Global malnutrition. Parasitology 121(Suppl):S5–S22

    Article  PubMed  Google Scholar 

  16. Carvalho-Costa FA, Goncalves AQ, Lassance SL, Silva Neto LM, Salmazo CA, Boia MN (2007) Giardia lamblia and other intestinal parasitic infections and their relationships with nutritional status in children in Brazilian Amazon. Rev Inst Med Trop Sao Paulo 49:147–153

    PubMed  Google Scholar 

  17. Simsek Z, Zeyrek FY, Kurcer MA (2004) Effect of Giardia infection on growth and psychomotor development of children aged 0–5 years. J Trop Pediatr 50:90–93

    Article  PubMed  CAS  Google Scholar 

  18. Sawaya AL, Amigo H, Sigulem D (1990) The risk approach in preschool children suffering malnutrition and intestinal parasitic infection in the city of Sao Paulo, Brazil. J Trop Pediatr 36:184–188

    PubMed  CAS  Google Scholar 

  19. Lunn PG, Erinoso HO, Northrop-Clewes CA, Boyce SA (1999) Giardia intestinalis is unlikely to be a major cause of the poor growth of rural Gambian infants. J Nutr 129:872–877

    PubMed  CAS  Google Scholar 

  20. Saldiva SR, Silveira AS, Philippi ST, Torres DM, Mangini AC, Dias RM, da Silva RM, Buratini MN, Massad E (1999) Ascaris-Trichuris association and malnutrition in Brazilian children. Paediatr Perinat Epidemiol 13:89–98

    Article  PubMed  CAS  Google Scholar 

  21. Silva RR, da Silva CA, de Jesus Pereira CA, de Carvalho Nicolato RL, Negrao-Correa D, Lamounier JA, Carneiro M (2009) Association between nutritional status, environmental and socio-economic factors and Giardia lamblia infections among children aged 6–71 months in Brazil. Trans R Soc Trop Med Hyg 103:512–519

    Article  PubMed  Google Scholar 

  22. Demirci M, Delibas N, Altuntas I, Oktem F, Yonden Z (2003) Serum iron, zinc and copper levels and lipid peroxidation in children with chronic giardiasis. J Health Popul Nutr 21:72–75

    PubMed  Google Scholar 

  23. Roxstrom-Lindquist K, Palm D, Reiner D, Ringqvist E, Svard SG (2006) Giardia immunity—an update. Trends Parasitol 22:26–31

    Article  PubMed  Google Scholar 

  24. Hawrelak J (2003) Giardiasis: pathophysiology and management. Altern Med Rev 8:129–142

    PubMed  Google Scholar 

Download references

Acknowledgment

Thanks to Prof. Dr. Amal El Saffty, professor of industrial medicine, Cairo University, Egypt, for carrying out most of the laboratory work of this study.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Mona S El Raziky.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Abou-Shady, O., El Raziky, M.S., Zaki, M.M. et al. Impact of Giardia lamblia on Growth, Serum Levels of Zinc, Copper, and Iron in Egyptian Children. Biol Trace Elem Res 140, 1–6 (2011). https://doi.org/10.1007/s12011-010-8673-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12011-010-8673-6

Keywords

Navigation