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Erschienen in: Sports Medicine 2/2018

21.11.2017 | Systematic Review

Lower Serum Zinc Concentration Despite Higher Dietary Zinc Intake in Athletes: A Systematic Review and Meta-analysis

verfasst von: Anna Chu, Cushla Holdaway, Trishala Varma, Peter Petocz, Samir Samman

Erschienen in: Sports Medicine | Ausgabe 2/2018

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Abstract

Background

Zinc is an essential trace element that has been implicated in numerous biological functions, including immunity, energy metabolism and antioxidative processes. Recent evaluations of the literature have provided evidence of significant acute changes in zinc metabolism following a bout of aerobic exercise.

Objective

The aim of this study was to determine the zinc status of trained athletes compared with control populations, as described in cross-sectional studies.

Design

We conducted a systematic literature search of the PubMed, Scopus, SPORTDiscus and Cochrane Library electronic databases from inception to 28 January 2016 to identify cross-sectional studies that determined the zinc status of athletes compared with a control population. Meta-analysis of the differences in serum zinc concentration and dietary zinc intake between groups were conducted.

Results

Twelve studies were included in the systematic review. Of the included studies, nine and eight studies provided sufficient data for the meta-analysis of serum zinc concentration and dietary zinc intake, respectively. Serum zinc concentration was significantly lower in athletes [− 0.93 μmol/L, 95% confidence interval (CI) − 1.62 to − 0.23] despite significantly higher dietary zinc intake compared with the control population (2.57 mg/day, 95% CI 0.97–4.16). Data on erythrocyte and urinary zinc from the included studies were insufficient for meta-analysis.

Conclusions

Despite higher total dietary zinc intake, athletes generally have lower serum zinc concentration, which suggests that athletes have higher requirement of zinc than those who are physically inactive. Further investigations of zinc metabolism during exercise and dietary zinc requirement in active populations are needed to establish evidence-based recommendations.
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Literatur
2.
Zurück zum Zitat Chu A, Foster M, Samman S. Determinants of zinc transport in humans: zinc status, exercise, inflammation and chronic diseases. In: Ostojic S, editor. Human health and nutrition: new research. New York: Nova Science; 2015. p. 17–48. Chu A, Foster M, Samman S. Determinants of zinc transport in humans: zinc status, exercise, inflammation and chronic diseases. In: Ostojic S, editor. Human health and nutrition: new research. New York: Nova Science; 2015. p. 17–48.
3.
Zurück zum Zitat Foster M, Samman S. Zinc and redox signaling: perturbations associated with cardiovascular disease and diabetes mellitus. Antioxid Redox Signal. 2010;13:1549–73.CrossRefPubMed Foster M, Samman S. Zinc and redox signaling: perturbations associated with cardiovascular disease and diabetes mellitus. Antioxid Redox Signal. 2010;13:1549–73.CrossRefPubMed
4.
Zurück zum Zitat Capdor J, Foster M, Petocz P, Samman S. Zinc and glycemic control: a meta-analysis of randomised placebo controlled supplementation trials in humans. J Trace Elem Med Biol. 2013;27:137–42.CrossRefPubMed Capdor J, Foster M, Petocz P, Samman S. Zinc and glycemic control: a meta-analysis of randomised placebo controlled supplementation trials in humans. J Trace Elem Med Biol. 2013;27:137–42.CrossRefPubMed
5.
Zurück zum Zitat Coyle EF. Physical activity as a metabolic stressor. Am J Clin Nutr. 2000;72(Suppl):512S–20S.PubMed Coyle EF. Physical activity as a metabolic stressor. Am J Clin Nutr. 2000;72(Suppl):512S–20S.PubMed
6.
Zurück zum Zitat Gleeson M, Williams C. Intense exercise training and immune function. Nestle Nutr Inst Workshop Ser. 2013;76:39–50.CrossRefPubMed Gleeson M, Williams C. Intense exercise training and immune function. Nestle Nutr Inst Workshop Ser. 2013;76:39–50.CrossRefPubMed
7.
Zurück zum Zitat Simpson RJ, Kunz H, Agha N, Graff R. Exercise and the regulation of immune functions. Prog Mol Biol Transl Sci. 2015;135:355–80.CrossRefPubMed Simpson RJ, Kunz H, Agha N, Graff R. Exercise and the regulation of immune functions. Prog Mol Biol Transl Sci. 2015;135:355–80.CrossRefPubMed
8.
Zurück zum Zitat Egan B, Zierath JR. Exercise metabolism and the molecular regulation of skeletal muscle adaptation. Cell Metab. 2013;17:162–84.CrossRefPubMed Egan B, Zierath JR. Exercise metabolism and the molecular regulation of skeletal muscle adaptation. Cell Metab. 2013;17:162–84.CrossRefPubMed
9.
Zurück zum Zitat Margolis LM, Pasiakos SM. Optimizing intramuscular adaptations to aerobic exercise: effects of carbohydrate restriction and protein supplementation on mitochondrial biogenesis. Adv Nutr. 2013;4:657–64.CrossRefPubMedPubMedCentral Margolis LM, Pasiakos SM. Optimizing intramuscular adaptations to aerobic exercise: effects of carbohydrate restriction and protein supplementation on mitochondrial biogenesis. Adv Nutr. 2013;4:657–64.CrossRefPubMedPubMedCentral
10.
Zurück zum Zitat Miranda ER, Dey CS. Effect of chromium and zinc on insulin signaling in skeletal muscle cells. Biol Trace Elem Res. 2004;101:19–36.CrossRefPubMed Miranda ER, Dey CS. Effect of chromium and zinc on insulin signaling in skeletal muscle cells. Biol Trace Elem Res. 2004;101:19–36.CrossRefPubMed
11.
12.
Zurück zum Zitat König D, Weinstock C, Keul J. Zinc, iron, and magnesium status in athletes–influence on the regulation of exercise-induced stress and immune function. Exerc Immunol Rev. 1998;4:2–21.PubMed König D, Weinstock C, Keul J. Zinc, iron, and magnesium status in athletes–influence on the regulation of exercise-induced stress and immune function. Exerc Immunol Rev. 1998;4:2–21.PubMed
13.
Zurück zum Zitat Powers S, Jackson M. Exercise-induced oxidative stress: cellular mechanisms and impact on muscle force production. Physiol Rev. 2008;88:1243–76.CrossRefPubMedPubMedCentral Powers S, Jackson M. Exercise-induced oxidative stress: cellular mechanisms and impact on muscle force production. Physiol Rev. 2008;88:1243–76.CrossRefPubMedPubMedCentral
14.
Zurück zum Zitat Chu A, Petocz P, Samman S. Immediate effects of aerobic exercise on plasma/serum zinc levels: a meta-analysis. Med Sci Sports Exerc. 2016;48:726–33.CrossRefPubMed Chu A, Petocz P, Samman S. Immediate effects of aerobic exercise on plasma/serum zinc levels: a meta-analysis. Med Sci Sports Exerc. 2016;48:726–33.CrossRefPubMed
15.
Zurück zum Zitat Chu A, Petocz P, Samman S. Plasma/serum zinc status during aerobic exercise recovery: asystematic review and meta-analysis. Sports Med. 2017;47:127–34.CrossRefPubMed Chu A, Petocz P, Samman S. Plasma/serum zinc status during aerobic exercise recovery: asystematic review and meta-analysis. Sports Med. 2017;47:127–34.CrossRefPubMed
16.
Zurück zum Zitat DeRuisseau KC, Cheuvront SN, Hyames EM, Sharp RG. Sweat iron and zinc losses during prolonged exercise. Int J Sport Nutr. 2002;12:428–37. DeRuisseau KC, Cheuvront SN, Hyames EM, Sharp RG. Sweat iron and zinc losses during prolonged exercise. Int J Sport Nutr. 2002;12:428–37.
17.
Zurück zum Zitat Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gøtzsche PC, Ioannidis JPA, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. PLoS Med. 2009;6:e1000100.CrossRefPubMedPubMedCentral Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gøtzsche PC, Ioannidis JPA, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. PLoS Med. 2009;6:e1000100.CrossRefPubMedPubMedCentral
19.
Zurück zum Zitat Guyatt GH, Oxman AD, Vist G, Kunz R, Brozek J, Alonso-Coello P, et al. GRADE guidelines: 4. Rating the quality of evidence: study limitations (risk of bias). J Clin Epidemiol. 2011;64:407–15.CrossRefPubMed Guyatt GH, Oxman AD, Vist G, Kunz R, Brozek J, Alonso-Coello P, et al. GRADE guidelines: 4. Rating the quality of evidence: study limitations (risk of bias). J Clin Epidemiol. 2011;64:407–15.CrossRefPubMed
20.
Zurück zum Zitat The Cochrane Collaboration. Review manager (RevMan). Copenhagen: The Nordic Cochrane Centre; 2014. The Cochrane Collaboration. Review manager (RevMan). Copenhagen: The Nordic Cochrane Centre; 2014.
21.
Zurück zum Zitat Arikan S, Akkus H, Halifeoglu I, Baltaci AK, Arikan S, Akkus H, et al. Comparison of plasma leptin and zinc levels in elite athletes and sedentary people. Cell Biochem Funct. 2008;26:655–8.CrossRefPubMed Arikan S, Akkus H, Halifeoglu I, Baltaci AK, Arikan S, Akkus H, et al. Comparison of plasma leptin and zinc levels in elite athletes and sedentary people. Cell Biochem Funct. 2008;26:655–8.CrossRefPubMed
22.
Zurück zum Zitat Bazzarre T, Marquart L, Wu S, Izurieta M. Zinc status among low-fat and moderate-fat male triathletes and controls. J Trace Elem Exp Med. 1989;2:277–83. Bazzarre T, Marquart L, Wu S, Izurieta M. Zinc status among low-fat and moderate-fat male triathletes and controls. J Trace Elem Exp Med. 1989;2:277–83.
23.
Zurück zum Zitat Crespo R, Relea P, Lozano D, Macarro-Sanchez M, Usabuaga J, Villa L, et al. Biochemical markers of nutrition in elite-marathon runners. J Sport Med Phys Fit. 1995;35:268–72. Crespo R, Relea P, Lozano D, Macarro-Sanchez M, Usabuaga J, Villa L, et al. Biochemical markers of nutrition in elite-marathon runners. J Sport Med Phys Fit. 1995;35:268–72.
24.
Zurück zum Zitat Deuster PA, Day BA, Singh A, Douglass L, Moser-Veillon PB. Zinc status of highly trained women runners and untrained women. Am J Clin Nutr. 1989;49:1295–301.CrossRefPubMed Deuster PA, Day BA, Singh A, Douglass L, Moser-Veillon PB. Zinc status of highly trained women runners and untrained women. Am J Clin Nutr. 1989;49:1295–301.CrossRefPubMed
25.
Zurück zum Zitat Fogelholm M, Laakso J, Lehto J, Ruokonen I. Dietary intake and indicators of magnesium and zinc status in male athletes. Nutr Res. 1991;11:1111–8.CrossRef Fogelholm M, Laakso J, Lehto J, Ruokonen I. Dietary intake and indicators of magnesium and zinc status in male athletes. Nutr Res. 1991;11:1111–8.CrossRef
26.
Zurück zum Zitat Fogelholm GM, Himberg JJ, Alopaeus K, Gref CG, Laakso JT, Lehto JJ, et al. Dietary and biochemical indices of nutritional status in male athletes and controls. J Am Coll Nutr. 1992;11:181–91.PubMed Fogelholm GM, Himberg JJ, Alopaeus K, Gref CG, Laakso JT, Lehto JJ, et al. Dietary and biochemical indices of nutritional status in male athletes and controls. J Am Coll Nutr. 1992;11:181–91.PubMed
27.
Zurück zum Zitat Lloyd T, Dolence LA, Bartholomew MJ. Nutritional characteristics of recreational women runners. Nutr Res. 1992;12:359–66.CrossRef Lloyd T, Dolence LA, Bartholomew MJ. Nutritional characteristics of recreational women runners. Nutr Res. 1992;12:359–66.CrossRef
28.
Zurück zum Zitat Lukaski HC, Bolonchuk WW, Klevay LM, Milne DB, Sandstead HH. Maximal oxygen consumption as related to magnesium, copper, and zinc nutriture. Am J Clin Nutr. 1983;37:407–15.CrossRefPubMed Lukaski HC, Bolonchuk WW, Klevay LM, Milne DB, Sandstead HH. Maximal oxygen consumption as related to magnesium, copper, and zinc nutriture. Am J Clin Nutr. 1983;37:407–15.CrossRefPubMed
29.
Zurück zum Zitat Nuviala RJ, Lapieza MG, Bernal E. Magnesium, zinc, and copper status in women involved in different sports. Int J Sport Nutr. 1999;9:295–309.CrossRefPubMed Nuviala RJ, Lapieza MG, Bernal E. Magnesium, zinc, and copper status in women involved in different sports. Int J Sport Nutr. 1999;9:295–309.CrossRefPubMed
30.
Zurück zum Zitat Rodríguez Tuya I, Pinilla Gil E, Maynar Mariño M, García-Moncó Carra RM, Sánchez Misiego A. Evaluation of the influence of physical activity on the plasma concentrations of several trace metals. Eur J Appl Physiol Occup Physiol. 1996;73:299–303.CrossRefPubMed Rodríguez Tuya I, Pinilla Gil E, Maynar Mariño M, García-Moncó Carra RM, Sánchez Misiego A. Evaluation of the influence of physical activity on the plasma concentrations of several trace metals. Eur J Appl Physiol Occup Physiol. 1996;73:299–303.CrossRefPubMed
31.
Zurück zum Zitat Singh A, Deuster P, Moser P. Zinc and copper status of women by physical activity and menstrual status. J Sport Med Phys Fit. 1990;30:29–36. Singh A, Deuster P, Moser P. Zinc and copper status of women by physical activity and menstrual status. J Sport Med Phys Fit. 1990;30:29–36.
32.
Zurück zum Zitat Teixeira V, Valente H, Casal S, Marques F, Moreira P. Antioxidant status, oxidative stress, and damage in elite trained kayakers and canoeists and sedentary controls. Int J Sport Nutr Exerc Metab. 2009;19:443–56.CrossRefPubMed Teixeira V, Valente H, Casal S, Marques F, Moreira P. Antioxidant status, oxidative stress, and damage in elite trained kayakers and canoeists and sedentary controls. Int J Sport Nutr Exerc Metab. 2009;19:443–56.CrossRefPubMed
33.
Zurück zum Zitat Montero D, Lundby C. Red cell volume response to exercise training: association with aging. Scand J Med Sci Sports. 2016;27:674–83.CrossRefPubMed Montero D, Lundby C. Red cell volume response to exercise training: association with aging. Scand J Med Sci Sports. 2016;27:674–83.CrossRefPubMed
34.
Zurück zum Zitat Hausswirth C, Le Meur Y. Physiological and nutritional aspects of post-exercise recovery specific recommendations for female athletes. Sports Med. 2011;41:861–82.CrossRefPubMed Hausswirth C, Le Meur Y. Physiological and nutritional aspects of post-exercise recovery specific recommendations for female athletes. Sports Med. 2011;41:861–82.CrossRefPubMed
35.
Zurück zum Zitat Pingitore A, Lima GPP, Mastorci F, Quinones A, Iervasi G, Vassalle C. Exercise and oxidative stress: potential effects of antioxidant dietary strategies in sports. Nutrition. 2015;31:916–22.CrossRefPubMed Pingitore A, Lima GPP, Mastorci F, Quinones A, Iervasi G, Vassalle C. Exercise and oxidative stress: potential effects of antioxidant dietary strategies in sports. Nutrition. 2015;31:916–22.CrossRefPubMed
36.
Zurück zum Zitat Paulsen G, Mikkelsen UR, Raastad T, Peake JM. Leucocytes, cytokines and satellite cells: what role do they play in muscle damage and regeneration following eccentric exercise? Exerc Immunol Rev. 2012;18:42–97.PubMed Paulsen G, Mikkelsen UR, Raastad T, Peake JM. Leucocytes, cytokines and satellite cells: what role do they play in muscle damage and regeneration following eccentric exercise? Exerc Immunol Rev. 2012;18:42–97.PubMed
37.
Zurück zum Zitat Volpe SL, Lowe NM, Woodhouse LR, King JC. Effect of maximal exercise on the short-term kinetics of zinc metabolism in sedentary men. Br J Sports Med. 2007;41:156–61.CrossRefPubMed Volpe SL, Lowe NM, Woodhouse LR, King JC. Effect of maximal exercise on the short-term kinetics of zinc metabolism in sedentary men. Br J Sports Med. 2007;41:156–61.CrossRefPubMed
38.
Zurück zum Zitat Petersen AMW, Pedersen BK. The anti-inflammatory effect of exercise. J Appl Physiol. 2005;98:1154–62.CrossRefPubMed Petersen AMW, Pedersen BK. The anti-inflammatory effect of exercise. J Appl Physiol. 2005;98:1154–62.CrossRefPubMed
39.
Zurück zum Zitat Lukaski HC. Magnesium, zinc, and chromium nutriture and physical activity. Am J Clin Nutr. 2000;72:585S–93S.PubMed Lukaski HC. Magnesium, zinc, and chromium nutriture and physical activity. Am J Clin Nutr. 2000;72:585S–93S.PubMed
40.
Zurück zum Zitat Liuzzi JP, Lichten LA, Rivera S, Blanchard RK, Aydemir TB, Knutson MD, et al. Interleukin-6 regulates the zinc transporter Zip14 in liver and contributes to the hypozincemia of the acute-phase response. Proc Natl Acad Sci USA. 2005;102:6843–8.CrossRefPubMedPubMedCentral Liuzzi JP, Lichten LA, Rivera S, Blanchard RK, Aydemir TB, Knutson MD, et al. Interleukin-6 regulates the zinc transporter Zip14 in liver and contributes to the hypozincemia of the acute-phase response. Proc Natl Acad Sci USA. 2005;102:6843–8.CrossRefPubMedPubMedCentral
41.
Zurück zum Zitat Koury J, de Oliveira A, Portella ES, de Oliveira CF, Lopes GC, Donangelo CM. Zinc and copper biochemical indices of antioxidant status in elite athletes of different modalities. Int J Sport Nutr Exerc Metab. 2004;14:358–72.CrossRefPubMed Koury J, de Oliveira A, Portella ES, de Oliveira CF, Lopes GC, Donangelo CM. Zinc and copper biochemical indices of antioxidant status in elite athletes of different modalities. Int J Sport Nutr Exerc Metab. 2004;14:358–72.CrossRefPubMed
42.
Zurück zum Zitat Chu A, Samman S. Zinc homeostasis in exercise: implications for physical performance. Vitam Miner. 2014;3:40–2.CrossRef Chu A, Samman S. Zinc homeostasis in exercise: implications for physical performance. Vitam Miner. 2014;3:40–2.CrossRef
43.
Zurück zum Zitat Gonzalez JT, Fuchs CJ, Betts JA, van Loon LJC. Glucose plus fructose ingestion for post-exercise recovery-greater than the sum of its parts? Nutrients. 2017;9:344.CrossRef Gonzalez JT, Fuchs CJ, Betts JA, van Loon LJC. Glucose plus fructose ingestion for post-exercise recovery-greater than the sum of its parts? Nutrients. 2017;9:344.CrossRef
44.
Zurück zum Zitat Sandström B. Bioavailability of zinc. Eur J Clin Nutr. 1997;51:S17–9.PubMed Sandström B. Bioavailability of zinc. Eur J Clin Nutr. 1997;51:S17–9.PubMed
45.
Zurück zum Zitat National Health and Medical Research Council. Nutrient reference values for Australia and New Zealand including recommended dietary intakes. Canberra: National Health and Medical Research Council; 2006. National Health and Medical Research Council. Nutrient reference values for Australia and New Zealand including recommended dietary intakes. Canberra: National Health and Medical Research Council; 2006.
46.
Zurück zum Zitat Lowe NM, Dykes FC, Skinner A-L, Patel S, Warthon-Medina M, Decsi T, et al. EURRECA-estimating zinc requirements for deriving dietary reference values. Crit Rev Food Sci Nutr. 2013;53:1110–23.CrossRefPubMed Lowe NM, Dykes FC, Skinner A-L, Patel S, Warthon-Medina M, Decsi T, et al. EURRECA-estimating zinc requirements for deriving dietary reference values. Crit Rev Food Sci Nutr. 2013;53:1110–23.CrossRefPubMed
47.
Zurück zum Zitat Hess S, Peerson J, King J, Brown K. Use of serum zinc concentration as an indicator of population zinc status. Food Nutr Bull. 2007;28:S403–29.CrossRefPubMed Hess S, Peerson J, King J, Brown K. Use of serum zinc concentration as an indicator of population zinc status. Food Nutr Bull. 2007;28:S403–29.CrossRefPubMed
48.
Zurück zum Zitat Lukaski HC. Low dietary zinc decreases erythrocyte carbonic anhydrase activities and impairs cardiorespiratory function in men during exercise. Am J Clin Nutr. 2005;81:1045–51.PubMed Lukaski HC. Low dietary zinc decreases erythrocyte carbonic anhydrase activities and impairs cardiorespiratory function in men during exercise. Am J Clin Nutr. 2005;81:1045–51.PubMed
Metadaten
Titel
Lower Serum Zinc Concentration Despite Higher Dietary Zinc Intake in Athletes: A Systematic Review and Meta-analysis
verfasst von
Anna Chu
Cushla Holdaway
Trishala Varma
Peter Petocz
Samir Samman
Publikationsdatum
21.11.2017
Verlag
Springer International Publishing
Erschienen in
Sports Medicine / Ausgabe 2/2018
Print ISSN: 0112-1642
Elektronische ISSN: 1179-2035
DOI
https://doi.org/10.1007/s40279-017-0818-8

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