Effect of Supplementation with Zinc and Other Micronutrients on Malaria in Tanzanian Children A Randomised Trial 英文参考文献.docVIP
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Effect of Supplementation with Zinc and Other Micronutrients on Malaria in Tanzanian Children A Randomised Trial 英文参考文献
EffectofSupplementationwithZincandOther
MicronutrientsonMalariainTanzanianChildren:A
RandomisedTrial
JacobienVeenemans1,2,PaulMilligan3,AndrewM.Prentice4,5,LauraR.A.Schouten1,NienkeInja1,
AafkeC.vanderHeijden1,LinseyC.C.deBoer1,EstherJ.S.Jansen1,AnnaE.Koopmans1,WendyT.M.
Enthoven1,RobJ.Kraaijenhagen6,AyseY.Demir6,DonaldR.A.Uges7,ErastoV.Mbugi8,HuubF.J.
Savelkoul1,HansVerhoef1,4*
1Wageningen University, CellBiology andImmunology Group, Wageningen, The Netherlands, 2Laboratory for MicrobiologyandInfectionControl, Amphia Hospital,
Breda, The Netherlands, 3Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, United Kingdom, 4MRC
International Nutrition Group, London School of Hygiene and Tropical Medicine, London, United Kingdom, 5MRC Keneba, The Gambia, 6Meander Medical Centre,
Laboratory for Clinical Chemistry and Haematology, Amersfoort, The Netherlands, 7University of Groningen, University Medical Center, Department of Pharmacy,
Laboratory for Clinical and Forensic Toxicology and Drug Analysis, Groningen, The Netherlands, 8Muhimbili University of Health and Allied Sciences, Dar es Salaam,
Tanzania
Abstract
Background:Itisuncertaintowhatextentoralsupplementationwithzinccanreduceepisodesofmalariainendemicareas.
Protectionmaydependonothernutrients.Wemeasuredtheeffectofsupplementationwithzincandothernutrientson
malariarates.
Methods and Findings: In a 262 factorial trial, 612 rural Tanzanian children aged 6–60 months in an area with intense
malariatransmissionandwithheight-for-agez-score#21.5SDwererandomizedtoreceivedailyoralsupplementationwith
either zinc alone (10mg), multi-nutrients without zinc, multi-nutrients with zinc, or placebo. Intervention group was
indicatedbycolourcode,butneitherparticipants,researchers,norfieldstaffknewwhoreceivedwhatintervention.Those
with Plasmodium infection at baseline were treated with artemether-lumefantrine. The primary outcome, an episode of
malaria,wasassessedamongchildrenreporte
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