Table 2.
Study characteristics
| Study (author, year [Ref.]) | Country | Population | % Men | Mean age (SD) (years) | Intervention duration | Micronutrient form | Dosage (per capsule/tablet/lozenge); dosing schedule | Outcomes reported |
|---|---|---|---|---|---|---|---|---|
| Vitamins A and E (two studies) | ||||||||
| Hemila27 | Finland | 19,791 | 100 | I: 57.2 C: 57.1 | 6.1 years | dL-α-tocopherol acetate | 50 mg; NR | Self-reported cold incidence |
| I: 57.3 C: 57 | Water-soluble β-carotene beadlets | 20 mg, NR | ||||||
| Hemila28 | Finland | 26,148 | 100 | I: 57.2 C: 57.1 | 6.1 years | dL-α-tocopherol acetate | 50 mg; NR | Clinical pneumonia incidence |
| I: 57.3 C: 57 | Water-soluble β-carotene beadlets | 20 mg, NR | ||||||
| Vitamin D (eight studies) | ||||||||
| De Gruijl29 | The Netherlands | 70 | 8.6 | I: 21.9 (2.3) C: 21.5 (2.1) | 2 months | Vitamin D3 | 1 000 IU; 1 capsule daily | Self-reported cold incidence |
| Goodall30 | Canada | 600 | 36.3 | I, C: 19 | 2 months | Vitamin D3 | 10,000 IU; 1 capsule weekly | Self-reported and laboratory-confirmed cold incidence |
| Cold duration | ||||||||
| Subjective symptom severity per cold episode | ||||||||
| Laaksi31 | Finland | 164 | 100 | I, C: 18–28* | 6 months | Vitamin D3 | 400 IU; 1 capsule daily | Self-reported cold incidence |
| Li-Ng32 | United States | 148 | 20.3 | I: 59.3 (13) C: 58.1 (13.4) | 3 months | Vitamin D3 | 2 000 IU; 1 capsule daily | Self-reported and laboratory-confirmed URTI incidence |
| URTI duration | ||||||||
| Subjective symptom severity per URTI episode | ||||||||
| Murdoch33 | New Zealand | 322 | 25.2 | I: 47 (10) C: 48 (10) | 18 months | Vitamin D3 | 200,000 IU (first 2 months) and 100,000 IU (subsequent months); 1 capsule monthly | Self-reported URTI incidence |
| URTI duration | ||||||||
| Subjective symptom severity per URTI episode | ||||||||
| Rees34 | United States | 759 | 57.7 | I: 60.7 (6.7) C: 60.5 (6.4) | 18 months | Vitamin D3 | 1 000 IU; 1 capsule daily | Self-reported cold incidence |
| Cold duration | ||||||||
| Shimizu26 | Japan | 215 | 30.7 | I: 52.8 (6.2) C: 52.6 (67) | 5 months | Vitamin D3 | 400 IU; 1 capsule daily | Self-reported URTI incidence |
| URTI duration | ||||||||
| Subjective symptom severity per day while sick | ||||||||
| Simpson35 | Australia | 34 | 41.2 | I: 35 (12.5) C: 30.3 (11.8) | 5 months | Vitamin D3 | 2 000 IU; 1 capsule daily | Self-reported and clinically diagnosed ARI |
| Incidence | ||||||||
| ARI duration | ||||||||
| Subjective symptom severity per ARI episode | ||||||||
| Zinc (10 studies) | ||||||||
| Douglas36 | Australia | 63 | 42.9 | I: 30 C: 35.6 | Until symptom resolution (min: 3 days; max: 6 days) | Zinc acetate | 10 mg ‡; 1 lozenge every 2 hours while awake and between 6 and 8 lozenges daily | Cold duration |
| Subjective symptom severity per cold episode | ||||||||
| Eby37 | United States | 65 | 53.8 | I: 35.6 (2.2) C: 28 (2.8) | Until symptom resolution | Zinc gluconate | 23 mg; 2 tablets initially and followed by 1 tablet every 2 hours while awake (≤ 12 tablets daily) | old duration |
| Subjective symptom severity per cold episode | ||||||||
| Godfrey38 | United States | 73 | 60.3 | I: 21.2 † C: 20.1 † | Until symptom resolution | Zinc gluconate trihydrate | 23.7 mg; 1 lozenge every 2 hours (≤ 8 lozenges daily) | Cold duration |
| Subjective symptom severity per day while sick | ||||||||
| Mossad39 | United States | 99 | 19.2 | I: 37.5 (7.5) C: 37.9 (9.2) | Until symptom resolution | Zinc gluconate | 13.3 mg; 1 lozenge every 2–3 hours while awake | Cold duration |
| Subjective symptom severity per day while sick | ||||||||
| Petrus40 | United States | 101 | 46.5 | I, C: 26.5 | Until symptom resolution (max: 14 days) | Zinc acetate | 9 mg ‡; 1 lozenge every 1.5 hours while awake (first day) and then every 2 hours while awake (on following days with symptoms) | Cold duration |
| Subjective symptom | ||||||||
| severity per day while sick | ||||||||
| Prasad41 | United States | 48 | 37.5 | I: 36.4 (11.1) C: 37.8 (10.9) | Until symptom resolution | Zinc acetate dihydrate | 42.96 mg; 1 lozenge every 2–3 hours while awake | Cold duration |
| Subjective symptom severity per day while sick | ||||||||
| Prasad42 | United States | 50 | 32 | I: 34.5 (14.06) C: 35.9 (13.4) | Until symptom resolution | Zinc acetate | 13.3 mg; 1 lozenge every 2 hours while awake | Cold duration |
| Subjective symptom severity per day while sick | ||||||||
| Turner43 | United States | 279 | NR | NR | Until symptom resolution (min: 3 days; max: 6 days) | Zinc acetate | 5 mg; 1 lozenge every 2–3 hours while awake (≤ 6 lozenges daily) | Cold duration (median) |
| Zinc acetate | 11.5 mg; 1 lozenge every 2–3 hours while awake (≤ 6 lozenges daily) | |||||||
| Subjective symptom severity per day while sick | ||||||||
| Zinc gluconate | 13.3 mg; 1 lozenge every 2–3 hours while awake (≤ 6 lozenges daily) | |||||||
| Veverka44 | United States | 30 | 80 | I: 18.5 (0.89) C: 18.6 (0.82) | Supplementation: 7 months | NR | 15 mg; 1 tablet daily | Self-reported and clinically diagnosed cold incidence |
| Weismann45 | Denmark | 130 | NR | I, C: 18–65* | Until symptom resolution (max: 100 days) | Zinc gluconate | 31.3 mg; 1 lozenge every 1–1.5 hours while awake (≤ 10 lozenges daily) | Cold duration |
| Subjective symptom severity per cold episode | ||||||||
| Subjective symptom severity per day while sick | ||||||||
C = control; I = intervention; Max, maximum; Min, minimum; NR = not reported.
Age range.
Median age.
Elemental zinc content.