TABLE 4.
Summary of forest plot analyses of the effect of zinc supplementation in infants and children aged ≤3 y on anemia (OR), analyzed by duration, chemical formula, and comparator group1
Group/subgroup | References | Mean difference | 95% CI | P | I 2 |
---|---|---|---|---|---|
Children receiving interventions for <3 mo by zinc dose | |||||
<5 mg/d | (48) | 4.33 | 0.14, 132.32 | NA | |
5–10 mg/d | (48, 73) | 1.74 | 1.01, 2.98 | 0 | |
Overall | 1.78 | 1.04, 3.03 | 0.03 | 0 | |
Children receiving interventions for >3 mo by zinc dose | |||||
<5 mg/d | (19, 34) | 0.85 | 0.37, 1.95 | 44 | |
5–10 mg/d | (12, 29, 36–39, 43, 47, 53–55, 70, 71) | 1.08 | 0.93, 1.25 | 30 | |
10.1–20 mg/d | (54) | 1.07 | 0.60, 1.90 | NA | |
Overall | 1.06 | 0.92, 1.22 | 0.43 | 28 | |
Children receiving zinc through zinc gluconate by zinc dose | |||||
5–10 mg/d | (37, 38, 55, 73) | 1.10 | 0.71, 1.72 | 41 | |
Overall | 1.10 | 0.71, 1.72 | 0.66 | 41 | |
Children receiving zinc through zinc sulfate by zinc dose | |||||
<5 mg/d | (34, 48) | 0.66 | 0.36, 0.121 | 0 | |
5–10 mg/d | (12, 29, 39, 47, 48, 71) | 1.28 | 0.98, 1.67 | 49 | |
Overall | 1.18 | 0.92, 1.53 | 0.19 | 47 | |
Children receiving zinc through an unstated approach by zinc dose | |||||
5–10 mg/d | (36, 43, 53, 70) | 0.97 | 0.81, 1.15 | 0 | |
10.1–20 mg/d | (54) | 1.07 | 0.60, 1.90 | NA | |
Overall | 0.97 | 0.82, 1.15 | 0.76 | 0 | |
Children receiving zinc vs. placebo by zinc dose | |||||
<5 mg/d | (19) | 3.75 | 0.65, 21.74 | NA | |
5–10 mg/d | (29, 36, 39, 43, 47, 53, 55, 70, 71) | 0.89 | 0.75, 1.05 | 0 | |
Overall | 0.90 | 0.76, 1.06 | 0.21 | 0 | |
Children receiving low compared with high dose zinc | |||||
5–10 mg/d | (43, 48) | 1.13 | 0.83, 1.53 | 0 | |
Overall | 1.13 | 0.83, 1.53 | 0.44 | 0 |
NA, not applicable.