Influence of zinc on severity of common cold in children

  • Cahalafa Shinta Caesar Department of Child Health, Gadjah Mada University Medical School/Dr. Sardjito Hospital, Yogyakarta
  • Mohammad Juffrie Department of Child Health, Gadjah Mada University Medical School/Dr. Sardjito Hospital, Yogyakarta
  • Sumadiono Sumadiono Department of Child Health, Gadjah Mada University Medical School/Dr. Sardjito Hospital, Yogyakarta
Keywords: common cold, seventy, zinc, children

Abstract

Background Symptomatic treatment of common cold in children
does not reduce the duration and severity of disease. Since zinc has
been used to enhance cellular and humoral immunity, it has the
potential to reduce the severity of the common cold. However, the
effects of zinc on the common cold have been inconclusive. The
use of zinc to treat cold symptoms deserves further studies.
Objective To determine the effect of zinc supplementation on
the severity of the common cold in children.
Methods We performed a randomized, doubleô€blind, controlled
trial in children aged 3ô€ 5 years who were diagnosed Mth a common
cold at primary health care centers in Gedongtengen, Umbulharj 0
I and Kotagede II, Yogyakarta. Subjects were collected by
consecutive sampling and their parents were interviewed. Severity
of illness was categorized as mild, moderate or severe.
Results One hundred fourteen patients with common cold were
divided into 2 groups of 57 subjects each. One group received
zinc supplementation while the other group received a placebo.
Subjects with fever received additional paracetamol. After 7 days
of treatment, there were no significant differences in clinical
improvement in the zinc group (80.7%) compared to that of the
placebo group (78.9%), Pô€‚O.83.
Conclusion The severity of the common cold in children aged
3ô€5 years was not significantly different in those who received
zinc supplementation compared to placebo. [Paediatr Indones.
2012;52:324-8].

References

1. WHO. Cough and cold remedies for the treatment of acute
respiratory infections in young children. Geneva: World
Health Organization; 2001. p. 3-30.
2. Rajnik M. Rhinoviruses. 2006. [cited 2008 August 18].
Available from: http://www.emedicine.com
3. Eby GA. Handbook for curing the common cold: the zinc
lozenge story. Publications Division George Eby Research
Austin, Texas U.S.A. 1994. p. 31-45.
4. Departemen Kesehatan Republik Indonesia. Pedoman
pemberantasan penyakit infeksi saluran pernafasan akut
pada balita. 8th ed. Jakarta: Departemen Kesehatan Republik
Indonesia; 2004. p. 4-73.
5. Departemen Kesehatan Republik Indonesia. Daerah Istimewa
Yogyakarta. 2006 [unpublished].
6. Hulisz DT. Zinc and the common cold: what pharmacists
need to know. J Am Pharm Assoc. 2004;44.594-603.
7. Gwaltney JM, Hayden FG. Understanding colds. 2006. [cited
2008 October 10]. Available from: http://tilWw.commoncold.
org/trtmnt.html.
8. Dardenne M. Zinc and immune function. Eur J Clin Nutr.
2002;3. S20-3.
9. Kurug6l Z, Akilli M, Bayram N, Koturoglu G. The prophylactic
and therapeutic effectiveness of zinc sulphate on common
cold in children. Acta Paediatrica. 2006; 95:1175􀁧81.
10. Godfrey JC, Conant SB, Smith DS, Turco JH, Mercer N,
Godfrey NH. Zinc gluconate and the common cold: a
controlled clinical study. J Int Med Res. 1996;20.234-46.
11. WHO. Child growth standarts. Weight for age. Available
from: http://www.who.int!childgrowth/standards/w eightJor_
age/enlindex.html.
12. Marshall!. Zinc for the common cold (review). The Cochrane
Library. 2006. [cited 2008 Aptil 22]; 2. Available from. http';/
wtilW.thecochranelibrary.com
13. Prasad AS, Beck FW, Bao B, Snell D, Fitzgerald JT. Duration
and severity of symptoms and levels of plasma interleukin-1
receptor antagonist, soluble tumor necrosis factor receptor,
and adhesion molecules in patients Mth common cold treated
Mth zinc acetate. J Infect Dis. 2008;197 :795􀁧802.
14. Mossad SB, Macknin ML, Medendorp SV, Mason P.
Zinc gluconate lozenges for treating the common cold: a
randomized, double􀁧blind, placebo􀁧controlled study. Ann
Intern Med. 1997;125.81-8.
15. Prasad AS, Fitzgerald JT, Bao B, Beck FW, Chandrasekar
PH. Duration of symptoms and plasma cytokine levels in
patients with the common cold treated Mth zinc acetate:
a randomized, double􀁧blind, placebo􀁧controlled trial. Ann
Intern Med. 2000;133.245-52.
16. Eby GA, Davis DR, Halcomb WW Reduction in duration of
common colds by zinc gluconate lozenges in a double􀁧blind
study. Antimicrob Agents Chemother. 1984;25:20A.
17. Turner RB, Huyden GF. The common cold. In: Behrman RE,
Kliegman RM, Jenson HB, eds. Nelson textbook of pediatrics.
Philadelphia. Saunders Elsevier; 2004. p. 561-72.
18. Tolan RW, Nguyen MN. Rhinovirus infection. 2007. [cited 2008
February 22]. Available from: http://tiItiIW.emedicine.com
19. Friedlander SL, Busse WW The role of rhinovirus in asthma
exacerbations. J Allergy Clin Immunol. 2005; 116:267-73.
20. Overbeck S, Rink L, Haase H. Modulating the immune
response by oral zinc supplementation: a single approach
for multiple diseases. Arch Immunol Ther Exp. 2008;56: 15-30.
21. Eby GA. Zinc lozenges as cure for the common cold􀁧a review
and hypothesis. 2010. [cited 2010 N ovember 11]. Available
from: tilWw.elsevier.com
22. Roxas M, J urenka J. Colds and influenza: a review of diagnosis
and conventional, botanical, and nutritional considerations.
Altern Med Rev. 2007;12.25-48.
23. Singh M, Das RR. Zinc for the common cold (review). The
Cochrane Library. 2011; [cited 2011 March 16]; 2. Available
from: http://tilWw.thecochranelibrary.com
24. Kelly JT, Busse WW Host immune responses to rhinovirus:
mechanisms in asthma. J Allergy Clin Immunol. 2008:112:
671-82.
25. Jackson JL, Lesho E, Peterson C. Zinc and the common cold:
a meta-analysis revisited. J Nutr.2000; 130: 1512S􀁧5S.
26. Arrol B. Non􀁧antibiotic treatment for upper􀁧respiratory tract
infections (common cold). Respir Med. 2005 ;99: 1477-84.
Published
2012-12-31
How to Cite
1.
Caesar C, Juffrie M, Sumadiono S. Influence of zinc on severity of common cold in children. PI [Internet]. 31Dec.2012 [cited 19Apr.2024];52(6):324-. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/495
Received 2016-09-08
Accepted 2016-09-08
Published 2012-12-31