THE EFFECT OF SUPLEMENTATION WITH CALCIUM, VITAMIN D AND ZINC ON THE GROWTH AND BODY COMPOSITION IN PUBERTAL ADOLESCENTS IN A SECONDARY SCHOOL IN THE TOWN OF CU CHI

Thi Yen Phi DAO1, Thi Hop LE2, Thuy Hoa PHAM3,
1 Pham Ngoc Thach University of Medicine
2 Vietnam Nutrition Association
3 Institute of Applied Nutrition

Main Article Content

Abstract

Objectives: Studying the effect of supplementation with calcium, vitamin D and zinc
on the development of height, weight, and the changes of body composition in pubertal
adolescents.
Methods: A community interventional study was conducted on 326 students
who were enrolling in a secondary school of the town of Cu Chi during the school year
2012-2013. Intervention group consisted of 145 students, who were supplemented with
300mg calcium, 400IU vitamin D and 5 mg zinc per day for one year, the remainder 181
students were in the control group.
Results: Supplementation of Calcium, vitamin D, zinc
resulted in 3cm per year (p<0.001; t-test) height gain in puberty stage 1 of intervention
boys in comparison with boys in the control group. The weight gain in girls in intervention
group was higher than that in girls in control group in the stages 3 (p<0.05; t-test); 4
(p<0.05; t-test) and 5 (p<0.05; t-test) of puberty, which were 1.8kg, 3.1kg, and 1.7kg, respectively. In intervention group, body fat percentage of boys decreased by 2.1% per year
in comparison with boys in control group (p<0.01; t-test), while fat-free mass of girls in
intervention group increased by 1.1 kg per year more than girls in control group (p<0.001,
t-test). Conclusion: Intervention of supplementation with calcium, vitamin D, zinc resulted
in height increase and body fat decrease in boys; and weight increase in girls with the majority of gain in the fat-free mass.

Article Details

References

1. Stang J, Story M (2012), Chapter 1: Adolescent growth and development Guidelines for Adolescent Nutrition Service, University of Minesota
2. Castillo-Durán C, García H, Venegas P, et al. (1994), Zinc supplementation increases growth velocity of male children and adolescents with short stature, Acta Paediatrica, 83 (8), pp. 833-837.
3. Hogen EVD, Schueren MAVB, and Schuitema CFJ (2013), Nutritional Support Clinical Nutrition Wiley Blackwell,
pp.140-160.
4. Bộ Y Tế (2012), Nhu cầu dinh dưỡng khuyến nghị cho người Việt Nam Nhà Xuất Bản Y Học Hà Nội - Việt Nam.
5. Viện Dinh Dưỡng Quốc Gia (2012), Báo cáo tóm tắt Tổng điều tra Dinh dưỡng 2009-2010, Viện Dinh Dưỡng, Hà Nội.
6. Trung tâm Dinh Dưỡng TP. Hồ Chí Minh (2015), Tình trạng dinh dưỡng học đường, Đánh giá phần mềm tình trạng dinh dưỡng học sinh, Thành phố Hồ Chí Minh
7. Cochran WG (1977), Sampling Techniques, 3, John Wiley & Son, New York,USA.
8. Dibba B, Prentice A, Ceesay M, et al. (2000), Effect of calcium supplementation on bone mineral accretion in Gambian children accustomed to a low-calcium diet, American Journal Clinical Nutrition, 71 (2), pp. 544-549.
9. WHO (2014), Sexual maturity rating (Tanner Staging) in Adolescent World Health Organization World Health Organization Switzeland.
10.Prentice A, Dibba B, Sawo Y, et al. (2012), The effect of prepubertal calcium carbonate supplementation on the age of peak height velocity in Gambian adoles