Zinc für Acute Diarrhea

WHO/UNICEF recommend zinc (20 mg/day for 10-14 days) for all children with acute diarrhea. Reduces duration by ~25% and decreases subsequent diarrhea episodes for 2-3 months.

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Fazit

WHO/UNICEF recommend zinc (20 mg/day for 10-14 days) for all children with acute diarrhea. Reduces duration by ~25% and decreases subsequent diarrhea episodes for 2-3 months.

Key Study Findings

Review

The interplay between malnutrition, persistent diarrhea, lactose intolerance, and food associated gut dysbiosis in children; …

Dose: None vs.: None Outcome: None Wirkung: None None

Population: children with persistent diarrhea, lactose intolerance, and gut dysbiosis in low/middle-income countries

Other

Clinical practice guidelines for acute infectious diarrhea in children in China (2024).

Dose: None vs.: None Outcome: None Wirkung: None None

Population: Clinical practice guidelines for pediatric acute diarrhea

Randomized Controlled Trial Open-label

Mobile phone call reminders to improve oral rehydration salt and zinc adherence for acute diarrhea …

Dose: ORS and zinc tablets vs.: Standard care (no reminders) Outcome: ORS and zinc adherence rates Wirkung: None None

Population: Children <5 with acute diarrhea

Other

Has Zinc Lost Its Shine?

Dose: None vs.: None Outcome: None Wirkung: None None

Population: None

Review

Lactose intolerance: myths and facts. An update.

Dose: None vs.: None Outcome: Lactose digestion and tolerance management Wirkung: None None

Population: Lactose intolerant individuals

Randomized Controlled Trial n=454 1 weeks Double-blind

Efficacy and safety of Bacillus clausii (O/C, N/R, SIN, T) probiotic combined with oral rehydration …

Dose: 2 billion spores/5mL BID x 5 days vs.: Placebo + ORT + zinc Outcome: Duration of acute diarrhea Wirkung: Median 42.83h vs 42.13h (HR 0.93, 95%CI 0.77-1.13) p=0.70

Population: Children 6mo-5y with acute moderate diarrhea in India

Key Statistics

Studien

10000

Teilnehmer

↑

Positive

Bewertung

Referenced Papers

The interplay between malnutrition, persistent diarrhea, lactose intolerance, and food associated gut dysbiosis in children; a comprehensive review. Other

BMC pediatrics 2026

Clinical practice guidelines for acute infectious diarrhea in children in China (2024). Other

World journal of … 2025 2 Zitierungen

Mobile phone call reminders to improve oral rehydration salt and zinc adherence for acute diarrhea in children: a single-center, randomized … RCT

BMC health services … 2024 1 Zitierungen

Lactose intolerance: myths and facts. An update. Review

Archivos argentinos de … 2022 42 Zitierungen

Efficacy and safety of Bacillus clausii (O/C, N/R, SIN, T) probiotic combined with oral rehydration therapy (ORT) and zinc in … Other

Tropical diseases, travel … 2022 17 Zitierungen

Therapeutic supplementation with zinc in the management of COVID-19-related diarrhea and ageusia/dysgeusia: mechanisms and clues for a personalized dosage regimen. Other

Nutrition reviews 2022 3 Zitierungen

Has Zinc Lost Its Shine? Other

The Journal of … 2022

Modeling Enteropathy or Diarrhea with the Top Bacterial and Protozoal Pathogens: Differential Determinants of Outcomes. Review

ACS infectious diseases 2021 26 Zitierungen

Effects of different types of zinc supplement on the growth, incidence of diarrhea, immune function, and rectal microbiota of newborn … RCT

Journal of dairy … 2020 58 Zitierungen

Lower-Dose Zinc for Childhood Diarrhea - A Randomized, Multicenter Trial. RCT

The New England … 2020 50 Zitierungen

Treating Viral Diarrhea in Children by Probiotic and Zinc Supplements. Other

Pediatric gastroenterology, hepatology … 2019 17 Zitierungen

Effect of Zinc Supplementation on the Frequency and Consistency of Stool in Children with Acute Diarrhea. Other

Cureus 2019 11 Zitierungen

[Skin Manifestations of Pellagra]. Other

Brain and nerve … 2019 1 Zitierungen

Comparative effectiveness and safety of interventions for acute diarrhea and gastroenteritis in children: A systematic review and network meta-analysis. Meta-Analysis

PloS one 2018 76 Zitierungen

Chinese clinical practice guidelines for acute infectious diarrhea in children. Review

World journal of … 2018 52 Zitierungen

Management of minor ailments in a community pharmacy setting: Findings from simulated visits and qualitative study in Gondar town, Ethiopia. Other

PloS one 2018 48 Zitierungen

Non-prescribed sale of antibiotics for acute childhood diarrhea and upper respiratory tract infection in community pharmacies: a 2 phase mixed-methods … Other

Antimicrobial resistance and … 2018 46 Zitierungen

Interventions to reduce post-acute consequences of diarrheal disease in children: a systematic review. Systematic Review

BMC public health 2018 23 Zitierungen

Approach to "Upset Stomach". Review

Indian journal of … 2017 1 Zitierungen

Effects of zinc or synbiotic on the duration of diarrhea in children with acute infectious diarrhea. RCT

The Turkish journal … 2016 36 Zitierungen

Effects of zinc supplementation in the prevention of respiratory tract infections and diarrheal disease in Colombian children: A 12-month randomised … RCT

Allergologia et immunopathologia 2016 31 Zitierungen

Oral zinc provision in acute diarrhea. Review

Current opinion in … 2016 13 Zitierungen

[Therapeutic effects of zinc supplement as adjunctive therapy in infants and young children with rotavirus enteritis]. RCT

Zhongguo dang dai … 2016 9 Zitierungen

The effectiveness and safety of treatments used for acute diarrhea and acute gastroenteritis in children: protocol for a systematic review … Other

Systematic reviews 2016

Pharmacy-based dispensing of antimicrobial agents without prescription in India: appropriateness and cost burden in the private sector. Other

Antimicrobial resistance and … 2015 113 Zitierungen

Oral zinc and common childhood infections--An update. Review

Journal of trace … 2015 33 Zitierungen

Serum levels of vitamins A and D, and zinc in children with acute diarrhea: A cross-sectional study. Other

Medical journal of … 2015 15 Zitierungen

Zinc supplementation in acute diarrhea. Meta-Analysis

Indian journal of … 2015 13 Zitierungen

Zinc for Acute Diarrhea and Amoxicillin for Pneumonia, Do They Work? : Delivered at the AIIMS, IJP Excellence Award for … Other

Indian journal of … 2015 4 Zitierungen

Infectious diarrhea: an overview. Review

Current gastroenterology reports 2014 40 Zitierungen

Management of acute infectious diarrhea for children living in resource-limited settings. Review

Expert review of … 2014 37 Zitierungen

Discovery of human zinc deficiency: its impact on human health and disease. Review

Advances in nutrition … 2013 807 Zitierungen

Oral zinc supplementation for the treatment of acute diarrhea in children: a systematic review and meta-analysis. Meta-Analysis

Nutrients 2013 89 Zitierungen

Zinc supplementation in public health. Review

Annals of nutrition … 2013 82 Zitierungen

Zinc supplementation for treating diarrhea in children: a systematic review and meta-analysis. Meta-Analysis

Revista panamericana de … 2013 38 Zitierungen

Management of acute diarrhea in emergency room. Review

Indian journal of … 2013 26 Zitierungen

Zinc and copper supplementation are not cost-effective interventions in the treatment of acute diarrhea. RCT

Journal of clinical … 2013 15 Zitierungen

The management of acute diarrhea in children in developed and developing areas: from evidence base to clinical practice. Review

Expert opinion on … 2012 73 Zitierungen

New actions for old nutrients. Review

Acta scientiarum polonorum. … 2012 11 Zitierungen

Roles of zinc in the pathophysiology of acute diarrhea. Other

Current infectious disease … 2012

Mechanisms of action of zinc in acute diarrhea. Review

Current opinion in … 2011 59 Zitierungen

Update on prolonged and persistent diarrhea in children. Review

Current opinion in … 2011 31 Zitierungen

Zinc, vitamin A, and micronutrient supplementation in children with diarrhea: a randomized controlled clinical trial of combination therapy versus monotherapy. RCT

The Journal of … 2011 30 Zitierungen

Therapeutic value of zinc supplementation in acute and persistent diarrhea: a systematic review. Meta-Analysis

PloS one 2010 114 Zitierungen

Supplementing iron and zinc: double blind, randomized evaluation of separate or combined delivery. RCT

European journal of … 2010 51 Zitierungen

Preventive zinc supplementation among infants, preschoolers, and older prepubertal children. Review

Food and nutrition … 2009 313 Zitierungen

Zinc deficiency. Review

Current opinion in … 2009 72 Zitierungen

Zinc and copper supplementation in acute diarrhea in children: a double-blind randomized controlled trial. RCT

BMC medicine 2009 45 Zitierungen

A meta-analysis of the effects of oral zinc in the treatment of acute and persistent diarrhea. Meta-Analysis

Pediatrics 2008 180 Zitierungen

Zinc and diarrheal disease: current status and future perspectives. Review

Current opinion in … 2008 55 Zitierungen

Comparison of the effects of zinc delivered in a fortified food or a liquid supplement on the growth, morbidity, and … RCT

The American journal … 2007 106 Zitierungen

Zinc supplementation reduced cost and duration of acute diarrhea in children. RCT

Journal of clinical … 2007 48 Zitierungen

Probiotics and zinc in acute infectious gastroenteritis in children: are they effective? Review

Nutrition (Burbank, Los … 2007 39 Zitierungen

[Feeding infants and young children with acute diarrhea]. Review

Archives de pediatrie … 2007 13 Zitierungen

Zinc in the treatment of acute diarrhea: current status and assessment. Review

Gastroenterology 2006 93 Zitierungen

Zinc supplementation in acute diarrhea is acceptable, does not interfere with oral rehydration, and reduces the use of other medications: … RCT

Journal of pediatric … 2006 55 Zitierungen

Effect of infections and environmental factors on growth and nutritional status in developing countries. Other

Journal of pediatric … 2006 54 Zitierungen

Estimation of serum zinc and copper in children with acute diarrhea. Other

Biological trace element … 2006 27 Zitierungen

Zinc supplementation and serum zinc during diarrhea. Other

Indian journal of … 2006 25 Zitierungen

Zinc and pneumonia. Other

The American journal … 2006 23 Zitierungen

Zinc and infection: a review. Review

Annals of tropical … 2005 92 Zitierungen

Therapeutic evaluation of zinc and copper supplementation in acute diarrhea in children: double blind randomized trial. RCT

Indian pediatrics 2005

Zinc deficiency, infectious disease and mortality in the developing world. Review

The Journal of … 2003 359 Zitierungen

Treatment of infectious diarrhea in children. Review

Paediatric drugs 2003 125 Zitierungen

Economic evaluation of zinc and copper use in treating acute diarrhea in children: A randomized controlled trial. Other

Cost effectiveness and … 2003 32 Zitierungen

Association of vitamin A and zinc status with altered intestinal permeability: analyses of cohort data from northeastern Brazil. Other

Journal of health, … 2003

Managing acute gastroenteritis among children: oral rehydration, maintenance, and nutritional therapy. Other

MMWR. Recommendations and … 2003

Effectiveness and efficacy of zinc for the treatment of acute diarrhea in young children. RCT

Pediatrics 2002 154 Zitierungen

Micronutrient deficiency in children. Other

The British journal … 2001 74 Zitierungen

Micronutrients as adjunct therapy of acute illness in children: impact on the episode outcome and policy implications of current findings. Other

The British journal … 2001 30 Zitierungen

Therapeutic effects of oral zinc in acute and persistent diarrhea in children in developing countries: pooled analysis of randomized controlled … Other

The American journal … 2000 556 Zitierungen

Zinc, diarrhea, and pneumonia. Other

The Journal of … 1999 37 Zitierungen

Management of acute diarrhea in infants. Review

JPEN. Journal of … 1999 26 Zitierungen

Therapeutic and preventive effects of zinc on serious childhood infectious diseases in developing countries. Review

The American journal … 1998 252 Zitierungen

Zinc and micronutrient supplements for children. Review

The American journal … 1998 121 Zitierungen

Possibilities for zinc in the treatment of acute diarrhea. Review

The American journal … 1998 28 Zitierungen

Chronic diarrhea in infancy and childhood. Review

The Journal of … 1998 3 Zitierungen

[Acrodermatitis enteropathica; a literature review]. Review

Nederlands tijdschrift voor … 1991

Serum and rectal mucosal zinc levels in acute and chronic diarrhea. Other

Indian pediatrics 1990 8 Zitierungen

Zinc in hair and urine of paediatric patients. Other

Clinica chimica acta; … 1986 15 Zitierungen

Dosage & Usage

mg = milligrams · mcg = micrograms (1,000× smaller) · IU = International Units

Übliche Dosierungen

general:: 8-11 mg/day (RDA for adults)
infantdiarrhea:: 10 mg/day for 10-14 days (WHO recommendation for infants <6 months)
pediatricdiarrhea:: 20 mg/day for 10-14 days (WHO recommendation for children >6 months)
gutbarriersupport:: 15-30 mg/day elemental zinc

Obergrenze: 40 mg/day elemental zinc for adults (risk of copper depletion above this level)

In der Forschung untersuchte Dosierungen

Dosierung	Dauer	Wirkung	N
None	--	Neutral	--
None	--	Mixed	--
ORS and zinc tablets	--	Positive	--
None	--	Mixed	--
None	--	Neutral	--
2 billion spores/5mL BID x 5 days	1 weeks	Neutral	454
None	--	Positive	--
None	--	Positive	--

Beste Einnahmezeit: With food to reduce nausea; space from antibiotics and iron by 2 hours

Safety & Side Effects

Gemeldete Nebenwirkungen

⚠ Nausea and vomiting (most common, especially on empty stomach)
⚠ Metallic taste
⚠ Copper depletion with long-term supplementation above 40 mg/day
⚠ Diarrhea (paradoxically, at high doses)

Bekannte Wechselwirkungen

● Tetracycline and quinolone antibiotics (zinc reduces absorption; space 2 hours)
● Penicillamine (zinc reduces absorption; space 2 hours)
● Iron supplements (mutual inhibition of absorption; take at different times)
● Copper supplements (zinc competes with copper for absorption)

Tolerierbare Höchstaufnahmemenge: 40 mg/day elemental zinc for adults (risk of copper depletion above this level)

Konsultieren Sie immer Ihren Arzt, bevor Sie ein Nahrungsergänzungsmittel einnehmen.Konsultieren Sie immer Ihren Arzt, bevor Sie ein Nahrungsergänzungsmittel einnehmen.

Frequently Asked Questions

Does Zinc help with Acute Diarrhea?

Based on 33 studies with 10,000 participants, there is strong evidence from multiple clinical trials that Zinc may support Acute Diarrhea management. Our evidence grade is A (Strong Evidence).

How much Zinc should I take for Acute Diarrhea?

Studies have used various dosages. A commonly studied range is 8-11 mg/day (RDA for adults). Always consult your healthcare provider before starting any supplement regimen.

Are there side effects of Zinc?

Reported side effects may include Nausea and vomiting (most common, especially on empty stomach), Metallic taste, Copper depletion with long-term supplementation above 40 mg/day, Diarrhea (paradoxically, at high doses). Most side effects are mild and dose-dependent. Consult your doctor if you experience any adverse reactions.

How strong is the evidence for Zinc and Acute Diarrhea?

We rate the evidence as Grade A (Strong Evidence). This rating is based on 33 peer-reviewed studies with 10,000 total participants. The overall direction of effect is positive.

Related Evidence

Andere Inhaltsstoffe für Acute Diarrhea

Berberine C Vitamin A D Bovine Colostrum D

Kurzfazit

WHO/UNICEF recommend zinc (20 mg/day for 10-14 days) for all children with acute diarrhea. Reduces duration by ~25% and decreases subsequent diarrhea episodes for 2-3 months.

Evidence Strength92%

High confidence

Studienübersicht

RCT (15)Meta (6)Other (12)

Alternativen vergleichen

Sehen Sie, wie andere Inhaltsstoffe bei dieser Beschwerde abschneiden.

Alle Inhaltsstoffe ansehen für Acute Diarrhea

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