Zinc için Acute Diarrhea
A Kanıt Birden fazla büyük klinik çalışma tutarlı biçimde önemli faydalar ortaya koymaktadır.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.
Sonuç
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
Popülasyon: children with persistent diarrhea, lactose intolerance, and gut dysbiosis in low/middle-income countries
Popülasyon: Clinical practice guidelines for pediatric acute diarrhea
Popülasyon: Children <5 with acute diarrhea
Popülasyon: Lactose intolerant individuals
Popülasyon: Children 6mo-5y with acute moderate diarrhea in India
Key Statistics
33
Çalışmalar
10000
Katılımcılar
Positive
Derece
Referenced Papers
Dosage & Usage
mg = milligrams · mcg = micrograms (1,000× smaller) · IU = International Units
Yaygın Kullanılan Dozajlar
- 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
Üst sınır: 40 mg/day elemental zinc for adults (risk of copper depletion above this level)
Araştırmalarda İncelenen Dozajlar
| Dozaj | Süre | Etki | 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 | -- |
En iyi alım zamanı: With food to reduce nausea; space from antibiotics and iron by 2 hours
Safety & Side Effects
Bildirilen Yan Etkiler
- ⚠ 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)
Bilinen Etkileşimler
- ● 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)
Tolere edilebilir üst alım: 40 mg/day elemental zinc for adults (risk of copper depletion above this level)
Herhangi bir takviye kullanmaya başlamadan önce mutlaka sağlık uzmanınıza danışın.Herhangi bir takviye başlatmadan önce her zaman sağlık uzmanınıza danışın.
Frequently Asked Questions
Does Zinc help with Acute Diarrhea?
How much Zinc should I take for Acute Diarrhea?
Are there side effects of Zinc?
How strong is the evidence for Zinc and Acute Diarrhea?
Related Evidence
Şu durum için diğer içerikler: Acute Diarrhea
References
- [1] Saadia Khan et al.. BMC Pediatr. 2026. The interplay between malnutrition, persistent diarrhea, lactose intolerance, and food associated gut dysbiosis in children; a comprehensive review. doi:10.1186/s12887-026-06529-8 PubMed
- [2] You-Hong Fang et al.. World J Pediatr. 2025. Clinical practice guidelines for acute infectious diarrhea in children in China (2024). doi:10.1007/s12519-025-00894-7 PubMed
- [3] Titilayo Funmilayo Kayode-Alabi et al.. BMC Health Serv Res. 2024. Mobile phone call reminders to improve oral rehydration salt and zinc adherence for acute diarrhea in children: a single-center, randomized … doi:10.1186/s12913-024-11507-w PubMed
- [4] M Del Carmen Toca et al.. Arch Argent Pediatr. 2022. Lactose intolerance: myths and facts. An update. doi:10.5546/aap.2022.eng.59 PubMed
- [5] Keya Rani Lahiri et al.. Trop Dis Travel Med Vaccines. 2022. Efficacy and safety of Bacillus clausii (O/C, N/R, SIN, T) probiotic combined with oral rehydration therapy (ORT) and zinc in … doi:10.1186/s40794-022-00166-6 PubMed
- [6] Heitor O Santos. Nutr Rev. 2022. Therapeutic supplementation with zinc in the management of COVID-19-related diarrhea and ageusia/dysgeusia: mechanisms and clues for a personalized dosage regimen. doi:10.1093/nutrit/nuab054 PubMed
- [7] Frank T Wieringa. J Nutr. 2022. Has Zinc Lost Its Shine? doi:10.1093/jn/nxac028 PubMed
- [8] Richard L Guerrant et al.. ACS Infect Dis. 2021. Modeling Enteropathy or Diarrhea with the Top Bacterial and Protozoal Pathogens: Differential Determinants of Outcomes. doi:10.1021/acsinfecdis.0c00831 PubMed
- [9] M N Chang et al.. J Dairy Sci. 2020. Effects of different types of zinc supplement on the growth, incidence of diarrhea, immune function, and rectal microbiota of newborn … doi:10.3168/jds.2019-17610 PubMed
- [10] Usha Dhingra et al.. N Engl J Med. 2020. Lower-Dose Zinc for Childhood Diarrhea - A Randomized, Multicenter Trial. doi:10.1056/NEJMoa1915905 PubMed
- [11] Shokoufeh Ahmadipour et al.. Pediatr Gastroenterol Hepatol Nutr. 2019. Treating Viral Diarrhea in Children by Probiotic and Zinc Supplements. doi:10.5223/pghn.2019.22.2.162 PubMed
- [12] Ghulam Shabbir Laghari et al.. Cureus. 2019. Effect of Zinc Supplementation on the Frequency and Consistency of Stool in Children with Acute Diarrhea. doi:10.7759/cureus.4217 PubMed
- [13] Yuuichi Yamamoto. Brain Nerve. 2019. [Skin Manifestations of Pellagra]. doi:10.11477/mf.1416201276 PubMed
- [14] Ivan D Florez et al.. PLoS One. 2018. Comparative effectiveness and safety of interventions for acute diarrhea and gastroenteritis in children: A systematic review and network meta-analysis. doi:10.1371/journal.pone.0207701 PubMed
- [15] Jie Chen et al.. World J Pediatr. 2018. Chinese clinical practice guidelines for acute infectious diarrhea in children. doi:10.1007/s12519-018-0190-2 PubMed
- [16] Asnakew Achaw Ayele et al.. PLoS One. 2018. Management of minor ailments in a community pharmacy setting: Findings from simulated visits and qualitative study in Gondar town, Ethiopia. doi:10.1371/journal.pone.0190583 PubMed
- [17] Daniel Asfaw Erku et al.. Antimicrob Resist Infect Control. 2018. Non-prescribed sale of antibiotics for acute childhood diarrhea and upper respiratory tract infection in community pharmacies: a 2 phase mixed-methods … doi:10.1186/s13756-018-0389-y PubMed
- [18] Patricia B Pavlinac et al.. BMC Public Health. 2018. Interventions to reduce post-acute consequences of diarrheal disease in children: a systematic review. doi:10.1186/s12889-018-5092-7 PubMed
- [19] Rishi Bolia. Indian J Pediatr. 2017. Approach to "Upset Stomach". doi:10.1007/s12098-017-2376-3 PubMed
- [20] Ahmet Sami Yazar et al.. Turk J Gastroenterol. 2016. Effects of zinc or synbiotic on the duration of diarrhea in children with acute infectious diarrhea. doi:10.5152/tjg.2016.16396 PubMed
- [21] N S Martinez-Estevez et al.. Allergol Immunopathol (Madr). 2016. Effects of zinc supplementation in the prevention of respiratory tract infections and diarrheal disease in Colombian children: A 12-month randomised … doi:10.1016/j.aller.2015.12.006 PubMed
- [22] Marzia Lazzerini. Curr Opin Clin Nutr Metab Care. 2016. Oral zinc provision in acute diarrhea. doi:10.1097/MCO.0000000000000276 PubMed
- [23] Chao-Xiong Jiang et al.. Zhongguo Dang Dai Er Ke Za Zhi. 2016. [Therapeutic effects of zinc supplement as adjunctive therapy in infants and young children with rotavirus enteritis]. doi:10.7499/j.issn.1008-8830.2016.09.008 PubMed
- [24] Ivan D Florez et al.. Syst Rev. 2016. The effectiveness and safety of treatments used for acute diarrhea and acute gastroenteritis in children: protocol for a systematic review … doi:10.1186/s13643-016-0186-8 PubMed
- [25] Anita Shet et al.. Antimicrob Resist Infect Control. 2015. Pharmacy-based dispensing of antimicrobial agents without prescription in India: appropriateness and cost burden in the private sector. doi:10.1186/s13756-015-0098-8 PubMed
- [26] Sudha Basnet et al.. J Trace Elem Med Biol. 2015. Oral zinc and common childhood infections--An update. doi:10.1016/j.jtemb.2014.05.006 PubMed
- [27] Elham Talachian et al.. Med J Islam Repub Iran. 2015. Serum levels of vitamins A and D, and zinc in children with acute diarrhea: A cross-sectional study. PubMed
- [28] Ting-Ting Zou et al.. Indian J Pediatr. 2015. Zinc supplementation in acute diarrhea. doi:10.1007/s12098-014-1504-6 PubMed
- [29] Archana Patel. Indian J Pediatr. 2015. Zinc for Acute Diarrhea and Amoxicillin for Pneumonia, Do They Work? : Delivered at the AIIMS, IJP Excellence Award for … doi:10.1007/s12098-015-1712-8 PubMed
- [30] Brandon Dickinson et al.. Curr Gastroenterol Rep. 2014. Infectious diarrhea: an overview. doi:10.1007/s11894-014-0399-8 PubMed
- [31] Miguel O'Ryan G et al.. Expert Rev Anti Infect Ther. 2014. Management of acute infectious diarrhea for children living in resource-limited settings. doi:10.1586/14787210.2014.901168 PubMed
- [32] Ananda S Prasad. Adv Nutr. 2013. Discovery of human zinc deficiency: its impact on human health and disease. doi:10.3945/an.112.003210 PubMed
- [33] Laura M Lamberti et al.. Nutrients. 2013. Oral zinc supplementation for the treatment of acute diarrhea in children: a systematic review and meta-analysis. doi:10.3390/nu5114715 PubMed
- [34] Mary Edith Penny. Ann Nutr Metab. 2013. Zinc supplementation in public health. doi:10.1159/000348263 PubMed
- [35] Tais Freire Galvao et al.. Rev Panam Salud Publica. 2013. Zinc supplementation for treating diarrhea in children: a systematic review and meta-analysis. doi:10.1590/s1020-49892013000500009 PubMed
- [36] Parag Dekate et al.. Indian J Pediatr. 2013. Management of acute diarrhea in emergency room. doi:10.1007/s12098-012-0909-3 PubMed
- [37] Archana B Patel et al.. J Clin Epidemiol. 2013. Zinc and copper supplementation are not cost-effective interventions in the treatment of acute diarrhea. doi:10.1016/j.jclinepi.2012.06.012 PubMed
- [38] Alfredo Guarino et al.. Expert Opin Pharmacother. 2012. The management of acute diarrhea in children in developed and developing areas: from evidence base to clinical practice. doi:10.1517/14656566.2011.634800 PubMed
- [39] Carlos Lifschitz. Acta Sci Pol Technol Aliment. 2012. New actions for old nutrients. PubMed
- [40] Hemant Kulkarni et al.. Curr Infect Dis Rep. 2012. Roles of zinc in the pathophysiology of acute diarrhea. doi:10.1007/s11908-011-0222-8 PubMed
- [41] Roberto Berni Canani et al.. Curr Opin Gastroenterol. 2011. Mechanisms of action of zinc in acute diarrhea. doi:10.1097/MOG.0b013e32833fd48a PubMed
- [42] Sean R Moore. Curr Opin Gastroenterol. 2011. Update on prolonged and persistent diarrhea in children. doi:10.1097/MOG.0b013e32833f215d PubMed
- [43] Phalguni Dutta et al.. J Pediatr. 2011. Zinc, vitamin A, and micronutrient supplementation in children with diarrhea: a randomized controlled clinical trial of combination therapy versus monotherapy. doi:10.1016/j.jpeds.2011.03.028 PubMed
- [44] Archana Patel et al.. PLoS One. 2010. Therapeutic value of zinc supplementation in acute and persistent diarrhea: a systematic review. doi:10.1371/journal.pone.0010386 PubMed
- [45] S Chang et al.. Eur J Clin Nutr. 2010. Supplementing iron and zinc: double blind, randomized evaluation of separate or combined delivery. doi:10.1038/ejcn.2009.127 PubMed
- [46] Kenneth H Brown et al.. Food Nutr Bull. 2009. Preventive zinc supplementation among infants, preschoolers, and older prepubertal children. doi:10.1177/15648265090301S103 PubMed
- [47] Melanie J Tuerk et al.. Curr Opin Gastroenterol. 2009. Zinc deficiency. doi:10.1097/MOG.0b013e328321b395 PubMed
- [48] Archana Patel et al.. BMC Med. 2009. Zinc and copper supplementation in acute diarrhea in children: a double-blind randomized controlled trial. doi:10.1186/1741-7015-7-22 PubMed
- [49] Marek Lukacik et al.. Pediatrics. 2008. A meta-analysis of the effects of oral zinc in the treatment of acute and persistent diarrhea. doi:10.1542/peds.2007-0921 PubMed
- [50] Angus G Scrimgeour et al.. Curr Opin Clin Nutr Metab Care. 2008. Zinc and diarrheal disease: current status and future perspectives. doi:10.1097/MCO.0b013e3283109092 PubMed
- [51] Kenneth H Brown et al.. Am J Clin Nutr. 2007. Comparison of the effects of zinc delivered in a fortified food or a liquid supplement on the growth, morbidity, and … doi:10.1093/ajcn/85.2.538 PubMed
- [52] Germana V Gregorio et al.. J Clin Epidemiol. 2007. Zinc supplementation reduced cost and duration of acute diarrhea in children. doi:10.1016/j.jclinepi.2006.08.004 PubMed
- [53] Silvia Salvatore et al.. Nutrition. 2007. Probiotics and zinc in acute infectious gastroenteritis in children: are they effective? doi:10.1016/j.nut.2007.03.008 PubMed
- [54] J-P Chouraqui et al.. Arch Pediatr. 2007. [Feeding infants and young children with acute diarrhea]. doi:10.1016/s0929-693x(07)80024-8 PubMed
- [55] Kazi Mirajul Hoque et al.. Gastroenterology. 2006. Zinc in the treatment of acute diarrhea: current status and assessment. doi:10.1053/j.gastro.2006.02.062 PubMed
- [56] Shally Awasthi et al.. J Pediatr Gastroenterol Nutr. 2006. Zinc supplementation in acute diarrhea is acceptable, does not interfere with oral rehydration, and reduces the use of other medications: … doi:10.1097/01.mpg.0000189340.00516.30 PubMed
- [57] Zulfiqar Ahmed Bhutta. J Pediatr Gastroenterol Nutr. 2006. Effect of infections and environmental factors on growth and nutritional status in developing countries. doi:10.1097/01.mpg.0000255846.77034.ed PubMed
- [58] R Arora et al.. Biol Trace Elem Res. 2006. Estimation of serum zinc and copper in children with acute diarrhea. doi:10.1385/BTER:114:1:121 PubMed
- [59] Abdullah H Baqui et al.. Indian J Pediatr. 2006. Zinc supplementation and serum zinc during diarrhea. doi:10.1007/BF02759893 PubMed
- [60] K Michael Hambidge. Am J Clin Nutr. 2006. Zinc and pneumonia. doi:10.1093/ajcn/83.5.991 PubMed
- [61] Luis E Cuevas et al.. Ann Trop Paediatr. 2005. Zinc and infection: a review. doi:10.1179/146532805X58076 PubMed
- [62] Archana B Patel et al.. Indian Pediatr. 2005. Therapeutic evaluation of zinc and copper supplementation in acute diarrhea in children: double blind randomized trial. PubMed
- [63] Robert E Black. J Nutr. 2003. Zinc deficiency, infectious disease and mortality in the developing world. doi:10.1093/jn/133.5.1485S PubMed
- [64] Nure H Alam et al.. Paediatr Drugs. 2003. Treatment of infectious diarrhea in children. doi:10.2165/00128072-200305030-00002 PubMed
- [65] Archana B Patel et al.. Cost Eff Resour Alloc. 2003. Economic evaluation of zinc and copper use in treating acute diarrhea in children: A randomized controlled trial. doi:10.1186/1478-7547-1-7 PubMed
- [66] Ping Chen et al.. J Health Popul Nutr. 2003. Association of vitamin A and zinc status with altered intestinal permeability: analyses of cohort data from northeastern Brazil. PubMed
- [67] Caleb K King et al.. MMWR Recomm Rep. 2003. Managing acute gastroenteritis among children: oral rehydration, maintenance, and nutritional therapy. PubMed
- [68] Tor Arne Strand et al.. Pediatrics. 2002. Effectiveness and efficacy of zinc for the treatment of acute diarrhea in young children. doi:10.1542/peds.109.5.898 PubMed
- [69] M K Bhan et al.. Br J Nutr. 2001. Micronutrient deficiency in children. doi:10.1079/bjn2001315 PubMed
- [70] D Mahalanabis et al.. Br J Nutr. 2001. Micronutrients as adjunct therapy of acute illness in children: impact on the episode outcome and policy implications of current findings. doi:10.1079/bjn2000308 PubMed
- [71] Z A Bhutta et al.. Am J Clin Nutr. 2000. Therapeutic effects of oral zinc in acute and persistent diarrhea in children in developing countries: pooled analysis of randomized controlled … doi:10.1093/ajcn/72.6.1516 PubMed
- [72] M Hambidge et al.. J Pediatr. 1999. Zinc, diarrhea, and pneumonia. doi:10.1016/s0022-3476(99)70080-6 PubMed
- [73] M Rhoads. JPEN J Parenter Enteral Nutr. 1999. Management of acute diarrhea in infants. doi:10.1177/014860719902300505 PubMed
- [74] R E Black. Am J Clin Nutr. 1998. Therapeutic and preventive effects of zinc on serious childhood infectious diseases in developing countries. doi:10.1093/ajcn/68.2.476S PubMed
- [75] L H Allen. Am J Clin Nutr. 1998. Zinc and micronutrient supplements for children. doi:10.1093/ajcn/68.2.495S PubMed
- [76] G J Fuchs. Am J Clin Nutr. 1998. Possibilities for zinc in the treatment of acute diarrhea. doi:10.1093/ajcn/68.2.480S PubMed
- [77] D I Mehta et al.. J La State Med Soc. 1998. Chronic diarrhea in infancy and childhood. PubMed
- [78] J P van Wouwe et al.. Ned Tijdschr Geneeskd. 1991. [Acrodermatitis enteropathica; a literature review]. PubMed
- [79] H P Sachdev et al.. Indian Pediatr. 1990. Serum and rectal mucosal zinc levels in acute and chronic diarrhea. PubMed
- [80] J P van Wouwe et al.. Clin Chim Acta. 1986. Zinc in hair and urine of paediatric patients. doi:10.1016/0009-8981(86)90101-4 PubMed
FDA Sorumluluk Reddi: Bu ifadeler Gıda ve İlaç Dairesi (FDA) tarafından değerlendirilmemiştir. Bu web sitesindeki ürünler ve bilgiler herhangi bir hastalığı teşhis etmek, tedavi etmek, iyileştirmek veya önlemek amacıyla tasarlanmamıştır. Sunulan kanıt dereceleri, yayımlanmış hakemli araştırmalarımızın analizine dayanmaktadır ve tıbbi tavsiye niteliği taşımamaktadır. Herhangi bir takviye rejimine başlamadan önce her zaman sağlık uzmanınıza danışın.