Trace elements and vitamins at diagnosis in pediatric-onset inflammatory bowel disease

Clin Pediatr (Phila). 2011 Jun;50(6):488-92. doi: 10.1177/0009922810397041. Epub 2011 Feb 11.

Abstract

Aim: To compare serum vitamin and mineral levels at diagnosis in children with inflammatory bowel disease (IBD) versus a control group without.

Methods: In a retrospective cohort study, serum levels of iron, zinc, folate, selenium, vitamin B( 12), vitamin A, and vitamin E in children with IBD at diagnosis were compared with gender- and age-matched controls.

Results: A total of 154 patients with IBD (mean age 11.27 ± 3.74 years, 83 boys, 80 with Crohn's disease) were recruited. The mean duration of symptoms prior to diagnosis was 5.4 ± 3.2 months for patients with Crohn's disease and 4.6 ± 2.9 months for patients with ulcerative colitis. A control group of 64 children was recruited. The mean serum zinc levels were 11.33 ± 4.16 µmol/L for ulcerative colitis, 8.74 ± 2.08 µmol/L for Crohn's disease and 11.49 ± 1.63 µmol/L for controls (P < .001).

Conclusions: In newly diagnosed children with IBD, serum zinc levels are significantly lower compared with children without IBD.

MeSH terms

  • Adolescent
  • Case-Control Studies
  • Child
  • Colitis, Ulcerative / blood
  • Colitis, Ulcerative / diagnosis
  • Crohn Disease / blood
  • Crohn Disease / diagnosis
  • Female
  • Folic Acid / blood
  • Humans
  • Inflammatory Bowel Diseases / blood*
  • Inflammatory Bowel Diseases / diagnosis*
  • Iron / blood
  • Male
  • Retrospective Studies
  • Selenium / blood
  • Vitamin A / blood
  • Vitamin B 12 / blood
  • Vitamin E / blood
  • Zinc / blood*

Substances

  • Vitamin A
  • Vitamin E
  • Folic Acid
  • Iron
  • Selenium
  • Zinc
  • Vitamin B 12