Zinc kinetics in preterm infants: a compartmental model based on stable isotope data

Abstract

Zinc is an essential nutrient for growth; however, little is known about zinc kinetics (absorption, distribution, and excretion) in preterm infants (< 38-wk gestation). Zinc kinetics were studied in two preterm infants (gestational ages, 32 and 33 wk) following oral or intravenous administration of a stable isotope (70Zn). Plasma, red blood cells (RBC), urine, and feces were sampled for up to 30 days. Isotope enrichment was measured in tissues by inductively coupled plasma (ICP)-mass spectrometry, and zinc was determined by ICP-atomic emission spectrometry. Data were analyzed by compartmental analysis using SAAM31. Zinc intake increased during the studies, and, because body zinc was not in steady state, both tracer (70Zn) and tracee (Zn) data were fitted using analogous models. A model for adults [M. E. Wastney, R. L. Aamodt, W. F. Rumble, and R. I. Henkin. Am. J. Physiol. 251 (Regulatory Integrative Comp. Physiol. 20): R398-R408, 1986] was modified to fit data from the preterm infants. RBC data were fitted using one compartment (vs. 2 in adults), and an adult RBC subsystem was included in the model to account for zinc introduced during blood transfusions. Exchange of zinc between compartments that were not sampled was based on zinc distribution in neonates. Absorption was 42 and 34%, and endogenous fecal excretion, based on intravenous data, was 15 micrograms.kg-1.day-1. The model can be used to quantify changes in zinc kinetics of preterm infants with age, weight, and zinc intake for evaluating nutritional requirements with growth.