Body composition of duchenne muscular dystrophy patients supplemented with zinc: a clinical trial

Duchenne muscular dystrophy (DMD) is a neuromuscular disease characterized by progressive muscle weakness. The increase in total fat mass and reduction in lean mass are side effects of the disease. The methods for assessing the nutritional status of boys with DMD can be imprecise, and the techniq...

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Autor principal: Cunha, Thais Alves
Outros Autores: Brandão Neto, José
Formato: Dissertação
Idioma:pt_BR
Publicado em: Universidade Federal do Rio Grande do Norte
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Endereço do item:https://repositorio.ufrn.br/handle/123456789/48338
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id ri-123456789-48338
record_format dspace
institution Repositório Institucional
collection RI - UFRN
language pt_BR
topic Antropometria
Composição corporal
Zinco
Distrofia muscular
Doenças neuromusculares
spellingShingle Antropometria
Composição corporal
Zinco
Distrofia muscular
Doenças neuromusculares
Cunha, Thais Alves
Body composition of duchenne muscular dystrophy patients supplemented with zinc: a clinical trial
description Duchenne muscular dystrophy (DMD) is a neuromuscular disease characterized by progressive muscle weakness. The increase in total fat mass and reduction in lean mass are side effects of the disease. The methods for assessing the nutritional status of boys with DMD can be imprecise, and the techniques applied to the general population are inadequate and difficult to interpret due to their altered body composition. Zinc is an essential mineral for the synthesis of lean mass. Data on zinc content in adipose tissue in obesity are still limited. Zinc supplementation affects body composition, however, this increase occurs especially in children with pre-existing stunting. To date, there are no studies that assess body composition in boys with DMD before and after zinc supplementation. Therefore, three studies were carried out. Study 1 was descriptive and cross-sectional, evaluating 49 boys through anthropometric and body composition parameters. For Study 2, an integrative review was carried out on zinc and body composition to understand what the literature had on the subject. Study 3 composed a clinical trial that evaluated dietary, biochemical, and body composition parameters before and after zinc supplementation in 21 boys with DMD. We observed an increase in fat mass and a decrease in lean mass with age/disease progression. Zinc supplementation in the population of this study was not enough to increase lean mass, but it was possible to observe the maintenance of lean and fat mass in those boys with previous serum zinc deficiency.
author2 Brandão Neto, José
author_facet Brandão Neto, José
Cunha, Thais Alves
format masterThesis
author Cunha, Thais Alves
author_sort Cunha, Thais Alves
title Body composition of duchenne muscular dystrophy patients supplemented with zinc: a clinical trial
title_short Body composition of duchenne muscular dystrophy patients supplemented with zinc: a clinical trial
title_full Body composition of duchenne muscular dystrophy patients supplemented with zinc: a clinical trial
title_fullStr Body composition of duchenne muscular dystrophy patients supplemented with zinc: a clinical trial
title_full_unstemmed Body composition of duchenne muscular dystrophy patients supplemented with zinc: a clinical trial
title_sort body composition of duchenne muscular dystrophy patients supplemented with zinc: a clinical trial
publisher Universidade Federal do Rio Grande do Norte
publishDate 2022
url https://repositorio.ufrn.br/handle/123456789/48338
work_keys_str_mv AT cunhathaisalves bodycompositionofduchennemusculardystrophypatientssupplementedwithzincaclinicaltrial
_version_ 1797696536584388608
spelling ri-123456789-483382024-03-19T04:03:12Z Body composition of duchenne muscular dystrophy patients supplemented with zinc: a clinical trial Cunha, Thais Alves Brandão Neto, José http://lattes.cnpq.br/5955286552677686 http://lattes.cnpq.br/6905360146925949 Vale, Sancha Helena de Lima https://orcid.org/0000-0002-0972-1678 http://lattes.cnpq.br/9918303712320354 Reis, Bruna Zavarize Caromano, Fatima Aparecida Antropometria Composição corporal Zinco Distrofia muscular Doenças neuromusculares Duchenne muscular dystrophy (DMD) is a neuromuscular disease characterized by progressive muscle weakness. The increase in total fat mass and reduction in lean mass are side effects of the disease. The methods for assessing the nutritional status of boys with DMD can be imprecise, and the techniques applied to the general population are inadequate and difficult to interpret due to their altered body composition. Zinc is an essential mineral for the synthesis of lean mass. Data on zinc content in adipose tissue in obesity are still limited. Zinc supplementation affects body composition, however, this increase occurs especially in children with pre-existing stunting. To date, there are no studies that assess body composition in boys with DMD before and after zinc supplementation. Therefore, three studies were carried out. Study 1 was descriptive and cross-sectional, evaluating 49 boys through anthropometric and body composition parameters. For Study 2, an integrative review was carried out on zinc and body composition to understand what the literature had on the subject. Study 3 composed a clinical trial that evaluated dietary, biochemical, and body composition parameters before and after zinc supplementation in 21 boys with DMD. We observed an increase in fat mass and a decrease in lean mass with age/disease progression. Zinc supplementation in the population of this study was not enough to increase lean mass, but it was possible to observe the maintenance of lean and fat mass in those boys with previous serum zinc deficiency. A distrofia muscular de Duchenne (DMD) é uma doença neuromuscular caracterizada por fraqueza muscular progressiva. O aumento da massa gorda total e redução da massa magra são efeitos secundários da doença. Os métodos de avaliação do estado nutricional de meninos com DMD podem ser imprecisos, e as técnicas aplicadas na população em geral são inadequadas e de difícil interpretação devido sua composição corporal alterada. O zinco é um mineral essencial para a síntese de massa magra. Os dados sobre o conteúdo de zinco no tecido adiposo na obesidade ainda são limitados. A suplementação com zinco possui efeito sobre a composição corporal, contudo, esse aumento ocorre especialmente em crianças com déficit de crescimento pré-existente. Até o presente momento, não existem estudos que avaliem a composição corporal em meninos com DMD antes e após a suplementação com zinco. Logo, foram realizados três estudos. O Estudo 1 foi descritivo e transversal, avaliando 49 meninos através de parâmetros antropométricos e de composição corporal. Para o Estudo 2, foi realizada uma revisão integrativa sobre zinco e composição corporal a fim de compreender o que a literatura trazia sobre o tema. O Estudo 3 compôs um ensaio clínico que avaliou parâmetros dietéticos, bioquímicos e de composição corporal antes e após a suplementação com zinco em 21 meninos com DMD. Nós observamos um aumento da massa gorda e diminuição da massa magra conforme progressão da idade/doença. A suplementação com zinco na população deste estudo não foi suficiente para aumentar a massa magra, porém foi possível observar a manutenção da massa magra e gorda naqueles meninos com deficiência prévia de zinco sérico. 2024-06-04 2022-07-05T19:44:23Z 2022-04-27 masterThesis CUNHA, Thais Alves. Body composition of duchenne muscular dystrophy patients supplemented with zinc: a clinical trial. 2022. 78f. Dissertação (Mestrado em Ciências da Saúde) - Centro de Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Natal, 2022. https://repositorio.ufrn.br/handle/123456789/48338 pt_BR Acesso Embargado application/pdf Universidade Federal do Rio Grande do Norte Brasil UFRN PROGRAMA DE PÓS-GRADUAÇÃO EM CIÊNCIAS DA SAÚDE