Is Zinc Deficiency Affecting My Child's Growth and Appetite? - Pediatrics

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Is it a zinc deficiency?


Hello, Doctor: My eldest son is already 3 years old, but his height is only 90 cm and his weight is 13 kg.
Is this normal growth and development? He usually has a poor appetite during meals, only eating 2 to 3 bites before refusing to eat more.
Additionally, his stools have always been soft and very foul-smelling.
I would like to ask the doctor what symptoms might indicate a "zinc deficiency." I suspect he may be zinc deficient, but I am hesitant to supplement zinc for fear it might affect his growth.
Thank you for taking the time to reply!

Wei Er, 30~39 year old female. Ask Date: 2018/08/08

Dr. Lin Yishou reply Pediatrics


Dear Parent,
Your child's height and weight are indeed on the lower side.
Zinc deficiency can lead to poor appetite and hinder growth.
It may be advisable to conduct a blood test for confirmation.
Thank you for your message.

Reply Date: 2018/08/08

More Info


Zinc deficiency can indeed have a significant impact on a child's growth and appetite. Zinc is an essential trace mineral that plays a crucial role in numerous biological functions, including immune system support, protein synthesis, wound healing, DNA synthesis, and cell division. It is particularly important during periods of rapid growth, such as infancy and childhood.

In your case, your three-year-old son’s height of 90 cm and weight of 13 kg may raise some concerns, especially if these measurements fall below the growth percentiles for his age group. According to the World Health Organization (WHO) growth standards, a child’s height and weight should be monitored regularly to ensure they are growing appropriately. If your son is consistently below the expected growth curve, it may warrant further investigation.

Zinc deficiency can manifest in various ways, and some common symptoms include:
1. Poor Appetite: Children with zinc deficiency often exhibit a reduced appetite, which can lead to inadequate caloric intake and further exacerbate growth issues. This could explain your son's limited food intake.

2. Growth Retardation: Zinc is vital for normal growth and development. A deficiency can lead to stunted growth, which may be reflected in your son's height and weight measurements.

3. Skin Issues: Zinc deficiency can cause skin lesions, rashes, or dermatitis, particularly around the mouth and on the hands and feet.

4. Delayed Wound Healing: If your child has cuts or scrapes that take longer to heal, this could be a sign of zinc deficiency.

5. Taste and Smell Alterations: Zinc is essential for the proper functioning of taste and smell. A deficiency may lead to changes in these senses, which could further affect appetite.

6. Behavioral Changes: Some studies suggest that zinc deficiency may be linked to behavioral issues, including irritability and lethargy.

Given your concerns about your son's growth and appetite, it would be prudent to consult a pediatrician for a thorough evaluation. They may recommend a blood test to check zinc levels and assess other potential deficiencies or underlying health issues.
It's important to note that while zinc supplementation can be beneficial for children with a confirmed deficiency, excessive zinc intake can lead to toxicity and adverse effects, including nausea, vomiting, loss of appetite, abdominal cramps, diarrhea, and headaches. Therefore, it is crucial not to self-supplement without medical guidance.

In terms of dietary sources, zinc can be found in a variety of foods. Rich sources include:
- Meat (especially red meat and poultry)
- Seafood (especially oysters, which are particularly high in zinc)
- Beans and legumes
- Nuts and seeds
- Whole grains
- Dairy products
Encouraging a balanced diet that includes these foods can help improve your child's zinc intake naturally. If your child is a picky eater, consider discussing with a nutritionist or pediatrician for strategies to enhance his diet and ensure he receives adequate nutrition.

In conclusion, while zinc deficiency can affect growth and appetite, it is essential to approach supplementation cautiously and under medical supervision. A healthcare professional can provide tailored advice and interventions to support your child's growth and overall health.

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