Essential Nutritional Guidance for Children with Zinc Deficiency - Nutrition

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Pediatric Nutrition


Hello, Nutritionist: A 6-year-old child weighs 15 kg and is 107 cm tall.
After a hospital examination, it was found that the child has a zinc deficiency and is currently supplementing with zinc tablets.
The child has difficulty chewing oysters, shellfish, and meat, often chewing until the texture becomes dry and hard, making it difficult to swallow.
Since seafood is high in zinc, how should the nutritionist provide nutrition for this child?

Ting, 40~49 year old female. Ask Date: 2013/07/09

Dr. Lu Guanqi reply Nutrition


Hello, zinc, along with copper, iron, and manganese, belongs to the trace metal elements that are essential for the human body.
Oysters, seafood, eggs, meat, whole grains, and nuts are particularly rich sources of zinc.
Regarding the issue of chewability, you can cook these foods and then cut them into small pieces using clean utensils (or small scissors) to make them easier to consume while retaining sufficient nutrition.
The information you provided indicates that the child's growth parameters are not within the normal range.
It is recommended to maintain a balanced diet as the primary principle.
You may seek a medical institution to arrange a consultation with a nutritionist for a nutritional assessment to provide more appropriate dietary advice.
Wishing you health and happiness.
Sincerely, Dietitian Lu Kuan-Chi, Chiayi Psychiatric Hospital.

Reply Date: 2013/07/09

More Info


When addressing zinc deficiency in children, particularly in a 6-year-old weighing 15 kg and measuring 107 cm, it's essential to consider both dietary sources and supplementation. Zinc plays a crucial role in various bodily functions, including immune response, cell division, and growth. Given the child's difficulty in consuming zinc-rich foods like oysters, shellfish, and meats, a strategic approach to nutrition is necessary.


Dietary Sources of Zinc
1. Alternative Protein Sources: Since the child struggles with chewing meat, consider softer protein options that are easier to consume. These can include:
- Eggs: Eggs are a good source of zinc and are generally easier to chew and swallow.

- Dairy Products: Cheese and yogurt can provide zinc and are often more palatable for children.

- Legumes: Beans and lentils are rich in zinc and can be prepared in a way that makes them easier to eat, such as in soups or purees.

2. Fortified Foods: Look for cereals and snacks that are fortified with zinc. These can be a practical way to increase zinc intake without requiring significant chewing effort.

3. Vegetables: While vegetables are not typically high in zinc, certain varieties like spinach and mushrooms contain some zinc. Incorporating these into meals can help, especially when cooked down to a softer texture.

4. Nuts and Seeds: If the child can tolerate them, finely ground nuts and seeds (like pumpkin seeds) can be added to smoothies or yogurt to boost zinc intake.


Supplementation
Since the child is already taking zinc supplements, it’s important to ensure that the dosage is appropriate for their age and weight. The Recommended Dietary Allowance (RDA) for zinc in children aged 4-8 years is about 5 mg per day. However, supplementation should be guided by a healthcare professional to avoid excessive intake, which can lead to toxicity.


Monitoring and Adjustments
Regular follow-ups with a healthcare provider or a registered dietitian are crucial to monitor the child's zinc levels and overall growth. If the child continues to have difficulty with certain foods, it may be beneficial to explore other forms of supplementation, such as liquid zinc or chewable tablets, which might be easier for them to consume.


Behavioral Considerations
Encouraging a positive eating environment can help improve the child's willingness to try new foods. Here are some strategies:
- Involve the Child: Let the child help with meal preparation. This can increase their interest in trying new foods.

- Gradual Introduction: Introduce new foods slowly and in small amounts alongside familiar favorites.

- Texture Modification: Consider pureeing or finely chopping foods to make them easier to chew and swallow.


Conclusion
Addressing zinc deficiency in children requires a multifaceted approach that includes dietary modifications, appropriate supplementation, and behavioral strategies to encourage a varied diet. Given the child's specific challenges with certain foods, working closely with a healthcare provider or nutritionist will ensure that their nutritional needs are met effectively and safely. Regular monitoring of their growth and development will also help in making necessary adjustments to their dietary plan.

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