Zinc intake and sources in the US adult population: 1976-1980.

OBJECTIVE: To determine levels of intake and food sources of zinc in 1976-80 in US adults between the ages of 19 and 74. METHODS: Dietary data from 24-hour recalls collected in the Second National Health and Nutrition Examination Survey were analyzed. Levels of zinc intake were compared between demographic subgroups using analysis of variance. The contribution of individual foods to overall zinc consumed was also estimated. RESULTS: Mean daily intakes (+/- SEM) were 15.5 mg +/- 0.4 and 9.8 mg +/- 0.2 in white men and women, respectively. Mean daily intake estimates in black men and women (12.3 mg +/- 0.8 and 7.8 mg +/- 0.3, respectively) were significantly lower. Lower intakes were observed in women versus men, in older (65 to 74 years) versus younger (19 to 34 years) age groups, and among people with lower versus higher education and income levels. Lower zinc intakes in women and older persons could be mainly attributed to lower overall energy intake compared with gender and age counterparts. However, lower intakes in blacks and persons with lower education or income levels were not explained by differences in energy intake and may be attributed to differences in food selections. Meat and milk products contributed the majority of zinc in recalled diets, accounting for 56 and 60% of total zinc intake in blacks and whites, respectively. CONCLUSIONS: Levels and sources of zinc intake in 1976-80 were higher than in more recent national surveys, suggesting that zinc intakes may be declining. Population groups more likely to have lower intakes were women, older adults, blacks, and those with lower levels of education and higher poverty levels.

Predictive clinical value of nutritional assessment factors in COPD.

Thirty-nine stable outpatients with moderate-to-severe chronic obstructive pulmonary disease (COPD) were studied prospectively to determine the predictive value of several nutritional factors on the clinical outcome. Physiologic evaluation including FEV1, diffusing capacity, PaO2, as well as nutritional evaluation including triceps skin fold (TSF), midarm muscle circumference, body weight percentage of standard, history of 5 percent weight loss in the year prior to clinic visit, and average daily caloric intake based on a three-day diet record were all done at the clinic visit. Hospitalization or death during the six months to one year following the initial evaluation were the clinical outcome factors evaluated. Five of the 16 patients (31 percent) needing hospitalization during that time had weight loss during the year prior to the initial evaluation, while eight out of the 23 (35 percent) not requiring hospitalization had weight loss. There was a significantly lower TSF percent standard (TSF%) in the subgroup who subsequently required hospitalization (p less than 0.05). Nonhospitalized patients with severe depletion of body fat (TSF% less than 60) at initial evaluation ingested significantly more calories per kilogram than the severely depleted patients requiring hospitalization in the next six to 12 months (p less than 0.05) suggesting a protective effect of increased caloric intake. Increased caloric intake did not improve mortality statistics.