Short-term supplementation with zinc and vitamin A has no significant effect on the growth of undernourished Bangladeshi children

Background: Several vitamin A supplementation trials have failed to improve the growth rate in children. Addition of zinc to vitamin A might result in enhanced growth. Objective: This study evaluated the effect on growth in children of simultaneous supplementation with zinc and vitamin A. Design: This was a randomized, double-blind, placebo-controlled intervention trial. Six hundred fifty-three children aged 12-35 mo were randomly assigned to 1 of 4 intervention groups: 20 mg Zn/d for 14 d (Z group), 60 000 retinol equivalents (200 000 IU) vitamin A on day 14 (A group), zinc plus vitamin A (ZA group), or placebo syrup and placebo capsule (placebo group). Weight and length were measured at enrollment and again after 3 and 6 mo. Results: Gains in weight and length during the 6-mo follow-up period were not significantly different among the 4 groups by analysis of variance. Catch-up growth also did not differ significantly among the groups. The proportions of children whose weight-for-age ζ scores did not change or decreased were 57% in the Z group, 46% in the A group, 50% in the ZA group, and 54% in the placebo group (NS). The proportions of children whose length-for-age z scores did not change or decreased were 42% in the Z group, 48% in the A group, 53% in the ZA group, and 46% in the placebo group (NS). Conclusion: Combined short-term zinc supplementation and a single dose of vitamin A has no significant effects on weight and length increments in children over a 6-mo period.