Trace Elements in Nutrition
Heena A. Shah MD1
1 Division of Pediatric Gastroenterology & Nutrition, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, NY
Trace elements other than iron only recently have gained importance in infant nutrition. Zinc and copper are two of the most essential trace elements. Zinc is a constituent of more than 100 metalloenzymes and plays an important role in growth, reproduction, tissue repair, and cellular immunity. Copper is a component of several metalloenzymes and is required for oxidative metabolism.
Nutritional deficiencies of zinc now are recognized as being fairly prevalent throughout the world. Symptomatic zinc deficiency among infants can be attributed to several factors. It can be secondary to low zinc concentration in breast milk, low stores (as in prematurity), malabsorption (as in acrodermatitis enteropathica), or absence or inadequate amount in parenteral nutrition.