Oral Zinc Supplementation as an Adjunct to Standard Therapy in Children with Steroid-Sensitive Nephrotic Syndrome: A Double-Blind Randomized Controlled Trial.

IF 1.5 4区 医学 Q2 PEDIATRICS
Nikhil Reddy, Smita Mundada, Prashant Rathod, Trupti Joshi, Pankaj Bhansali
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Abstract

A double-blind randomized placebo-controlled trial aimed to evaluate the effect of oral zinc supplementation on reducing relapse frequency in children aged 1-12 years with steroid-sensitive nephrotic syndrome (SSNS). 84 participants were randomized to receive oral zinc (7 mg/day for 1-3 years and 10 mg/day for 4-12 years), or placebo for six months along with standard therapy. Although median (q1, q3) number of relapses during the 6-month study period was similar in zinc and placebo groups [1 (0, 1.5) vs 1 (1, 1); P = 0.575], infection-related relapses were less frequent in the zinc group (57% vs 80%). No significant differences were observed in cumulative steroid-dose, growth or adverse effects. Zinc reduces infection-associated relapses with no overall reduction in relapse rates.Trial Registry CTRI/2021/01/030586.

口服锌补充剂作为类固醇敏感肾病综合征儿童标准治疗的辅助:一项双盲随机对照试验。
一项双盲随机安慰剂对照试验旨在评估口服锌补充剂对降低1-12岁类固醇敏感肾病综合征(SSNS)儿童复发率的影响。84名参与者随机接受口服锌治疗(7毫克/天,1-3年,10毫克/天,4-12年),或安慰剂治疗6个月,同时接受标准治疗。虽然在6个月的研究期间,锌组和安慰剂组的中位(q1, q3)复发次数相似[1 (0,1.5)vs 1 (1,1);P = 0.575],锌组感染相关复发率较低(57% vs 80%)。在累积类固醇剂量、生长或不良反应方面没有观察到显著差异。锌减少了感染相关的复发,但总体上没有减少复发率。试验注册处CTRI/2021/01/030586。
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来源期刊
Indian pediatrics
Indian pediatrics 医学-小儿科
CiteScore
3.30
自引率
8.70%
发文量
344
审稿时长
3-8 weeks
期刊介绍: The general objective of Indian Pediatrics is "To promote the science and practice of Pediatrics." An important guiding principle has been the simultaneous need to inform, educate and entertain the target audience. The specific key objectives are: -To publish original, relevant, well researched peer reviewed articles on issues related to child health. -To provide continuing education to support informed clinical decisions and research. -To foster responsible and balanced debate on controversial issues that affect child health, including non-clinical areas such as medical education, ethics, law, environment and economics. -To achieve the highest level of ethical medical journalism and to produce a publication that is timely, credible and enjoyable to read.
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