Zinc and Copper Status of Middle- and Old-Aged Women in Type 2 Diabetes

중.노년기 제2형 당뇨병 여성의 아연 및 구리 영양상태

  • 이정희 (계명대학교 식품영양학과) ;
  • 이희자 (계명대학교 의과대학 내과학교실) ;
  • 이인규 (계명대학교 의과대학 내과학교실) ;
  • 윤진숙 (계명대학교 식품영양학과)
  • Published : 2005.01.01

Abstract

The purpose of this study was to assess the zinc and copper status of type 2 diabetic women and to analyse the relation-ship among zinc and copper status, and diabetic control indices of diabetes. The mean age of diabetes was 57.9 years old. The mean duration of diabetes was 8.0 $\pm$ 6.5 years. The mean daily energy intake of diabetes was 1562 kcal. There were no significant differences of age, BMI, %body fat, nutritional intakes, total energy intake, and energy composition from carbohydrate, protein, and fat between diabetes (n = 50) and control group (n = 68). However, both zinc intake density (4.15 mg/1000 kcal) and zinc %RDA (62.0%) of diabetes were significantly lower than control group (p <0.05, P < 0.01, respectively). The plasma zinc level was not significantly different between diabetes and control group (90$\mu$g/dl, 91$\mu$g/dl respectively). The proportion of diabetic women whose plasma zinc levels were lower than 76 $\mu$g/dl(borderline zinc deficiency) was 18.8%. This was about 38% higher than control group. It has been suggested that insulin secretion might decrease in borderline plasma zinc and copper deficiency and increase in normal plasma zinc and copper status. The urinary zinc excretion was twice higher in diabetes than in control group (p < 0.001). The urinary zinc loss was positively correlated with the duration of diabetes (p < 0.05), hyperglycemia (p < 0.001) and insulin resistance (p < 0.05). These results lead us to conclude that normal blood glucose level controlled by diet therapy could improve the hyperzincuria in diabetic women.

Keywords

References

  1. Kim JW. Exercise and insulin resistance. J Kor Diabetes Associ 20(3): 221-223, 1996
  2. Scott DA, Fisher AM. The insulin and zinc content of normal and diabetic pancreas. J Clin Invest 17: 725, 1938 https://doi.org/10.1172/JCI101000
  3. Arquilla E, Thiene P, Brugman T, Ruess W, Sugiyama R. Effects of Zn on the conformation of antigenic determinants of insulin. Biochem J 175: 289-297,1978
  4. Kinlaw WB, Levine AS, Morley JE, Silivis SE, McClain CJ. Abnormal zinc metabolism in type II diabetes mellitus. Am J Med 75: 273-277, 1983 https://doi.org/10.1016/0002-9343(83)91205-6
  5. Goldman J, Carpenter FH. Zinc binding, circular dichroism and equilibrium sedimentation studies on insulin (Bovine) and several of its derivates. Biochemistry 13: 4566-4574, 1974 https://doi.org/10.1021/bi00719a015
  6. Huber AM, Gershoff SN. Effect of zinc deficiency in rats on insulin release from the pancreas. J Nutr 103: 1739-1744, 1973
  7. Mooradian AD, Morley JE. Micronutrient status in diabetes mellitus. Am J Clin Nutr 45: 877-895, 1987
  8. Roth H, Kirchgessner M. Zinc and insulin metabolism. Biol Tr El Res 3: 13-32, 1981 https://doi.org/10.1007/BF02789121
  9. Levine AS, McClain CJ, Handwerger BS, Brown DW, Morley JE. Tissue zinc status of genetically diabetic and streptozotocin induced diabetic mice. Am J Clin Nutr 37: 382-386, 1983
  10. Williams SR. Nutrition and Diet Therapy. 8th ed. Mosby, St. Louis, pp. 235-240, 1998
  11. King JC, Keen CL. Zinc. In: Modern nutrition in health and disease. Edited by Shils ME, Olson JA, Shike M, Ross AC. 9th ed. Lea & Febiger, Malvern. pp.223-239, 1999
  12. King JC, Shames DM, Woodhouse LR. Zinc homeostasis in humans. J Nutr May 130 (5S Suppl) : 1360S-1366S, 2000
  13. Recommended dietary allowances for Koreans, 7th revision, The Korean Nutrition Society, Seoul, 2000
  14. Kanabrocki EL, Case LF, Graham L, et al. Nondialyzable manganese and copper levels in serum of patients with various diseases. J Nucl Med 8: 166-172,1967
  15. Martin Mateo MC, Bustamante Bustamante J, Gonzalez Cantalapiedra MA. Serum zinc, copper and insulin in diabetes mellitus. Biomedicine 29: 56-58, 1978
  16. Chen MD, Lin PY, Tsou CT, Wang JJ, Lin WH. Selected metals status in patients with noninsulin-dependent diabetes mellitus. Biol Trace Elem Res 50 (2) : 119-124, 1995 https://doi.org/10.1007/BF02789414
  17. Zargar AH, Shah NA, Masoodi SR, Laway BA, Dar FA, Khan AR, Sofi FA, Wani AL. Copper, zinc, and magnesium levels in noninsulin dependent diabetes mellitus. Postgrad Med J 74 (877) : 665-668, 1998 https://doi.org/10.1136/pgmj.74.877.665
  18. Terres-Martos C, Navarro-Alarcon M, Martin-Lagos F, Lopez-G de la Serrana H, Perez-Valero V, Lopez-Martinez Me. Serum zinc and copper concentrations and Cu/Zn ratios in patients with hepatopathies or diabetes. J Trace Elem Med Biol 12 (1): 44-49, 1998
  19. Ekin S, Mert N, Gunduz H, Meral I. Serum sialic acid levels and selected mineral status in patients with type 2 diabetes mellitus. Biol Trace Elem Res 94 (3): 193-201, 2003 https://doi.org/10.1385/BTER:94:3:193
  20. Noto R, Alicata R, Sfogliano L, Neri S, Bifarella M. A study of cupremia in a group of elderly diabetics. Acta Diabetol Lat 20: 81-85, 1983
  21. Craft NE, Failla ML. Zinc, iron, and copper absorption in the streptozotocin-diabetic rat. Am J Physiol 244: E122-128, 1983
  22. Failla ML, Kiser RA. A Altered tissue content and cytosol distribution of trace metals in experimental diabetes. J Nutr 111: 1900-1909, 1981
  23. Lee JY, Choi MK, Sung CJ. The relationship between dietary intakes, serum levels, urinary excretions of Zn, Cu, Fe, and serum lipids in Korean rural adults on self-selected diet. Kor J Nutr 29(10): 1112-1120, 1996
  24. Lee JY, Paik HY, Joung HJ. Supplementation of zinc nutrient database and evaluation of zinc intake of Korean adults living in rural area. Kor J Nutr 31 (8): 1324-1337, 1998
  25. Oh HM, Yoon JS. A study on the zinc status of adult female in Taegu region as assessed by dietary intake and urinary excretion. Kor J Commu Nutr 2 (1): 52-62, 1997
  26. Korean Food Research Institute. Handbook of Portion Size for Food Intake Research. Seoul, 1998
  27. Kwun IS, Kwon CS. Dietary molar ratios of phytate: zinc and millimolar ratios of phytate ${\times}$ calcium: zinc in South Koreans. Biol Tr El Res 75: 29-41, 2000 https://doi.org/10.1385/BTER:75:1-3:29
  28. Mieling GE, Pardue HL, Thompson JE, Smith RA. A kinetic method for glucose that is insensitive to variations in temperature and enzyme activity. Clin Chem 25 (9): 1581-1590, 1979
  29. Dowlati B, Firooz A, Khamesipour A, Lotti M, stuart CA, Smith EB, Larijani B, Dowlati Y. Insulin quantification in patients with seborrheic dermatitis. Arch Dennatol 134 (8) : 1043-1045, 1998 https://doi.org/10.1001/archderm.134.8.1043
  30. Hawk PB, Oser BL, Summerson WH. Practical physiology chemistry. 13th ed. Blakiston co Inc Toronto, p.899, 1954
  31. Lim CW, Vallis LM, Chisnall WN. Alkaline phosphatase activities in fresh serum and lyophilized controls by the AACC reference method or IFCC method compared with that of Bowers and McComb. Clin Chem Dec 32(12): 2205, 1986
  32. Kim AJ. A study on intake of iron, copper, zinc and blood contents of rural women in Korea. Master thesis, Sookmyung Women's University, Korea, 1988
  33. Shin SY. A study on blood and urine contents of iron, copper, zinc in rural women. Master thesis, Sookmyung Women's University, Korea, 1989
  34. Lee SG, Lee DT, Kim HN, Kim AJ, Sung CJ. The comparison mineral intakes with serum lipids and mineral in some rural housewives. J Kor Soc Food Sci Nutr 19 (5): 411-417, 1990
  35. Gibson RS. Principles of nutritional assessment. pp.543-546. Oxford University Press. New York, Oxford, 1990
  36. Bauer JD. Clinical Laboratory Methods, 9th ed. The C.V. Mosby Company, pp.518-519, 1982
  37. Park JH, Ro SR, Oh YS, Shinn SH. A study on the zinc, copper and chromium content in serum and 24 he urine of normal subjects and non-insulin dependent diabetes. J Kor Diabetes Associ 15 (1): 109-120, 1991
  38. Pidduck HG, Wren PJJ. Plasma zinc and copper in diabetes mellitus. Diabetes 19(4): 234-239, 1970
  39. Davies IJT, Musa M, Dormandy TL. Measurement of plasma zinc. I. In health and disease. II. In malignant disease. J Clin Path 21: 359-365, 1968 https://doi.org/10.1136/jcp.21.3.359
  40. Rosner F, Gorfien PC. Erythrocyte and plasma zinc and magnesium levels in health and disease. J Lab Clin Med 72: 213-219, 1968
  41. Sinha SN, Gabrei ER. Serum copper and zinc levels in pathologic conditions. Am J Clin Path 54: 570-577, 1970
  42. Kim JW. Mechanisms of insulin resistance in noninsulin-dependent diabetes mellitus (NIDDM). J Kor Diabetes Associ 20(3): 203-209, 1996
  43. Pidduck HG, Wren PJJ, Price Evans DA. The hyperzincuria of diabetes mellitus and possible genetic implications of this observation. Diabetes 19(4): 240-247, 1970
  44. Meltzer LE, Rutman J, George DD, Rutman R. The urinary excretion pattern of trace metal in Diabetes Mellitus. Am J Med Sci 282-289, 1962
  45. Canfield WK, Hambidge KM. Zinc nutriture in children and young adult. Fed Pro 41: 1088, 1982
  46. Kim SY, Oh YS, Lee HK, Min HK. Zinc and copper metabolism in diabetes. J Kor Diabetes Associ 9 (1) : 81-88, 1985
  47. Pidduck HG, Keenan JP, Price Evans DA. Leucocyte zinc in diabetes mellitus. Diabetes 20: 206-213, 1971
  48. Eriksson J, Franssila-Kallunki A, Ekstrand A, Saloranta C, Widen E, Schalin C, Groop L. Early metabolic defects in persons at increased risk for non-insulin dependent diabetes mellitus. N Engl J Med 321: 337-343, 1989 https://doi.org/10.1056/NEJM198908103210601
  49. Vaag A, Henriksen JE, Madsbad S, Holm N, Beck-Nielsen H. Insulin secretion, insulin action, and hepatic glucose production in identical twins discordant for non-insulin-dependent diabetes mellitus. J Clin Invest 95: 690-698, 1995 https://doi.org/10.1172/JCI117715