The Accuracy of the Zinc Taste Test Method
Diminished taste acuity (hypogeusia) has been linked to zinc deficiency in humans and animals. This phenomenon has been exploited in the Zinc Taste Test (ZTT), a taste acuity test commonly employed by Australian naturopaths. However, its validity has not yet been firmly established. A systematic search of several key databases was conducted. Only studies in which there were full reports of clinical trials comparing the ZTT to at least one other zinc test within the same sample population were included. Three (3) studies matched the criteria for inclusion. Study I compared the ZTT with sweat zinc in patients with food intolerance, reporting moderate correlation. Study II recruited pregnant women using the ZTT and serum zinc to assess zinc status, with above 70% congruence between the two tests at the start of the trial and 100% congruence at the end. Study III also recruited pregnant women at three stages during gestation, assessing ZTT and leukocyte zinc initially, later adding dietary zinc intake and at delivery cord blood zinc. No significant correlation was found between the results of these different methods; however, statistically significant differences in the ZTT responders (tasters and nontasters) were found for pregnancy outcomes. The methodology of the three studies is critically discussed. Although depletion of zinc leads to decreased taste acuity, it does not explain all cases of hypogeusia. Various other influences on taste perception are discussed in relation to the validity of the ZTT. Stringent exclusion criteria are therefore mandatory to increase specificity. Large variations from the original test design have been identified. The laboratory assays of zinc in these studies are also lacking sensitivity to accurately assess zinc status. To date, there are no tests that are both sensitive and specific that accurately assess marginal zinc status in humans. The ZTT, albeit widely used, does not fill this void, and further research is needed.
- Research Article
179
- 10.1016/s0002-8223(95)00182-4
- Jun 1, 1995
- Journal of the American Dietetic Association
Changes in Patients’ Taste Acuity after Roux-en-Y Gastric Bypass for Clinically Severe Obesity
- Research Article
71
- 10.1093/jn/134.7.1716
- Jul 1, 2004
- The Journal of Nutrition
Investigation of Lymphocyte Gene Expression for Use as Biomarkers for Zinc Status in Humans
- Research Article
198
- 10.1093/jn/130.5.1350s
- May 1, 2000
- The Journal of Nutrition
Assessment of Marginal Zinc Status in Humans
- Research Article
2
- 10.24154/jhs.v14i2.791
- Dec 31, 2019
- Journal of Horticultural Sciences
Zinc is considered as the fourth important yield limiting nutrient in India, after N, P, and K. From the regular soil analysis data, Indian soils (50%) are found to be deficient in Zn and the zinc deficiency is likely to increase in future. Areas with low soil available Zn are often regions with widespread zinc deficiency in humans. Zinc malnutrition and deficiency in human is alarming and is gaining attention in recent years. Application of zinc to soil and crops is one of the simple and easiest ways to mitigate or alleviate Zn deficiency in human. Moreover Zn uptake, its translocation and yield response of various crops to applied Zn are need to be focused for finding sustainable solutions to the problem of zinc deficiency in crops and humans. In this manuscript, importance of Zn to plants and human, Zn malnutrition problems in India and global level, soil Zn status of Karnataka, various factors that responsible for Zn deficiency in the soils of Karnataka and the response of various horticultural crops to Zn application in the region is discussed. Soil maps are believed to be an important tool to delineate and manage nutrient deficient areas. It also elaborates the effective Zn management strategies to improve crop productivity and farm income.
- Research Article
4
- 10.24154/jhs.2019.v14i02.003
- Dec 31, 2019
- Journal of Horticultural Sciences
Zinc is considered as the fourth important yield limiting nutrient in India, after N, P, and K. From the regular soil analysis data, Indian soils (50%) are found to be deficient in Zn and the zinc deficiency is likely to increase in future. Areas with low soil available Zn are often regions with widespread zinc deficiency in humans. Zinc malnutrition and deficiency in human is alarming and is gaining attention in recent years. Application of zinc to soil and crops is one of the simple and easiest ways to mitigate or alleviate Zn deficiency in human. Moreover Zn uptake, its translocation and yield response of various crops to applied Zn are need to be focused for finding sustainable solutions to the problem of zinc deficiency in crops and humans. In this manuscript, importance of Zn to plants and human, Zn malnutrition problems in India and global level, soil Zn status of Karnataka, various factors that responsible for Zn deficiency in the soils of Karnataka and the response of various horticultural crops to Zn application in the region is discussed. Soil maps are believed to be an important tool to delineate and manage nutrient deficient areas. It also elaborates the effective Zn management strategies to improve crop productivity and farm income.
- Research Article
46
- 10.1007/bf02783914
- Jul 1, 1999
- Biological Trace Element Research
The present study focused on whether serum extracellular superoxide dimutase (EC-SOD) activity can be used as a functional indicator of marginal zinc deficiency in humans. Subjects in this study were 444 healthy adults over 30 yr of age living a normal rural life in Kyunggi province, Korea. The mean dietary zinc intake of subjects obtained from one 24-h recall was 6.41 +/- 4.35 mg and the average serum zinc concentration of the subjects was 11.06 +/- 2.44 micromol/L. Subjects were divided into three groups by serum zinc concentrations: adequate (serum zinc >10.7 micromol/L), low (serum zinc 9.0-10.7 micromol/L), and very low (serum zinc <9.0 micromol/L) groups. A total of 50 subjects were selected from the three groups for analysis of EC-SOD activities. The EC-SOD activity of subjects increased with increasing serum zinc concentrations, and the activities of the three groups were significantly different as indicated by the Kruskal-Wallis test (p = 0.0239). Also, serum EC-SOD activities were significantly correlated with serum zinc concentrations (r = 0.289, p = 0.04). Serum EC-SOD activities, however, were not significantly correlated to the dietary zinc intakes. In conclusion, these results show that EC-SOD activities are decreased in subjects with low serum zinc concentrations and suggest that EC-SOD activity may be a functional indicator of zinc nutritional status in humans.
- Research Article
40
- 10.1016/j.clnesp.2016.06.013
- Aug 12, 2016
- Clinical Nutrition ESPEN
An initial evaluation of newly proposed biomarker of zinc status in humans - linoleic acid: dihomo-γ-linolenic acid (LA:DGLA) ratio
- Research Article
60
- 10.1038/sj.ejcn.1602295
- Oct 28, 2005
- European Journal of Clinical Nutrition
Age-related decline in taste acuity may be both a cause and an effect of depleted zinc and/or increased zinc requirement. The aim of this study was to explore associations between zinc status and taste acuity in healthy older European adults aged 55-90 y. Volunteers were recruited within Italy (n = 108 aged 70-90 y), the United Kingdom (UK) (n = 93 aged 55-70) and two regions of France (n = 186), Grenoble (aged 70-90 y) and Clermont-Ferrand (aged 55-70 y). A signal detection theory approach was adopted, employing a three-alternative, forced-choice procedure. The data were converted to R-indices and bivariate correlations were computed to explore relationships between serum zinc, erythrocyte zinc and taste acuity. ANOVA was undertaken to determine regional differences in zinc status. Higher erythrocyte zinc status was associated with better acuity for salt (sodium chloride) taste in the sample as a whole (P = 0.012) (n = 385). Higher serum zinc levels were associated with greater sensitivity to sour taste (citric acid) (P = 0.015) only in the older groups (aged 70-90 y). There were no apparent associations between serum or erythrocyte zinc status and acuity for bitter (quinine) or sweet (sucrose) tastes irrespective of age. These results agree with those previously suggesting that age-related detriment in sensitivity for salt taste may be associated with depleted zinc.
- Research Article
99
- 10.1093/ajcn/71.3.781
- Mar 1, 2000
- The American Journal of Clinical Nutrition
Changes in dietary zinc and copper affect zinc-status indicators of postmenopausal women, notably, extracellular superoxide dismutase and amyloid precursor proteins
- Research Article
75
- 10.1079/bjn19920109
- Sep 1, 1992
- British Journal of Nutrition
During a controlled zinc depletion-repletion study, fifteen men aged 25.3 (SD 3.3) years were fed on a low-Zn diet with high phytate:Zn and phytate x calcium:Zn molar ratios for 7 weeks, followed by a 2 week repletion period when 30 mg supplemental Zn/d was given. Changes in plasma, urine, and hair Zn concentrations, taste acuity, and cellular immune response confirmed the development of mild Zn deficiency. Zn concentrations in neutrophils, platelets, erythrocytes and erythrocyte membranes, mean platelet volume, and activities of alkaline phosphatase (EC 3.1.3.1) and alpha-D-mannosidase (EC 3.2.1.24) in neutrophils did not respond to changes in Zn status. In contrast, alkaline phosphatase activity in erythrocyte membranes showed a significant decline which was consistent in all subjects (nmol product formed/min per mg protein; baseline v. 7-week Zn depletion, 0.656 (SD 0.279) v. 0.506 (SD 0.230), at 7 weeks; P < 0.05); neutral phosphatase activity remained unchanged. Alkaline phosphatase activity in erythrocyte membranes may be a potential index of Zn status in humans.
- Research Article
92
- 10.1093/ajcn/53.5.1295
- May 1, 1991
- The American Journal of Clinical Nutrition
Development of a dietary model for the study of mild zinc deficiency In humans and evaluation of some biochemical and functional Indices of zinc status
- Research Article
77
- 10.3402/gha.v5i0.7353
- Apr 12, 2012
- Global Health Action
Background: Zinc is important in adolescence because of its role in growth and sexual maturation. Adolescents from developing countries such as India may be at high risk of zinc deficiency because of unwholesome food habits and poor bioavailability of zinc from plant-based diets.Objectives: (1) to study zinc status and its association with profile of other micronutrients, (2) to construct a simple tool in the form of Adolescent Micronutrient Quality Index (AMQI) to assess quality of diets of the girls and (3) to examine the effect of zinc supplement on health of adolescent girls.Methods: Girls (10–16 years) from two secondary schools of Pune, Maharashtra state, in Western India were enrolled in a cross-sectional study (n = 630). Data were collected on dietary intake, cognitive performance, taste acuity, haemoglobin, erythrocyte zinc and plasma levels of zinc, vitamin C, β-carotene and retinol. AMQI was developed using age–sex-specific Indian dietary guidelines and healthy foods and habits described in the recent US dietary guidelines. Zinc-rich recipes were developed considering habitual diets of the girls and vegetarian sources of zinc. An intervention trial (n = 180) was conducted to assess the effect of zinc-rich dietary supplements and ayurvedic zinc (Jasad) supplementation.Results: Prevalence of micronutrient deficiencies was high in these girls. Poor cognitive performance was seen in half of the girls, and salt taste perception was affected in 45%. AMQI was correlated with nutrient intakes and blood micronutrient levels (p < 0.01), indicating the potential of AMQI to measure micronutrient quality of diets of adolescent girls. Results of the intervention trial indicated that supplementation of zinc-rich recipes vis-a-vis ayurvedic Jasad zinc has the potential to improve plasma zinc status, cognitive performance and taste acuity in adolescent girls.Conclusion: Review of the studies on Indian adolescent girls demonstrates the necessity of adopting zinc and micronutrient-rich diets for positive health building in adolescents.
- Research Article
50
- 10.1016/j.appet.2007.08.004
- Aug 27, 2007
- Appetite
Taste acuity of obese adolescents and changes in food neophobia and food preferences during a weight reduction session
- Research Article
131
- 10.1381/096089294765558854
- Feb 1, 1994
- Obesity Surgery
Obese individuals have an increased preference for high caloric foods, such as sweets and fats. However, following gastric bypass (GBP) surgery, morbidly obese patients tend to avoid these foods. We hypothesize that this aversion may occur, in part, from permutations in taste acuity. To test this hypothesis, taste detection and recognition thresholds for the four basic tastes (salt, sweet, sour, and bitter) were assessed using a modification of the Henkin forced choice three stimulus technique. Taste acuity measurements were obtained at baseline and at 30, 60, and 90 days post-operative for six morbidly obese GBP women and ten non-surgical, lean female controls. We found nonsignificant differences in taste detection and recognition thresholds between morbidly obese and lean control study subjects at baseline, and no significant correlation between taste acuity and body size. Furthermore, in our study population of lean and obese women, ages 26 to 52, there were no significant interrelationships between baseline taste thresholds and known effectors of taste acuity, i.e., zinc levels, glycemic status, liver and kidney function, or age. Following GBP surgery, a significant up-regulation in taste acuity for bitter and sour was observed along with a trend toward a reduction in salt and sweet detection and recognition thresholds. These findings would suggest the following: (1) taste acuity does not influence taste preferences of the obese individual who has not had bariatric surgery; (2) taste effectors such as zinc, when within the range of normal values, do not alter thresholds of the 4 basic tastes; and (3) weight loss following gastric bypass surgery is associated with an up-regulation in taste acuity in the morbidly obese. Studies are currently under investigation at our center to identify the specific etiology of taste acuity upregulation in the morbidly obese following GBP surgery.
- Research Article
23
- 10.3181/00379727-195-43139
- Nov 1, 1990
- Experimental Biology and Medicine
There is need for a reliable index of zinc status in humans. Considering the importance of zinc in membrane function, activities of erythrocyte membrane enzymes have been measured in animals of low and normal zinc status as possible indices. Immature rats and neonatal pigs were fed low and adequate zinc diets; the latter was fed both ad libitum and restricted so as to control for food intake effects. Low rates of gain and plasma zinc concentrations demonstrated that animals fed the low zinc diets were of low zinc status. Erythrocyte membranes were prepared and assayed for Na,K-ATPase, 5'-nucleotidase, and calcium-ATPase activities. Na,K-ATPase activity was not affected by zinc status, but 5'-nucleotidase was significantly lower in deficient animals of both species than in controls, whose food intake was restricted to maintain comparable weight (2.76 vs 3.94 nmol/hr/mg of protein in rats and 60.5 vs 119 in pigs). The basal calcium-ATPase activities were also decreased by low zinc status in both species. Addition of calmodulin in vitro stimulated activity two-fold to four-fold and resulted in the same maximal activities for all treatments. The results show that erythrocyte membrane 5'-nucleotidase activity is an index of zinc status in these species. It is suggested that the decreased membrane calcium-ATPase activity in zinc deficiency is caused by a defect in calmodulin metabolism.