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The Study

Efficacy of prophylactic intermittent zinc supplementation for reducing acute respiratory infections and diarrhoea in infants: A randomized controlled trial

In simple terms

This study gave some babies zinc drops and others nothing, then saw who got sick less. Because the babies were picked by chance, we can guess the zinc might have helped—but we don’t know for sure because the parents and doctors knew who got the zinc, so they might have reported sickness differently.

87%

Analysis score

87/ 90

Maximum 90 for a randomized controlled trial.

Where the score came from

Reporting75
Methodology76
Publication100
Statistical100
Study type (basis of the score)
Randomized Controlled Trial
Level 1b - Individual RCT
What’s the bottom line?

Babies who got zinc drops a few times during their first year got fewer colds and tummy bugs, and grew taller and heavier than babies who didn't.

Where does this study sit?

Reviews of RCTs (Meta-analyses)

Max 100

Randomized Trials

Max 90

Reviews of Cohort Studies

Max 85

Cohort Studies

Max 72

Reviews of Case-Control Studies

Max 63

Case-Control Studies

Max 58

Cross-Sectional & Case Series

Max 50

Expert Opinion

Max 5
StrongerWeaker
Randomized Trials
Level 1b
87

87 / 100

Quality score

Participants are randomly assigned to treatment or control groups, minimizing bias. The gold standard for testing whether an intervention causes an effect.

Can establish causation

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Key takeaways

Summary

Based on the study abstract and findings.

  1. 1Yes — these gains are large for infants in low-resource settings where growth delays are common, and reducing infections can save lives.
  2. 2Zinc drops led to 72% fewer colds, 49% fewer tummy bugs, 1.4 cm more height gain, and 332 g more weight gain over six months.

Score breakdown, methodology, conflicts of interest, evidence analysis & raw study data

Publication

Journal

World Journal of Clinical Pediatrics

Year

2025

Authors

Chandra Mohan Kumar, Arnab Ghorui, Karuna Hamsay

Open Access
Analysis v5

Related Content

Claims (10)

Assertion

Intermittent zinc supplementation in zinc-deficient infants reduces the incidence of acute respiratory infections by 72% and acute diarrhoea by 49%, while simultaneously increasing mean weight gain by 332 g and length gain by 1.4 cm over six months.

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Assertion

Giving zinc supplements to infants at intervals reduces moderate-to-severe diarrhoea by 63% and acute respiratory infections by 72%, with greater effects in more severe cases, due to biological effects on immune function or mucosal tissue repair.

Causal
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Assertion

In infants aged 6 to 18 months in zinc-deficient populations, intermittent zinc supplementation given as 10 mg daily for two weeks at specific vaccination visits reduces the annual rate of acute respiratory infections by 72% and acute diarrhoea by 49%, and increases average weight gain by 332 grams and length gain by 1.4 cm over six months.

Causal
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Assertion

In zinc-deficient infants, taking zinc supplements at intervals for six months reduces the number of acute respiratory infections by 72% and acute diarrhoea by 49%, while also increasing weight by 332 grams and length by 1.4 centimeters.

Causal
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Assertion

Infants who receive intermittent zinc supplements along with their routine vaccines experience 4.54 fewer days of diarrhoea per year compared to infants who receive only vaccines.

Quantitative
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Assertion

Infants given intermittent zinc supplements show significantly greater increases in weight and length compared to those not receiving such supplements, with effect sizes larger than those seen in most other nutritional interventions.

Correlational
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Not medical advice. For informational purposes only. Always consult a qualified healthcare professional before making health decisions.