Previous studies showed total absorbed zinc (TAZ) was comparable in diets containing a higher zinc rice variety or conventional rice variety (Lo-Zn CR). This study compared TAZ in a polished zinc-biofortified rice (Hi-Zn BfR) compared to Lo-Zn CR. Measure the amount of TAZ by young Bangladeshi children from Hi-Zn BfR, Lo-Zn CR, or CR plus sufficient exogenous zinc fortificant (Lo-Zn CR+Zn) matching the zinc content of Hi-Zn BfR. 47 children 36-59 mo old were enrolled in a cross-over study. On the day 1, children received a Lo-Zn CR diet. On days 2 and 4, group A (n=23) received 150 g of Lo-Zn CR and group B (n=24) received 150g of Lo-Zn CR+Zn as part of a mixed diet. On days 3 and 5, both groups received 150 g of Hi-Zn BfR. Fractional zinc absorption (FZA) was measured in all diet periods using a triple-isotope tracer (oral 67-Zn and 70-Zn; intravenous 68-Zn) ratio technique; TAZ was calculated as product of zinc intake (TDZ) and FZA. TDZ was 4.88, 6.14, and 6.70 mg/day when fed Lo-Zn CR-, Lo-Zn CR+Zn- and Hi-Zn BfR- containing diets, respectively. Mean FZA: 0.23 ± 0.041, 0.169 ± 0.035 and 0.212 ± 0.048 for respective diets (Lo-Zn CR vs Hi-Zn BfR: p=0.26; Lo-Zn CR+Zn vs Hi-Zn BfR: p <0.001; and Lo-Zn CR vs. Lo-Zn CR+Zn: p <0.001). Mean TAZ from respective diets were 1.13 ± 0.23, 1.04 ± 0.20 and 1.40 ± 0.33mg/day. TAZ was not significantly different between Lo-Zn CR and Lo-Zn CR+Zn diets (p =0.52) but was significantly more in Hi-Zn BfR when compared with other two diets (p <0.001 for both). A single day ration (150 g total) in 3 equally divided servings of Hi-Zn BfR could satisfy 47% of the recommended daily requirement of zinc (3 mg/day) for children 1-3 years old and 28% for children 4-8 years old (5 mg/day) compared to 37% and 23% from Lo-Zn CR for the same age groups, respectively. Hi-Zn BfR is a meaningful component of preventative option for childhood zinc deficiency where rice is staple. The study is registered with https://www.ClinicalTrials.gov as Clinical Trial identifier # NCT04099849.
Islam et al. (Sun,) studied this question.