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Pereira CGM, Nunes MAP, Lessa AL, Cerqueira LC, Veloso OM, Delpino FM, Ferreira A, de Góis FN, Costa PSR, Santos HO. Sex distinctions regarding serum zinc levels in critically ill COVID-19 patients. J Trace Elem Med Biol 2023; 79:127262. [PMID: 37451092 DOI: 10.1016/j.jtemb.2023.127262] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/18/2022] [Revised: 07/06/2023] [Accepted: 07/07/2023] [Indexed: 07/18/2023]
Abstract
PURPOSE Men and women exhibit different presentations in COVID-19. Changes in zinc finger domains in X chromosome causes disorders of sex development. So, we aimed to evaluate sex distinctions regarding serum zinc in severe COVID-19. METHOD Data from electronic records of severe COVID-19 patients were correlated with serum zinc. Logistic regression investigated predictors and protectors of hypozincemia in men and women. RESULTS We assessed 188 medical records (men = 114, women = 74). Men correlated low zinc with hypertension (cc = 0.303, p < 0.001), diabetes (cc = 0.198, p = 0.031), hemoglobin (cc = -0.258, p = 0.005), and albumin (cc = -0.219, p = 0.027). Low lymphocyte count (cc = 0.315, p = 0.005), C-reactive protein (cc = -0.248, p = 0.037), and enteral nutrition (cc = 0.269, p = 0.016) were correlated with hypozincemia in women. Age correlated with low zinc in men (c = -0.304, p = 0.001) and women (cc = -0.298, p = 0.010). In men, hypertension (OR = 4.905, p = 0.005) and lymphopenia (OR = -0.999, p = 0.019) were low zinc predictors, while lung injury > 50% was a protective factor (OR = -0.280, p = 0.025). Lymphopenia (OR = -0.999, p = 0.005) and difficult weaning from mechanical ventilation (MV) (OR = 4.359, p = 0.036) were predictors of hypozincemia in women. Difficult weaning from MV (OR = 3.012, p = 0.003) and age (OR = 1.038, p = 0.002) were hypozincemia predictors regardless sex. CONCLUSION Hypertension, diabetes, hemoglobin and albumin were correlated with low zinc in men. Lymphopenia, reactive-C protein and enteral nutrition were correlated with low zinc in women. In men, hypertension and low lymphocytes were predictors of hypozincemia. Lymphopenia and difficult weaning from MV were predictors of low zinc in women.
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Affiliation(s)
- Cristina Gama Matos Pereira
- Departamento de Medicina, Universidade Federal de Sergipe (UFS), Campus da Saúde Prof. João Cardoso Do Nascimento Júnior, CCBS, Rua Cláudio Batista, s/n, Aracaju, Sergipe, Brazil; São Lucas Hospital - Rede D'OR (HSL), EMTN, Avenida Coronel Stanley da Silveira s/n, Aracaju, Sergipe, Brazil.
| | - Marco Antônio Prado Nunes
- Departamento de Medicina, Universidade Federal de Sergipe (UFS), Campus da Saúde Prof. João Cardoso Do Nascimento Júnior, CCBS, Rua Cláudio Batista, s/n, Aracaju, Sergipe, Brazil
| | - Arthur Leite Lessa
- Departamento de Medicina, Universidade Federal de Sergipe (UFS), Campus da Saúde Prof. João Cardoso Do Nascimento Júnior, CCBS, Rua Cláudio Batista, s/n, Aracaju, Sergipe, Brazil
| | - Lara Carvalho Cerqueira
- Departamento de Medicina, Universidade Federal de Sergipe (UFS), Campus da Saúde Prof. João Cardoso Do Nascimento Júnior, CCBS, Rua Cláudio Batista, s/n, Aracaju, Sergipe, Brazil
| | - Octavio Morais Veloso
- Departamento de Medicina, Universidade Federal de Sergipe (UFS), Campus da Saúde Prof. João Cardoso Do Nascimento Júnior, CCBS, Rua Cláudio Batista, s/n, Aracaju, Sergipe, Brazil
| | - Felipe Mendes Delpino
- Pós Graduação em Enfermagem, Universidade Federal de Pelotas (UFPel), Rua Gomes Carneiro, 01 / 2º andar - Sala 208, Pelotas, Rio Grande do Sul, Brazil
| | - Andrêa Ferreira
- Departamento de Nutrição, Universidade Federal da Bahia, (UFBA), Rua Araújo Pinho 32, Canela, Salvador, Bahia, Brazil
| | - Fernanda Noronha de Góis
- São Lucas Hospital - Rede D'OR (HSL), EMTN, Avenida Coronel Stanley da Silveira s/n, Aracaju, Sergipe, Brazil
| | - Patrícia Santos Rodrigues Costa
- Departamento de Medicina, Universidade Federal de Sergipe (UFS), Campus da Saúde Prof. João Cardoso Do Nascimento Júnior, CCBS, Rua Cláudio Batista, s/n, Aracaju, Sergipe, Brazil; São Lucas Hospital - Rede D'OR (HSL), EMTN, Avenida Coronel Stanley da Silveira s/n, Aracaju, Sergipe, Brazil
| | - Heitor Oliveira Santos
- Escola de Medicina, Universidade Federal de Uberlândia (UFU), Avenida Pará, bloco 2u, Uberlândia, Minas Gerais 1720, Brazil
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