Effect of Fortified Diet with Avocado Fruits and Zinc Chloride of Rats Suffering from Diabetes and Osteoporosis

Document Type : Original Article

Abstract

 
This study aimed to investigate the effect of fortified diet with avocado fruits and zinc chloride of rats suffering from diabetes and osteoporosis. Forty eight female Sprague-Dawley rats were divided into two main groups as follows: The first main group 6 rats fed on basal diet, as a control negative group. The second main group (42 rats) injected with alloxan monohydrate 90 mg/kg body weight to induced hyperglycemia. After 7 days serum glucose was determined in the first and second main groups to insure the induction. Rats in the second main group (diabetic rats) received oral prednisone acetate (4.5 ml/kg body weight/day twice a week) for two weeks to induce osteoporosis. After this period, the rats in the second main group were divided into seven subgroups (n= 6 rats) as follows: Subgroup (1): fed on basal diet (control positive group). Subgroup (2 and 3): were fed on basal diet containing 7.5% and 15% avocado fruits, respectively. Subgroup (4 and 5): were fed on basal diet containing 2g and 4g zinc chloride in the mineral mixture, respectively. Subgroup (6 and 7): were fed on basal diet containing (7.5% avocado fruits and 2g zinc chloride in the mineral mixture) and (15% avocado fruits and 4g zinc chloride in the mineral mixture),respectively. During the experimental period, the diets consumed and body weights were recorded twice weekly. The results showed that, the highest improvement in lipid profile recorded for the groups which were treated with diet containing (15% avocado and 4g zinc chloride in the mineral mixture), 7.5% avocado and 2g zinc chloride in the mineral mixture and 15% avocado, respectively. The highest levels of avocado fruits and zinc chloride together (15% avocado and 4g zinc chloride) recorded the best results in bone status. Serum glucose improved in groups which were treated with (15% avocado and 4g zinc chloride together), followed by the groups treated with  (7.5% avocado and 2g zinc chloride together), and 4g zinc chloride, respectively. Serum and liver zinc increased gradually with increasing the levels of avocado and zinc chloride in the diets. From these results, it could be concluded that, the fortified diet with avocado fruits and zinc chloride improved the nutritional and biochemical parameters of diabetic rats suffering from osteoporosis.
 

Keywords


Effect of Fortified Diet with Avocado Fruits and Zinc Chloride of Rats Suffering from Diabetes and Osteoporosis

 

Dalia Mohamed Talatt Abd EL-khalik

 

Home EconomicDept., Faculty of Specific Education, Fayoum University.

 

Abstract

 

This study aimed to investigate the effect of fortified diet with avocado fruits and zinc chloride of rats suffering from diabetes and osteoporosis. Forty eight female Sprague-Dawley rats were divided into two main groups as follows: The first main group 6 rats fed on basal diet, as a control negative group. The second main group (42 rats) injected with alloxan monohydrate 90 mg/kg body weight to induced hyperglycemia. After 7 days serum glucose was determined in the first and second main groups to insure the induction. Rats in the second main group (diabetic rats) received oral prednisone acetate (4.5 ml/kg body weight/day twice a week) for two weeks to induce osteoporosis. After this period, the rats in the second main group were divided into seven subgroups (n= 6 rats) as follows: Subgroup (1): fed on basal diet (control positive group). Subgroup (2 and 3): were fed on basal diet containing 7.5% and 15% avocado fruits, respectively. Subgroup (4 and 5): were fed on basal diet containing 2g and 4g zinc chloride in the mineral mixture, respectively. Subgroup (6 and 7): were fed on basal diet containing (7.5% avocado fruits and 2g zinc chloride in the mineral mixture) and (15% avocado fruits and 4g zinc chloride in the mineral mixture),respectively. During the experimental period, the diets consumed and body weights were recorded twice weekly. The results showed that, the highest improvement in lipid profile recorded for the groups which were treated with diet containing (15% avocado and 4g zinc chloride in the mineral mixture), 7.5% avocado and 2g zinc chloride in the mineral mixture and 15% avocado, respectively. The highest levels of avocado fruits and zinc chloride together (15% avocado and 4g zinc chloride) recorded the best results in bone status. Serum glucose improved in groups which were treated with (15% avocado and 4g zinc chloride together), followed by the groups treated with  (7.5% avocado and 2g zinc chloride together), and 4g zinc chloride, respectively. Serum and liver zinc increased gradually with increasing the levels of avocado and zinc chloride in the diets. From these results, it could be concluded that, the fortified diet with avocado fruits and zinc chloride improved the nutritional and biochemical parameters of diabetic rats suffering from osteoporosis.

 

Introduction

 

Diabetes has become a serious and increasing health problem in worldwide. About three hundred and eighty-two million people in the world suffering from diabetes in 2013, this number will arriveto five hundred and ninety-twoin 2035 (Guariguata et al., 2014). Diabetic patients often suffer from osteoporosis (Schwartz, 2003).

 

Osteoarthritis is a disease that affects women in general after menopause; also, osteoporosis is a major problem in older men. Statistics show that 30 % of hip fractures occur for men. Statistics show also 1 in 8 men older than 50 years will have an osteoporotic fracture (Campion and Maricic, 2003).

Zinc is an essential mineral for human health. It is essential for the formation of collagen and deposition of minerals in the bones (Calhoun et al., 1974). On the other hand, zinc deficiency led to abnormalities in bone growth, bone formation, and mineralization in animals (Yamaguchi, 1998). In addition, deficiency of zinc associated with low bone mass in women (Angus et al., 1988). Urinary zinc excretion increased in women with osteoporosis, this phenomenon leads to decrease serum or plasma zinc concentration (Gur et al., 2002).

 

Rodríguez-Monforte et al., (2015) reported that, diet based on plant sources is associated with lower risk of cardiovascular disease CVDs. On the other hand, fruit play an important role in preventing CVDs. McCormack et al., (2010) and Fulgoni et al., (2013)reported that, avocado consumption is associated with reduced the risk of metabolic syndrome, because avocados contain a variety of vitamins, minerals and phytochemicals such as lutein, phenolic antioxidants, and phytosterols associated with numerous potential health benefits. The researchers reported that nutritionists should be aware of the beneficial associations between avocado intake, diet and health when making dietary recommendations.

 

Such minerals and vitamins play an important role in maintenance of healthy bone (Ilich and Kerstetter, 2000). Both zinc intake and blood zinc each have a positive association with bone mineral density BMD in men (Hyun et al., 2004). Zinc supplements in postmenopausal women may result a beneficial reduction in osteoporotic risk (Razmandeh et al., 2014).

                                   

            The aim of the present study is to determine if supplemented diet with avocado fruits, zinc chloride and their combination alter the weight gain, lipid profile, bone status, glucose and zinc in serum and liver of rats suffering from osteoporosis.

 

Materials and Methods

Materials:

- Casein, vitamins, minerals, cellulose, choline chloride and alloxan obtained from El-Gomhoria Company, Cairo, Egypt.

- Fresh Avocado fruits (Persea Americana) was purchased from Field Crops Research Institute, Ministry of Agriculture Giza, Egypt.

- Glucocorticoid (prednisone acetate) will be obtained from the pharmacy , Cairo, Egypt.

- Starch and soy oil were obtained from local market.

- Normal 48 female albino rats Spraque - Dawely Strain (150 ± 5g)  Purchased from Helwan Experimental Animals station.

 

Methods:

Preparation of avocado fruits.

Avocado fruits were washed by using tap water to removedust, and then peeled off and the creamy pulps were homogenized using electric blender, according to the method described by (Alghamdi and Yousef, 2017).

 

Chemical analysis of Avocado.

Moisture, fiber, ash, protein and fat content were determined according to the method outlined in A.O.A.C. (2000). Total carbohydrates were determined by difference.

 

Biological Part:

            Forty-eight Sprague – Dawley strain female albino rats, weighting (150 ± 5 g) used in this study. All rats fed on basal diet for 7 consecutive days to adaptation. Each rat was housed in an individual stainless steel cage under hygienic controlled condition. The basal diet consists of casein (14 %), corn oil (4%), choline chloride (0.25%), and vitamin mixture (1%), cellulose (5%) and the remainder is corn starch according to Reeves et al., (1993), salt mixture which used in these study prepared according to Hegsted et al., (1941) and vitamin mixture prepared according to A.O.A.C. (1975).

 

After adaptation period, the rats divided into two main groups as follows: The first main group(6 rats) fed on basal diet, as a control negative group. The second main group(42 rats) injected intraperitoneally (i.p.) with alloxan monohydrate 90 mg/kg body weight to induced hyperglycemia, according to (Ibegbulem and  Chikezie, 2013). After 7 day serum glucose was determined in the first and second main groups to insure from the induction (65.786 ± 4.323 mg/dl) in the first main group vs. (121.321 ± 3.543 mg/dl) in the second main group. Rats in the second main group (diabetic rats) received oral prednisone acetate (4.5 ml/kg body weight/day twice a week) and fed on basal diet for two weeks to establish osteoporotic models according to Liao et al., (2003). After this period, the rats in the second main group were divided into seven subgroups (n= 6 rats) as follows: Subgroup 1: fed on basal diet (control positive group). Subgroup 2 and 3: were fed on basal diet containing 7.5% and 15% avocado fruits, respectively. Subgroup 4 and 5: were fed on basal diet containing 2g and 4g zinc chloride in the mineral mixture, respectively. Subgroup 6 and 7: were fed on basal diet containing (7.5% avocado fruits and 2g zinc chloride in the mineral mixture) and (15% avocado fruits and 4g zinc chloride in the mineral mixture), respectively.

 

During the experimental period (28 days), the diets consumed and body weights were recorded twice weekly according to Chapman et al., (1959).Blood samples were collected from the aorta at the end of the experiment period, after fasted overnight and anaesthetized. The blood samples were centrifuged and the serum was separated to estimate the following biochemical parameters, i.e. serum cholesterol according to (Allain et al., 1974), triglycerides (Foster and Dumns, 1973), high density lipoprotein (HDL-c) (Lopes-Virella et al., 1977), low density lipoprotein (LDL-c) and very low density lipoprotein (VLDL-C)  (FriedWald et al., 1972), serum calcium (Baginski, 1973), serum phosphorus (Yee, 1968). Femur bones (Right and left) were removed from each rats, cleaned. Femur bones were put in a foil paper and kept in deep –freezer. Bone Mineral Density (BMD) and Bone Mineral Concentration (BMC) measured by Dual Energy X-ray Absorptiometry (DEXA) in National Research Center, Osteoporosis Unit. Calcium and phosphorus in femur bone of rats were determined according to the method described by Muynck and Vanhaecke, (2009). Serum glucose (Trinder, 1959) and zinc in serum and liver according to Jayalakshmi and Platel, (2016).

 

            The obtained data was analyzed statistically for mean ± standard deviation and one-way ANOVA test (Sendecor and Cochran, 1979).

 

Results andDiscussion

 

Chemical composition of avocado fruits.

The data in Table (1) revealed that, the amounts of moisture, protein, fat, ash, carbohydrates and fiber in avocado fruits were 65.18, 2.05, 15.51, 1.20, 9.00 and 7.06 g/100g, respectively. These results agree with (Alghamdi and Yousef, 2017) who reported that, the (moisture, protein, ash, carbohydrate, fiber and fat) contents in edible portion of avocado were 63 ; 2.12; 1.03; 9.87; 7.25 and 16.02 (g/100g edible portion), respectively.

 

Effect of fortified diet with avocado fruits and zinc chloride on feed intake and weight changes of rats suffering from diabetes and osteoporosis.

The effect fortified diets with two levels of avocado, zinc chloride and their combination on feed intake (g/day), weight (g) and body weight gain % of diabetic rats suffering from osteoporosis presented in Table (2). The mean value ± SD of feed intake (g/day/ each rat) of the control positive group fed on basal diet decreased significantly (p≤0.05), as compared to the negative control group (15.034± 0.212 vs. 16.910 ± 0.618 g), respectively. All treated groups showed significant increase (p≤0.05) in the mean value of feed intake, as compared to the positive control group, except the group, which was treated with 15% avocado fruits and the group treated with the combination of high levels from avocado and zinc chloride. In this respect, Wien et al., (2013) reported that, adding half avocado (70 g) in the lunch of overweight and moderately obese individuals increased the satiety from 3 to 5 subsequent hours, followed by a reduction of the insulin secretion. 

 

Data presented in the same Table showed that, non-significant changes in the initial weight of healthy rats and other treated rats. On the other hand, final weight of the positive control group decreased significantly (p≤0.05), as compared to the negative control group. Zafar and Naqvithat, (2010)found that, the STZ-induced diabetes induced significant decrease in the body weight of diabetic animals. On the other hand, Jane et al., (2000) found that, administration of glucocorticoids at a dosage of 5 mg / kg/day for 5 days would result in a decrease in both body and diaphragm weights.

 

The mean value of final weight of the positive control group decreased by about 12.269%, than that of the negative control group. Final weights of all treated groups showed non-significant change, as compared to the positive control group.

 

The mean value of body weight gain % (BWG%) of the positive control group (diabetic rats which suffer from osteoporosis) decreased significantly (p≤0.05), as compared to the negative control group (healthy rats). All tested diet caused non-significant differences in BWG% (p≤0.05), except group of rats which treated with diet containing 7.5% avocado and 2g zinc chloride, as compared to the positive control group. In this respect, Chen et al., (2000)reported that zinc treatment did not affect body weight gain, body fat content or food intake in these diabetic mice. On the other hand, USDA, (2011) and Bes-Rastrollo et al., (2008) reported that, avocados are a medium energy dense fruit because avocado edible fruit consists of 72% water and 6.8% dietary fiber  and has been shown to have similar effects on weight control as low-fat fruits and vegetables.

     

Effect of fortified diet with avocado fruits and zinc chloride on lipid profile of rats suffering from diabetes and osteoporosis.

Table (3) showed the effect of diets containing two levels of avocado, zinc chloride and their combinations on lipid profile including, serum cholesterol, triglyceride, high density lipoprotein-cholesterol (HDL-c), low density lipoprotein-cholesterol (LDL-c) and very low density lipoprotein-cholesterol (VLDL-c).

 

The mean values of serum cholesterol, triglyceride, LDL-c and VLDL-c in the positive control group increased significantly (p≤0.05), while HDL-c decreased, as compared to the negative control group. HDL-c lower in positive control group than that of the negative.  Sultania et al., (2017) reported that, diabetes is a chronic disease, characterized by disorders of the metabolism of carbohydrates, fat and protein, resulting in a deficiency in the secretion of insulin, or the action of insulin or both. In addition, the dyslipidemia commonly occur in diabetes, included elevation of the levels of LDL-c and triglyceride, and lowering the levels of high-density lipoprotein cholesterol (HDL-C). On the other hand, prednisolone is a synthetic glucocorticoid that has been used over the last few decades' treatment of several diseases (Rhen and Cidlowski, 2005). The level of LDL-c increased significantly in patients receiving prednisolone as compared to the patients received hydrocortisone (Quinkler et al., 2017).

 

All tested groups improved the lipid profile, except triglyceride and VLDL-c in the group, which treated with diet containing 2g zinc chloride. Lipid profile improved gradually with increasing the levels of avocado, zinc chloride and (avocado and zinc chloride together). The highest improvement in lipid profile recorded for the groups which were treated with diet containing (15% avocado and 4g zinc chloride in the mineral mixture), (7.5% avocado and 2g zinc chloride in the mineral mixture) and 15% avocado, respectively.

 

In this respect, Riboli and Norat, (2003) reported that,fruits and vegetables decreased the risk of heart diseases. Avocado consumption improved the lipid profile including decreases serum total cholesterol, LDL-cholesterol and triglycerides and increases HDL-cholesterol levels, as compared to control diet subjects (LopezLedesma et al., 1996).

Healthy fats, such as mono and polyunsaturated fatty acids (MUFA) and (PUFA), has been associated with lower cardiovascular disease (CVD) risk in epidemiological studies (Schwingshack et al., 2011). On the other hand, Wang et al., (2010) and Dreher and Davenport, (2013) reported that avocado fruits are rich source in monounsaturated fatty acids (MUFAs), the average Hass avocado provides 136 g of edible fruit whose oil consists of 71% MUFAs, 13% PUFAs, and 16% SFAs. In addition to the fruit constituents of fiber, vitamins B, vitamins K1, vitamin E, magnesium and potassium, phytochemicals such as carotenoids, phenolics, and phytosterols, which play an important role in improving the lipid profile.

 

On the other side, Ranasinghe et al., (2015) reported that, supplementation of zinc reduced total cholesterol, low density lipoprotein- cholesterol and triglycerides significantly, and they reported also, zinc reduced the incidence of atherosclerosis related morbidity and mortality. In addition, different human studies have showed that zinc supplementation decreased the mean value of total cholesterol, low density lipoprotein-cholesterol and triglycerides, while increasing the mean value of high density lipoprotein-cholesterol (Hashemipour et al., 2009) and (Kadhim et al., 2006). Zinc-enriched diet has beneficial effects in cholesterol and triglycerides on basal and postprandial glycaemia (Ghayour-Mobarhan et al., 2005).

 

Effect of fortified diet with avocado and zinc chloride on bone status of rats suffering from diabetes and osteoporosis.

Diabetic rats which were suffering from osteoporosis (control positive group), showed significant decrease (p≤0.05) in femur bone (calcium "Ca" and phosphorus "P"), serum Ca and P, bone mineral density (BMD) and bone mineral concentration (BMC), as compared to healthy rats (control negative group). In this respect, (Leidig-Bruckner and Ziegler, 2001) reported that, osteoporosis is one of the most important diseases for people with diabetes.

 

On the other hand, Gudbjornsson et al.,(2002) reported that, glucocorticoid-induced osteoporosis (GIO) is one of the serious side effects, which have become the most common secondary osteoporosis in adults. Nishimoto et al (1985)reported that, imbalance between bone resorption and bone formation led to osteoporosis.

 

Treating diabetic rats, which were suffering from osteoporosis with diet containing (7.5% and 15% avocado fruits), 2g and 4g zinc chloride and their combinations, led to significant increase (p≤0.05)  in all parameters calcium "Ca" and phosphorus "P" in the serum and bone, BMD and BMC, as compared to the positive control group (Table 4). The mean value of femur bone (Ca and P), serum (Ca and P), BMD and BMC increased gradually with increasing the levels of avocado fruits and zinc chloride. The highest concentration of these parameters recorded for the group which treated with diet containing (15% avocado and 4g zinc chloride together), followed by the group treated with diet containing (7.5% avocado and 2g zinc chloride) and 15% avocado, respectively.

 

The highest levels of avocado fruits and zinc chloride together (15% avocado and 4g zinc chloride) recorded the best results in bone status. This treatment increased the mean values of femur bone Ca, femur bone "P", serum Ca, serum "P", BMD and BMC by about 42.172%,  78.183%,  40.397%, 37.532%,  143.859% and 189.743% respectively, than that of the positive control group.

 

In this respect, Wang et al., (2010) and Dreher and Davenport ,(2013) reported that avocado fruits are rich source in monounsaturated fatty acids (MUFAs), the average Hass avocado provides 136 g of edible fruit whose oil consists of 71% MUFAs, 13% PUFAs, and 16% SFAs. Coetzee et al., (2007) reported that, omega-3 fatty acids (FAs) could prevent age-related bone loss by inhibiting osteoclastogenesis while improving osteoblast differentiation. Moreover, omega-3 FAs enhance calcium absorption by modifying the lipid composition of the intestinal cell membrane and decreasing intestinal calcium loss (Kruger and schollum, 2005). On the other hand, the avocado fruits consists of fiber, vitamins B, vitamins K1, vitamin E, magnesium and potassium, phytochemicals such as carotenoids, phenolics, and phytosterols (Wang et al., 2012) and (Dreher and Davenport, 2013). Vitamin E supplements suppress serum gamma-tocopherol levels and may have negative effects on bone formation (Hamidi et al., 2012). Most of the experimental and clinical data available in the literature point to magnesium Mg as a contributor factor to bone health. Consequently, optimizing Mg intake might represent an effective and low-cost preventive measure against osteoporosis in individuals with documented Mg deficiency (Leidi et al., 2011). Dietary intake of β-carotene and β-cryptoxanthin may have a positive effect on bone health (Regu et al., 2017). Laboratory studies suggest that avocado and soy unsaponifiables (ASU) may facilitate repair of Osteoarthritis (OA) cartilage through its effect on osteoblasts (Dinubile, 2010).

 

Hill et al., (2005) showed that a relationship between zinc nutritive status and bone turnover in elder adults. In addition to, Zhang et al., (2003) and Hambidge, (2003)reported that, rats need zinc to complete the physiological role of vitamin D in calcium metabolism, and they suggests that zinc may play an important role in bone health. Relea et al., (1995) and Herzberg et al., (1990) reported that, zinc secretion is increased in the urine in osteoporotic women. On the other side, Spencer et al., (2013)shown that high zinc consumption decreased the absorption of calcium in the intestine during a low calcium intake, while did not occur during a normal calcium intake.

 

Effect of fortified diet with avocado and zinc chloride on serum glucose, zinc in serum and liver of rats suffering from diabetes and osteoporosis.

Injected rats with alloxan and treated with prednisone acetate (positive control group) increased the mean value of serum glucose and decreased the mean values of zinc in serum and liver significantly (p≤0.05), as compared to healthy rats (control negative group), (146.800± 2.387 mg/dl, 136.720± 2.942 µg/dl and 21.890± 0.880 µg/g) vs. (81.400± 3.361 mg/dl, 179.280± 4.432 µg/dl and 33.196± 1.511 µg/g), respectively. In this respect, Stanely et al., (2004) reported that,alloxan induces diabetes by damaging the insulin secreting cells of the pancreas leading to hyperglycemia. In addition to, Kahn et al., (1978) reported that, administration of glucocorticoids in vivo may also impair insulin binding to target cells, and this could provide another cause for glucocorticoid-induced insulin resistance.

 

On the other side, Daradkeh et al., (2014) reported that,zinc deficiency is common among type 2 diabetic patients due to hyperglycemia and polyuria. In addition, the low zinc status in conjunction with abnormal BMD may be strongly associated with osteoporosis in the studied patients (Al-Timimi  et al., 2017).

 

The mean value of serum glucose increased in the positive control group by about 80.343%, than that of the negative control group. All treated diabetic groups that suffer from osteoporosis with two levels from avocado, zinc chloride and their combinations showed significant decrease (p≤0.05) in serum glucose, as compared to the positive control group. On the other hand, serum glucose decreased gradually with increasing the levels of avocado and zinc chloride.

 

The highest decrease in the mean value of serum glucose recorded for the group treated with diet containing (15% avocado and 4g zinc chloride together), followed by the groups treated with (7.5% avocado and 2g zinc chloride together), and 4g zinc chloride, respectively.

 

In this respect, Oboh et al., (2014) reported that, extracts of phenolic compounds from avocado leaves or fruits led to inhibit the activity of enzymes related to the development of Type 2 Diabetes (α-amilase and α-glucosidase), as well as the malondialdehyde production (MDA), a marker of oxidative stress and responsible for increasing the lipid peroxidation. Also, Rao and Adinew, (2011) reported that, the hypoglycemic effect of the avocado fruits nay be due to its ability to stimulate the remaining pancreatic β-cells in animal models, making them able to secrete more insulin. Mono unsaturated fatty acids are considered alternatives for the dietary treatment of Type 2 Diabetes (Ros, 2003), avocado have a substantial amount of Mono unsaturated fatty acids it could be used as an option for glycemic control in diabetic patients. While Wien et al., (2013) reported that, adding half avocado (70 g) in the lunch of overweight and moderately obese individuals increased the satiety from 3 to 5 subsequent hours, followed by a reduction of the insulin secretion.

 

Khan and Safdar, (2003) reported that, zinc is an important mineral. Zinc has an active role in the metabolism of glucose and fat, and has a vital role in hormone function and also wound healing. Zinc is necessary for health and growth, and it is necessary for the function and activities of enzymes. On the other hand,Toma et al., (2014) decided that that,zinc plays an important role in the synthesis, storage and secretion of insulin. It also has an effective role in managing blood glucose and reducing its complications.Supplementation of zinc in rats before treatment with alloxan or dithiozone prevented hyperglycemia and destruction of islets (Jansen et al, 2009).

 

Zhang et al.,(2012) reported that reduced hepatic zinc concentration were found in diabetics mice Zinc deficiency has contributed to increase serum concentrations of ALT and deposit of lipids in the liver of the mice.

 

The mean value of zinc in (serum and liver) decreased in the positive group by about 23.739% and 34.058% respectively, than that of the negative group. Treating groups, which suffer from diabetes and osteoporosis with diets containing two levels from avocado, zinc chloride and their combination, led to significant increase (p≤0.05) in the mean value of serum and liver zinc, as compared to the positive control group. Serum and liver zinc increased gradually with increasing the levels of avocado and zinc chloride in the diets.

 

Treated diabetic rats, which suffer from osteoporosis with the two levels from zinc chloride, increased the mean values of serum and liver zinc significantly (p≤0.05) , as compared to the rats treated with the two levels from avocado.

 

Feeding diabetic rats, which suffer from osteoporosis on diet containing 15% avocado and 4g zinc chloride, recorded the best results in serum and liver zinc, followed by the group, which fed, on diet containing 7.5% avocado and 2g zinc chloride and also the group fed on diet containing 4g zinc chloride, respectively.

 

Low serum zinc concentrations can be the result of low zinc dietary intake; urinary zinc excretion is higher in osteoporotic women than women with no osteoporosis (Relea et al., 1995) and (Herzberg et al., 1990). On the other side,   Sadighi et al., (2008) reported that, one study in Iran showed that, serum zinc decreased significantly in patients with bone fractures, as compared to the normal range; on the other hand, supplementation diet with zinc led to significant increase of this parameter and had positive effect on callus formation.

 

Conclusion

 

Fortified diet with avocado fruits and zinc chloride improved the nutritional and biochemical parameters of diabetic rats which suffering from osteoporosis.

 

 

 

 

 

 

 

 

Table (1): Chemical composition of avocado fruits (g/100g).

Nutrients

Amounts (g)

Moisture

65.18

Protein

2.05

Fat

15.51

Ash

1.20

Carbohydrate

9.00

Fiber

7.06

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Table (2): Effect of fortified diet with avocado fruits and zinc chloride on feed intake and weight changes of rats suffering from diabetes and osteoporosis.

 

  Parameters

Groups

Feed intake

(g/day/rat)

Initial weight (g)

Final weight (g)

BWG%

Control (-ve)

16.910 a

± 0.618

149.400 a

± 4.827

195.600 a

± 7.700

30.902 a

± 1.722

Control (+ve)

15.034 e

± 0.212

150.000 a

± 2.738

171.600 b

± 2.073

14.408 b

± 1.098

7.5% avocado

15.840 d

± 0.260

150.600 a

± 1.949

170.00 b

± 0.707

12.893 b c

± 1.161

15% avocado

15.404 e

± 0.289

151.400 a

± 2.073

170.800 b

± 3.271

12.810 b c

± 1.230

2g zinc chloride

15.900 c d

± 0.353

150.800 a

± 2.774

171.400 b

±3.361

13.659 b

± 0.707

4g zinc chloride

15.992 c d

± 0.195

150.000 a

± 2.915

168.800 b

± 2.774

12.541 b c

± 0.986

7.5% avocado and 2g zinc chloride

16.534 b

± 0.201

150.000 a

± 3.535

168.600 b

± 3.714

9.737 c

± 5.456

15% avocado and 4g zinc chloride

15.530 e

± 0.270

149.600 a

± 3.209

168.600 b

± 4.098

12.699 b c

± 1.202

BWG%: Body weight gain%.   All results are expressed as mean ± SD.  Values in each row which have different litters are significant different (p≤0.05).

 

 

 

 

 

 

 

 

Table (3): Effect of fortified diet with avocado fruits and zinc chloride on lipid profile of rats suffering from diabetes and osteoporosis.

  Parameters

Groups

Lipid Profile (mg/dl)

Cholesterol

Triglyceride

HDL-c

LDL-c

VLDL-c

Control (-ve)

78.400 f

± 2.701

37.800 e

± 2.280

42.600 a

± 0.894

28.240 f

± 2.535

7.560 e

± 0.456

Control (+ve)

190.400 a

± 3.646

93.200 a

± 3.962

17.400 f

± 2.073

154.360 a

± 4.257

18.640 a

± 0.792

7.5% avocado

178.200 c

± 1.788

84.000 b

± 3.674

23.400 d

± 2.180

138.000 c

± 2.989

16.800 b

± 0.734

15% avocado

163.200 d

± 3.114

72.400 c

± 2.509

30.000 c

± 1.581

118.720 d

± 2.625

14.480 c

± 0.502

2g zinc chloride

184.800 b

± 1.483

89.600 a

± 4.037

20.400 e

± 1.516

146.480 b

± 1.404

17.920 a

± 0.807

4g zinc chloride

174.400 c

± 1.516

83.400 b

± 4.393

24.800 d

± 1.788

133.466 c

± 3.328

16.134 b

± 1.626

7.5% avocado and 2g zinc chloride

163.600 d

± 4.159

72.600 c

± 3.646

30.600 c

± 2.408

118.480 d

± 4.016

14.520 c

± 0.729

15% avocado and 4g zinc chloride

146.800 e

± 5.069

60.800 d

± 3.033

37.600 b

± 1.816

97.040 e

± 5.563

12.160 d

± 0.606

All results are expressed as mean ± SD.  Values in each row which have different litters are significant different (p≤0.05).

 

 

 

 

 

 

 

 

 

Table (4): Effect of fortified diet with avocado and zinc chloride on bone status of rats suffering from diabetes and osteoporosis.

Parameters

 

Groups

Bone status

FB (Ca)

(mg)

FB (P)

(mg)

S (Ca)

mmol/l

S (P)

mmol/l

BMD

g/cm2

BMC

g/cm2

Control (-ve)

96.839 a

± 3.048

59.354 a

± 2.342

3.356 a

±0.065

2.460 a

± 0.080

0.178 a

± 0.009

0.126 a

± 0.008

Control (+ve)

57.784 f

± 3.381

31.691 f

± 1.421

2.213 f

±0.119

1.540 f

± 0.069

0.057 g

± 0.006

0.039 f

± 0.004

7.5% avocado

65.324 de

± 3.164

39.674 e

± 1.554

2.519 d

±0.069

1.789 d

± 0.081

0.080 e

± 0.009

0.064 e

± 0.006

15% avocado

73.748 c

± 2.138

46.489 c

± 1.926

2.801 c

±0.076

1.942 c

± 0.032

0.111 c

± 0.011

0.090 c

± 0.007

2g zinc chloride

62.128 e

± 2.796

37.676 e

± 1.875

2.384 e

±0.084

1.652 e

± 0.075

0.070 f

±0.003

0.059 e

± 0.003

4g zinc chloride

66.738 d

± 2.864

42.288 d

± 0.824

2.591 d

±0.077

1.774 d

± 0.049

0.095 d

±0.001

0.080 d

± 0.004

7.5% avocado and 2g zinc chloride

70.736 c

± 2.745

44.109 d

± 1.402

2.756 c

±0.041

2.035 b

± 0.040

0.108 c

±0.007

0.086 c d

± 0.007

15% avocado and 4g zinc chloride

82.153 b

± 2.122

56.468 b

± 2.306

3.107 b

±0.071

2.118 b

± 0.100

0.139 b

±0.003

0.113 b

± 0.005

All results are expressed as mean ± SD.  Values in each row which have different litters are significant different (p≤0.05).

 

 

 

 

 

 

Table (5): Effect of fortified diet with avocado fruits and zinc chloride on serum glucose, zinc in serum and liver of rats suffering from diabetes and osteoporosis.

Parameters

Groups

Serum glucose

(mg/dl)

Serum zinc

µg/dl

Liver zinc

µg/g

Control (-ve)

81.400 g

± 3.361

179.280 a

± 4.432

33.196 a

± 1.511

Control (+ve)

146.800 a

± 2.387

136.720 f

± 2.942

21.890 f

± 0.880

7.5% avocado

132.800 b

± 2.774

145.060 e

± 2.768

24.494 e

± 0.777

15% avocado

119.000 c

± 2.345

153.500 d

± 3.376

26.812 d

± 0.725

2g zinc chloride 

129.400 b

± 2.880

151.360 d

± 2.740

26.822 d

± 0.898

4g zinc chloride

114.200 d

± 3.563

159.640 c

± 2.865

28.306 c

± 0.517

7.5% avocado and 2g zinc chloride

102.600 e

± 2.073

160.880 c

± 3.433

28.550 c

± 0.916

15% avocado and 4g zinc chloride

90.200 f

± 3.962

170.240 b

± 3.667

30.582 b

± 0.729

All results are expressed as mean ± SD.  Values in each row which have different litters are significant different (p≤0.05).

 

 

 

 

 

 

 

 

 

 

References

 

Alghamdi, S. Etab and Yousef, M.A. Fatimah (2017).

Effect of Avocado on Serum Lipids of Hyperlipidemic Rats. Current Science International, 6 (1): 199-207.

 

Allain, C.; Poon, L. and Chan, C. (1974).

Enzymatic determination of total serum cholesterol. Clin. Chem., 20:470-475.

 

Al-Timimi, D.J.: Al-Dabbagh, S.A. and Mohammed, K.A.K. (2017).

Zinc status as a risk of osteoporosis. Int. J. Pharma Res. Health Sci.; 5 (2): 1686-1689.

 

Angus, R.M.; Sambrook, P.N.; Pocock, N.A. and Eisman, J.A. (1988).

Dietary intake and bone mineral density. Bone Miner.; 4:265–77.

 

A.O.A.C., (2000).

Association of Official Analytical Chemist Official Methods of Analysis 17th ed., Washington, USA.

 

A.O.A.C. (1975).

Official methods of analysis of association of official agricultural chemists, Washington, D.C.

 

Baginski, E.S. (1973).

 Method of calcium determination. Clin. chem. Acta., 46:49.

 

Bes-Rastrollo, M.; van Dam, R. M.; Martinez-Gonzalez, M. A. Li, T. Y.; Sampson, L. L. and Hu, F. B. (2008).

Prospective study of dietary energy density and weight gain in women. Am. J. Clin. Nutr. 88(3):769–767.

 

Calhoun, N.R.; Smith, J.C. and Becker, K.L. (1974).

The role of zinc in bone metabolism. Clin. Orthop.; 103:212–34.

 

Campion, J.M. and Maricic, M.J. (2003).

Osteoporosis in men. Am. Fam. Physician; 67:1521–6.

 

Chapman, D.G.; Castilla, R. and Campbell, J.A. (1959).

Evaluation of protein in food. Determination of protein and food efficiency ratio. Can. J. Biochem. And Physil., 37: 679-686.

 

Chen, M.D.; Song, Y.M. and Lin, P.Y. (2000).

 Zinc effects on hyperglycemia and hypoleptinemia in streptozotocin-induced diabetic mice. Horm. Metab. Res., 32 (3): 107-109.

 

Coetzee, M.; Haag, M.; Joubert, A.M. and  Kruger, M.C. (2007).

Effects of arachidonic acid, docosahexaenoic acid and prostaglandin E(2) on cell proliferation and morphology of MG-63 and MC3T3-E1 osteoblast-like cells. Prostaglandins, Leukotrienes, and Essential Fatty Acids; 76:35–45.

 

 

Daradkeh, G.; Zerie, M.;Othman, M.; Chandra, P.; Jaiosi, A.; Lubna, M.;  Alowainati, B.; Mohammad, I. and Daghash, M. (2014).

Zinc Status among Type (2) Diabetes Mellitus in the  State of Qatar. J. of Publ. Health Frontier, 3 (1): 4-10.

 

Dinubile, N. A. (2010).

A potential role for avocado-and soybean-based nutritional supplementation in the management of osteoarthritis: A reviewPhys. Sportsmen., 38(2): 7181.

 

Dreher, M. and Adrienne, J. (2013).

Hass Avocado Composition and Potential Health Effects. Critical Reviews in Food Science and Nutrition, 53: 738-750.

 

Foster, L. B. and Dumns, T. T. (1973).

Determination of triglycerides. J. Clin. Chem., 19:338-353.

 

FriedWald,W.T.; Leve, R.I. and Fredrickson, D.S. (1972).

Estimation of the concentration of low-density lipoprotein separation by three different methods. Cli. Chem., 18: 499-502.

 

Fulgoni, V.L.; Dreher, M. and Davenport, A.J. (2013).

Avocado consumption is associated with better diet quality and nutrient intake, and lower metabolic syndrome risk in US adults: results from the National Health and Nutrition Examination Survey (NHANES) 2001–2008. Nutr. J., 12:1-6.

 

 

Ghayour-Mobarhan, M.; Taylor, A.; New, S.A.; Lamb, D.J. and Ferns, G.A.  (2005).

Determinants of serum copper, zinc and selenium in healthy subjects. Ann. Clin. Biochem., 42: 364-75

 

Guariguata, L.; Whiting, D.R. and Hambleton, I. (2014).

Global estimates of diabetes prevalence for 2013 and projections for 2035. Diabetes Res Clin Pract.; 103: 137–149.

 

Gudbjornsson, B.; Juliusson, U.I. and Gudjonsson, F.V. (2002).

Prevalence of long term steroid treatment and the frequency of decision making to prevent steroid induced osteoporosis in daily clinical practice. Ann Rheum Dis 61:32–36.

 

Gur, A.; Colpan, L. and Nas, K. (2002).

The role of trace minerals in the pathogenesis of postmenopausal osteoporosis and a new effect of calcitonin. J. Bone Miner. Metab.; 20:39–43.

 

Hambidge M. (2003).

Biomarkers of trace mineral intake and status. J. of Nutr., 133(Suppl. 3):948S–955S.

 

Hamidi ,M.S.; Corey , P.N. and Cheung, A.M. (2012).

Effects of vitamin e on bone turnover markers among us postmenopausal women. J. of Bone and Min. Res., 27 (6): 1368–1380.

 

 

Hashemipour,M.;Kelishadi,R.;Shapouri,J.;Sarrafzadegan,N.; Amini, M.; Tavakoli, N.; Movahedian-Attar, A.; Mirmoghtadaee, P. and Poursafa, P. (2009).

Effect of zinc supplementation on insulin resistance and components of the metabolic syndrome in prepubertal obese children. Hormones.;8(4):279–285.

 

Hegsted, D.M.; Mill, R.C.; Elvehjen, C.A. and Hart E.B. (1941).

Salt mixture. J. Bio. Chem., 138-459.

 

Herzberg, M.;  Foldes, J.; Steinberg, R. and  Menczel, J. (1990).

Zinc excretion in osteoporotic women. J. of Bone and Min. Res., 5:251–257.

 

Hill, T.; Meunier, N.; Andriollo-Sanchez, M.; Ciarapica, D.; Hininger-Favier, I.; Polito, A.; O'Connor, J.M.; Coudray, C. and Cashman, K.D. (2005).

The relationship between the zinc nutritive status and biochemical marker of bone turnover in older European adult: the ZENITH study. European J. of Clin. Nutr., 59:S73–S78.

 

Hyun, T.H.; Barrett-Connor, E. and Milne, D.B. (2004).

Zinc intakes and plasma concentrations in men with osteoporosis: the Rancho Bernardo Study. Am. J. Clin. Nutr.;80:715–21.

 

Ibegbulem, C.O. and Chikezie, P.C. (2013).

Hypoglycemic properties of ethanolic extracts of Gongronema latifolium, Aloe perryi, Viscum album and Allium sativum administered to alloxan-induced diabetic albino rats (Rattus norvegicus). Pharmacog Commun ;3:12e16.

Ilich, J.Z. and Kerstetter, J.E. (2000).

Nutrition in bone health revisited: a story beyond calcium. J. Am. Coll. Nutr.;19:715–37.

 

Jane, M. E.; Stephen, L. D.; Scott, K. P. and Daniel, A.M. (2000).

Detrimental Effects of Short-term Glucocorticoid Use on the Rat Diaphragm. Phys. Thera., 80 (2): 160-167.

 

Jansen, J.; Karges, W. and Rink, L. (2009).

Zinc and diabetes—clinical links and molecular mechanisms. J. Nutr. Biochem.; 20:399–417.

 

Jayalakshmi, S. and Platel, K. (2016).

Compromised zinc status of experimental rats as a consequence of prolonged iron and calcium supplementation. Indian J. Med. Res.; 143: 238-244.

 

Kadhim, H.M.; Ismail, S.H.; Hussein, K.I.; Bakir, I.H.; Sahib, A.S.; Khalaf, B.H. and Hussain, S.A.R. (2006).

Effects of melatonin and zinc on lipid profile and renal function in type 2 diabetic patients poorly controlled with metformin. J Pineal Res. ;41(2):189–193.

 

Khan, A. and Safdar, M. (2003).

Role of Diet, Nutrients, Spices and Natural Products in Diabetes Mellitus; Pak. J. of Nutr., 2 (1): 1-12.

 

Kahn, C.R.; Goldfine, I.D.; Neville, D.M. and DeMeyts, P. (1978).

Alterations in insulin binding induced by changes in vivo in the levels of glucocorticoids and growth hormone. Endocrinology 103:1054-1066.

Kruger, M.C. and Schollum, L.M. (2005).

Is docosahexaenoic acid more effective than eicosapentaenoic acid for increasing calcium bioavailability? Prostaglandins Leukot Essent Fatty Acids; 73:327–34.

 

Leidi, M.; Dellera, F.; Mariotti, M. and Maier, J.A. (2011).

High magnesium inhibits human osteoblast differentiation in vitro. Magnes. Res., 24: 1–6.

 

Leidig-Bruckner, G. and Ziegler, R. (2001).

Diabetes mellitus - a risk for osteoporosis? Exp Clin. Endocrinol Diabetes 109 (2):S493–S514.

 

Liao, J.M.; Li, Q.N.; Wu, T.; Hu, B.; Huang, L.F; Li, Z.H.; Zhao, W.D.; Zhang, M.C. and Zhong, S.Z. (2003).

Effects of prednisone on bone mineral density and biomechanical characteristics of the femora and lumbar vertebras in rats. Institute of Clinical Anatomy, First Military Medical University, Guangzhou 510515, China.Di Yi Jun Yi Da XueXueBao.; 23(2):97-100.

 

Lopes-Virella, M.F.; Stone, S.; Ellis, S. and Collwellm, J.A. (1977).

Cholesterol determination in high-density lipoproteins separated by three different methods. Clin. Chem., 23 (5): 882-893.

 

LopezLedesma, R.; FratiMunari, A.C.; Hernandez Dominguez, B.C.; Cervantes Montalvo, S.; Hernández Luna, M.H.; Juarez, C. and Moran Lira, S. (1996).

Monounsaturated fatty acid (avocado) rich diet for mild hypercholesterolemia. Arch. Med. Res., 27: 519-523.

McCormack, L.A.; Laska, M.N.; Larson, N.I. and Story, M. (2010).

Review of the Nutritional Implications of Farmers' Markets and Community Gardens: A Call for Evaluation and Research Efforts. J. Am. Diet. Assoc., 110:399–408.

 

Muynck, D. and Vanhaecke, F. (2009).

Development of a method based on inductively coupled plasma-dynamic reaction cell-mass spectrometry for the simultaneous determination of phosphorus, calcium and strontium in bone and dental tissue.  Spectrochimica Acta Part B: Atomic Spectro.,  64(5) : 408-415.

 

Nishimoto, S.K.; Chang, C.H.; Gendler, E.; Stryker, W.F. and Nimni, M.E. (1985).

The effect of aging on bone formation in rats: biochemical and histological evidence for decreased bone formation capacity. Calcified Tissue International, 37:617–624.

 

Oboh, G.; Isaac, A.T.; Akinyemi, A.J. and Ajani, R.A. (2014).

Inhibition of Key Enzymes Linked to Type 2 Diabetes and Sodium Nitroprusside Induced Lipid Peroxidation in Rats’ Pancreas by Phenolic Extracts of Avocado Pear Leaves and Fruit. International J. of Biom. Sci., 10: 208-216.

 

Quinkler, M.; Ekman, B.;  Marelli, C.; Uddin, S.; Zelissen, P. and  Murray, R.D. (2017).

Prednisolone is associated with a worse lipid profile than hydrocortisone in patients with adrenal insufficiency. Endocr Connect.; 6 (1): 1–8.

 

 

Ranasinghe, P.; Wathurapatha, W.S.; Ishara, M.H.; Jayawardana, R.; Galappatthy, P.; Katulanda, P. and Constantine, G.R. (2015).

Effects of Zinc supplementation on serum lipids: a systematic review and meta-analysis. Nutr. Metab. (Lond).; 12: 26.

 

Rao, U.S. and Adinew, B. (2011).

Remnant B-Cell-Stimulative and Anti-Oxidative Effects of Persea americana Fruit Extract Studied in Rats Introduced into Streptozotocin-Induced Hyperglycaemic State. African Journal of Traditional, Complementary and Alternative Medicines, 8: 210-217.

 

Razmandeh, R.; Nasli-Esfahani, E.; Heydarpour, R.; Faridbod, F.; Ganjali, M.R.; Norouzi, P.; Larijani1, B. and Khoda-amorzideh, D. (2014).

Association of Zinc, Copper and Magnesium withbone mineral density in Iranian postmenopausalwomen – a case control study. J. of Diab. & Meta. Dis., 13 (43): 1-6.

 

Reeves, P.G.; Nielsen, F.H. and Fahmy, G.C. (1993).

Reported of the American Institute of Nutrition adhocwriling committee on the reformulation of the AIN-76 a Rodent diet. J. Nut., 123: 1939-51.

 

Regu, G.M.; Kim, H.; Kim, Y.J.; Paek, J.E.; Lee, G.; Chang, N. and Kwo, O. (2017).

Association between Dietary Carotenoid Intake and Bone Mineral Density in Korean Adults Aged 30–75 Years Using Data from the Fourth and Fifth Korean National Health and Nutrition Examination Surveys (2008–2011). Nutr., 9: 1-13.

Relea, P.;  Revilla, M.;  Ripoll, E.;  Arribas, I.;  Villa, L. F. and  Rico, H. (1995).

Zinc, biochemical markers of nutrition, and type I osteoporosis. Age and Ageing, 24:303–307.

 

Rhen, T. and Cidlowski, J.A. (2005). 

Antiinflammatory action of glucocorticoids – new mechanisms for old drugsNew England J. of Med.353 1711–1723.

 

Riboli, E. and  Norat, T. (2003).

Epidemiologic evidence of the protective effect of fruit and vegetables on cancer risk. Am. J. Clin. Nutr., 78: 559S- 569S.

 

Rodríguez-Monforte, M.; Flores-Mateo, G. and Sánchez, E. (2015).

Dietary patterns and CVD: A systematic review and meta-analysis of observational studies. Br. J. Nutr., 114, 1341–1359.

 

Ros, E. (2003).

Dietary Cis-Monounsaturated Fatty Acids and Metabolic Control in Type 2 Diabetes. The Am. Journal of Clin. Nutr.,78: 617-625.

 

Sadighi, A.; Mahdavi-Roshan, M. and Sadeghzadeh, M. (2008).

The effects of zinc supplementation on serum zinc, alkaline phosphatase activity and fracture healing of bones. Saudi Med. J.; 29:1276-1279.

 

 

 

Schwartz, A.V. (2003).

Diabetes mellitus: Does it affect bone? Calcif Tissue Int.; 73:515–519.

 

Schwingshack, L.; Strasser, B. and Hoffmann, G. (2011).

Effects of monounsaturated fatty acids on cardiovascular risk factors: a systematic review and meta-analysis. Ann. Nutr. Metab. 59, 76–86.

 

Sendecor, G. and Cochran, W. (1979).

Statistical methods .6th, ED. Iowa state collage U.S.A.:871.

 

Spencer, H.; Rubio, N.; Kramer, L.; Norris, C. and Osis, D. (2013).

 Effect of zinc supplements on the intestinal absorption of calcium. J. of the Am. Col. of Nutr., 6 (1): 47-51.

 

Stanely, P.; Kamalakkannan, N. and Venugopal, P. (2004).

 Antidiabetic and antihyperlipidaemic effect of alcoholic Syzigium cumini seeds in alloxan induced diabetic albino rats. J. of Ethno.; 91 : 209–213.

 

Sultania, S.; Thakur, D. and Kulshreshtha, M. (2017).

Study of Lipid Profile in Type 2 Diabetes Mellitus Patients and its Correlation with HbA1c. International J. of Conte. Med. Res.; 4 (2): 437- 439.

 

Trinder, P. (1959).

Determination of blood glucose using 4-aminophenazone. J. Clin. Path., 22:246.

 

 

Toma, A.; Makonnen, E. and Yimer, G. (2014).

Role of zinc in diabetes mellitus, oxidative stress and other human healthy: a review article. Am. Journal of Res. Comm., 1 (11): 411-426.

 

USDA (U.S. Department of Agriculture). (2011).

Avocado, almond, pistachio and walnut Composition. Nutrient Data Laboratory. USDA National Nutrient Database for Standard Reference, Release 24. U.S. Department of Agriculture. Washington, DC.

 

Wang, W.; Bostic, T.R. and Gu, L. (2010).

Antioxident capacities, procyanidins and pigments in avocados of different strains and cultivar. Food Chem., 122: 1193-1198.

 

Wang, L.; Sun, J.; Yi, Q.; Wang, X. and Ju, X. (2012).

Protective Effect of Polyphenols Extract of Adlay (Coix lachryma-jobi L. var. ma-yuen Stapf) on Hypercholesterolemia-Induced Oxidative Stress in Rats. Molecules, 17: 8886-8897.

 

Wien, M.; Haddad, E.; Oda, K. and Sabate, J. (2013).

A Randomized 3 × 3 Crossover Study to Evaluate the Effect of Hass Avocado Intake on Post-Ingestive Satiety, Glucose and Insulin Levels, and Subsequent Energy Intake in Overweight Adults. Nutr. J., 12:155.

 

Yamaguchi, M. (1998).

Role of zinc in bone formation and bone resorption. J. Trace Elem. Exp. Med. ;11:119–35.

Yee, H.Y. (1968).

Dietary Calcium: adequacy a vegetarian diet. Am. J. Clin. Nutr., 59 (suppl) 12385.

 

Zafar, M. and Naqvi, S.U.N.H. (2010).

Effects of STZ-Induced Diabetes on the Relative Weights of Kidney, Liver and Pancreas in Albino Rats: A Comparative Study. Int. J. Morphol., 28 (1):135-142.

 

Zhang C,Lu X Tan Y, Li B Miao X, Jin L, Shi X, Zhang X,MiaoLi, X.(2012).

Diabetes-induced hepatic pathogenic damage,inflammation, oxidative stress,and insulin resistance was exacerbated in zinc deficient mouse model. PloS One.;7:e49257.

 

Zhang, Y.H.; Cheng, Y.Y.; Hong, Y. and Wang, D.L. (2003).

Effects of zinc deficiency on bone mineralization and its mechanism in rats. Zhaong Fang Yi Xue Zhi, 37:121–124

 

 

 

 

 

 

 

 

 

 

 

 

 

تأثير النظام الغذائي المدعم بالأفوکادو و کلوريد الزنک على الفئران المصابة بالسکر وتعاني من هشاشة العظام

 

داليا محمد طلعت عبد الخالق عبد الله

قسم الاقتصاد المنزلي , کلية التربية النوعية , جامعة الفيوم

 

الملخص العربي

 

تهدف هذه الدراسة لبحث تأثير النظام الغذائي المدعم بالأفوکادو و کلوريد الزنک على الفئران المصابة بالسکر وتعاني من هشاشة العظام. تم اُستخدم 48 من إناث الفئران من فصيلة سبارج داولي في هذه الدراسة , تم تقسيمهم إلى مجموعتين رئيستين المجموعة الأولى الرئيسية (6 فئران) تم تغذيتها على الغذاء الأساسي وهي المجموعة الضابطة السالبة والمجموعة الثانية الرئيسية (42 فأر) , تم حقن الفئران بمادة الألوکسان مونوهيدريت (90ملجم ألوکسان / کجم من وزن الجسم ) لإحداث الإصابة بمرض السکر وبعد مرور 7 أيام تم تقدير مستوى الجلوکوز بالمجموعة الأولى و الثانية للتأکد من إحداث الإصابة بمرض السکر. وبعد هذه المدة تم اعطاء فئران المجموعة الرئيسية الثانية مادة بريدنيزون اسيتيت بالفم (5و4 مل/ کجم من وزن الجسم / يومياً / مرتين بالأسبوع ) لمدة اسبوعين لإحداث هشاشة العظام. تم تقسيم المجموعة الرئيسية الثانية لسبع مجموعات فرعية (6 فئران لکل مجموعة) کالآتي: المجموعة الفرعية الاولي تم تغذيتها على الغذاء الأساسي (المجموعة الضابطة الموجبة) والمجموعتين الفرعيتين (2 و 3) تم تغذيتهم على الغذاء الأساسي المحتوي على 5و7% و 15% من الأفوکادو على التوالي. المجموعتين الفرعيتين (4 و 5) تم تغذيتهم على الغذاء الأساسي المحتوي على 2 و 4 جرام من کلوريد الزنک على التوالي. المجموعتين الفرعيتين (6 و7) تم تغذيتهم على الغذاء الأساسي المحتوي على (7,5% من الأفوکادو و 2 جرام من کلوريد الزنک) و (15% من الأفوکادو و 4 جرام من کلوريد الزنک) على التوالي . و خلال مدة التجربة (28 يوم) تم تقدير الغذاء المتناول و وزن الجسم مرتين أسبوعين.  وقد أظهرت النتائج أن أفضل تحسن في صورة دهون الدم سُجل بالمجموعات التي تغذت على الغذاء الأساسي المحتوي على 5و7%من الأفوکادو و 2 جرام من کلوريد الزنک تلتها المجموعة التي تم تغذيتها على الغذاء الأساسي المحتوي على 15% من الأفوکادو و 4 جرام من کلوريد الزنک على التوالي. المستويات المرتفعة من الأفوکادو و کلوريد الزنک معاً (15% من الأفوکادو و 4 جرام من کلوريد الزنک) قد سجلت أفضل تحسن في حالة العظام .المجموعات المعالجة التي تعاني من الإصابة بالسکر و هشاشة العظام التي تم تغذيتها على الغذاء الأساسي المحتوي على 7,5%من الأفوکادو و 2 جرام من کلوريد الزنک تلتها المجموعة التي تغذت على الغذاء الأساسي المحتوي على 15% من الأفوکادو و 4 جرام من کلوريد الزنک على التوالي قد أدى لتحسن مستوى جلوکوز الدم. نسبة الزنک بالدم و بالکبد قد ارتفع تدريجياً بزيادة نسبة الأفوکادو و کلوريد الزنک بالنظام الغذائي . نستخلص من هذه النتائج  أن النظام الغذائي المدعم بالأفوکادو و کلوريد الزنک أحدث تحسن في القياسات الغذائية والحيوية على الفئران المصابة بالسکر وتعاني من هشاشة العظام.

 

This study aimed to investigate the effect of fortified diet with avocado fruits and zinc chloride of rats suffering from diabetes and osteoporosis. Forty eight female Sprague-Dawley rats were divided into two main groups as follows: The first main group 6 rats fed on basal diet, as a control negative group. The second main group (42 rats) injected with alloxan monohydrate 90 mg/kg body weight to induced hyperglycemia. After 7 days serum glucose was determined in the first and second main groups to insure the induction. Rats in the second main group (diabetic rats) received oral prednisone acetate (4.5 ml/kg body weight/day twice a week) for two weeks to induce osteoporosis. After this period, the rats in the second main group were divided into seven subgroups (n= 6 rats) as follows: Subgroup (1): fed on basal diet (control positive group). Subgroup (2 and 3): were fed on basal diet containing 7.5% and 15% avocado fruits, respectively. Subgroup (4 and 5): were fed on basal diet containing 2g and 4g zinc chloride in the mineral mixture, respectively. Subgroup (6 and 7): were fed on basal diet containing (7.5% avocado fruits and 2g zinc chloride in the mineral mixture) and (15% avocado fruits and 4g zinc chloride in the mineral mixture),respectively. During the experimental period, the diets consumed and body weights were recorded twice weekly. The results showed that, the highest improvement in lipid profile recorded for the groups which were treated with diet containing (15% avocado and 4g zinc chloride in the mineral mixture), 7.5% avocado and 2g zinc chloride in the mineral mixture and 15% avocado, respectively. The highest levels of avocado fruits and zinc chloride together (15% avocado and 4g zinc chloride) recorded the best results in bone status. Serum glucose improved in groups which were treated with (15% avocado and 4g zinc chloride together), followed by the groups treated with  (7.5% avocado and 2g zinc chloride together), and 4g zinc chloride, respectively. Serum and liver zinc increased gradually with increasing the levels of avocado and zinc chloride in the diets. From these results, it could be concluded that, the fortified diet with avocado fruits and zinc chloride improved the nutritional and biochemical parameters of diabetic rats suffering from osteoporosis.

 

 

 
Alghamdi, S. Etab and Yousef, M.A. Fatimah (2017).
Effect of Avocado on Serum Lipids of Hyperlipidemic Rats. Current Science International, 6 (1): 199-207.
 
Allain, C.; Poon, L. and Chan, C. (1974).
Enzymatic determination of total serum cholesterol. Clin. Chem., 20:470-475.
 
Al-Timimi, D.J.: Al-Dabbagh, S.A. and Mohammed, K.A.K. (2017).
Zinc status as a risk of osteoporosis. Int. J. Pharma Res. Health Sci.; 5 (2): 1686-1689.
 
Angus, R.M.; Sambrook, P.N.; Pocock, N.A. and Eisman, J.A. (1988).
Dietary intake and bone mineral density. Bone Miner.; 4:265–77.
 
A.O.A.C., (2000).
Association of Official Analytical Chemist Official Methods of Analysis 17th ed., Washington, USA.
 
A.O.A.C. (1975).
Official methods of analysis of association of official agricultural chemists, Washington, D.C.
 
Baginski, E.S. (1973).
 Method of calcium determination. Clin. chem. Acta., 46:49.
 
Bes-Rastrollo, M.; van Dam, R. M.; Martinez-Gonzalez, M. A. Li, T. Y.; Sampson, L. L. and Hu, F. B. (2008).
Prospective study of dietary energy density and weight gain in women. Am. J. Clin. Nutr. 88(3):769–767.
 
Calhoun, N.R.; Smith, J.C. and Becker, K.L. (1974).
The role of zinc in bone metabolism. Clin. Orthop.; 103:212–34.
 
Campion, J.M. and Maricic, M.J. (2003).
Osteoporosis in men. Am. Fam. Physician; 67:1521–6.
 
Chapman, D.G.; Castilla, R. and Campbell, J.A. (1959).
Evaluation of protein in food. Determination of protein and food efficiency ratio. Can. J. Biochem. And Physil., 37: 679-686.
 
Chen, M.D.; Song, Y.M. and Lin, P.Y. (2000).
 Zinc effects on hyperglycemia and hypoleptinemia in streptozotocin-induced diabetic mice. Horm. Metab. Res., 32 (3): 107-109.
 
Coetzee, M.; Haag, M.; Joubert, A.M. and  Kruger, M.C. (2007).
Effects of arachidonic acid, docosahexaenoic acid and prostaglandin E(2) on cell proliferation and morphology of MG-63 and MC3T3-E1 osteoblast-like cells. Prostaglandins, Leukotrienes, and Essential Fatty Acids; 76:35–45.
 
 
Daradkeh, G.; Zerie, M.; Othman, M.; Chandra, P.; Jaiosi, A.; Lubna, M.;  Alowainati, B.; Mohammad, I. and Daghash, M. (2014).
Zinc Status among Type (2) Diabetes Mellitus in the  State of Qatar. J. of Publ. Health Frontier, 3 (1): 4-10.
 
Dinubile, N. A. (2010).
A potential role for avocado-and soybean-based nutritional supplementation in the management of osteoarthritis: A review. Phys. Sportsmen., 38(2): 71–81.
 
Dreher, M. and Adrienne, J. (2013).
Hass Avocado Composition and Potential Health Effects. Critical Reviews in Food Science and Nutrition, 53: 738-750.
 
Foster, L. B. and Dumns, T. T. (1973).
Determination of triglycerides. J. Clin. Chem., 19:338-353.
 
FriedWald,W.T.; Leve, R.I. and Fredrickson, D.S. (1972).
Estimation of the concentration of low-density lipoprotein separation by three different methods . Cli. Chem., 18: 499-502.
 
Fulgoni, V.L.; Dreher, M. and Davenport, A.J. (2013).
Avocado consumption is associated with better diet quality and nutrient intake, and lower metabolic syndrome risk in US adults: results from the National Health and Nutrition Examination Survey (NHANES) 2001–2008. Nutr. J., 12:1-6.
 
 
Ghayour-Mobarhan, M.; Taylor, A.; New, S.A.; Lamb, D.J. and Ferns, G.A.  (2005).
Determinants of serum copper, zinc and selenium in healthy subjects. Ann. Clin. Biochem., 42: 364-75
 
Guariguata, L.; Whiting, D.R. and Hambleton, I. (2014).
Global estimates of diabetes prevalence for 2013 and projections for 2035. Diabetes Res Clin Pract.; 103: 137–149.
 
Gudbjornsson, B.; Juliusson, U.I. and Gudjonsson, F.V. (2002).
Prevalence of long term steroid treatment and the frequency of decision making to prevent steroid induced osteoporosis in daily clinical practice. Ann Rheum Dis 61:32–36.
 
Gur, A.; Colpan, L. and Nas, K. (2002).
The role of trace minerals in the pathogenesis of postmenopausal osteoporosis and a new effect of calcitonin. J. Bone Miner. Metab.; 20:39–43.
 
Hambidge M. (2003).
Biomarkers of trace mineral intake and status. J. of Nutr., 133(Suppl. 3):948S–955S.
 
Hamidi ,M.S.; Corey , P.N. and Cheung, A.M. (2012).
Effects of vitamin e on bone turnover markers among us postmenopausal women. J. of Bone and Min. Res., 27 (6): 1368–1380.
 
 
Hashemipour,M.;Kelishadi,R.;Shapouri,J.;Sarrafzadegan,N.; Amini, M.; Tavakoli, N.; Movahedian-Attar, A.; Mirmoghtadaee, P. and Poursafa, P. (2009).
Effect of zinc supplementation on insulin resistance and components of the metabolic syndrome in prepubertal obese children. Hormones.;8(4):279–285.
 
Hegsted, D.M.; Mill, R.C.; Elvehjen, C.A. and Hart E.B. (1941).
Salt mixture. J. Bio. Chem., 138-459.
 
Herzberg, M.;  Foldes, J.; Steinberg, R. and  Menczel, J. (1990).
Zinc excretion in osteoporotic women. J. of Bone and Min. Res., 5:251–257.
 
Hill, T.; Meunier, N.; Andriollo-Sanchez, M.; Ciarapica, D.; Hininger-Favier, I.; Polito, A.; O'Connor, J.M.; Coudray, C. and Cashman, K.D. (2005).
The relationship between the zinc nutritive status and biochemical marker of bone turnover in older European adult: the ZENITH study. European J. of Clin. Nutr., 59:S73–S78.
 
Hyun, T.H.; Barrett-Connor, E. and Milne, D.B. (2004).
Zinc intakes and plasma concentrations in men with osteoporosis: the Rancho Bernardo Study. Am. J. Clin. Nutr.;80:715–21.
 
Ibegbulem, C.O. and Chikezie, P.C. (2013).
Hypoglycemic properties of ethanolic extracts of Gongronema latifolium, Aloe perryi, Viscum album and Allium sativum administered to alloxan-induced diabetic albino rats (Rattus norvegicus). Pharmacog Commun ;3:12e16.
Ilich, J.Z. and Kerstetter, J.E. (2000).
Nutrition in bone health revisited: a story beyond calcium. J. Am. Coll. Nutr.;19:715–37.
 
Jane, M. E.; Stephen, L. D.; Scott, K. P. and Daniel, A.M. (2000).
Detrimental Effects of Short-term Glucocorticoid Use on the Rat Diaphragm. Phys. Thera., 80 (2): 160-167.
 
Jansen, J.; Karges, W. and Rink, L. (2009).
Zinc and diabetes—clinical links and molecular mechanisms. J. Nutr. Biochem.; 20:399–417.
 
Jayalakshmi, S. and Platel, K. (2016).
Compromised zinc status of experimental rats as a consequence of prolonged iron and calcium supplementation. Indian J. Med. Res.; 143: 238-244.
 
Kadhim, H.M.; Ismail, S.H.; Hussein, K.I.; Bakir, I.H.; Sahib, A.S.; Khalaf, B.H. and Hussain, S.A.R. (2006).
Effects of melatonin and zinc on lipid profile and renal function in type 2 diabetic patients poorly controlled with metformin. J Pineal Res. ;41(2):189–193.
 
Khan, A. and Safdar, M. (2003).
Role of Diet, Nutrients, Spices and Natural Products in Diabetes Mellitus; Pak. J. of Nutr., 2 (1): 1-12.
 
Kahn, C.R.; Goldfine, I.D.; Neville, D.M. and DeMeyts, P. (1978).
Alterations in insulin binding induced by changes in vivo in the levels of glucocorticoids and growth hormone. Endocrinology 103:1054-1066.
Kruger, M.C. and Schollum, L.M. (2005).
Is docosahexaenoic acid more effective than eicosapentaenoic acid for increasing calcium bioavailability? Prostaglandins Leukot Essent Fatty Acids; 73:327–34.
 
Leidi, M.; Dellera, F.; Mariotti, M. and Maier, J.A. (2011).
High magnesium inhibits human osteoblast differentiation in vitro. Magnes. Res., 24: 1–6.
 
Leidig-Bruckner, G. and Ziegler, R. (2001).
Diabetes mellitus - a risk for osteoporosis? Exp Clin. Endocrinol Diabetes 109 (2):S493–S514.
 
Effects of prednisone on bone mineral density and biomechanical characteristics of the femora and lumbar vertebras in rats. Institute of Clinical Anatomy, First Military Medical University, Guangzhou 510515, China.Di Yi Jun Yi Da XueXueBao.; 23(2):97-100.
 
Lopes-Virella, M.F.; Stone, S.; Ellis, S. and Collwellm, J.A. (1977).
Cholesterol determination in high-density lipoproteins separated by three different methods. Clin. Chem., 23 (5): 882-893.
 
LopezLedesma, R.; FratiMunari, A.C.; Hernandez Dominguez, B.C.; Cervantes Montalvo, S.; Hernández Luna, M.H.; Juarez, C. and Moran Lira, S. (1996).
Monounsaturated fatty acid (avocado) rich diet for mild hypercholesterolemia. Arch. Med. Res., 27: 519-523.
McCormack, L.A.; Laska, M.N.; Larson, N.I. and Story, M. (2010).
Review of the Nutritional Implications of Farmers' Markets and Community Gardens: A Call for Evaluation and Research Efforts. J. Am. Diet. Assoc., 110:399–408.
 
Muynck, D. and Vanhaecke, F. (2009).
Development of a method based on inductively coupled plasma-dynamic reaction cell-mass spectrometry for the simultaneous determination of phosphorus, calcium and strontium in bone and dental tissue.  Spectrochimica Acta Part B: Atomic Spectro.,  64(5) : 408-415.
 
Nishimoto, S.K.; Chang, C.H.; Gendler, E.; Stryker, W.F. and Nimni, M.E. (1985).
The effect of aging on bone formation in rats: biochemical and histological evidence for decreased bone formation capacity. Calcified Tissue International, 37:617–624.
 
Oboh, G.; Isaac, A.T.; Akinyemi, A.J. and Ajani, R.A. (2014).
Inhibition of Key Enzymes Linked to Type 2 Diabetes and Sodium Nitroprusside Induced Lipid Peroxidation in Rats’ Pancreas by Phenolic Extracts of Avocado Pear Leaves and Fruit. International J. of Biom. Sci., 10: 208-216.
 
Quinkler, M.; Ekman, B.;  Marelli, C.; Uddin, S.; Zelissen, P. and  Murray, R.D. (2017).

Prednisolone is associated with a worse lipid profile than hydrocortisone in patients with adrenal insufficiency. Endocr Connect.; 6 (1): 1–8.

 
 
Ranasinghe, P.; Wathurapatha, W.S.; Ishara, M.H.; Jayawardana, R.; Galappatthy, P.; Katulanda, P. and Constantine, G.R. (2015).
Effects of Zinc supplementation on serum lipids: a systematic review and meta-analysis. Nutr. Metab. (Lond).; 12: 26.
 
Rao, U.S. and Adinew, B. (2011).
Remnant B-Cell-Stimulative and Anti-Oxidative Effects of Persea americana Fruit Extract Studied in Rats Introduced into Streptozotocin-Induced Hyperglycaemic State. African Journal of Traditional, Complementary and Alternative Medicines, 8: 210-217.
 
Razmandeh, R.; Nasli-Esfahani, E.; Heydarpour, R.; Faridbod, F.; Ganjali, M.R.; Norouzi, P.; Larijani1, B. and Khoda-amorzideh, D. (2014).
Association of Zinc, Copper and Magnesium withbone mineral density in Iranian postmenopausalwomen – a case control study. J. of Diab. & Meta. Dis., 13 (43): 1-6.
 
Reeves, P.G.; Nielsen, F.H. and Fahmy, G.C. (1993).
Reported of the American Institute of Nutrition adhocwriling committee on the reformulation of the AIN-76 a Rodent diet. J. Nut., 123: 1939-51.
 
Regu, G.M.; Kim, H.; Kim, Y.J.; Paek, J.E.; Lee, G.; Chang, N. and Kwo, O. (2017).
Association between Dietary Carotenoid Intake and Bone Mineral Density in Korean Adults Aged 30–75 Years Using Data from the Fourth and Fifth Korean National Health and Nutrition Examination Surveys (2008–2011). Nutr., 9: 1-13.
Relea, P.;  Revilla, M.;  Ripoll, E.;  Arribas, I.;  Villa, L. F. and  Rico, H. (1995).
Zinc, biochemical markers of nutrition, and type I osteoporosis. Age and Ageing, 24:303–307.
 
Rhen, T. and Cidlowski, J.A. (2005). 
Antiinflammatory action of glucocorticoids – new mechanisms for old drugs. New England J. of Med.; 353 1711–1723.
 
Riboli, E. and  Norat, T. (2003).
Epidemiologic evidence of the protective effect of fruit and vegetables on cancer risk. Am. J. Clin. Nutr., 78: 559S- 569S.
 
Rodríguez-Monforte, M.; Flores-Mateo, G. and Sánchez, E. (2015).
Dietary patterns and CVD: A systematic review and meta-analysis of observational studies. Br. J. Nutr., 114, 1341–1359.
 
Ros, E. (2003).
Dietary Cis-Monounsaturated Fatty Acids and Metabolic Control in Type 2 Diabetes. The Am. Journal of Clin. Nutr.,78: 617-625.
 
Sadighi, A.; Mahdavi-Roshan, M. and Sadeghzadeh, M. (2008).
The effects of zinc supplementation on serum zinc, alkaline phosphatase activity and fracture healing of bones. Saudi Med. J.; 29:1276-1279.
 
 
 
Schwartz, A.V. (2003).
Diabetes mellitus: Does it affect bone? Calcif Tissue Int.; 73:515–519.
 
Schwingshack, L.; Strasser, B. and Hoffmann, G. (2011).
Effects of monounsaturated fatty acids on cardiovascular risk factors: a systematic review and meta-analysis. Ann. Nutr. Metab. 59, 76–86.
 
Sendecor, G. and Cochran, W. (1979).
Statistical methods .6th, ED. Iowa state collage U.S.A.:871.
 
Spencer, H.; Rubio, N.; Kramer, L.; Norris, C. and Osis, D. (2013).
 Effect of zinc supplements on the intestinal absorption of calcium. J. of the Am. Col. of Nutr., 6 (1): 47-51.
 
Stanely, P.; Kamalakkannan, N. and Venugopal, P. (2004).
 Antidiabetic and antihyperlipidaemic effect of alcoholic Syzigium cumini seeds in alloxan induced diabetic albino rats. J. of Ethno.; 91 : 209–213.
 
Sultania, S.; Thakur, D. and Kulshreshtha, M. (2017).
Study of Lipid Profile in Type 2 Diabetes Mellitus Patients and its Correlation with HbA1c. International J. of Conte. Med. Res.; 4 (2): 437- 439.
 
Trinder, P. (1959).
Determination of blood glucose using 4-aminophenazone. J. Clin. Path., 22:246.
 
 
Toma, A.; Makonnen, E. and Yimer, G. (2014).
Role of zinc in diabetes mellitus, oxidative stress and other human healthy: a review article. Am. Journal of Res. Comm., 1 (11): 411-426.
 
USDA (U.S. Department of Agriculture). (2011).
Avocado, almond, pistachio and walnut Composition. Nutrient Data Laboratory. USDA National Nutrient Database for Standard Reference, Release 24. U.S. Department of Agriculture. Washington, DC.
 
Wang, W.; Bostic, T.R. and Gu, L. (2010).
Antioxident capacities, procyanidins and pigments in avocados of different strains and cultivar. Food Chem., 122: 1193-1198.
 
Wang, L.; Sun, J.; Yi, Q.; Wang, X. and Ju, X. (2012).
Protective Effect of Polyphenols Extract of Adlay (Coix lachryma-jobi L. var. ma-yuen Stapf) on Hypercholesterolemia-Induced Oxidative Stress in Rats. Molecules, 17: 8886-8897.
 
Wien, M.; Haddad, E.; Oda, K. and Sabate, J. (2013).
A Randomized 3 × 3 Crossover Study to Evaluate the Effect of Hass Avocado Intake on Post-Ingestive Satiety, Glucose and Insulin Levels, and Subsequent Energy Intake in Overweight Adults. Nutr. J., 12:155.
 
Yamaguchi, M. (1998).
Role of zinc in bone formation and bone resorption. J. Trace Elem. Exp. Med. ;11:119–35.
Yee, H.Y. (1968).
Dietary Calcium: adequacy a vegetarian diet. Am. J. Clin. Nutr., 59 (suppl) 12385.
 
Zafar, M. and Naqvi, S.U.N.H. (2010).
Effects of STZ-Induced Diabetes on the Relative Weights of Kidney, Liver and Pancreas in Albino Rats: A Comparative Study. Int. J. Morphol., 28 (1):135-142.
 
Zhang C,Lu X Tan Y, Li B Miao X, Jin L, Shi X, Zhang X,Miao Li, X.(2012).
Diabetes-induced hepatic pathogenic damage,inflammation, oxidative stress,and insulin resistance was exacerbated in zinc deficient mouse model. PloS One.;7:e49257.
 
Zhang, Y.H.; Cheng, Y.Y.; Hong, Y. and Wang, D.L. (2003).
Effects of zinc deficiency on bone mineralization and its mechanism in rats. Zhaong Fang Yi Xue Zhi, 37:121–124