Effect of Bio-fortified Zinc Wheat Flour on the Serum Level of the Thyroid Hormones among Adolescent Girls
DOI:
https://doi.org/10.52206/jsmc.2025.15.1.983Abstract
Background: Hidden hunger is an alarming concern, which has affected more than 2 billion people across the globe. Of all micronutrients, zinc is necessary for different body functions. The prevalence of zinc deficiency is high in Pakistan. Different strategies to eliminate the zinc deficiency are in practice but bio-fortification is best among all. Bio-fortified zinc flour was used for the first time in Pakistan to evaluate the effect of zinc on the serum thyroid hormones level among adolescent girls.
Objective: To measure the level of thyroid hormones after the intake of biofortified zinc wheat flour for 6 months by the adolescent girls of brick kiln areas of Peshawar.
Materials and Methods: It was a case control study, conducted in the brick kiln areas of Peshawar and Khyber Medical University, Peshawar. The study was commenced in July, 2022 and was carried till December, 2023. Adolescent girls aged 10-16 years from Peshawar were divided into 2 groups, one group was receiving Galaxy variety wheat flour & the other group was receiving bio-fortified zinc wheat flour. Blood samples were collected at baseline and post intervention point (after provision of wheat flours for six months) and these samples were analyzed through ELISA procedure, to evaluate the change in the serum thyroid profile of the participants. Statistical analysis was done using SPSS 22.
Results: In this research study, after the provision of Galaxy and biofortified variety wheat flour for six months, no significant change was observed in plasma zinc concentration of the two groups. Moreover, serum 'T3' and 'T4' levels were not significantly changed whereas, only serum 'TSH' levels was significantly increased (p<0.05) in the biofortified group.
Conclusion: By comparative analysis between Galaxy and biofortified groups, serum 'TSH' levels were observed as significantly changed whereas, plasma zinc concentration, serum 'T3' and serum 'T4' values showed no significant changes.
Keywords: Adolescent girl, Biofortification, ELISA, T3, T4, TSH.
References
Wells JC, Sawaya AL, Wibaek R, Mwangome M, Poullas MS, Yajnik CS, et al. The double burden of malnutrition: aetiological pathways and consequences for health. Lancet 2020 Jan 4;395 (10217):75-88. https://doi.org/10.1016/s0140-6736(19)32472-9
Lowe NM. The global challenge of hidden hunger: perspectives from the field. Proc Nutr Soc 2021 Aug;80(3):28-39. https://doi.org/10.1017/S0029665121000902
Titcomb TJ, Tanumihardjo SA. Global Concerns with B Vitamin Statuses: Biofortification, Fortification, Hidden Hunger, Interactions, and Toxicity. Compr Rev Food Sci Food Saf 2019 Nov; 18(6):1968-84. https://doi.org/10.1111/1541-4337.12491
Boro B, Basumatary S, Das B. Metal contents of some selected vegetables grown in Bodoland territorial region of Assam, India. Current Chemistry Letters 2023 Jan 1;12:471-6. 10.5267/j.ccl. 2023.3. 009. http://dx.doi.org/10.5267/j.ccl.2023.3.009
Pîrvu DC, Micoci A, Muñoz-Groza AE, Bãleanu V, Gheorman V, Gheoman V, et al. The role of zinc in chronic liver disease the role of zinc in chronic liver disease 2021 Apr 6. https://doi.org/10.38173/RST.2021.21.1.7:79-89
Gupta S, Zaman M, Fatima S, Shahzad B, Brazier AKM, Moran VH, et al. The Impact of Consuming Zinc-Biofortified Wheat Flour on Haematological Indices of Zinc and Iron Status in Adolescent Girls in Rural Pakistan: A Cluster-Randomised, Double Blind, Controlled Effectiveness Trial. Nutrients 2022 Apr 15;14(8):16-57. https://doi.org/10.3390/nu14081657
Herrington C, Lividini K, Angel MD, Birol E. Prioritizing countries for biofortification interventions: Biofortification priority index second edition (BPI 2.0). HarvestPlus Working Paper 2019 Apr. https://www.harvestplus.org/file/2610/download?token=-HY_wV66
Chaker L, Peeters RP. Chapter 6 - Thyroid-Stimulating Hormone. In: Melmed S, editor. The Pituitary (Fifth Edition). Academic Press 2022 p. 173207. https://doi.org/10.1016/B978-0-323-99899-4.00015-9
Eichelsdörfer AS. Trace elements and the thyroid gland. University of Split. School of Medicine 2022. https://repozitorij.svkst.unist.hr/en/islandora/object/mefst%3A1532
Saniee S. Zinc, vitamin D and TSH levels in vitiligo patients. Erciyes Med J 2019. https://doi.org/10.14744/etd.2019.40316
Signorell C, Kurpad AV, Pauline M, Shenvi S, Mukhopadhyay A, King JC, et al. The Effect of Zinc Biofortified Wheat Produced via Foliar Application on Zinc Status: A Randomized, Controlled Trial in Indian Children. J Nutr 2023 Oct;153(10):3092100. https://doi.org/10.1016/j.tjnut.2023.08.013
Gupta S, Brazier AKM, Lowe NM. Zinc deficiency in low- and middle-income countries: prevalence and approaches for mitigation. J Hum Nutr Diet 2020 Oct;33(5):62443. https://doi.org/10.1111/jhn.12791
Sazawal S, Dhingra U, Dhingra P, Dutta A, Deb S, Kumar J, et al. Efficacy of high zinc biofortified wheat in improvement of micronutrient status, and prevention of morbidity among preschool children and women - a double masked, randomized, controlled trial. Nutr J. 2018 Sep 15;17(1):86. https://doi.org/10.1186/s12937-018-0391-5
Kawade R. Zinc status and its association with the health of adolescents: a review of studies in India. Global Health Action 2012 Apr 12;5:10.3402/gha.v5i0.7353 https://doi.org/10.3402/gha.v5i0.7353
Ahmed SE, Maher FT, Naji NA. Effect of Thyroid Hormones and Trace Elements (Zn, Mg) on Obesity. Tikrit Journal of Pure Science 2016;21(6):78-84. https://doi.org/10.25130/tjps.v21i6.1084
Kandhro GA, Kazi TG, Afridi HI, Kazi N, Baig JA, Arain MB, et al. Effect of zinc supplementation on the zinc level in serum and urine and their relation to thyroid hormone profile in male and female goitrous patients. Clin Nutr 2009 Apr;28(2):16-28. https://doi.org/10.1016/j.clnu.2009.01.015
Cinar V, Akbulut T, Sarikaya M. Effect of zinc supplement and weight lifting exercise on thyroid hormone levels. Indian Journal of Physiology and Pharmacology 2017 Jan 1;61:23-26.https://www.researchgate.net/publication/319479974_Effect_of_zinc_supplement_and_weight_lifting_exercise_on_thyroid_hormone_levels
Brandão-Neto J, Saturnino ACRD, Leite LD, De Medeiros Rocha ÉD, Marcos CMP, Da Silva CAB, et al. Lack of acute zinc effect on thyrotropin-releasing hormonestimulated thyroid-stimulating hormone secretion during oral zinc tolerance test in healthy men. Nutrition Research 2006 Oct;26(10):4936. https://doi.org/10.1016/j.nutres.2006.08.010
Marreiro D do N, de Sousa AF, Nogueira N do N, Oliveira FE. Effect of zinc supplementation on thyroid hormone metabolism of adolescents with Down syndrome. Biol Trace Elem Res 2009; 129(13):207. https://doi.org/10.1007/s12011-008-8280-y
Additional Files
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 The authors retain the copyrights. Authors are permitted and encouraged to post their work online (e.g. in institutional repositories or on their website), as it can lead to productive exchanges, as well as greater citation of published work.

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Readers may “Share-copy and redistribute the material in any medium or format” and “Adapt-remix, transform, and build upon the material”. The readers must give appropriate credit to the source of the material and indicate if changes were made to the material. Readers may not use the material for commercial purpose. The readers may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.