Abstraction Health

Zinc — Research Evidence

Source: PubMed / NCBI · human studies preferred · ranked by evidence qualityLast analyzed: May 24, 2026
Insufficient Evidence
20 studies·3 RCTs·6 reviews

The summary below was generated by an AI system (Claude) based on the studies listed. It is a synthesis tool, not a clinical opinion. Read individual studies for full context.

The available research on zinc supplementation spans a broad range of health outcomes, including immune function, reproductive health, blood sugar regulation, menstrual pain, wound healing, and sleep quality. The evidence base includes multiple meta-analyses and systematic reviews, which are generally the highest-quality study designs, alongside a smaller number of individual randomized controlled trials (RCTs) and narrative reviews. However, a critical limitation across this entire body of literature is that the specific findings, effect sizes, populations studied, and key conclusions from these studies were not provided in extractable detail, meaning definitive statements about zinc's efficacy for any particular outcome cannot be made with confidence from this dataset alone.

Key findings

  • Multiple meta-analyses examined zinc across diverse health areas — including immune function, dysmenorrhea (menstrual pain), male fertility, prediabetes, diabetic foot ulcers, and sleep — suggesting zinc is one of the more broadly studied dietary supplements.
  • At least two separate meta-analyses specifically investigated zinc for primary dysmenorrhea, indicating a recognized area of scientific interest with enough trials to pool results.
  • Zinc was studied as part of multivitamin/mineral combinations in older adults and in children under five in low- and middle-income countries, pointing to potential relevance across different life stages and nutritional contexts.
  • One large RCT examined folic acid and zinc supplementation together in men undergoing infertility treatment, reflecting interest in zinc's role in male reproductive health.
  • The breadth of research topics — from ALS to macular degeneration to respiratory infections — reflects that zinc has a wide mechanistic footprint, though this does not confirm efficacy in any of these areas without detailed findings.

Evidence gaps

  • ?Specific effect sizes, confidence intervals, and clinical significance of zinc supplementation across all studied outcomes are unknown from this dataset, making it impossible to determine whether any observed benefits are meaningful in practice.
  • ?The populations, dosages, and supplementation durations used across these studies vary considerably and were not specified, leaving it unclear who might benefit most from zinc supplementation and at what dose.
  • ?Long-term safety and efficacy data are not captured here; most supplementation trials tend to be short-term, and the consequences of extended zinc use — including risk of copper depletion — are not addressed in the available summaries.

Safety summary

Zinc is a well-established essential mineral with a known tolerable upper intake level, but chronic high-dose supplementation can interfere with copper absorption and cause adverse effects; the studies reviewed here did not provide extractable safety data specific to the doses used.

Studies (20)

Effect of micronutrient supplements on influenza and other respiratory tract infections among adults: a systematic review and meta-analysis.

BMJ global health · 2021 · Abioye AI et al.
Meta-Analysis🟢
Key finding

Effect of micronutrient supplements on influenza and other respiratory tract infections among adults: a systematic review and meta-analysis.

COI: Competing interests: None declared.
PMID: 33472840DOI: 10.1136/bmjgh-2020-003176
View on PubMed

Efficacy of dietary supplements on improving sleep quality: a systematic review and meta-analysis.

Postgraduate medical journal · 2022 · Chan V et al.
Meta-Analysis🟢
Key finding

Efficacy of dietary supplements on improving sleep quality: a systematic review and meta-analysis.

COI: Competing interests: None declared.
PMID: 33441476DOI: 10.1136/postgradmedj-2020-139319
View on PubMed

Dietary supplements for dysmenorrhoea.

The Cochrane database of systematic reviews · 2016 · Pattanittum P et al.
Meta-Analysis🟢
Key finding

Dietary supplements for dysmenorrhoea.

PMID: 27000311DOI: 10.1002/14651858.CD002124.pub2
View on PubMed

Zinc supplementation in prediabetes mellitus.

Minerva endocrinology · 2022 · Jayawardena R et al.
Meta-Analysis🟢
Key finding

Zinc supplementation in prediabetes mellitus.

Funded by: Industry (inferred from affiliations)
PMID: 33759442DOI: 10.23736/S2724-6507.21.03234-X
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The Effect of Dietary Supplements on Male Infertility in Terms of Pregnancy, Live Birth, and Sperm Parameters: A Systematic Review and Meta-Analysis.

Nutrients · 2025 · Michaelsen MP et al.
Meta-Analysis🟢
Key finding

The Effect of Dietary Supplements on Male Infertility in Terms of Pregnancy, Live Birth, and Sperm Parameters: A Systematic Review and Meta-Analysis.

Funded by: The North Denmark Region Health Science Research Fund, Department of Clinical Medicine, Aalborg University, Department of Obstetrics and Gynecology, Aalborg University Hospital
COI: U.S.K. has received funding from Gedeon Richter Nordic and Merck for studies outside this work; honoraria for teaching from Merck; and coverage of travel and conference expenses from Merck. M.P.M., M.P., A.A.B., M.B., L.K.P., M.B.C. and S.G.H. declare no conflicts of interest. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript; or in the decision to publish the results.
PMID: 40431450DOI: 10.3390/nu17101710
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The Effect of Nutrients and Dietary Supplements on Sperm Quality Parameters: A Systematic Review and Meta-Analysis of Randomized Clinical Trials.

Advances in nutrition (Bethesda, Md.) · 2018 · Salas-Huetos A et al.
Meta-Analysis🟢
Key finding

The Effect of Nutrients and Dietary Supplements on Sperm Quality Parameters: A Systematic Review and Meta-Analysis of Randomized Clinical Trials.

Funded by: Industry (inferred from affiliations)
PMID: 30462179DOI: 10.1093/advances/nmy057
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Oral iron supplementation and anaemia in children according to schedule, duration, dose and cosupplementation: a systematic review and meta-analysis of 129 randomised trials.

BMJ global health · 2023 · Andersen CT et al.
Meta-Analysis🟢
Key finding

Oral iron supplementation and anaemia in children according to schedule, duration, dose and cosupplementation: a systematic review and meta-analysis of 129 randomised trials.

Funded by: NICHD NIH HHS, NIDDK NIH HHS, NIAID NIH HHS
COI: Competing interests: CPD receives chapter royalties from UpToDate and PMPH, USA. DM reports research funding from the National Institutes of Health, the Gates Foundation, The Rockefeller Foundation, Vail Innovative Global Research and Kaiser Permanente Fund at East Bay Community Foundation; reports personal fees from Acasti Pharma and Barilla; is on the scientific advisory boards of Beren Therapeutics, Brightseed, Calibrate, Elysium Health, Filtricine, HumanCo, Instacart, January, Perfect Day, Tiny Organics and (ended) Day Two, Discern Dx and Season Health; has stock ownership in Calibrate and HumanCo; and reports chapter royalties from UpToDate (all outside of the submitted work).
PMID: 36849195DOI: 10.1136/bmjgh-2022-010745
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A systematic review and meta-analysis on nutritional and dietary interventions for the treatment of acute respiratory infection in pediatric patients: An EAACI taskforce.

Allergy · 2024 · Milani GP et al.
Meta-Analysis🟢
Key finding

A systematic review and meta-analysis on nutritional and dietary interventions for the treatment of acute respiratory infection in pediatric patients: An EAACI taskforce.

Funded by: European Academy of Allergy and Clinical Immunology
PMID: 38174413DOI: 10.1111/all.15997
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Efficacy of Zinc Supplementation in the Management of Primary Dysmenorrhea: A Systematic Review and Meta-Analysis.

Nutrients · 2024 · Hsu TJ et al.
Meta-Analysis🟢
Key finding

Efficacy of Zinc Supplementation in the Management of Primary Dysmenorrhea: A Systematic Review and Meta-Analysis.

Funded by: Industry (inferred from affiliations)
COI: The authors declare no conflicts of interest.
PMID: 39683510DOI: 10.3390/nu16234116
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Nutritional interventions for treating foot ulcers in people with diabetes.

The Cochrane database of systematic reviews · 2020 · Moore ZE et al.
Meta-Analysis🟢
Key finding

Nutritional interventions for treating foot ulcers in people with diabetes.

COI: Zena Moore: received an honorarium for speaking at professional meetings for Smith & Nephew, and Molnlycke. Neither of these companies manufacture or market the intervention of interest, or a potential comparator relevant to the topic of this review. Meave Corcoran: received a Cochrane Fellowship grant from the Health Research Board of Ireland to undertake this review. Declan Patton: none known.
PMID: 32677037DOI: 10.1002/14651858.CD011378.pub2
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Micronutrient Supplementation and Fortification Interventions on Health and Development Outcomes among Children Under-Five in Low- and Middle-Income Countries: A Systematic Review and Meta-Analysis.

Nutrients · 2020 · Tam E et al.
Meta-Analysis🟢
Key finding

Micronutrient Supplementation and Fortification Interventions on Health and Development Outcomes among Children Under-Five in Low- and Middle-Income Countries: A Systematic Review and Meta-Analysis.

Funded by: Bill and Melinda Gates Foundation
COI: The authors declare no conflict of interest.
PMID: 31973225DOI: 10.3390/nu12020289
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Select Dietary Supplement Ingredients for Preserving and Protecting the Immune System in Healthy Individuals: A Systematic Review.

Nutrients · 2022 · Crawford C et al.
Systematic Review🟢
Key finding

Select Dietary Supplement Ingredients for Preserving and Protecting the Immune System in Healthy Individuals: A Systematic Review.

Funded by: Office of Dietary Supplements, Consortium for Health and Military Performance, Uniformed Services University
COI: The authors declare no conflict of interest. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript; or in the decision to publish the results.
PMID: 36364865DOI: 10.3390/nu14214604
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Efficacy of Oral Zinc Sulfate Supplementation on Clearance of Cervical Human Papillomavirus (HPV); A Randomized Controlled Clinical Trial.

Asian Pacific journal of cancer prevention : APJCP · 2022 · Ayatollahi H et al.
RCT🟡
Key finding

Efficacy of Oral Zinc Sulfate Supplementation on Clearance of Cervical Human Papillomavirus (HPV); A Randomized Controlled Clinical Trial.

COI: Authors declare no conflict of interests.
PMID: 35485687DOI: 10.31557/APJCP.2022.23.4.1285
View on PubMed

Effect of Folic Acid and Zinc Supplementation in Men on Semen Quality and Live Birth Among Couples Undergoing Infertility Treatment: A Randomized Clinical Trial.

JAMA · 2020 · Schisterman EF et al.
RCT🟡
Key finding

Effect of Folic Acid and Zinc Supplementation in Men on Semen Quality and Live Birth Among Couples Undergoing Infertility Treatment: A Randomized Clinical Trial.

Funded by: NICHD NIH HHS
PMID: 31910279DOI: 10.1001/jama.2019.18714
View on PubMed

The Effect of a Multivitamin and Mineral Supplement on Immune Function in Healthy Older Adults: A Double-Blind, Randomized, Controlled Trial.

Nutrients · 2020 · Fantacone ML et al.
RCT🟡
Key finding

The Effect of a Multivitamin and Mineral Supplement on Immune Function in Healthy Older Adults: A Double-Blind, Randomized, Controlled Trial.

Funded by: Bayer Consumer Care AG
COI: The authors declare no conflict of interest. A.F.G. has consulted for Bayer Consumer Care AG for educational purposes. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, or in the decision to publish the results.
PMID: 32823974DOI: 10.3390/nu12082447
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Dietary supplements and prevention of preeclampsia.

Hypertension research : official journal of the Japanese Society of Hypertension · 2025 · Ushida T et al.
Review🟡
Key finding

Dietary supplements and prevention of preeclampsia.

COI: Compliance with ethical standards. Conflict of interest: The authors declare no competing interests.
PMID: 39930022DOI: 10.1038/s41440-025-02144-9
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Nutritional Genomics: Implications for Age-Related Macular Degeneration.

Nutrients · 2024 · Figueiredo I et al.
Review🟡
Key finding

Nutritional Genomics: Implications for Age-Related Macular Degeneration.

COI: The authors declare no conflicts of interest.
PMID: 39683519DOI: 10.3390/nu16234124
View on PubMed

Zinc supplementation and growth.

Current opinion in clinical nutrition and metabolic care · 2006 · Ruz M
Review🟡
Key finding

Zinc supplementation and growth.

PMID: 17053431DOI: 10.1097/01.mco.0000247479.87402.5b
View on PubMed

ALSUntangled #78: Zinc.

Amyotrophic lateral sclerosis & frontotemporal degeneration · 2025 · Helmold B et al.
Review🟡
Key finding

ALSUntangled #78: Zinc.

PMID: 40084393DOI: 10.1080/21678421.2025.2476688
View on PubMed

Mineral Supplements in Ageing.

Sub-cellular biochemistry · 2024 · Welham S et al.
Review🟡
Key finding

Mineral Supplements in Ageing.

PMID: 39693029DOI: 10.1007/978-3-031-66768-8_13
View on PubMed