Comprehensive effects of zinc on women’s reproductive health: A systematic review

Authors

  • A. Amanzholkyzy
  • Y. Sagidanova Западно Казахстанский Медицинский Университет им. Марат Оспанова
  • D. Kulzhanova
  • A. Altymova
  • T. Sukhanberliyeva

DOI:

https://doi.org/10.37800/RM.1.2026.667

Keywords:

Zinc, women, randomized controlled trials (RCTs), pregnancy, fertility, zinc supplementation

Abstract

Relevance: Zinc is an important trace mineral that helps protect against free radicals, regulate metabolism, support the immune system, and maintain hormonal balance. All of these things are very important for women’s reproductive health. Nonetheless, research about the extent and uniformity of zinc’s effects across several reproductive stages remains inconsistent.

This systematic review aimed to assess the impact of zinc supplementation on biochemical, oxidative, metabolic, and reproductive parameters in women.

Materials and Methods: A PRISMA-compliant search of PubMed/MEDLINE and Scopus, Google Scholar, and Web of Science revealed randomized controlled trials (RCTs) evaluating oral zinc monotherapy in women. Thirteen RCTs involving approximately 980 individuals were included. Using random-effects models, we computed pooled effect sizes and conducted subgroup, sensitivity, and publication bias analyses.

Results: Zinc supplementation markedly enhanced overall health status (pooled Hedges g = 0.61), with more pronounced effects noted at dosages ≤30 mg/day and periods beyond 8 weeks. The biggest changes were in antioxidant and inflammatory indicators, although there were also improvements for metabolic and psychological outcomes.

Conclusions: Zinc supplementation provides a moderate, sustained, and clinically significant benefit to women’s reproductive and metabolic health, affirming its position as a safe, evidence-based intervention throughout the female lifespan.

References

1. Darling AM, Mugusi FM, Etheredge AJ, Gunaratna NS, Aibiboye AI, Aboud S, et al. Vitamin A and zinc supplementation among pregnant women to prevent placental malaria: a randomized, double blind, placebo-controlled trial in Tanzania. Am J Trop Med Hyg. 2017;96(4):826 834.

https://doi.org/10.4269/ajtmh.16 0599

2. Mesdaghinia E, Naderi F, Bahmani F, Chamani M, Ghadiri A, Asemi Z. The effects of zinc supplementation on clinical response and metabolic profiles among pregnant women at risk for intrauterine growth restriction: a randomized, double blind, placebo-controlled trial. J Matern Fetal Neonatal Med. 2021;34(9):1382 1388.

https://doi.org/10.1080/14767058.2019.1637847

3. Jafari F, Tarrahi MJ, Farhang A, Amani R. Effects of zinc supplementation on quality of life and sleep quality in young women with premenstrual syndrome: a randomized, double blind, placebo-controlled trial. Arch Gynecol Obstet. 2020;302(3):657 664.

https://doi.org/10.1007/s00404 020 05628 w

4. Jafari F, Amani R, Tarrahi MJ. Zinc supplementation and premenstrual symptoms, inflammatory and oxidative stress biomarkers, and brain-derived neurotrophic factor in young women: a randomized double blind placebo controlled trial. Biol Trace Elem Res. 2020;194(1):89 95.

https://doi.org/10.1007/s12011 019 01757 9

5. Siahbazi S, Behbudi Gandevani S, Moghaddam Banem L, Montazeri A. Effects of zinc sulfate on premenstrual syndrome and health-related quality of life: a randomized controlled clinical trial. J Obstet Gynaecol Res. 2017;43(5):887 894.

https://doi.org/10.1111/jog.13299

6. Edalati Fard F, Mirghafourvand M, Mohammad Alizadeh Charandabi S, Farshbaf Khalili A, Javadzadeh Y, Asgharian H. Zinc and magnesium supplementation and postpartum depression and anxiety: a randomized controlled clinical trial. Women’s Health. 2017;57(9):1115 1128.

https://doi.org/10.1080/03630242.2016.1235074

7. Karamali M, Heidarzadeh Z, Seifati SM, Samimi M, Tabassi Z, Talaee N, Bahardoost H, Asemi Z. Zinc supplementation and pregnancy outcomes in gestational diabetes: a randomized double blind placebo controlled trial. Exp Clin Endocrinol Diabetes. 2016;124(1):28 33.

https://doi.org/10.1055/s 0035 1564146

8. Karamali M, Heidarzadeh Z, Seifati SM, Samimi M, Tabassi Z, Hajijafari M, Asemi Z, Esmaillzadeh A. Zinc supplementation and the effects on metabolic status in gestational diabetes: A randomized, double-blind, placebo-controlled trial. J Diabetes Complications. 2015;29(8):1314 1319.

https://doi.org/10.1016/j.jdiacomp.2015.07.001

9. Zahiri Sorouri Z, Sadeghi H, Pourmarzi D. Zinc supplementation and pregnancy outcome: a randomized controlled trial. J Matern Fetal Neonatal Med. 2016;29(13):2194 2198.

https://doi.org/10.3109/14767058.2015.1079615

10. Rohmawati L, Sari DK, Sitepu M, Rusmil K. A randomized, placebo-controlled trial of zinc supplementation during pregnancy for the prevention of stunting: analysis of maternal serum zinc, cord blood osteocalcin, and neonatal birth length. Med Glas (Zenica). 2021;18(2):415–420.

https://doi.org/10.17392/1267-21

11. Foroozanfard F, Jamilian M, Jafari Z, Hassaf A, Hosseini A, Khoramian H, Asemi Z. Effects of zinc supplementation on markers of insulin resistance and lipid profiles in women with polycystic ovary syndrome: a randomized double-blind placebo-controlled trial. Exp Clin Endocrinol Diabetes. 2015;123(4):215–220.

https://doi.org/10.1055/s-0035-1548790

12. de Vargas LS, Jantsch J, Fontoura JR, Dorneles GP, Peres A, Guedes RP. Effects of zinc supplementation on inflammatory and cognitive parameters in middle-aged women with overweight or obesity. Nutrients. 2023;15(20):4396.

https://doi.org/10.3390/nu15204396

13. Vázquez-Lorente H, Herrera-Quintana L, Molina-López J, Gamarra Y, Planells E. Effect of zinc supplementation on circulating concentrations of homocysteine, vitamin B12, and folate in a postmenopausal population. J Trace Elem Med Biol. 2022;71:126942.

https://doi.org/10.1016/j.jtemb.2022.126942

14. Ahmadi M, Mousavi SM, Faraji V, Alizadeh M, Daneshvari S, Mahdavi R. The Effect of Zinc Supplementation on the Improvement of Premenstrual Symptoms in Female University Students: a Randomized Clinical Trial Study. Biol Trace Elem Res. 2023 Feb;201(2):559-566. https://doi.org/10.1007/s12011-022-03175-w

15. Kemp JF, Hambidge KM, Westcott JL, Ali SA, Salem S, Garcés A, Figueroa L, Somannavar MS, Goudar SS, Long JM, Hendricks AE, Krebs NF; Women First Preconception Maternal Nutrition Trial Group. Zinc supplementation initiated before or during pregnancy modestly affected maternal status and was associated with a high prevalence of hypozincemia during pregnancy and lactation: the Women First trial. J Nutr. 2024;154(6):1917-1926.

https://doi.org/10.1016/j.tjnut.2024.04.018

16. Jobarteh ML, McArdle HJ, Holtrop G, Sise EA, Prentice AM, Moore SE. Placental iron and zinc transporter mRNA levels are increased in Gambian women with low iron and zinc status. J Nutr. 2017;147(7):1401-1409.

https://doi.org/10.3945/jn.116.244780

17. Zheng S, Liu E, Zhang Y, Long T, Liu X, Gong Y, Mai T, Shen H, Chen H, Lin R, Zheng Y, Xie Y, Wang F. Circulating zinc-α2-glycoprotein is reduced in women with polycystic ovary syndrome, but can be increased by exenatide or metformin treatment. Endocr J. 2019;66(6):555-562.

https://doi.org/10.1507/endocrj.EJ18-0153

18. Yu M, Chen H, Li N. Influence of nutritional guidance during pregnancy on nutritional status and pregnancy outcome of pregnant women. Afr J Reprod Health. 2024;28(12):29-37.

https://doi.org/10.29063/ajrh2024/v28i12.3

19. Hall AG, Ngu T, Nga HT, Quyen PN, Anh PTH, King JC. An animal-source food supplement increases micronutrient intakes and iron status among reproductive-age women in rural Vietnam. J Nutr. 2017;147(6):1200-1207.

https://doi.org/10.3945/jn.116.241968

20. Jamilian M, Mirhosseini N, Eslahi M, Bahmani F, Shokrpour M, Chamani M, Asemi Z. The effects of magnesium-zinc-calcium-vitamin D co-supplementation on biomarkers of inflammation, oxidative stress, and pregnancy outcomes in gestational diabetes. BMC Pregnancy Childbirth. 2019;19:107.

https://doi.org/10.1186/s12884-019-2258-y

21. Nga HT, Quyen PN, Chaffee BW, Diep Anh NT, Ngu T, King JC. Effect of a nutrient-rich, food-based supplement given to rural Vietnamese mothers prior to and/or during pregnancy on birth outcomes: a randomized controlled trial. PLoS One. 2020;15(5):e0232197.

https://doi.org/10.1371/journal.pone.0232197

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Published

31.03.2026

How to Cite

Amanzholkyzy , A., Sagidanova , Y., Kulzhanova , D., Altymova , A., & Sukhanberliyeva , T. (2026). Comprehensive effects of zinc on women’s reproductive health: A systematic review. Reproductive Medicine (Central Asia), (1), 95–107. https://doi.org/10.37800/RM.1.2026.667

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