Chapter 13: bone health and calcium Flashcards

1
Q

Bone structure

A

Provides strength to support the body, allows for flexibility,

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2
Q

What percentage of bones is minerals

A

65%, make up the hardness of bones

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3
Q

Bone mineral density=

A

bone strength

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4
Q

What percentage of bones is organic structures

A

35% provide strength, durability and flexibility (mostly collagen

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5
Q

Collagen

A

fibrous protein in bone tissue

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6
Q

Two types of bone tissue

A

cortical and trabecular

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7
Q

Cortical bone

A

very dense tissue on the outer surface of the bone, makes up 80% of the skeleton

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8
Q

Trabecular bone

A

Scaffolding on the inside of bones, supports the cortical bone and makes up 20% of the skeleton

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9
Q

Bone growth

A

determines bone size, begins in the womb, continues into early adulthood
completed at 14 for girls and 17 for boys

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10
Q

Bone modeling

A

Determines the bone shape, begins in the womb and continues into early adulthood, 90% of woman’s bone density achieved by 17, majority of man’s during their 20s, peak bone density is 30

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11
Q

Bone remodeling

A

Maintains integrity of bone, replaces old bone with new bone to maintain mineral balance, involves bone resorption and formation, occurs predominantly in adulthood (density stable in 30’s starts irreversible decline (resorption exceeds formation)

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12
Q

Bone weakening over time

A

osteoclast > osteoblast activity as we age

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13
Q

calcium

A

most abundant mineral in the body

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14
Q

Calcium in bones

A

99% in bones
forms a matrix on collagen (hydroxyptite)
gives strength and rigidity, continuously remodeling

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15
Q

Calcium in body fluids

A

1% in body fluids , extracellular and intracellular compartments

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16
Q

what does calcium play a role in

A

chronic disease prevention, body weight

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17
Q

Calcium reabsorption

A

requires vitamin D, is enhanced in an acid environment (duodenum)

18
Q

Functions of calcium

A
  1. form and maintain bones and teeth
  2. Assist with acid-base balance
  3. Transmission of nerve impulses
  4. Assist in muscle contraction
    more mentions: blood pressure, initiate blood clotting, regulating various hormones and enzymes. Promotes weight loss?
19
Q

Low blood calcium

A

Signals th parathyroid glands to secrete parathyroid hormone into the blood

20
Q

High blood calcium

A

signals the thyroid gland to secrete cacitonin

21
Q

Vitamin D in calcium absorption

A

stimulates calcium reabsorption from the kidneys into the blood, stimulated by the parathyroid hormone, and enhances the calcium reabsorption in the intestines, and stimulates osteoclast cells to break down bone releasing calcium into the blood (increase in blood calcium levels, and parathyroid hormone secretion inhibited)

22
Q

Calcitonin

A

inhibits the activation of vit D, prevents calcium reabsorption in the kidneys, limits calcium absorption in the intestines, and inhibits osteoclast cells from breaking doen

23
Q

calcium recommended dietary allowance

A

varies with age and gender from 1000 mg to 1300 mg per day

24
Q

Calcium bioavailability

A

degree to which we absorb/utilize the nutrient, depends on the amount of dietary calcium and vit D

25
Calcium bioavailability in adults
30%
26
Calcium bioavailability during pregnancy
50%
27
Calcium bioavailability in children
50-60%
28
Calcium inhibitors
lack of enhancers, high phosphorus, phytates, oxalates, fibre
29
Concurrent consumption of calcium
iron, zinc, magnesium, phosphorus
30
products high in calcium
milk products, fortified plant based milk alternatives, yogurt, sardines, milk, tofu, cheese, brooccoli, cabbage
31
how much calcium is absorbed from milk porducts
~30%
32
how much calcium is absorbed from cauliflower, watercress, cabbage, Brussel sprouts etc
>50%
33
How much calcium is absorbed from almonds, sesame seeds, pinto beans, sweet potatoes
~20%
34
How much calcium is absorbed by spinach, rhubarb, swiss chard
<5%
35
calcium carbonate for supplements
has the highest % of elemental Ca
36
Ca absorption in supplements
most: 30% calcium citrate malate (fortified juice) and antacid forms: 35%
37
Calcium UL
2500mg
38
too much calcium
excess usually excreted in feces, supplements can lead to imbalances (Fe, Zn, Mg), hypercalcemia can be caused by cancer or PTH overproduction
39
Not enough calcium consumption
short term causes increase bone resorption to meet calcium need, long term leads to osteoporosis,
40
Hypocalcemia
low blood calcium caused by kidney disease, vit D deficiency, or low PTH production