Exam 3 - chantel1 Flashcards

1
Q

What are trace elements? Major concern?

A

Elements required in trace amounts

>Rate of bioavailability

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2
Q

What are some trace elements?

A

iron, zinc, copper, iodine, fluoride, chromium, selenium

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3
Q

Where is iron found?

[Fxn?]

A

Hemoglobin! (in the blood)

[Cellular metabolism]

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4
Q

What are the different types of iron? What affects absorption?

A

*HEME iron—-found in ANIMAL products, READILY ABSBD form, chemically associated w/ proteins such as hemoglobin and myoglobin

*NON-HEME iron—found in both PLANT and animal foods, POORLY ABSBD form, NOT part of iron complex found in hemoglobin and myoglobin
>VIT C can enhance abspt up to 6x.
>Fiber, phytates, tannins, and oxalates interfere w/ abspt

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5
Q

What is iron deficiency anemia? Symptoms?

A

Hemoglobin can’t be produced w/ insufficient iron
>RBCs are microcytic and hypochromic—small, pale
>Unable to deliver sufficient O2 to the tissues

> Symptoms related to low blood O2: fatigue, weakness, headache, decreased work capacity, an inability to maintain body temp in cold environment, changes in behavior, and impaired development in infants.

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6
Q

Who Is at Risk for Iron Deficiency?

A

Women (menstruation), infants/children/ adolescents, and athletes are at higher risk due to increased need and/or poorer food choices

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7
Q

When can iron toxicity occur? How?

A

UL = 45 mg/day —Impossible to reach by food, possible by supplements

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8
Q

What happens if too much iron is ingested? Effects of iron overload over time?

A

Life-threatening
>Can damage intestinal lining
>Abnormalities in body pH, shock, and liver failure

Over time, iron
>Accumulates in tissues such as heart and liver
>Contributes to type 2 DM, heart disease, and cancer

*Can only lose iron through losing blood

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9
Q

How does body defend against excess iron?

A

Mucosal block in intestinal cells offers protection
>Body regulates how much iron is absbed
>If deficient, absb more; otherwise, absb less

To protect against toxic effects of iron, body regulates amount that enters blood from mucosal cells of gastrointestinal tract. This is called a “mucosal block”.

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10
Q

Why is Zinc needed?

A

> Essential for growth and development
Mainly involved in enzymes–USED IN OVER 300 diff enzymes
»e.g. antioxidant enzyme “superoxide dismutase,” which is vital for protecting cells from free radical damage

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11
Q

What are the different sources of Zinc?

A

Animal sources– Better absorbed
Plant sources— often bound by phytates

*Zinc is abundant in red meat, liver, eggs, dairy, veggies, some seafood
(Most abundant intracellular trace element)

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12
Q

What is hemochromatosis? Treatment?

A

genetic disorder in which too much iron is absorbed (excess iron accumulates)
>Mainly afflicts men of white European descent

Treatment: bloodlet (take blood out of them)

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13
Q

Effects of excess Zinc? How do we protect ourselves?

A

> hair loss
can be toxic!
**decreases bioavailabilty of Cu– can cause copper deficiency, leading to anemia

Protect ourselves by losing zinc when mucosal cell dies

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14
Q

Effects of Zinc deficiency?

A

> poor growth,
delayed sexual maturation,
skeletal abnormalities,
decreased immunity

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15
Q

Why do we need copper? (Sources?)

A

Prevents certain types of anemia–transports iron to hemoglobin

(role in connective tissue synthesis)
(Organ meat, seafood, nuts, seeds)

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16
Q

Why is selenium important?

A

Selenium is an impt part of body’s antioxidant defenses

17
Q

How can we obtain selenium?

A

depends on selenium content of soil (plant products) or in animal feed (animal products)– grains, seeds (sunfower, pumpkin) seafood, eggs, and organ meats

18
Q

What enzyme is selenium important in?

??????

A

“Part of enzyme glutathione peroxidase – neutralized oxidation products”

*Glutathione peroxidase—-protects against oxidative damage as an essential part of this enzyme
>Thus reduces need for Vit E
>Ppl shouldn’t be on both selenium and Vit E supplements
»>Selen suplmnt related to (colon, prostate) cancer
»>Vit E suplmnt found to increase oxidization

19
Q

What is selenium deficiency?

A

Keshan disease
>Heart mscl is oxidized
>Symptoms include muscular discomfort and weakness

20
Q

What does iodine content of food depend on?

A

the soil!
>soil near ocean or sea is higher than inland
>Iodine is naturally found in sea

21
Q

What foods contain iodine?

A

Seafood, sea salt (duh)!

Iodized salt–supplies most of iodine!

22
Q

How is iodine used in the body?

A

Mostly found in thyroid gland (>50% body iodine)
>Essential component of thyroid hormones, including thyroxine!
>thyroid hormones control metabolism
»>hyperthyroidism– hard to keep weight on, fast metabolism
»>hypo– hard to keep weight off, slow

23
Q

Toxicity and Iodine?

A

Possible! Excess seaweed consumption!

24
Q

Iodine deficiency is characterized by?

A

GOITER—enlarged thyroid gland
>caused by continued release of thyroid stimulated hormone Cretinism
>if pregnant, causes “Cretin”–retarded child w/ goiter

25
Q

What are goitrogens?

A

found in cabbage, cassava, millet–limit bioavability of iodine

26
Q

What is chromium found in?

A

> Brewer’s yeast, liver, nuts, and whole grains

>Cooking in stainless steel can increase food’s chromium content

27
Q

What does chromium do? Why needed?

A

Involved in carb and lipid metabolism
>Needed for normal insulin action and glucose utilization

(Does not help w/ weight loss–chromium picolainate)

28
Q

What does fluoride do?

A

Promotes dental health (decreases cavities, or tooth decay)

29
Q

Where can we get fluoride from?

A

> Fluoridated water,
Tea,
Marine fish eaten w/ their bones (such as canned salmon or sardines)
Topical toothpaste
»BUT present in small amounts in almost all soil, water, plants, and animals

30
Q

How is iron absbd? Lost?

A

absorbed into the absbd into intestinal mucosal cells and “mucosal block” controls abspt into body

1-2mg of normal iron loss/day due to RBC turnover (despite minimal recycling)
>More iron is lost in body when stores are high than when they’re low (??)

31
Q

What two protein help w/ iron storage and transport? How is Fe excess stored?

A

Ferritin (storage) and tranerrin (transport)

>Excess iron is stored in liver primarily bound to ferritin

32
Q

How is iron homeostasis regulated?

A

regulated at intestine w/ peptide hormone hepcidin (released by liver) serving as primary regulator

33
Q

What happens when Fe stores are low?

A

more iron is transferred from mucosal cells to blood and bound to transferring for transport to body cells

34
Q

What happens when Fe stores are high?

A

less iron is transported from mucosa into blood and more is bound to ferritin and lost when mucosal cells die