MicroMinerals Flashcards
Microminerals definition
<0.01% of body weight
* <100 mg/d
Microminerals with RDA established
- Iron
- Zinc
- Copper
- Iodine
- Selenium
- Molybdenum
List of microminerals
Iron
Zince
Copper
Selenium
Chromium
Iodine
Manganese
Molybdenum
Fluoride
Ultra trace elements
nikel
silicon
vanadium
arsenic
boron
cobalt
Iron sources heme iron?
MFP
iron sources nonheme iron
whole grains
dark leafy greens
nuts
legumes
MFP
form of iron and absorption %
heme- 24%
nonheme- Ferrous best
Iron Absorption increased by
- Vitamin C- Maintains, reduces iron in ferrous form
- MFP- Cysteine peptides Help with absorption of nonheme iron
- Acids- Citrate, lactate
- Lactoferrin in human milk
- Fructose
- Low iron status
iron absorption decreased by
- Phytates- Whole grains, beans, nuts
- Oxalates- Spinach, chard, beets, almonds, bran
- Tannins- Polyphenols in coffee and tea
- Calcium and phosphates
- Zinc and manganese
- High pH
- EDTA
- High iron status
Essential functional iron
- Hemoglobin- Oxygen-carrying protein of RBCs
- Myoglobin- Oxygen-storing/transport protein of
muscles - Heme-containing compounds- Cytochromes, catalase, peroxidase
- Transferrin- Iron transport protein
iron nonessentail storage
- Ferritin- Iron storage protein, Liver, spleen, bone marrow
- Hemosiderin- Breakdown form of ferritin
(insoluble, Stored mainly in liver, iron overload: hemosiderin > ferritin
iron function
- Oxygen storage and transport- Hemoglobin: loosely binds O2 and CO2 for transport between lungs and tissues/cells. - Myoglobin – oxygen transport/storage in muscle
- Cytochromes- Oxygen and electron transport in ETS
- Heme-containing enzymes:
- Peroxidase - oxidizing enzyme
- Catalase - coverts hydrogen peroxide to water & oxygen preventing oxidation
- Tryptophan dioxygenase - conversion of tryptophan to niacin
- Aconitase - coverts citrate to isocitrate in Kreb’s cycle
iron assessment
- Hemoglobin
- Hematocrit
- Packed RBC volume
- Affected by hydration
- Serum iron
- Fe bound to transferrin
- TIBC
- Fe that can be bound to transferrin
- %Tsat
- Serum Fe/TIBC x 100
- Serum ferritin
- Affected by inflammation, infection
- Erythrocyte protoporphyrin
- Precursor of heme
- MCV – RBC volume
- Hct/RBC count
- MCH – Hgb content
- Hgb/RBC count
- MCHC – Hgb concentration
- Hgb/Hct
iron deficiency
Stage 1: Storage iron depletion
Stage 2: Iron Deficiency Erythropoeisis
Stage 3: Iron Deficiency Anemia
Stage 1: Storage iron depletion
- stores in liver, spleen, bone marrow
- Not a functional problem
- dec serum ferritin
Stage 2: Iron Deficiency Erythropoeisis
- dec serum ferritin
- dec supply of iron to erythroid marrow
- dec %Tsat ( dec serum Fe, inc TIBC)
- erythrocyte protoporphyrin
Stage 3: Iron Deficiency Anemia
- Microcytic – small RBCs
- MCV
- Hypochromic – pale colored RBCs
- MCH/MCHC
- dec serum ferritin
- dec supply of iron to erythroid marrow
- dec %Tsat ( dec serum Fe, inc TIBC)
- erythrocyte protoporphyrin
- dec Hgb
- dec Hct
iron deficiency at risk
- Chronic blood loss
- Menstruating women
- Frequent blood donations
- Hemorrhage/GI bleed
- Pregnant women
- inc blood volume
- Demands of fetus/placenta
- Infants, children, adolescents
- dec intake
- Growth spurts
- Vegetarians/vegans
*dec intake - decabsorption
iron def symptoms
- Pallor
- Fatigue
- inc HR, rapid breathing
- dec athletic performance and work capacity
- Brittle, spoon-shaped nails
iron toxicity
- Constipation
- Hemosiderosis
- Fe overload without tissue damage
- Hemochromatosis
- Genetic disorder
- Fe overload with tissue damage
zinc sources
- MFP
- Red meat, organ meat
- Oysters, mollusks
- Dairy
- Whole grains
- Legumes
- Green leafy and root vegetables
Zinc absorption and transport
- Stored in intestinal cell as
metallothionein and transported by
albumin - Absorption ↓ by same factors as iron
- Phytates
- Oxalates
- Polyphenols
- High Zn status
- Folate and Calcium may ↓ absorption
- Iron supplements may ↓ absorption
Zinc functions
- Cofactor for metalloenzymes
- Protein and nucleic acid
synthesis - Zinc fingers
- Structural role for some
hormones - Taste acuity
- Immunity
- Wound healing
Zinc deficiency symptoms
- Growth retardation
- Impaired sexual maturity
- Skin lesions/ ↓ wound healing
- Dysgeusia
- Bone abnormalities
- Alopecia
- Impaired immunity
Zinc deficiency at risk
- Diarrhea
- Burns
Zinc toxicity
- Metallic taste
- Copper deficiency
Zinx assessment
- Serum zinc
Copper sources
- Organ meats
- Shellfish
- Nuts
- Seeds
- Legumes
- Dried fruits
Copper absorption and transport
- ↑ absorption:
- Amino acids
- Organic acids
- ↓ absorption:
- Phytates
- Zinc
- Vitamin C
- High pH
- Carrier in blood is protein
ceruloplasmin