Micronutrients and Health Issues Flashcards
nutrition assessment
deficiency or excess over timeless to malnutrition, doctors use historical information, anthropomorphic measurements, physical exams, and laboratory tests to create a total picture
stages of deficiency
primary (caused by indadequate diet) secondary (caused by internal problems) subclinical (declining nutrient stores) covert (abnormal functions within the body) overt (physical symptoms
micronutrients
noncaloric, needed in small amounts, not synthesized by the body as sufficient rates, perform specific biological requirements, withdrawal causes deficiency
bioavailability
included the amount in food, the amount absorbed, and the amount used by the body
Factors that affect bioavailability
efficiency of digestion, transit time, nutrient status, food preparation method, source of the nutrient, other present foods (like binders or fibre)
minerals
inorganic micronutrients, bioavailability varies, excess is potentially toxic, their general function is to regulate bodily functions and at as structural components
major minerals:
Ca, P, K, S, Na, Cl, Mg
trace minerals:
Fe, Zn, Cu, Mn, I, Se
Vitamins
noncaloric micronutrients, body cannot synthesize enough organic,
- required for metabolism, growth, and maintenance of health
- either found in active form or as precursors (vitamers/provitamins)
water soluble vitamins
B vitamins, C, E
fat soluble vitamins
A, D, E, K
B vitamins
thiamin, niacin, riboflavin, pantothenic acid, B6/pyridoxine, folate, B12
Functions of micronutrients
hormone function, antioxidant function, electrolytes
Pellagra
caused by niacin deficiency
Bones are composed of ___% mineral crystals (strength and ___) and ___% collagen (flexibility). Bone material ___ corresponds to bone strength.
65
support/35/density
there are two bone types: ___ and ___
cortical (the hard outer shell, gives up Ca to blood at a slow/steady rate
trabecular (the lacy matrix, only gives up Ca when diet is lacking)
The steps of bone turnover (3)
- bone growth: determines bone size, begins in womb and continues until early adulthood
- bone modelling: determines bone shape, begins in womb until early adulthood
- Bone remodelling: maintains integrity of bones by replacing old with new, predominantly during adulthood
The steps of bone remodelling (2)
- resorption: surface of bones is broken down by osteoclasts
- formation: new bone forms in the resorption pit, build by osteoblasts
Osteoporosis
decrease in bone density, leads to hip fractures and compressed vertebrae, bone mineral density >2.5 standard deviations below mean
Osteoporosis type I
postmenopausal, loss of trabecular bone, leads to wrist and spine fractures, primary causes are loss of estrogen (menopause) and loss of testosterone in ageing men
osteoporosis type II
senile (+70yrs onset), loss of trabecular and cortical bone, leads to hip fractures, primary causes are reduces Ca absorption, increased bone mineral loss, increased falling probability
risk factors for osteoporosis
old age, low BMI, caucasian/hispanic/asian heritage, smoking, excessive alcohol consumption, sedentary lifestyle, use of glucocorticoids or anticonvulsants, female, maternal history of osteoporosis, personal fracture history, estrogen/testosterone deficiency, lifetime diet inadequate in vitamin D or Ca