Minerals Flashcards

1
Q

What are trace minerals
Give some examples
Most of the body’s iron is found in two proteins name them and where they’re found
Iron occurs in two forms in food .name them and where they’re found

A

TRACE MINERALS
➢Trace minerals are essential nutrients in the human body in amount less than 5g. They are sometimes referred to as micronutrients.
➢This is because these nutrients are present and needed in relatively small quantities in the body.

Fluoride
Iron
Selenium 
Molybdenum 
Copper
Chromium 

Iron is an essential nutrient vital to many cell’s activities.
•Most of the body’s iron is found in two proteins i.e.
•Haemoglobin ; in the red blood cells.
•Myoglobin; in the muscle cells

Iron occurs in two forms in food
➢Heme iron: this is found only in foods derived from the flesh of animals such as meats poultry and fish.
➢Non-heme iron: This is found in both plant-derived and animal-derived foods.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

State four sources of iron and explain how iron is absorbed

A
●Red meats
●Fish
●Poultry
●Shellfish
●Eggs
●Legumes
●Dried fruits
●Soybeans

•Iron absorption
•Iron from food is received by mucosal ferritin and stored in the mucosal cells of the small intestine.
•When the body is in need of iron, mucosal ferritin transfers iron to another protein called mucosal transferrin.
•Mucosal transferrin transfers the iron to another protein, blood transferrin, which transports the iron to the rest of the body.
Iron absorption
•If the body does not need iron, it is carried out when the intestinal cells are shed and excreted in the feces; intestinal cells are replaced about every three to five days.
•By holding iron temporarily, these cells control iron absorption by either delivering iron when the day’s intake falls short or disposing of it when intakes exceed needs.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the dietary recommendation of iron in men and women
What factors enhance the absorption of non heme iron
What factors inhibit non heme iron absorption
What is MPF factor

A

Dietary recommendation
•Men: 8mg/day
•Women :18mg/day
•Vegetarians need 1.8 times as much iron to make up for the low bioavailability typical of their diets
Factors that enhance nonheme iron absorption
1.MFP factor
2.Vitamin C (ascorbic acid)

Factors that inhibit nonheme iron absorption

  1. Phylates (legumes, grains, and rice)
  2. Vegetable proteins (soybeans, legumes, nuts)
  3. Calcium (milk)
  4. Tannic acid (and other polyphenols in tea and coffee)

MFP factor: a peptide released during the digestion of meat, fish, and poultry that enhances nonheme iron absorption

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

State four functions of iron
What is iron deficiencies
What can cause iron deficiency
What are the effects of iron deficiency

A

Iron is required for enzymes involved in making amino acids, collagen, hormones, and neurotransmitters.

  1. Iron can serve as a cofactor to enzymes involved in oxidative reduction reactions.
  2. It forms part of haemoglobin which carries oxygen in blood.
  3. It forms part of myoglobin which makes oxygen available for muscle contraction

Iron deficiency
•Iron deficiency refers to the state of having depleted iron stores in the body. It can be caused by;
1.Blood loss
i.Bleeding such as menstruation and intestinal bleeding
ii.Infection such as malaria, hookworm infections.

2.Vulnerable stages of life
•Some stages of life demand more iron but provides less, making deficiency likely
Women in their reproductive years are prone to iron deficiencies as a result of repeated blood loss during menstruation

  1. Pregnancy which demands additional iron to support the added blood volume, growth of the fetus, and blood loss during childbirth.
  2. Infants and young children receive little iron from their high-milk diets, yet need extra iron to support their rapid growth.
  3. Pica: is the increase desire for ice, clay, paste and other non food substances and most of these substances inhibit iron absorption which leads to iron deficiencies.

Effects of iron deficiencies

  1. Anemia
  2. Altered behavior
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

The body contains how much copper
Name some sources of copper and what’s the dietary intake for adults
State the functions of copper

A

The body contains about 100milligrams of copper. It is in variety of cells and tissues.

Sources of copper

  1. Seafoods
  2. Nuts
  3. Whole grains
  4. Seeds
  5. Legumes

Dietary intake
➢1.7mg/day for adult

Functions

  1. It is needed for the absorption of iron in the formation of hemoglobin. ; this is achieved by oxidizing ferrous iron to ferric iron
  2. It protects the body against free radicals; this is achieved by complement actions of both copper containing enzymes and zinc containing enzymes
  3. It serves as part of several enzymes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

State the deficiency symptoms of copper and the toxicity effects

A

Deficiency symptoms

  1. Anemia
  2. Bone abnormalities
  3. Raises blood cholesterol and damage blood vessels.

Toxicity effects

  1. Liver damage
  2. Genetic disorders which affects copper status
  3. Menke’s disease; condition in which the copper absorbed by the intestinal cells are not released into circulation for utilization. This leads to deficiency.
  4. Wilson’s disease; copper accumulates in the liver and brain creating a life threatening toxicity. This can be controlled by reducing copper intake, using chelating agents such as penicilamnine and taking zinc supplements which interferes with copper absorption.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is molybdenum

State the sources and dietary intake for adults

A

Molybdenum is a trace mineral in the body which is present in soil and transferred into a person’s diet when the person consumes plants as well as animals that feed on those plants.

Sources
•Legumes
•Cereals
•nuts

Dietary intake
-2mg/day for adults

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

State the functions,deficiency effects and toxicity effects of molybdenum

A

Functions
1.Cofactor for several enzymes.
Examples of this co– factor enzyme are sulpite oxidase, aldehyde, oxidase, mitochondrial amidoxime.

  1. Needed for the catabolism of proteins and other substances

Deficiency effects
●None recorded
However, molybdenum deficiency can still be caused by a rare genetic disorder called molybdenum cofactor deficiency This condition prevents molybdenum from being absorbed by the body. This can be detrimental to health of such a person.

Toxicity effects

  1. Kidney damage.
  2. Reproductive abnormalities.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is phosphorus
Most of the phosphorus in the body is found as what?
How much of the body’s phosphorus is found in the bone?
What’s the RDA for adults and the upper level for adults?
Where can phosphorus be found in the body
State six sources of phosphorus

A

Phosphorus is an essential mineral that is required by every cell in the body for normal function.
• Most of the phosphorus in the body is found as phosphate (PO43-).
• Approximately 85% of the body’s phosphorus is found in bone.
RDA
Adults: 700mg/day
Upper Level
Adults (19-70 yr): 4000 mg/day

Bones
Teeth
Part of every cell Genetic material

Meat and other proteins: beef, chicken, fish, and organ meat like liver. Milk and dairy foods: eggs, cottage cheese, and ice cream
Beans
Grains: bran and wheat germ
Nuts and seeds, almonds, cashews, peanut butter, and sunflower seeds.
• Foods rich in proteins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

State the functions and deficiency effects of phosphorus

A

The main function is the formation or mineralization of bones and teeth (hydroxyapatite)
• Energy production and storage.
• Storage and transmission of genetic information (Nucleic acids)
• Maintain normal acid-base balance (pH) as a buffer system.
• Activation of molecules (enzymes, hormones and cell signaling molecules)

Inadequate phosphorus intake results in abnormally low serum phosphate levels (hypophosphatemia). The effects of hypophosphatemia may include:
• Bone related symptoms: (rickets and osteomalacia)
• Loss of appetite
• Anemia
• Muscle weakness
• Bone pain
• Increased susceptibility to infection
• Numbness and tingling of the extremities
• Difficulty walking

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is manganese
What’s the AI for manganese?
The upper intake level for it?
State five sources

A

Manganese is an essential trace element, naturally present in foods and available as dietary supplements.
• They are mostly found in bones and metabolically active organs such as liver, kidneys and pancreas.
• Manganese is a co-factor of many enzymes such as pyruvate carboxylase, arginase and manganese superoxide dismutase.
No Recommended Dietary Allowance (RDA) for manganese Adequate Intake (AI) =1.8 – 2.3 mg per day.
Tolerable Upper Intake Level (UL) = 11 mg per day for adults.

Whole grains
Oysters
Nuts Soybeans 
Legumes
Leafy vegetables, Coffee
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the functions of manganese

A

Bone Development
Manganese is the preferred cofactor of enzymes called glycosyltransferases, which are needed for the synthesis of proteoglycans required for the formation of healthy cartilage and bone.
May help in combination with other nutrients such as calcium, zinc and copper

Antioxidant Function
• Manganese superoxide dismutase (MnSOD) is the principal antioxidant enzyme in mitochondria.
• As mitochondria consume over 90% of the oxygen used by cells, they are especially vulnerable to oxidative stress. The superoxide radical is one of the reactive oxygen species produced in mitochondria during ATP synthesis. MnSOD catalyzes the conversion of superoxide radicals to hydrogen peroxide, which can be reduced to water by other antioxidant enzymes.
• Helps reduce inflammation.

Metabolism
A number of manganese-activated enzymes play important roles in metabolism of carbohydrates, amino acids, and cholesterol.
Pyruvate carboxylase and phosphoenolpyruvate carboxykinase (Gluconeogenesis) Arginase in urea cycle (amino acid metabolism)
Glutamine synthetase in the brain (amino acid metabolism)
Mevalonate kinase and farnesyl pyrophosphate synthetase (Lipid metabolism)

Wound Healing
• Wound healing is a complex process that requires increased production of collagen.
• Prolidase (collagen formation in human skin cells)
• Glycosyltransferase (Glycosaminoglycan synthesis)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Why will there be deficiencies of manganese?

What are the effects of the deficiencies

A
Deficiency symptoms are RARE
Deficiencies due to
• Malabsorption
• Too much Iron, Magnesium or Calcium
• Alkaline stomach
 • Anti-acids

manganese deficiency occurs it would result in:
• Poor bone growth and skeletal abnormalities e.g., flat feet. • Loss of collagen
• Stiffness
• Altered carbohydrate metabolism
• Osteoporosis, Diabetes Mellitus, Seizure disorders (More research may be warranted)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is fluoride
What’s the average intake and the upper level intake in adults
What are the sources

A

Fluoride is present in virtually all soils, water supplies, plants and animals.
• Fluorine occurs naturally as the negatively charged ion, fluoride (F-).
• Fluoride is considered a trace element because only small amounts are present in the body and
because the daily requirement for maintaining dental health is only small amounts (few milligrams
a day).
• About 95% of the total body fluoride is found in bones and teeth.
AI Upper Level
Men: 4 mg/day Adults: 10 mg/day Women: 3 mg/day

Plants
Rocks/minerals
Water (fresh water, rain water, sea water) Foods (esp. leafy vegetables/foods)

Soil
Toothpaste Fluoridated water

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are the functions and deficiency effects of fluoride

A

Maintain health of bones and teeth
• Helps to make teeth resistant to decay.
o The predominant mineral elements in bone are crystals of calcium and phosphate known as hydroxyapatite crystals.
o Once fluoride is in the bloodstream after digestion, it rapidly enters mineralized tissues (e.g. bones and developing teeth). Fluoride’s high chemical reactivity and small radius allows it to either displace the larger hydroxyl ion in the hydroxyapatite crystal, forming fluorapatite, or to increase crystal density by entering spaces within the hydroxyapatite crystal.
o Fluorapatite hardens tooth enamel and stabilizes bone mineral.

Deficiency
Susceptibility to tooth decay (cavities)
The first sign of fluoride deficiency is usually cavities. This is because a lack of fluoride can cause your enamel to become weak and prone to decay. However, if you do have cavities, it doesn’t necessarily mean that you are deficient in fluoride. Cavities have other causes too, including sugar and failing to take care of your teeth properly.
Weak bones
Your body needs fluoride for health bones as well as healthy teeth. This means that if you have a fluoride deficiency, you are at an increased risk of weak and brittle bones. Elderly people who are prone to fractures often have a fluoride deficiency.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is calcium
State the sources
State five functions of calcium

A

Calcium is a nutrient that all living organisms need, including humans. It is the most abundant mineral in the body and it is vital for bone health.
●Humans need calcium to build and maintain strong bones, and 99% of the body’s calcium is in the bones and teeth.
●Calcium occurs naturally in many foods, and food manufacturers add it to certain products.

Okra
Cheese
Sardine
Milk
Orange
Almond

Calcium helps build strong bones and teeth.
●Regulating Hormones and Enzymes
●Blood Vessel Dilation/Constriction: Blood Pressure
●Muscle Contraction
●Nerve Transmission – release of Neurotransmitter
●Blood Clotting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What is the calcium DRA and tolerable upper intake per day for infants 0-6 months,7-12 months,1-3yrs kids,4-8yrs,9-18,19-50,51-70male,51-70 female, pregnancy and lactation 14-18 years,pregnancy and lactation tion 19-50 years

What’s the deficiency effect of calcium

A
DAILY RECOMMENDATION ALLOWANCE
TOLERABLE UPPER INTAKE LEVEL PER DAY
Infants 0-6 months
200mg
1000mg
Infants 7-12 months
260mg
1500mg
Children 1-3 years
700mg
2500mg
Children 4-8 years
1000mg
2500mg
Children 9-18 years
1300mg
3000mg
Adults 19-50 years
1000mg
2500mg
Adults 51-70 years male
1000mg
2000mg
Adults 51-70 years female
1200mg
2000mg
Pregnancy and lactation-14-18 years
1300mg
3000mg
Pregnancy and lactation- 19-50 years
1000mg
2500mg

CALCIUM DEFICIENCY
Hypocalcemia: Blood Ca2+ levels below normal.
Bones less dense, weakened and brittle.
risk of Osteoporosis and Bone Fractures

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What is iodine

State the sources

A

Iodine is a mineral found in some foods. The body needs iodine to make thyroid hormones. These hormones control the body’s metabolism and many other important functions. The body also needs thyroid hormones for proper bone and brain development during pregnancy and infancy

Mushroom
Oat
Peanut
Hazelnut
Prunes 
Walnuts
White bread
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What are the metabolic functions of iodine
State other functions
What’s the amount of iodine recommended for the various life stages (birth to 6 months,infants,1-8years,9-13,14-18,adults,pregnant teens and women,breastfeeding teens and women )

A

Thyroid gland traps iodide to make hormone thyroxine (T4), which converts to triiodothyronine (T3).

Promoting thyroid health
●Improving cognitive function.
●Improving birth weight.
●Neurodevelopment during pregnancy.

Birth to 6months
110mcg
Infants
130mg
Children 1-8years
90mcg
Children 9-13years
120mcg
Teens 14-18years
150mcg
Adults
150mcg
Pregnant teens and women
220mcg
Breastfeeding teens and women
290mcg
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What are the deficiency effects of iodine

A

Simple Goiter: Enlarged thyroid gland
●Hypothyroidism: this means that the body does not receive enough thyroid hormone. It is detected by low levels of thyroid hormones in the blood.
●Cretinism: this term refers to the very severe consequences of hypothyroidism occurring during fetal or neonatal life. Cretins have severe irreversible mental retardation.

Reproductive failure: women in severely iodine deficient areas have more miscarriages, stillbirths, and other problems of pregnancy and reproduction than iodine-sufficient areas.
•Childhood mortality: iodine deficiency kills children. Their defenses against infectious and other nutritional problems are lower than those of children in iodine-sufficient areas.

21
Q

What is sodium
State the sources
How much of sodium is needed daily
Too much can cause what

A

Sodium is a mineral found in many foods. It is an essential nutrient and is needed by the body in relatively small amounts. Your body needs sodium for normal muscle and nerve functions. It also keeps body fluids in balance. Most table salts are made of sodium chloride. So, salt used when preparing or flavoring foods usually contains sodium.
It is estimated that we need about 500mg of sodium daily for these vital functions. Too much sodium in the diet can lead to high blood pressure, heart disease and stroke

Pizza
●Soups
●Chicken
●Breads and rolls
●Salted or canned meat
●Sardines
●Fruits(apples, guavas, mango, banana etc.)
●Vegetables(cucumber, tomato, cabbage, carrot etc.)
22
Q

What are the functions of sodium
Deficiency effects of sodium

Diets rarely lack sodium, and even when intakes are low, the body adapts by reducing sodium losses in urine and sweat, thus making deficiencies unlikely. Sodium recommendations are set low enough to protect against high blood pressure, but high enough to allow an adequate intake of other nutrients with a typical diet. True or false
What’s the upper level intake of sodium for adults

A

Fluid balance
●Preserves and enhances food flavor
●Nerve, muscle function

Sodium deficiency is rare.
Hyponatremia - from consuming too much water in a short time, e.g. endurance athletes.
Symptoms: Headache, muscle weakness, fatigue, seizures, as we have seen, can cause death.

Because high sodium intakes correlate with high blood pressure, the Upper Level for adults is set at 2300 milligrams per day, slightly lower than the Daily Value used on food labels (2400 milligrams). The average sodium intake for adults in the United States exceeds the Upper Level—and most adults will develop hypertension at some point in their lives.

23
Q

What is chloride
State the sources
What are the functions of chloride

A

Chloride(Cl-) is a primary anion formed when the element chlorine gains an electron when a compound such as hydrogen chloride dissolves in water or other polar solvents.
•The ion is colorless and diamagnetic.
•It is highly soluble in aqueous solutions and bound by the proton end of the water molecules.
•It is one of the major minerals which our bodies need in a relatively larger amounts to keep healthy.
•It can be found naturally in foods but the common we have is as sodium chloride in table salt.

Cured meat
Cheese
Canned food
Salt
Tomatoes
Legumes
Whole grains
Cocoa

Helps our cells take in and out nutrients and water
Balances our bodies fluids and regulates blood pressure
Helps our muscles contract
Helps our body digest food
Helps our nerves carry messages between the brain and the body

24
Q

What causes chloride deficiency?

What are the effects of chloride deficiency and toxicity

A

Deficiency of chloride is called hypochloremia.
•Hypochloremia is an electrolyte imbalance that occurs when there is a low amount of chloride in the body.
•This deficiency can result from:
➢Vomiting
➢Diarrhea
➢Heavy sweating
➢Kidney malfunction
➢Metabolic alkalosis
➢Drugs such as laxatives, diuretics, corticosteroids, bicarbonates etc.

You often won’t notice symptoms of hypochloremia. Instead, you may have symptoms of other electrolyte imbalances, such as hyponatremia, or from conditions causing hypochloremia.
•The symptoms include:
oFluid loss
oDehydration
oWeakness or fatigue
oDifficulty in breathing
oDiarrhea or vomiting caused by fluid loss

Chloride Toxicity
•When chloride levels are moderately high, a person may not notice any symptoms. However, long-term hyperchloremia can cause a range of symptoms, including:
oFluid retention
oHigh blood pressure
oMuscle weakness, spasms or twitches
oIrregular heart rate
oConfusion, difficulty concentrating and personality changes
oNumbness or tingling
oSeizures and convulsions
25
What is magnesium The adult body contains how much magnesium at where? Normal values of magnesium in the serum ranges between what values
Magnesium(Mg2+), an abundant mineral in the body, is naturally present in many foods, added to other food products, available as supplement and present in some medications – laxatives and antacids. •Magnesium is a cofactor in more than 300 enzyme systems that regulate diverse biochemical reactions in the body. •Magnesium homeostasis is largely controlled by the kidney, which usually excretes about 120mg of magnesium each day. •Urinary excretion is low when magnesium is low adult body contains approximately 25g of magnesium, with 50%-60% present in the bones and the rest in soft tissues. •Less than 1% of total magnesium is in the blood serum. •Normal values in the serum ranges between 0.75 and 0.95mmol/L.
26
State the sources of magnesium | What are the functions of magnesium and the drugs interactions with magnesium
``` Almond Cashews Soy milk Peanut butter Avocado Whole wheat bread ``` It is essential for healthy bone formation. •It helps in glucose control and insulin metabolism. •It aids in muscle contraction and relaxation. •It helps lower blood pressure •It contributes to the synthesis of DNA and RNA. Magnesium – Drug Interactions •Magnesium supplementation may give rise to some drug interactions. Medications that may interact with magnesium supplements or affect magnesium levels include: oOral bisphosphonates that treat osteoporosis such as alendronate (Fosamax) oTetracycline antibiotics including doxycycline and demeclocyclin oQuinolone antibiotics including ciprofloxacin and levofloxacin. oProton pump inhibitors including esomeprazole magnesium
27
State the cause of deficiency in magnesium,symptoms of deficiency,symptoms of toxicity
Magnesium deficiency is known as hypomagnesemia. •Hypomagnesemia results from: oExcess alcohol consumption oDiabetes oGastrointestinal disorders oSide effects from certain medications •Hypomagnesemia is more common in older adults ``` Magnesium Deficiency (Cont’d) •Symptoms of magnesium deficiency include: oLoss of appetite oNausea/vomiting oFatigue oMuscle cramps oNumbness oTingling oSeizures oHeart rhythm changes or spasms oPersonality changes ``` An overdose of magnesium through dietary sources is unlikely because the body will eliminate any excess magnesium from food through urine. •However, high intake from magnesium supplements can lead to gastrointestinal problems such as diarrhea, nausea or cramping. •Very large doses can cause kidney problems, low blood pressure, urine retention, nausea and vomiting, depression, lethargy, loss of CNS control, cardiac arrest and possibly death. NB: People with kidney disorder should not take magnesium supplements unless their doctor advises that they do.
28
What is selenium What’s the RDA for kids below or equal to 13 years and adults and kids above 13 years ,pregnant women,breastfeeding women. State some sources of selenium
Selenium is an essential component and a trace mineral. •It has an atomic number of 34 and symbol Se. •It is an essential component of various enzymes and proteins. •This mineral shares some of the chemical characteristics of sulphur. This similarity allows selenium to substitute for sulphur in the amino acids, cysteine, cysteine, methionine, hence the name selenoproteins. Selenium is an essential component of various enzymes and proteins. •Although it is mostly stored in the thyroid gland, it is also stored in muscle tissues. •The Recommended Dietary Allowance for various groups is as follows: ➢Children (<= 13 years) – 40mcg/day ➢ Adults and children > 13 years – 55mcg/day Pregnant women – 60mcg/day ➢Breastfeeding women – 70mcg/day ``` Eggs Tuna Chicken Brown rice Sardine Sunflower ➢ ```
29
What are the functions,deficiency effects and toxicity effects of selenium
``` Functions of Selenium •Acts as a powerful antioxidant. •Reduces risk of certain cancers. •Protects against heart diseases. •Helps to prevent mental decline. •Important for thyroid health. •Boosts the immune system. •May help reduce asthma symptoms. ``` ``` Severe selenium deficiency results in: •Keshan disease (congestive cardiomyopathy) •Kashin-Beck disease (osteochondropathy) Moderate selenium deficiency results in: •Depression •Mood swings Hypothyroidism Liver damage Scaly skin Tiredness ``` ``` Toxicity Hair loss •Dizziness •Nausea •Vomiting •Facial flushing •Tremors •Muscle soreness ```
30
The word ''vitamin'' comes from the Latin word ''vita'', means ''life ▪Vitamins are organic components in food that are needed in very small amounts for growth and for maintaining good health. ▪Everybody must eat a certain amount of vitamins to stay healthy. ▪Vitamins are chemicals found in very small amounts in many different foods True or false What is folate What is the structure of folate
Vitamin B9, also called folate or folic acid , is one of 8 B vitamins. ▪All B vitamins help the body convert food (carbohydrates) into fuel (glucose), which is used to produce energy. ▪These 8 vitamins, often referred to as 8- complex vitamins, also help the body use fats and protein. ▪ vitamin B9 is needed for a healthy liver, and healthy skin, hair, and eyes. ▪They also help the nervous system function properly ▪All the B vitamins, including FOLATE are water soluble STRUCTURE ▪Folate has a chemical name,pteroylglutamate acid(PGA). It’s primary coenzyme form tetrahydrofolate,transfers one carbon in metabolism. ▪It consists of a ring structure and a glutamate compound. ▪Vitamin B12 is required to help for the folate coenzyme to function. Folate has a chemical name,pteroylglutamate acid(PGA). It’s primary coenzyme form tetrahydrofolate,transfers one carbon in metabolism. ▪It consists of a ring structure and a glutamate compound. ▪Vitamin B12 is required to help for the folate coenzyme to function.
31
What are the health effects of folate PREGENANT WOMEN NEED MORE FOLATE TO LOWER RISK OF shat diseases Folate in diet protects against what things
HEALTH EFFECT OF FOLATE ▪Cells & tissues rapid growth during infancy, adolescence, and pregnancy. ▪Production of DNA and RNA, ▪Mental & emotional health ▪Proper brain function ▪Works closely with vitamin B12 to make RBCs ▪Reduces risk of heart diseases ▪Nueral tube birth ▪Spina bifida ▪Cleft palate ▪Brain damage ``` Colon cancer ▪Breast cancer ▪Cervical cancer ▪Pancreatic cancer ▪Stomach cancer ```
32
``` Deficiency in folate leads to what State some sources of folate What easily destroys folate Name some signs of folate toxicity What’s the RDA and upper level ```
``` Deficiencies Poor growth ▪Tongue inflammation ▪Gingivitis ▪Loss of appetite ▪Anemia(Large-cell type) ``` ``` DEFICIENCIES ▪Shortness of breath ▪Diarrhea ▪Irritability ▪Forgetfulness ▪Mental sluggishness ``` ``` Sources: Spinach Dark leafy greens Avocado Soya beans Liver Legume Seeds It’s easily destroyed by heat and oxygen ``` It masks vitamin B12 deficiency symptoms Adult RDA: 400 per day Upper level 1000 Check the slide for the unit
33
What are minerals What is zinc Average Adult body:1.4-2.5 g Zn ▪Typically found in bone, prostate ,choroid of the eyes ▪90% total body zinc are found in the bone as skeleton. ▪0.5 total body zinc are found in the blood ▪Plasma zinc level:75-120 ug/dL true or false What makes zinc absorption different from iron
Minerals are those elements on the earth and in foods that our bodies need to develop and function normally. Those essential for health include calcium, phosphorus, potassium, sodium, chloride, magnesium, iron, zinc, iodine, chromium, copper, fluoride, molybdenum, manganese, and selenium. WHAT IS ZINC ▪Essential trace elements for human, animals and plants ▪Naturally present in some foods, added to others and available as dietary supplements ▪Involved in numerous aspect of cellular metabolism ▪Required for the catalytic activity of approximately 100 enzymes The body’s handling of zinc resembles that of iron in some ways and differs in others. A key difference is the circular passage of zinc from the intestine to the body and back again.
34
What are the sources , FUnctions and groups at risk of getting zinc deficiency
``` The major sources of zinc are found in animal foods like: ▪Milk ▪Beef meat ▪Liver ▪Oyster ▪Eggs ``` ``` ▪Spinach ▪Nuts ▪Legumes ▪Whole grain cereals ▪Wheat and bran ➢Availability is less in plant sources. Food processes removes large portions of zinc as well as other trace element ``` FUNCTIONS ▪An essential component of several metalloenzymes ▪Development of male reproductive functions ▪Formation of testosterone ▪An accelerator of wound healing and for a normal sense of taste ▪Vital for immune systems ▪Vital for growth and cell division ▪Vital for vision AT RISK GROUPS ▪People with gastrointestinal and other diseases ▪Vegetarians ▪Pregnant and lactating women ▪Older infants who are exclusively breastfed ▪People with sickle cell diseases ▪Alcoholics
35
Zinc deficiency leads to what? What’s the RDA and UI for zinc Zinc toxicity leads to what ?
``` DEFICIENCY ▪Retardation ▪Loss of appetite ▪Impaired immune function ▪Alopecia ▪Diarrhea ▪Delayed sexual maturation ▪Impotence in males ``` RDA Men are required to take 11 mg of zinc per day. Women are required to take 8 mg per day. ▪UPPER LEVEL Adult :40mg/day Toxicity Acute adverse effects of high zinc intake includes ▪Nausea, loss of appetite, abdominal cramps and headache. ▪It has an effect of decrease in HDL-cholesterol in adult males. ▪Associated with inhalation of zinc chloride from industrial pollution causing loss of iron from the liver and a loss of copper.
36
State the types of chromium State the sources State one source of the bad type of chromium
Chromium is an essential mineral that participates in carbohydrate and lipid metabolism. TWO TYPES; Chromium iii Chromium iv ``` Broccoli Whole wheat bread Garlic Orange juice Apple Green beans ``` Cigarettes
37
What are the functions And deficiency effects of chromium Not enough Chromium three will cause what and too much chromium three will cause what What’s the recommended intake for men and women
``` Reduces cholesterol Regulates glucose levels or glycemia Used in treating Alzheimer’s Improved tissue sensitivity Useful in treating type two diabetes ``` ``` Deficiencies: May result in diabetes like conditions Skin rashes Upset stomach and ulcers Respiratory problems A weakend immune system Kidney and liver diseases damage Lung cancer Death ``` Hyperlipidemia Hyperglycemia Hyperinsulinemia Too much will cause Kidney toxicity GI troubles Men:35mg/day Women:25mg/day
38
Describe potassium Name some sources of potassium Recommended intake -available data cannot be used to determine the average requirements but can be used as a basis for deriving an adequate intake (AI) true or false
is a chemical element with symbol k - is a major essential mineral( Macro-mineral) - is a positively charged ion - It is also a major intracellular cation. Homeostasis of potassium - potassium balance or homeostasis is maintained by: 1. Transcellular movement 2. Role of GI tract in homeostasis of potassium 3. Role of kidney in homeostasis of potassium - It is also an electrolyte, a substance that conducts electricity in the body, along with sodium, chloride, calcium, and magnesium. - the adult human body contains about 250g of potassium and total body potassium is about 55mEQ/kg body weight which is influenced by age, sex and muscle mass, since most of the body’s potassium is found in muscles. - About 98% of potassium is in cells, only 2% is in ECF. ``` Potassium is found in a wide range of foods. Many fruits and vegetables are high in potassium and low in sodium. •Vegetables •Fruits •Whole grains •Fish •Meat •Legumes •Milks ```
39
What are the functions of potassium
FUNCTIONS -PHYSIOLOGICAL FUNCTIONS & HEALTH BENEFITS 1.The primary function of potassium is maintaining fluid and electrolyte balance. -Potassium is the main electrolyte inside the cell. -When potassium enters the cell, it instigates a sodium potassium exchange across the cell membrane which generates an electrical potential -The electrical potential allows an electrical current to pass from one cell to the next. POTASSIUM •FUNCTIONS -PHYSIOLOGICAL FUNCTION & HEALTH BENEFITS 2. Major intracellular osmotically active cation and participates in IF volume regulation (exits with Cl when cells swell) 3. Maintenance of nervous system -it is required for transmission of nerve impulses -the electrical potential generated allows conduction of nerve impulses PHYSIOLOGICAL FUNCTION & HEALTH BENEFITS 4. Influences the muscle activity - maintain normal smooth muscle, skeletal muscle and cardiac contractions. - This electrical potential gradient helps generate muscle contractions and regulates the heartbeat. 5. Supports cell’s integrity 6. Maintenance of acid-base balance - controls hydrogen ion concentration
40
When do we say someone has hypokalemia What causes hypokalemia What are the deficiency effects of potassium
DEFICIENCY( HYPOKALAEMIA) - Generally defined as a serum potassium level of less than 3.5mEq/L (3.5 mmol/L). - Moderate 2.5 - 3.0 mEq/L & Severe < 2.5 mEq/L auses 1. Inadequate potassium intake - Eating disorders : Anorexia, dementia, starvation - Total parental nutrition 2. Increased potassium excretion - medications : Diuretics , Laxatives and enemas ,Corticosteroids - Increased Gastrointestinal losses(diarrhea , vomiting) - Renal losses :renal diseases Osmotic diuresis( hyperglycemia), Mineralocorticoid excess, Hypomagnesemia, genetic disorders( Bartter syndrome) A shift of potassium from the extracellular to the intracellular space - medications: insulin overdose, beta 2 sympathmimetics - Alkalosis (metabolic or respiratory) - Intensive beta-adrenergic stimulation - Hypothermia CLINICAL MANIFESTATIONS -Severity is proportionate to the degree and duration of the reduction in serum potassium -Symptoms usually resolve with correction of the hypokalemia -There may be more than one symptom involving the gastrointestinal (Gl) tract, kidneys, muscles, heart and nerves. POTASSIUM •DEFICIENCY( HYPOKALAEMIA) -CLINICAL MANIFESTATIONS 1. Palpitations(Irregular heartbeat) 2.Severe muscle weakness and cramps, which can worsen to a point of paralysis. -easy fatigability -all muscles involved including respiratory and GIT -respiratory failure, bloating and constipation 3. Glucose intolerance -Hypokalemia reduces insulin secretion 4. Elevation of blood pressure 5. Passing large amounts of urine
41
When do we say someone has hyperkalemia or potassium toxicity What causes it? What are the symptoms of hyperlakalemia Potassium is a mineral that's crucial for life. Potassium is necessary for the heart, kidneys, and other organs to work normally. Hence adequate amount of potassium in diet with or without supplements, should be enough to keep you healthy. True or false
Generally defined as a serum potassium level of more than 5.5mEq/L (5.5 mmol/L). causes - Potassium toxicity does not result from overeating foods high in potassium; therefore, an Upper Level was not set. - results from 1. overconsumption of potassium salts or supplements (including some “energy fitness shakes”) 2. certain diseases 3. certain treatments ``` Dyspnea Nausea And vomiting Fatigue and weakness Chest pain Paresthesias Palpitations muscle weakness Weak muscle or tendon reflexes ```
42
What is alcohol Alcohol In The Body -From the moment an alcoholic beverage enters the body, alcohol is treated as if it has special privileges. Unlike foods, which require time for digestion, alcohol needs no digestion and is quickly absorbed across the walls of an empty stomach, reaching the brain within a few minutes. -Alcohol (beverage ethanol ) distributes throughout the body, affecting almost all systems and altering nearly every neurochemical process in the brain. True or false Rate of alcohol metabolism depends on what Most alcohol is oxidized where? Which enzymes act on alcohol What is the source of alcohol What percent of alcohol is in beer,wine and liquor
Organic compounds containing hydroxyl(-OH) -The hydroxyl functional group is bound to a saturated carbon atom. -The general formula for alcohol is CnH2n+1OH -Alcohol is produced by the process of fermentation where microorganisms called yeast, feed on the sugars in malted grains , grapes ,berries etc. -contains 7kcal/g -common alcohols include: -ethanol or ethyl alcohol (the type found in alcoholic beverages) -methanol (found in methylated spirit) -propanol(a beta blocker) Presence or absence of food Gender :women don’t oxidize as much alcohol in their stomach thus leaving more to be absorbed Fermentation: yeast cells metabolize and make alcohol Alcoholic beverages Beer:5-6percent Wine:8-14 percent Liquor :35-45percent Alcohol dehydrogenase Aldehyde dehydrogenase
43
Why does alcohol abuse cause malnutrition | Why is alcohol an appetite stimulant
Why can alcohol cause malnutrition ? - both abuse and dependence - key things to note 1. decrease dietary caloric intake 2. impair nutrient digestion and absorption 3. decrease protein synthesis and secretion 4. increase breakdown and excretion of nutrients that is,many alcoholics are malnourished, either because they ingest too little of essential nutrients (e.g., carbohydrates, proteins, and vitamins) or because alcohol and its metabolism prevent the body from properly absorbing, digesting, and using those nutrients. Furthermore, alcohol breakdown in the liver, both by the enzyme alcohol dehydrogenase and by an enzyme system called the microsomal ethanol–oxidizing system (MEOS), generates toxic products such as acetaldehyde and highly reactive, and potentially damaging, oxygen– containing molecules. These products can interfere with the normal metabolism of other nutrients, particularly lipids, and contribute to liver cell damage Why is alcohol an appetite stimulant -Alcohol switches the brain into starvation mode, increasing hunger and appetite. It influemces hormones tied to satiety - eg it inhibits the effects of leptin, a hormone that suppresses appetite and glucagon-like peptide-1 (GLP-1), a hormone that inhibits food intake. 2. It stimulate nerve cells in the brain's hypothalamus that increase appetite. - neurons in the brain that are generally activated by actual starvation, causing an intense feeling of hunger, can be stimulated by alcohol.
44
What is the recommended alcohol intake for women and men How do you calculate alcohol units Which people shouldn’t take alcohol What are the benefits of moderate alcohol intake What are the health effects of alcohol
``` Recommended in Moderation FOR WOMEN - one drink only in a day - 12 units in a week FOR MEN -two drink only in a day - 14 units in a week •To calculate the units -volume of drink x percentage of alcohol divided by 1000 ``` Women who may become or are pregnant People w a history of alcoholism People under the legal drinking age People with liver and kidney disease People taking medications that interact w alcohol People who are driving or doing tasks that need their total concentration Alcohol reduces stress Enhances confidence Simulates appetite Increased HDL and reduced LDL Health Effects of alcohol - Alcohol Disrupts the Liver - Alcohols effect on the brain - Alcohol and Malnutrition - Alcohol’s Short-Term Effects - Alcohol’s Long-Term Effects
45
What are the types of alcohol disorders Define them Name some effects of alcohol abuse
Alcohol abuse:pattern of alcoholic consumption resulting in distress ,danger or harm to onees health Alcohol dependence or alcoholism :characterized by chronic alcohol dependence ``` Reduces brain function Alcohol poisoning Reduced liver function Increased risk for chronic diseases Malnutrition Fetal and infant health problems Increased risk for traumatic injury ```
46
Water intoxication can cause what Water deficiency causes what What is water deficiency
WATER INTOXICATION - excessive water ingestion and kidney disorders that reduce urine production. - excessive water intake upsets electrolyte balances. - Excessive water ingestion (10 to 20 liters) within a few hours contributes to the dangerous condition known as hyponatremia. - too much water in the cells (including brain cells), causing them to swell. When the cells in the brain swell they cause increased ICP. - The symptoms may include - confusion, - convulsions, - and even death in extreme cases. WATER DEFICIENCY( DEHYDRATION) ``` INADEQUATE FLUID INTAKE OF WATER •Deprivation, •Lack of thirst (toxemia), •Esophageal Obstruction •Dysphagia ``` ``` EXCESSIVE FLUID LOSS •Diarrhea, •Vomiting, •Polyuria, •Extensive skin wounds, •Copious sweating,, •Acute intestinal or gastric obstruction and dilatation •Hemorrhage ``` WATER DEFICIENCY( DEHYDRATION) - the condition in which body water output exceeds water input. - when too much water is lost from the body and not replaced, dehydration develops. - Causes - Dehydration may easily develop with either water deprivation or excessive water losses - factors include 1. Inadequate intake of water 2. Excess fluid loss
47
``` water needs vary depending on •diet •activity •environmental temperature • and humidity -due to this, a general water requirement is difficult to establish. ``` -Adequate intake(AI) levels for water have been determined for generally, healthy people and are based on age and gender. -Total water includes not only drinking water, but water in other beverages and in foods as well. True or false State some functions of water Name three sources of water
Carries nutrients and waste products throughout the body 2. Maintains the structure of large molecules such as proteins and glycogen 3. Participates in metabolic reactions 4. Serves as the solvent for minerals, vitamins, amino acids, glucose, and many other small molecules so that they can participate in metabolic activities 5. Acts as a lubricant and cushion around joints and inside the eyes, the spinal cord, and, in pregnancy, the amniotic sac surrounding the fetus in the womb 6. Aids in the regulation of normal body temperature 7. Serves as a shock absorber 8. Maintains blood volume. 9. Drinking plenty of water may protect against urinary stones and constipation Sources 1. water itself 2. Various foods - Most fruits and vegetables contain up to 90 percent water, and many meats and cheeses contain at least 50 percent. 3. Metabolic water - The water produced as an end product of the oxidation of energy-containing molecules such as carbohydrates, fats and proteins. - when the energy-yielding nutrients break down, their carbons and hydrogens combine with oxygen to yield carbon dioxide (CO2) and water (H2O)
48
State two differences between soft and hard water How is water lost How is water intake regulated
Water is usually either hard or soft - The hardness or softness of water is determined by the mineral content of both calcium and magnesium: - Hard water - has high concentrations of calcium and magnesium - Soft water - sodium or potassium is the principal mineral - low levels of calcium and magnesium Water losses - The body must excrete a minimum of about 500 milliliters (about 2 cups) of water each day as urine - water is lost from the lungs as vapor - water is lost from the skin as sweat - water is also eliminated in feces - The amount of fluid lost from each source varies, depending on the environment (such as heat or humidity) and physical conditions (such as exercise or fever) - On average, daily losses total about two and half liters Governed by thirst and statiety - they influence water intake, apparently in response to changes sensed by the mouth, hypothalamus, and nerves. - When water intake is inadequate, there is increased plasma osmolarity, the mouth becomes dry, and the hypothalamus initiates drinking behavior - When water intake is excessive, the stomach expands and stretch receptors send signals to stop drinking. - Similar signals are sent from receptors in the heart as volume increases.
49
State five properties of water Each water molecule can form a maximum of 4 hydrogen bonds True or false
Properties -Water is a liquid at standard temperature and pressure. It is tasteless and odorless. -water is a polar molecule -Water is a good solvent (universal solvent). -Substances that dissolve in water are known as hydrophilic (water- loving) substances, while those that do not mix well with water are known as hydrophobic (water-fearing) substances. -All the major components in cells (proteins, DNA and polysaccharides) are dissolved in water. -Pure water has a low electrical conductivity, -The boiling point of water is dependent on the barometric pressure. (on the top of Mt. Everest water boils at 68 °C, compared to 100 °C at sea level.