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
Q

What is magnesium
The adult body contains how much magnesium at where?
Normal values of magnesium in the serum ranges between what values

A

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
Q

State the sources of magnesium

What are the functions of magnesium and the drugs interactions with magnesium

A
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
Q

State the cause of deficiency in magnesium,symptoms of deficiency,symptoms of toxicity

A

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
Q

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

A

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
Q

What are the functions,deficiency effects and toxicity effects of selenium

A
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
Q

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

A

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
Q

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

A

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
Q
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
A
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
Q

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

A

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
Q

What are the sources , FUnctions and groups at risk of getting zinc deficiency

A
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
Q

Zinc deficiency leads to what?
What’s the RDA and UI for zinc
Zinc toxicity leads to what ?

A
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
Q

State the types of chromium
State the sources
State one source of the bad type of chromium

A

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
Q

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

A
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
Q

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

A

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
Q

What are the functions of potassium

A

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
Q

When do we say someone has hypokalemia
What causes hypokalemia
What are the deficiency effects of potassium

A

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
Q

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

A

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
Q

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

A

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
Q

Why does alcohol abuse cause malnutrition

Why is alcohol an appetite stimulant

A

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
Q

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

A
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
Q

What are the types of alcohol disorders
Define them
Name some effects of alcohol abuse

A

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
Q

Water intoxication can cause what
Water deficiency causes what
What is water deficiency

A

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
Q
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
A

Carries nutrients and waste products throughout the body

  1. Maintains the structure of large molecules such as proteins and glycogen
  2. Participates in metabolic reactions
  3. Serves as the solvent for minerals, vitamins, amino acids, glucose, and many other small molecules so that they can participate in metabolic activities
  4. 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
  5. Aids in the regulation of normal body temperature
  6. Serves as a shock absorber
  7. Maintains blood volume.
  8. 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
Q

State two differences between soft and hard water
How is water lost
How is water intake regulated

A

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
Q

State five properties of water

Each water molecule can form a maximum of 4 hydrogen bonds
True or false

A

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.