Trace & Ultra Trace Minerals Flashcards

1
Q

What are the main functions of trace and ultratrace minerals?

A

catalytic center of enzymes; oxidation/reduction reactions; oxygen transport; structure

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2
Q

What are the main factors influencing absorption of iron?

A

metabolic need, nature of dietary iron, vitamin C, and meat factor

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3
Q

When iron status is adequate, how much of dietary iron is absorbed?

A

14-18%

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4
Q

When iron need is high, how much of dietary iron is absorbed?

A

35-40%

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5
Q

What are the two different types of dietary iron?

A

heme (hemoglobin, myoglobin) and nonheme (ferrous and ferric)

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6
Q

Where is heme iron found?

A

in animal meat

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7
Q

Where is nonheme iron found?

A

in plant based foods

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8
Q

Which is better absorbed, heme or nonheme iron?

A

heme iron

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9
Q

Which is better absorbed, ferrous or ferric?

A

ferrous

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10
Q

How does vitamin C affect iron absorption?

A

keeps the iron in the ferrous state which will increase absorption

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11
Q

How is iron absorbed?

A

through the brush border membrane into the small intestine by carrier-mediated mechanisms

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12
Q

What is the key iron-binding protein?

A

ferritin

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13
Q

What does the mucosal block do?

A

binds and stores mucosal iron preventing it from entering the bloodstream

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14
Q

What transports iron into the interstitial fluid for release into the bloodstream?

A

ferroportin

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15
Q

What copper containing enzyme oxidizes iron from ferrous to ferric form?

A

ceruloplasmin

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16
Q

Where is iron stored?

A

in the liver, bone marrow and spleen

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17
Q

T/F: there is a limited ability to excrete iron

A

true

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18
Q

What is hepcidin?

A

a protein that regulates iron balance

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19
Q

What are the functions of iron?

A

oxygen transport, apart of the mitochondria, and a cofactor for other enzymes

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20
Q

What is hemoglobin?

A

red blood cells

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21
Q

What does hemoglobin do?

A

carries oxygen in the blood from lungs to all tissues in the body and carbon dioxide back to the lungs for expiration

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22
Q

how many iron-containing heme compounds does hemoglobin have?

A

4

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23
Q

What does erythropoietin do?

A

stimulates bond marrow to produce more red blood cells where O2 capacity declines

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24
Q

What does myoglobin do?

A

transports oxygen from red blood cells to skeleton and heart muscle cells

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25
Q

What happens if you have iron deficiency?

A

microcytic, hypochromic anemia

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26
Q

What happens during the first stage of microcytic, hypochromic anemia?

A

storage iron depletion (decrease serum ferritin indicates lower stores)

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27
Q

What happens during the second stage of microcytic, hypochromic anemia?

A

transport iron depletion (decrease serum iron and increased transferrin)

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28
Q

What happens during the third stage of microcytic, hypochromic anemia?

A

Hemoglobin production decreases (increased free erythrocyte protoporhyrin; decreased blood hemoglobin; and decreased hematocrit)

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29
Q

What is hematocrit?

A

percentage of total blood volume comprised of red blood cells

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30
Q

What is protoporphyrin?

A

immature RBC

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31
Q

What is the RDA for iron?

A

8 mg/day for men and 18 mg/day for women

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32
Q

What is the UL for iron?

A

45 mg/day

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33
Q

What are sources of iron?

A

liver, eggs, lean meat, legumes, fruits, nuts, enriched grains

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34
Q

What is the richest source of iron?

A

meats and seafood

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35
Q

What happens if you have iron overload?

A

hemochromatosis

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36
Q

What is hemochromatosis?

A

genetic condition that is a deficiency of hepcidin that prevents degradation of transport protein ferroportin causing an excess iron absorption

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37
Q

What is a possible treatment?

A

phlebotomy (donating blood often)

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38
Q

What is the function of iodine?

A

an essential part of thyroid hormones

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39
Q

What are the two thyroid hormones?

A

thyroxine (T4) and triiodothyronine (T3) which is the active form

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40
Q

What do thyroid hormones do?

A

regulate growth, development, metabolic rate, and reproductive function

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41
Q

how is iodine absorbed?

A

in ionic form and carried to the thyroid gland

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42
Q

Where is iodine stored?

A

stored on thyroglobulin

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43
Q

Where is the excess iodine excreted?

A

in urine

44
Q

how is thyroxine released?

A

hypothalamus releases the thyroxine releasing factor (TRF) which tells the pituitary to release the thyroid stimulating hormone (TSH) that forces the thyroid gland to release thryoxine

45
Q

What is the UL for iodine?

A

1100 mcg/day

46
Q

What are sources of iodine?

A

plant foods if grown on soil rich iodine; dairy products; iodized salt

47
Q

What happens if you have iodine deficiency?

A

goiter or cretinism

48
Q

What is goiter?

A

no thyroid hormones which causes the thyroid to swell with accumulated precursors

49
Q

What decreases iodine bioavailability?

A

goitrogens (substances found in raw veggies)

50
Q

What is cretinism?

A

iodine deficiency during preganancy

51
Q

What are effects of cretinism?

A

restriction of brain development and growth; severe mental retardation, loss of hearing, & speech abilities, short stature, muscle spasticity

52
Q

What happens if you have iodine toxicity?

A

hyperthyroidism (grave’s disease or exophthalmic goiter)

53
Q

What is graves disease?

A

an autoimmune disease where the thyroid gland is overactive which increases levels of thyroid hormones and increased BMR

54
Q

What are symptoms of graves disease?

A

nervousness, weight loss, and protrusion of eyeballs

55
Q

What are the functions of zinc?

A

normal growth, development, reproduction & immunity; maintenance of protein structure and DNA/RNA replication; cell membrane structure & fxn; storage, release & fxn of insulin; superoxide dismutase; appetite and taste acuity

56
Q

How is zinc absorbed?

A

by diffusion or binding to a ligand

57
Q

What does zinc bind to once in the intestinal mucosal cell?

A

metaollothionein

58
Q

What does CRIP do?

A

carries zinc from the mucosal cell to the blood

59
Q

What is the absorption average of zinc?

A

20%, but varies from 11% with low meat, high DF to 26% with high meant, low DF

60
Q

What is the RDA for zinc?

A

11 mg/d men and 8 mg/d women

61
Q

What is the UL for zinc?

A

40 mg/d

62
Q

What are sources of zinc?

A

meat, poultry, eggs, and dairy

63
Q

what is the best source of zinc?

A

absorbed from animal products

64
Q

What are symptoms of zinc deficiency?

A

retarded growth, delayed sexual development, rough skin, and anemia

65
Q

What is acrodermatitis enteropathica?

A

genetic reduction in zinc absorption usually in infants

66
Q

When is zinc toxicity observed?

A

with supplements of 100-300 mg/d

67
Q

What are symptoms of zinc toxicity?

A

impaired copper and iron status, anemia, and immune deficiency

68
Q

What is the function of copper?

A

essential part of many metalloenzymes involved in energy release and synthesis of many products

69
Q

What is ceruloplasmin?

A

enzyme involved in iron absorption, heme synthesis, and release of iron from storage

70
Q

Where is copper absorbed from?

A

all parts of the intestine

71
Q

Where is copper excreted?

A

mainly in feces (bile, sloughed cells) with a small amount excreted in urine

72
Q

What is the RDA for copper?

A

900 mcg/d

73
Q

What is the UL for copper?

A

10 mg/d

74
Q

What are sources of copper?

A

liver, shellfish, nuts, cocoa, mushrooms, whole grains

75
Q

what are symptoms of copper deficiency in children?

A

psychomotor retardation, hypotonia, anemia, low blood Cu and ceruloplasmin

76
Q

What is menke’s kinky hair syndrome?

A

defect in Cu absorption and transport

77
Q

What are symptoms of menke’s kinky hair syndrome?

A

slow growth, degeneration of brain tissue, hypothermia, seizures, defective arterial walls, depigmentation of skin and hair, stubbly white hair

78
Q

What is copper toxicity usually from?

A

excess in unbound form

79
Q

What is wilson’s disease?

A

inborn error that prevents excretion of Cu in bile, causing accumulation in liver, kidney and cornea

80
Q

How is wilson’s disease treated?

A

with penicillamine to bind Cu for excretion… lifelong

81
Q

What are functions of selenium?

A

somewhat exchangeable with vit. E, in Gpx, GPxII, selenoprotein P, and thyroxin metabolism

82
Q

how is Se present in foods?

A

as selenomethionine (plants) or selenocysteine (animal)

83
Q

What is the RDA for Se?

A

55 mcg/d for men and women

84
Q

What is the UL for Se?

A

400 mcg/d

85
Q

What are sources of Se?

A

organ meats, muscle meats, cereals and grains, dairy products, fruits, and veggies

86
Q

What is keshan disease?

A

Se deficiency

87
Q

What are symptoms of keshan disease?

A

cardiomyopathy in children and women of child bearing age

88
Q

What causes selenosis?

A

Se toxicity

89
Q

what are symptoms of selenosis?

A

hair and nail loss, skin lesions, tooth decay, nervous system abnormalities

90
Q

What is the AI for fluoride?

A

4 mg/d for men and 3 mg/d for women

91
Q

what are sources of fluoride?

A

fluoridated water; seafood, tea and coffee, vegetables

92
Q

What happens if you have a toxicity from fluoride?

A

fluorosis

93
Q

What is chromium involved in?

A

insulin sensitivity and glucose utilization

94
Q

T/F: chromium is very poorly absorbed

A

true

95
Q

What is the AI for chromium?

A

35 mcg/d for men and 25 mcg/d for women

96
Q

What are sources of chromium?

A

meats and whole grains

97
Q

what happens if you have a deficiency of chromium?

A

reduced glucose tolerance, decreased glycogen stores, retarded growth

98
Q

what is the AI for manganese?

A

2.3 mg/d for men and 1.8 mg/d for women

99
Q

What is the UL for manganese?

A

11 mg/d

100
Q

What are sources of manganese?

A

whole grains, nuts, dried legumes and green veggies

101
Q

What is a manganese toxicity caused by?

A

inhalation of industrial pollutants

102
Q

What is the RDA for molybdenum?

A

45 mcg/d

103
Q

What is the UL for molybdenum?

A

2 mg/d

104
Q

What are sources of molybdenum?

A

legumes, grain products and nuts

105
Q

What are the ultratrace minerals?

A

boron (bone growth), nickel (enzyme cofactor), silicon (cartilage, collagen, and bone formation), arsenic (phospholipid, amino acid and DNA metabolism), and vanadium (growth, iron, glucose and lipid metabolism, reproduction, bone development)