This document discusses minerals that are essential for human health. It separates them into macrominerals and trace minerals. Macrominerals include sodium, potassium, chloride, calcium, magnesium, and phosphorus. They are involved in fluid balance, bone growth, metabolism, muscle contraction, and nerve transmission. Trace minerals discussed include iron, zinc, and selenium. They act as co-factors for enzymes and are involved in energy production, immune function, and other processes. The document provides information on dietary sources and recommendations for each mineral as well as potential deficiency and toxicity issues.
2. 2
Inorganic ions, essential
2 classes
1) Macrominerals >5gm in body
Sulfur Phosphorous Calcium
Sodium Potassium Chloride
Magnesium
2) Trace minerals <5gm in body
Iron Copper Selenium
Manganese Iodine
Zinc
3. 3
Macrominerals
Potassium Sodium Chloride
Requirement dependent body water
Maintain fluid balance
No RDA
Calcium Magnesium Phosphorous
Established RDA
Bone growth metabolism
4. 4
Sodium
1) Function
1o role: Maintenance ECF volume
Acid/base balance
Nerve transmission
Muscle contraction
2) Absorption/Metabolism
Readily absorbed
Filtered in kidneys
Controlled release into blood
5. 5
3) Dietary Sources
Salt (NaCl) 40% Sodium
Present most foods
Processed foods, sauces
4) Dietary Recommendations
DECREASE!
Minimum requirement 500mg/day US
6. 6
Health Consequences of
Sodium
1) High Blood Pressure
Genetic sensitivity
Salt restriction helps BP
Controversial role normal BP
2) Osteoporosis
Sodium Calcium excretion
Dietary advice: Calcium Sodium
15. Health Consequences – Ca
17
Deficiency
Childhood: Stunted growth, Suboptimal
bone mass
Adulthood: Bone loss – Osteoporosis
Tetany
Toxicity:
Constipation
Kidney dysfunction, Urinary stones
Hardness/stiffness muscles, vascular sys
16. 18
Phosphorous
1) Functions
85% body phosphorous bone/teeth
Intracellular buffer
Activation enzymes involved energy
metabolism
Phospholipids –structure, transport
18. 20
Health Consequences –
Phosphorus
Deficiency
Very rare – drug/nutrient interaction
Bone pain and weakness
Toxicity
Decreased blood levels Ca
19. 21
Magnesium
1) Functions
>50% bones, remainder muscle, soft
tissue, 1% ECF
In soft tissues: numerous enzymatic
systems:
Energy production, transport systems
Inhibits muscle contraction/blood clots
Immune system, nerve impulses
20. 22
2) Dietary Sources
Leafy vegetables, beans, seeds, nuts
Water
Intake ~2/3 recommended levels
3) Dietary Recommendations
Men 420mg/day
Women: 320mg/day
TUL:350mg synthetic form only
21. 23
Health Consequences -
Magnesium
Deficiency
Occurs with disease states
Alcohol abuse, Protein Malnutrition,
Kidney, endocrine diseases
Results in:
severe tetany, weakness, confusion,
hallucinations, convulsions
Toxicity: None known
23. 25
Iron
1) Functions
Oxidation Reduction Reactions
Co-enzyme
Energy yielding reactions
Major component Hemoglobin
Myoglobin – protein in muscle
Oxygen available muscle contraction
24. 26
2) Absorption & Metabolism
% absorbed tightly control
requirements % absorbed
Heme: associated heme protein
Animal foods: 10% dietary intake
23% absorbed
Non-heme: no protein
Plant foods: 2-20% absorbed
25. 27
Factors effecting absorption
1) Form of iron
Heme vs non-heme
2) MFP & Vit C
absorption non-heme iron
Consumed with same meal
Inhibitors
1) Phytates/fiber
2) Tannins: Wine, tea, coffee
3) Calcium/phosphate in milk
26. 28
3) Transport and Storage
Transferrin-transport
Two storage proteins
Ferritin - Mainly liver
Hemosiderin – slower release iron
Daily loses
GI tract, bleeding
27. 29
Iron Recommendations
Men: 8mg/day, Women: 18mg/day
Ave intake: 10-11mg/day
TUL: 45 mg/day
Food Sources:
Emphasize iron rich foods
Meats, Fish, Poultry, Legumes, Eggs
Fortified/enriched wholegrains
Dark green vegetables, fruit (dried) useful
sources
inhibitors & enhancers
28. 30
Health Consequences -
Iron
Deficiency
People at risk:
Women: menstrual losses, Pregnancy
Infants, young children, teenagers: need
Frequent blood donors
Surgery, trauma
29. 31
Iron deficiency prior to anemia
Depleted iron stores
concentration, lethargy, mood swings
Iron deficiency anemia - severity
Low hemoglobin concentration
RBC pale, small – oxygen
cell metabolism
Fatigue, weakness, headaches, apathy,
pallor, poor response cold
30. 32
Iron Toxicity
1) Hemochromatosis
Iron overload
Occurs:
Genetic disorder
Repeated blood transfusion
Massive dose supplements
Results in:
hemosiderin in liver/other tissues
31. 34
2) Iron & Heart Disease
Controversial
Proposed: Iron = oxidant: Oxidised LDL
3) Iron & Cancer
Also controversial
Oxidation DNA
4) Iron Poisoning
Accidental poisoning
Vomiting, nausea, rapid heartbeat,
dizziness
32. 35
Zinc
Distribution
1-2.3gm body
All body tissue
1) Role in body
Metallo-enzymes
~150 enzymes
Protein, nucleic acid synthesis
Insulin synthesis
Taste perception
33. 2) Absorption & excretion
36
Absorption: 15-40%
Upper small intestine
Increased by:
Presence amino acids, lactose
Low dietary iron
Decreased by:
High phytate, calcium, iron intake
Low dietary protein
34. 37
Stored with metallothionein
Transport: bound to albumin
3) Dietary Recommendations
11mg/day men, 8 mg/day women
TUL: 40mg/day
4) Food Sources: Widely available
Good sources
Meat, animal products, shellfish
Reduced bioavailability
Legumes, cereals
35. 38
Health consequences
1. Deficiency
Growth retardation
Hypogonadism
Delayed sexual function
Impaired wound healing, immune function
Behavioral disturbances
Accompanies PEM
Zinc supplementation enhances recovery
36. 39
Pregnancy
Adaptation: absorption, excretion
At risk:
Disease patients
Poverty, developing countries
Pregnancy, young, elderly
Deficiency due to:
intake, need
absorption: high iron, calcium
losses