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1 
Minerals 
Chapters 12 and 13
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 
Macrominerals 
Potassium Sodium Chloride 
Requirement dependent body water 
Maintain fluid balance 
No RDA 
Calcium Magnesium Phosphorous 
Established RDA 
Bone growth metabolism
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 
3) Dietary Sources 
Salt (NaCl) 40% Sodium 
Present most foods 
Processed foods, sauces 
4) Dietary Recommendations 
DECREASE! 
Minimum requirement 500mg/day US
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
7 
Deficiency 
Excessive vomiting, sweating, diarrhea 
Results in: seizures, muscle cramps, 
mental apathy, loss appetite 
Replace with fluid replacement 
Toxicity: 
Fluid balance upset 
Edema & hypertension 
Increase water intake required
8 
Potassium 
1) Function 
1o function maintain intracellular 
volume 
Na+/K+ exchange facilitates: 
A) Muscle contraction 
B) Nerve transmission
9 
2) Dietary sources 
Abundant plant/animal 
Fresh foods best source 
Fresh foods >K than Na 
Processed foods >Na than K 
3) Dietary Recommendations 
Minimal daily requirement 2000mg/day
10 
Health Consequences 
Chronic Deficiency: Hypertension 
Low K+ BP: K+ BP 
Acute Deficiency: Excessive losses 
Diuretics, laxative, vomiting & diarrhea 
Muscle weakness, paralysis, confusion 
Toxicity 
Generally excretion 
Injections fatal: stops heart
13 
Calcium (Ca2+) 
1) Function 
Bone metabolism 
Strength, rigidity bones 
Teeth formation 
Body fluids ~1% Ca 
muscle contraction, clot formation, 
enzymes, nerve impulses
14 
2) Absorption & Metabolism 
~30% absorbed 
50% absorbed pregnant women 
Factors affecting absorption: 
Stomach acidity 
Presence Vit D: Ca binding protein 
Equal quantity Phosphorous 
Milk good source Phosphorous 
 by Phytate, Fiber
15 
Metabolism 
Circulating levels Ca tightly controlled 
Hormones, Vit D 
Act on: 
Intestine: or %absorbed 
Bones: or release Ca 
Kidneys: or % filtered & excreted
16 
3) Dietary Sources 
Dairy 
Small bones fish/shellfish 
Nuts, seeds, vegetables, seaweed 
Fortified products: Bioavailability? 
4) Dietary Recommendations 
>19yr 1000mg/day 
Women >50yr: 1200mg/day 
TUL: 2500mg/day
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
18 
Phosphorous 
1) Functions 
85% body phosphorous bone/teeth 
Intracellular buffer 
Activation enzymes involved energy 
metabolism 
Phospholipids –structure, transport
19 
2) Dietary Sources 
Protein rich foods 
Legumes, milk, meat 
Soft drinks – phosphoric acid 
Food additives 
3) Dietary Recommendations: 
700 mg/day 
TUL: 4000mg/day
20 
Health Consequences – 
Phosphorus 
Deficiency 
Very rare – drug/nutrient interaction 
Bone pain and weakness 
Toxicity 
Decreased blood levels Ca
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
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
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
24 
Trace Minerals 
Iron and Zinc
25 
Iron 
1) Functions 
Oxidation Reduction Reactions 
Co-enzyme 
Energy yielding reactions 
Major component Hemoglobin 
Myoglobin – protein in muscle 
Oxygen available muscle contraction
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
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
28 
3) Transport and Storage 
Transferrin-transport 
Two storage proteins 
Ferritin - Mainly liver 
Hemosiderin – slower release iron 
Daily loses 
GI tract, bleeding
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
30 
Health Consequences - 
Iron 
Deficiency 
People at risk: 
Women: menstrual losses, Pregnancy 
Infants, young children, teenagers: need 
Frequent blood donors 
Surgery, trauma
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
32 
Iron Toxicity 
1) Hemochromatosis 
Iron overload 
Occurs: 
Genetic disorder 
Repeated blood transfusion 
Massive dose supplements 
Results in: 
 hemosiderin in liver/other tissues
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
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
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
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
38 
Health consequences 
1. Deficiency 
Growth retardation 
Hypogonadism 
Delayed sexual function 
Impaired wound healing, immune function 
Behavioral disturbances 
Accompanies PEM 
Zinc supplementation enhances recovery
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
40 
2) Toxicity 
Acute: >25mg/day 
Metallic taste, nausea, gastric distress 
Chronic toxicity: > RDA 
LDL + HDL = CVD risk 
 copper absorption, copper deficiency
41 
Other Trace Minerals 
Iodine Flouride 
Selenium Chromium 
Copper Molybdenum 
Manganese 
Self learning: Use textbook

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Minerals

  • 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
  • 7. 7 Deficiency Excessive vomiting, sweating, diarrhea Results in: seizures, muscle cramps, mental apathy, loss appetite Replace with fluid replacement Toxicity: Fluid balance upset Edema & hypertension Increase water intake required
  • 8. 8 Potassium 1) Function 1o function maintain intracellular volume Na+/K+ exchange facilitates: A) Muscle contraction B) Nerve transmission
  • 9. 9 2) Dietary sources Abundant plant/animal Fresh foods best source Fresh foods >K than Na Processed foods >Na than K 3) Dietary Recommendations Minimal daily requirement 2000mg/day
  • 10. 10 Health Consequences Chronic Deficiency: Hypertension Low K+ BP: K+ BP Acute Deficiency: Excessive losses Diuretics, laxative, vomiting & diarrhea Muscle weakness, paralysis, confusion Toxicity Generally excretion Injections fatal: stops heart
  • 11. 13 Calcium (Ca2+) 1) Function Bone metabolism Strength, rigidity bones Teeth formation Body fluids ~1% Ca muscle contraction, clot formation, enzymes, nerve impulses
  • 12. 14 2) Absorption & Metabolism ~30% absorbed 50% absorbed pregnant women Factors affecting absorption: Stomach acidity Presence Vit D: Ca binding protein Equal quantity Phosphorous Milk good source Phosphorous  by Phytate, Fiber
  • 13. 15 Metabolism Circulating levels Ca tightly controlled Hormones, Vit D Act on: Intestine: or %absorbed Bones: or release Ca Kidneys: or % filtered & excreted
  • 14. 16 3) Dietary Sources Dairy Small bones fish/shellfish Nuts, seeds, vegetables, seaweed Fortified products: Bioavailability? 4) Dietary Recommendations >19yr 1000mg/day Women >50yr: 1200mg/day TUL: 2500mg/day
  • 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
  • 17. 19 2) Dietary Sources Protein rich foods Legumes, milk, meat Soft drinks – phosphoric acid Food additives 3) Dietary Recommendations: 700 mg/day TUL: 4000mg/day
  • 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
  • 22. 24 Trace Minerals Iron and Zinc
  • 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
  • 37. 40 2) Toxicity Acute: >25mg/day Metallic taste, nausea, gastric distress Chronic toxicity: > RDA LDL + HDL = CVD risk  copper absorption, copper deficiency
  • 38. 41 Other Trace Minerals Iodine Flouride Selenium Chromium Copper Molybdenum Manganese Self learning: Use textbook