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52 Cards in this Set

  • Front
  • Back
Roles of Water
*Carries nutrients & wastes
*Part of metabolic reactions
*Solvent for many nutrients
*Maintains structure of large molecules
*Maintains body temperature
*Maintains blood volume
*Acts as a lubricant & cushion
Water Imbalance
*Dehydration
*Symptoms if not corrected:
Thirst
Weakness
Exhaustion
Delirium
Death
*Water intoxication
*Symptoms:
Severe headache
Confusion
Convulsion
Coma
Death
Water Excretion Regulation
*Hypothalamus stimulates pituitary to release ADH
*ADH stimulates kidneys to reabsorb water
*If BP is low, kidneys release aldosterone & more water is absorbed
Water Recommendation
*Men: 3.7 L/day
*Women: 2.7 L/day
Fluid and Electrolyte Balance
*Partially dissolved salts become electrolytes
*Are vital to the life of all cells
*Salts determine where fluids go
*Extracellular: sodium & chloride
*Intracellular: potassium
Acid Base Balance
*Electrolytes act as buffers
Are the first line of defense
Can add acid or base depending on what is needed
Minerals Needed in Fluid Balance
Sodium, chloride, & potassium
Minerals Needed in Structure of Bone
Calcium, phosphorus, & magnesium
Minerals Needed in Nerve Transmission and Muscle Contraction
Sodium, potassium, calcium, & magnesium
Minerals Needed in Energy Metabolism
Phosphorus & magnesium
Minerals Needed in the Shape of Proteins
Sulfur
Sodium Roles and Recommendation
*Roles:
Regulates extracellular fluid volume
Acid-base balance
Muscle contraction & nerve transmission
*Recommendations:
1500 mg/day (19-50 years old)
1300 mg/day (51-70 years old)
1200 mg/day >70
Sodium in Foods
*High in processed & fast foods
*Low in whole & unprocessed foods
*¾ comes from salt added by manufacturers
Sodium and Blood Pressure
*Salt has a greater effect then either sodium or chloride alone
*Limit sodium to less than 2300 mg
*Salt is 40% sodium
*1 g salt = 400 mg sodium
*6 g salt = 1 tsp
*1 tsp = 2300 mg sodium
*DASH diet and reduced sodium are effective for lowering blood pressure
Chloride
*Major extracellular negative ion
*Part of hydrochloric acid in the stomach
*Roles:
Fluid & electrolyte & acid-base balance
*Recommendation:
2300 mg/day (19-50 yr)
2000 mg/day (51-70 yr)
1800 mg/day (>70 yr)
Potassium Roles
*Principle positive intracellular ion
*Roles:
Fluid & electrolyte balance
Cell integrity
Keeping heart beat steady
Potassium Deficiency
*Usually from excessive losses
*Diabetic acidosis
*Certain diuretics, steroids, & cathartics
*Symptoms:
Increased BP
Impaired glucose tolerance
Salt sensitivity
Calcium losses
Kidney stone formation
Potassium Toxicity
*Over consumption of potassium salts or supplements
*Certain diseases or medications
Potassium in Foods and Recommendations
*Fresh foods
*Fruits & vegetables
*Recommendations:
Adults: 4700 mg/day
Calcium
*Most abundant mineral in the body
*Roles in body:
99% stored in bone
Part of bone structure
Acts as a calcium bank
Calcium in Bone
*Calcium salts form crystals on collagen matrix
*Gives bones strength & rigidity
*Bone mass increases up to age 30
*After 30, bone loss exceeds new bone formation
Calcium in Body Fluids
*1% of all calcium
*Regulates muscle contractions
*Transmits nerve impulses
*Helps with blood clotting
*Secretes hormones, digestive enzymes, & neurotransmitters
Calcium Balance
*If too much in blood:
Ca deposited to bones (calcium rigor)
*If too little in blood:
Calcium tetany
Intestine absorbs more
Bones release more
Kidneys excrete less
Calcium and Osteoporosis
*Bones fracture under common everyday stresses
*Causes:
Inadequate calcium in growing years
15% bone loss after menopause
Genetic & environmental factors
*Prevention:
Adequate bone minerals
Weight bearing physical activity
*Afflicts more than 40 million people, both men & women
Calcium Recommendations
*Adolescence: 1300 mg/day
*Ages 19-50: 1000 mg/day
*Over 50: 1200 mg/day
Phosphorus
*2nd most abundant mineral in the body
*85% in bones & teeth
*Found in all body tissues
*Is necessary for all growth
*Animal protein is the best source
*Dietary deficiencies are rare
Magnesium
*Is critical to the operation of hundreds of enzymes
*Helps muscles relax
*More than ½ is in the bones
Magnesium Deficiency
*Results from vomiting, diarrhea, alcohol abuse, PEM, use of diuretics
*Result is tetany
Magnesium Toxicity
*Abuse of magnesium-containing laxatives, antacids, others
Magnesium Recommendation and Food Sources
*Recommendation:
*Men:
(19-30): 400 mg/day
(31 >): 420 mg/day
*Women:
(19-30): 310 mg/day
(31 >): 320 mg/day
*Food Sources:
Dark green, leafy vegetables
Whole-grain breads & cereals
Nuts
Legumes
Seafood
Chocolate
Cocoa
Sulfate
*The oxidized form of sulfur
*Body needs it to make sulfur-containing compounds
*Role:
helps to shape protein strands
Found in skin, hair, & nails
*No deficiency known
The Trace Minerals
*Amount in body would hardly fill a teaspoon
*Each has a vital role
*Deficiency or excess can be fatal
Iron
*Part of every living cell
*Found in:
Hemoglobin in red blood cells
Myoglobin in muscle cells
*Iron helps them carry & hold O2 & release it
*Needed to make new cells, amino acids, hormones, & neurotransmitters
*Only 10-15% dietary iron is absorbed
*Transferrin carries it to the tissues
Iron Deficiency
*Most common nutrient deficiency worldwide
*Persons at risk:
Infants with high milk diets
Toddlers
Pregnant women & those of child-bearing age
Adolescents
*Causes:
Inadequate intake from ignorance
Sheer lack of food
High consumption of iron-poor foods
Blood loss
Assessment of Iron Deficiency
*Stages of iron deficiency
1. Iron stores diminish
2. Transport iron decreases
3. Hemoglobin production declines
*Check levels of transferrin
*Check hemoglobin & hematocrit
Iron Deficiency Anemia
*Severe depletion of iron stores
*Results in low hemoglobin
*Pale & small RBCs
*Fatigue, weakness, headaches, apathy, pallor, impaired resistance to cold
Pica
*Appetite for ice, clay, paste or other non-nutritious substances
*Clears up quickly when given iron
*Self-Diagnosis:
Not advised
See a physician
Iron Overload
*Called hemochromatosis
*Causes:
Genetic disorder
Repeated blood transfusions
Massive doses of supplements
*More common in men
*Symptoms:
Apathy, lethargy, fatigue
*Results in:
Tissue damage
Infections
Aggravates risk of diabetes, liver cancer, heart
disease, & arthritis
Iron Poisoning
*Rapid ingestion of massive amounts can cause death
*5 iron supplements can cause a child’s death
Iron Recommendations
*Men
(19 >) = 8mg/day
*Women
(19-50) = 18mg/day
> 50 = 8 mg/day
Iron in Foods
*Heme iron:
Absorbed at about 23%
Found in meats, poultry, & fish
*Non-heme:
Absorbed at about 2-20%
Found in vegetables, grains, eggs, meat, fish, &
poultry
Iron Absorption
*Iron absorption can be enhanced by:
MFP factor found in meat, fish & poultry
Vitamin C eaten in same meal
*It is impaired by:
Tannins of tea & coffee
Calcium in milk
Phytates in legumes & whole-grain cereals
Zinc
*Required as a cofactor by more than 100 enzymes
*Performs tasks in:
Eyes
Liver & kidneys
Muscles
Skin & bones
Male reproductive organs
*Affects:
Immune function
Behavior & learning performance
Needed to produce active vitamin A
Essential to wound healing, taste perception, sperm
& fetal development
Zinc Deficiency
*Dwarfism, severe growth retardation, arrested sexual maturation
*Impaired immune functioning, loss of appetite, fetal growth & development disorders
Zinc Toxicity
*Vomiting, diarrhea, fever, exhaustion, death
*UL = 40 mg/day
*Vulnerable Groups:
Pregnant women
Young children
Strict vegetarians
Elderly & poor
Zinc in Foods and Recommendations
*Recommendations:
Men = 11 mg/day
Women = 8 mg/day
*Food sources:
*Food high in protein
Shellfish, meats, liver
Milk, eggs, whole grains
Breast milk & fortified infant formulas
Selenium
*Functions as part of a group of antioxidants
*Has a role in activating thyroid hormone
*Selenium & cancer: under investigation
*Foods:
meats, shellfish, vegetables, grains
*Deficiency:
Associated with heart disease
*Toxicity:
Vomiting, diarrhea, hair & nail loss, skin & nervous
system lesions
*RDA: adults 55 mcg/day
Iodine
*Integral part of thyroid hormone
*Deficiency:
Goiter
Sluggishness, weight gain
Cretinism
*Toxicity
Can enlarge thyroid gland
*Sources:
Iodized salt
Seafood, vegetables grown in iodine-rich soil
Copper
*Is a part of many enzymes
*Vital role is to help cells use iron
*Needed in many reactions related to respiration & energy metabolism
*Deficiency is rare
*Toxicity cannot come from foods
*Recommendations:
RDA = 900 mcg/day
*Food sources:
Legumes, whole grains, seafood, nuts, seeds
Manganese
*Cofactor for many enzymes
*Deficiencies have not been noted
*Toxicity may be severe:
Symptoms of brain disease
Abnormalities in appearance & behavior
*Found in nuts, whole grains, leafy greens
*Adequate intakes:
Men: 2.3 mg/day
Women: 1.6 mg/day
*Tolerable Upper Level = 11 mg/day
Fluoride
*Deficiency
Dental decay
*Sources:
Drinking water
Processed fruit drinks
Fluoridated water
Fluoride toothpastes, gels, & oral rinses
*Tolerable Upper Level Adults = 10 mg/day
*Too much fluoride can damage teeth
*Fluorosis: enamel can become pitted & stained
Chromium
*Participates in CHO & lipid metabolism
*Enhances activity of insulin
*Deficiency unlikely
*Best sources:
Liver
Brewer’s yeast
Whole grains
Nuts
Cheeses