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33 Cards in this Set

  • Front
  • Back

Water in the Body

Approximately 60% of body weight is water, found inside (2/3) and outside (1/3) cells


- Adequate water levels maintain blood volume, which helps maintain blood pressure


> Constriction of blood vessels and heart rate also maintain blood pressure


- Thirst reflex and kidney also helps maintain blood pressure


> Thirst is a good indicator of water need


- Water is not stored in the body like other macronutrients, each day water losses equal water gains


Water content of intra/extracellular spaces depends on...


1) Solute concentrations (protein, sodium, potassium), water moves by osmosis to achieve proper solute concentration


2) Blood pressure (forces water out of blood)

Water Balance Hormone

1) Antidiuretic Hormone (ADH)


2) Angiotensin II


3) Aldosterone

Function of Water

1) Solvent


a. Primary constituent


b. Environment for chemical reactions


2) Metabolism and transport


3) Protection


a. Lubrication, tears, cushioning


b. Helps eliminate pathogen


4) Hydrolysis/dehydration reactions


5) Regulation body temperature (perspiration)

Water Deficiency

Deficiency of water causes symptoms more rapidly than any other nutrient (also leads to deficiencies in electrolyte)


- Dehydration reduces blood volume, impacting nutrient delivery and waste removal


- Water loss >10-20% can result in death


Early symptoms: thirst, headache, fatigue, loss of appetite, dry eyes/mouth, dark urine


Late symptoms: nausea, difficulty concentrating, confusion, disorientation, collapse

Hyponatremia

When sodium levels in the blood are abnormally low can result from water intoxication


- Increase in water causes a drop in the sodium concentration in the body


- Water moves into the tissues causing swelling


> Causes disorientation, convulsions, nausea, muscle cramps, slurred speech, confusion

Water Need

Varies daily with activity level, various conditions, ambient temperatures, diet


- Low calories diets increase water needs as more is needed to excrete waste from the metabolism


- High fiber, salt diets also increase water needs


- Caffeine, alcohol act as diuretics because they impair ADH action increasing the urge to urinate


> Beverages containing caffeine are not ideal sources of water

Minerals

Inorganic elements found on the period table throughout mature


- >20 essential minerals found in plants and animals


- Present naturally in foods or added from soil, food processing


Major Minerals: need >100mg/day


Trace Minerals: need <100mg/day

Mineral Bioavailability

The degree to which the amount of an ingested mineral is absorbed and available to the body


- Depends on the source, soil quality where plants are grown, what else is eaten at the same time, the preparation, and the individual


- Minerals are typically easier to absorb from animal products vs. plant products


> Plant may contain oxalates, phytates, tannins, and fibers that can bind minerals in GI and reduce absorption


> Cooking plant products can help free up nutrients



Compounds Interfering with Mineral Absorption

1) Oxalates: been have been found to interfere with absorption of calcium and iron (found in spinach, rhubarb, beet greens, and chocolate)


2) Tannins: can interfere with absorption of iron (found in tea, red wine, and some grains)


3) Phytates: bind calcium, zinc, iron, and magnesium, limiting their absorption, it can also be broken down by yeast, improving their availability. It is found in whole grains, bran, and soy products


* promote excretion, not absorption

Mineral as Cofactors

Mineral can sometimes can activate enzymes


1) Mineral cofactor combines with incomplete enzyme to form active enzyme


2) Active enzyme binds to molecules involved in the chemical reaction and accelerates their transformation


3) Final products are released while enzyme is unchanged

Electrolytes

Changed irons that are responsible for the electrical activity of the body


- Sodium is the main extracellular one, potassium is the main intracellular one


- Natural sources of electrolytes tends to be higher in potassium and lower in sodium


> Processing adds unnecessary


- Also regulates fluid balance


- Deficiency typically associated with excessive sweating, diarrhea, vomiting


1) Sodium (table salt, processed food)


2) Potassium (fresh fruits and vegetables, legumes, whole grains, milk, meat)


3) Chloride (table salt, processed food)

Hypertension

High blood pressure


- Most common health problem related to minerals


- Can lead to atherosclerosis, heart attack, stroke, kidney disease, death


- Affects 1/5 Canadians (15% of people with it don't know they have it)


- Risks factors are genetics, age, obesity, physical inactivity, alcohol, stress, diet)


> High in sodium (+risk), diets high in K, Ca, Mg (-risk), DASH diet (-risk)


> DASH diets are high in whole grains, fiber, F/V, low in fat, lean meats, limited fats and sweets (dietary approaches to stop hypertension)

Minerals Involved in Bone Health

1) Calcium


2) Phosphorous


3) Magnesium

Bone Overview

Bone is composed of a protein matrix (ex, collagen) hardened by mineral deposits


- Bone is always remodelling: building up and breaking down


> Involves three types of cells


1) Osteoclasts: bone breaking cells


2) Osteoblasts: bone building cells (immature bone cells)


3) Osteocytes: mature bone cells when incorporated into the bone

Hydroxyapatite Crystals

Calcium and phosphorous form crystals which mineralizes bones and teeth

Osteoporosis

Reduced bone mass


- Bone mass builds up until age 30 where it begins declining for everyone


- Weight bearing activity, calcium, Vitamin D, are important prevent it


- Smoking, low body weight, alcohol abuse, gender (2x more likely in women), race (African), family history, are all risk factors


- Treatments are estrogen, calcium/vit D supplements, weight-bearing activity

Calcium Regulation

Drop in calcium levels result in parathyroid hormone which stimulates:


1) Bone reabsorption (increased osteoclast activity to release Ca2+ from bone)


2) Reduced Ca2+ loss in urine at kidneys


3) Increases activity of vitamin D which increases Ca2+ absorption at kidneys


- Increase in blood calcium increases calcitonin release


> Primarily works on bone to inhibit Ca2+ release into the blood

Calcium

Contributes to bone and tooth structure, nerve transmission, muscle contraction, blood clotting, blood pressure regulation, hormone secretion


Sources: dairy products, fish consumed with bones, leafy green vegetables, fortified foods


RI: 1000mg/day for women >50, 1200mg/day for men >70


Deficiency: increased risk of osteoporosis


GaR: postmenopausal women, elderly, people who consume a vegan diet and lactose intolerant, those with kidney disease


TS: elevated blood calcium, kidney stones, and other problems


UL: 2500mg/day for adults aged 19-50, 2000mg/day for adults >70

Phosphorous

Structure of bones and teeth, membranes, ATP and DNA, acid base balance


Sources: meat, dairy, cereals, baked goods


RI: 700mg/day


Deficiency: bone loss, weakness, lack of appetite


GaR: premature infants, alcoholics, elderly people


TS: calcium reabsorption from bone


UL: 4000mg/day

Magnesium

Bone structure, ATP stabilization, enzyme activity, nerve and muscle function


Source: greens, whole grains, legumes, nuts, seeds


RI: 310mg/day from women 19-30, 320mg/day for women >30, 400mg/day for men 19-30, 420mg/day men >30


Deficiency: nausea, vomiting, weakness, muscle pain, heart changes


GaR: alcoholics, individuals with kidney and gastrointestinal disease


TS: nausea, vomiting, low blood pressure


UL: 350mg/day from nonfood sources

Sodium

Major positive extracellular ion, nerve transmission, muscle contraction, fluid balance


Sources: table salt, processed foods


RI: 2300mg/day, ideally 1500mg/day


Deficiency: muscle cramps


GaR: people consuming severely sodium restricted diet, those who sweat excessively


TS: high blood pressure in sensitive people


UL: 2300mg/day

Potassium

Major positive intracellular ion, nerve transmission, muscle contraction, fluid balance


Source: fresh fruits and vegetables, legumes, whole grains, milk, meat


RI: 4700m/day


Deficiency: irregular heartbeat, fatigue, muscle cramps


GaR: people consuming diets high in processed foods, those taking thiazides dieuretics


TS: abnormal heartbeat


- No UL defined

Chloride

Major negative extracellular ion, fluid balance


Sources: table salt, processed foods


RI: <3600mg/day, ideally 2300mg/day


Deficiency: unlikely


GaR: none


TS: none


UL: 3600mg/day

Trace Minerals

1) Iron


2) Copper


3) Zinc


4) Selenium


5) Iodine


6) Fluoride

Iron

Part of hemoglobin (which delivers oxygen to cells), myoglobin (which holds oxygen in muscle), and proteins needed for ATP production needed for immune function


Sources: red meats, leafy greens, dried fruit, legumes, whole and enriched grains


RI: 8-18mg/day


Deficiency: Iron deficiency anemia (fatigue, weakness, small pale red blood cells, low hemoglobin levels, inability to maintain normal body temperature - most common deficiency


GaR: infants and preschool children, adolescents, women of childbearing age, pregnant women, athletes, vegetarians


TS: Gastrointestinal disease (common for children <6 mistake tablets for candy)


UL: 45mg/day

Iron Absorption and Bioavailabilty

Bioavailability depends on type of iron in food


Heme iron: part of hemo/myoglobin (from animal sources, and more easily absorbed 2x)


Non-heme iron: found in plant sources, harder to absorb but absorption is improved when eaten with sources of heme iron and vitamin C


- Vegetarians, especically female are at risk for iron deficiency

Pica

An appetite for non nutritive substances such as dirt, clay or sand that may contain minerals


- May try to get minerals that they are lacking

Copper

A component of proteins needed for iron absorption, lipid metabolism, collagen synthesis, nerve and immune function, and protection against oxidative damage


Sources: organ meats, nuts, seeds, whole grains, seafood, cocoa


RI: 900μg/day


Deficiency: anemia, poor growth, bone abnormalities, can lead to iron deficiency since, copper-containing protein is needed for iron absorption


GaR: people who consume excessive amounts of zinc in supplements


TS: vomiting, abdominal pain, diarrhea, liver damage


UL: 10mg/day


Zinc

Regulates protein synthesis, functions in growth, development, wound healing, immunity, and antioxidant enzymes


Sources: meat, seafood


RI: 8-11mg/day


Deficiency: poor growth and development, skin rashes, decreases immune function


GaR: vegetarians, low-income chilren, elderly people


TS: decreased copper absorption, depressed immune function


UL: 40mg/day


* Crucial role in gene expression


* Part of Zinc Superoxide Dimutase (antioxidant)

Selenium

Antioxidant as part of glutathione peroxidase, synthesis of thyroid hormones; spares vitamin E


Sources: meats, seafood eggs, whole grains, nuts, seeds


RI: 55μg/day


Deficiency: muscle pain, weakness, Keshan disease


GaR: populations where the soil is low in selenium


TS: nausea, diarrhea, vomiting, fatigue, changes in hair and nails


UL: 400μg/day

Iodine

Needed for synthesis of thyroid hormone


Sources: iodized salt, seafood, seaweed, dairy products


RI: 150μg/day


Deficiency: goiter, cretinism, impaired brain function, growth and development abnormalities


GaR: populations in areas where the soil is low in iodine and iodized salt is not used


TS: enlarged thyroid


UL: 1110μg/day


- Part of thyroid hormones - regulate metabolic rate


- Most intake is from iodized salt

Iodine Deficiency

Symptoms are slower metabolic, fatigue, weight gain


- Can lead to goiter (reversible)


> Thyroid gland tries to synthesize enough TH but cannot so that gland enlarges


- Can lead to cretinism (irreversible)


> Due to inadequate maternal levels during pregnancy, it impairs mental function and growth

Fluoride

Strengthens tooth enamel, enhances re-mineralization of tooth enamel, reduces reduces acid production by bacteria in the mouth, and prevents dental caries by forming fluroapatite crystals that harden tooth enamel


Sources: fluoridated water, tea, fish, toothpaste


RI: 3-4mg/day


Deficiency: increased risk of dental caries


GaR: populations in areas with unfluoridated water, those who drink mostly bottled water


TS: fluorosis, molted teeth, kidney damage, bone abnormalities


UL: 10mg/day