07 Minerals Flashcards

1
Q

What are the two forms of iron found in the human body, and what are the two forms of dietary iron and where are they found?

A

Ferric (Fe3+) and Ferrous (Fe2+).
Haem iron - flesh foods.
Non-haem - flash and plant foods.

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2
Q

What groups of people are usually recommended iron sups by doctors?
What are the most absorbable forms of supps and when best taken?

A

Pregnant women, infants and small children.
Iron sulphate and chelate, taken between meals or on empty stomach, not with milk, tea or coffee which impairs absorption.

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3
Q

Where does hame and non-harm iron fall in dietary iron levels and how much is absorbed?

A

Haem - 10% dietary and 25% absorbed.

Non-Haem - 90% dietary but only 17% absorbed.

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4
Q

How is iron absorbed in the gut and which vitamin increases absorption?

A

A protein called mucosal-ferritin stores in mucosal cells in the small intestine.
When needed, mucosal transferrin transfers it to blood transferrin which transports it to the rest of the body.

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5
Q

What can inhibit iron absorption?

A

Phytates, oxalates, polyphenols, calcium, tannic acid in tea, soy protein and eggs.

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6
Q

Where is iron mostly transported to and where and how is surplus iron stored after this?

A

Mostly transported to bone marrow to make RBC’s.

Excess is stored in the protein ferritin in the liver, marrow and spleen.

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7
Q

What 5 places is iron present in the body and explain each?

A

Haemoglobin - for oxygen transport.
Myoglobin - for oxygen storage in muscle.
Catalase and peroxidase - enzyme that protect against ROS
Cytochromes - enzymes for energy prod in electron transport chain.

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8
Q

What is the difference between iron def and iron def anaemia?

A

Iron def is depletion of iron in body stores.

Iron def anaemia is severe depletion that results in low haemoglobin concentration.

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9
Q

How does low iron levels cause iron def anaemia and what are SS?

A

Results in small pale RBC’s that cannot carry enough oxygen to tissues - energy metabolism then falters.
SS - fatigue, weakness, headaches, apathy poor resistance to cold temps, pale skin.

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10
Q

What iron rich foods are best eaten for veggies/vegans?

What to avoid?

A

Whole grains
Tofu
Green vegetables
Pulses
Yeasted, sprouted, roasted and fermented foods.
Avoid black tea or wheat bran with iron rich foods.

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11
Q

What are common vegetarian mistakes when missing iron?

A

Easting non-meat western diet full of processed foods.
Eating too much cheese and dairy for protein, which can impair absorption.
Drinking black tea with meals.

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12
Q

What are 4 vulnerable stages of life where iron loss plays a part and why?

A

Women at reproductive age - periods/loss of blood.
Pregnancy - extra iron needed for increased blood volume and blood loss at child birth.
Infants/toddlers - high milk diets and little iron
Teenagers - due to rapid growth

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13
Q

How can iron overload occur?

A

Overuse of iron supps.
Genetic defects.
High dose vit C supps enhancing iron absorption.
Repeat blood transfusions.

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14
Q

What can iron overload result in (5 things)?

A
Tissue damage - esp liver.
Infections - bacteria love iron rich blood.
Increased risk of insulin resistance.
Oxidation of LDL.
Creation of carcinogens.
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15
Q

How does Haem iron react with nitrates in processed meat and foods and does non-harm have the same effect?

A

Haem iron catalyses formations of carcinogens from the nitrates in the food.
Non-Haem does not do this.

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16
Q

What amino acid is selenium part of, and what larger group are these a part of?
What sources are more bioavailable?

A

Selenocysteine - part of selenoproteins group.

Selenium from plant sources are more bioavailable than from animal or supplement sources.

17
Q

Functions of selenium?

A

Antioxident. Part of Glutathione Peroxidase a major family of antioxidants.
Assists in synthesis of active thyroid hormone T3 from T4 precursor.
Selenoprotein P protects endothelial cells agains free radials.
Selenoprotein W needed for muscle function.

18
Q

What negative nutrient interactions are associated with Se deficiency?

A

Can contribute to thyroid hormone def disorders.
Decrease Zn bioavailability.
Decrease tissue Fe stores.
Increase Cu in heart, liver, kidneys.

19
Q

SS Se def?

A

Keshan disease - disease of heart muscle.
Keshin-Beck disease - bones, joints, stiffness, osteoarthritis.
People with cancer show low serum levels of Se.

20
Q

SS of Se toxicity?

A

Brittle hair/nails.
Skin lesions.
Secondary infections.
Garlic odour.

21
Q

Copper functions?

A
Component of enzymes called cuproenzymes, that aid in:
Immune system
Nervous system
CV system
Bone and connective tissue health
Iron metabolism
RBC formation
Energy production
22
Q

Cu interactions?

A

High levels of Zn and Fe can restrict Cu absorption.

Nutrients that reduce Cu levels are Fit C, Zn, Mo, cysteine, glutamine, histamine, threonine.

23
Q

How can Cu def occur in infants?

A

Diet high in cows milk does not contain Cu.

24
Q

What gland is iodine important for and what are the two hormones this gland makes and utilises with Se?

A

Thyroid gland.

Thyroid hormones Thyroxine T4 and Tri-iodothyronine T3.

25
Q

What do Thyroid hormones regulate?

A
Temperature.
Metabolic rate.
Reproduction.
Growth.
Blood Cell production.
Nerve and muscle function.
26
Q

As well as iodine, what other nutrients can contribute to hypothyroidism and which nutrients are crucial for iodine utilisation?

A

Se, Zn, Fe, Cu.

Crucial - Tyrosine, Zn, Mg, B vits.

27
Q

What happens physically to the thyroid gland if low iodine intake persists, what is this called and how many cases of this disease is purely caused by iodine def?

A

Gland enlarges to try and trap as much iodine as possible (goitre).
96% of cases.

28
Q

What can severed iodine def cause apart from goitre?

A

Severe brain and learning problems. Most severe cases result in irreversible mental problems called cretinism.

29
Q

What can iodine toxicity lead to?

A

Enlarged thyroid gland.

In pregnancy can damage baby with goitre which can block airways.

30
Q

Manganese functions?
How often is deficiency?
What can insufficiency result in?

A

Co-factor in many enzymes assists in: metabolism of macro nutrients, bone formation.
Deficiency is rare.
Insuf: Bone and tendon abnormalities - creaky knees manganese.

31
Q

What places can a person get excess fluoride?

What is the name of excess fluoride in teeth and skeleton?

A

Treated water supplies, tea, dental products esp children who do not spit them out but swallow them.
Fluorosis.

32
Q

Cr functions?

A

Carbs, lipids and nucleic acid metabolism, aids insulin in regulation of blood sugar and inulin normalisation.

33
Q

Molybdenum functions?

A

Metabolism of sulphur containing amino acids.
Detoxing of drugs and alcohol.
Formation of uric acid.

34
Q

Boron functions?

A

Development of embryo.
Bone formation - enhances absorption of minerals.
Mediation of inflammatory response.

35
Q

Silicon functions?

A

Formation of bone, connective tissue, collagen, cartilage.