EXAM4 Flashcards
Required major (macro)minerals
need more than 100 mg/day
Calcium, phosphorus, magnesium, sodium, chloride, and potassium
Required trace minerals
need less than 100mg/day
iron, copper, iodine, selenium, chromium, manganese molybdenum, and zinc
Which of the following individuals is likely to have more osteoblast than osteoclast activity?
1-year-old Robby
The relationship between blood glucose and glucagon is analogous to the relationship between blood calcium and _____.
PTH
Biochemical tests are often required to assess status of specific nutrients.
Is blood calcium a good indicator of calcium status?
False
Factors that increase calcium absorption
- Active vitamin D hormone
- Lactose and other sugars
- Adequate protein intake
- Increase calcium needs (e.g. during pregnancy and infancy)
Factors that inhibit calcium absorption
- Lack of stomach acid
- Vitamin D deficiency
- High phosphorus intake
- Phytates: phytochemicals in the bran of whole grain
- Oxalates: in dark green leafy vegetables (spinach)
What is the bioavailability of a nutrient in food?
The amount of nutrient absorbed and ready to be used by the body.
Almost all (99%) of the calcium in the body is used to ______.
form hydroxyapatide
When blood calcium is low, _____ .
- parathyroid hormone is relased
- absorption of calcium from the intestine increases
- reabsorption of calcium from the kidney increases
- resorption of calcium from the bone increases
During rising blood calcium levels, the thyroid secretes what?
Calcitonin: Inhibits Vit D activation, prevents kidney reabsorption, and limits intestinal absorption to inhibit osteoclasts and lower blood calcium levels
Factors that decrease PBM:
- Lack of key minerals (Celiac, ED, etc)
- Smoking (↓ Ca2+absorption)
- Excessive alcohol
- Early menopause
- Abnormal absence of periods (amenorrhea)
Factors that enhance iron absorption
- Increased requirements
- Consumption of animal tissues – Meat Fish Poultry (MFP)
- Ferrous form (Fe2+) is better absorbed than ferric form (Fe3+)
- Heme iron is better absorbed
- Vitamin C increases absorption of non-heme iron by keeping iron in ferrous form
- Gastric acid reduces ferric iron to ferrous form
Factors that inhibit iron absorption
- Decreased requirements, ie. Good iron status (body doesn’t need more iron)
- Phytate in whole grains and legumes
- Oxalate in green leafy vegetables
- High fiber intake
- Polyphenols (e.g., tannins found in tea)
- Excessive intake or supplement of calcium, zinc, and manganese
Which of the following proteins carries iron through the blood to tissues?
Transferrin
When iron levels within cells are low, _____.
IRPs (Iron Regulatory Proteins) bind to the IREs (Iron Responsive Elements)
Which of the followings has a relationship to iron, similar to the relationship of insulin to glucose?
Hepcidin
Which of the following statements is correct?
- Hepaestin (ferroxidase) contains copper.
- Divalent metal transporter (DMT) transports reduced nonheme iron.
- Ferroportin facilitates cellular iron export.