Lecture 9 Flashcards

(52 cards)

1
Q

Minerals

A

Inorganic elements that originate in the Earth that cannot be made by living organisms.

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2
Q

How do we get and absorb most minerals?

A

For humans to absorb and use minerals they must first be bound to organic compounds (containing carbon).
* Plants obtain minerals from the soil and most of the minerals in our diet come directly from plants (or indirectly from animal sources).
* Inorganic minerals may also be present in the water we drink (not useable by the body).
* Mineral levels from plants also vary depending on the mineral content in soil.

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3
Q

Majority of minerals in the body are

A

Calcium and phosphorus (approx. 75%)

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4
Q

Macro-minerals

A

Calcium (Ca); Phosphorus (P); Magnesium (Mg); Potassium (K); Sodium (Na); Chloride (Cl); Sulphur (S).
Macro-minerals exist in the body (and in food) mainly in the ionic state (as cations or anions).

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5
Q

Trace-minerals

A

Iron (Fe); Zinc (Zn); Iodine (I); Selenium (Se); Manganese (Mn); Molybdenum (Mo); Copper (Cu); Chromium (Cr); Boron (B); Fluoride (F); Silicon (Si).

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6
Q

Minerals also exist as components of organic compounds such as

A

Phosphoproteins (a protein attached to a phosphate group);
phospholipids (i.e., cell membranes);
metalloenzymes (e.g., zinc is required for ‘alcohol dehydrogenase’, which breaks down alcohol);
metalloproteins (e.g., haemoglobin; a protein with iron).

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7
Q

Where and how are minerals absorbed in the body?

A

Minerals are absorbed in the GIT (mostly in the small intestine) in their ionic state (with the exception of iron) and must be unbound from the organic compound with the help of digestive secretions (e.g., stomach acid) before being utilised by the body.
Any unabsorbed minerals are excreted in the faeces.

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8
Q

Key functions of minerals include

A

– Building tissues; e.g., skeletal system, teeth.
– Nerve and muscle function.
– Thyroid health (supporting metabolism).
– Supporting immune health.
– Components of enzymes.

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9
Q

Several factors can affect mineral bioavailability, including

A
  1. Mineral status in the body — in mineral deficiency states, the body upregulates absorption of the mineral. In excess states, it downregulates absorption.
  2. Substances present in food — can enhance (e.g., ascorbic acid and Fe) or inhibit (e.g., phytates and Fe) absorption.
  3. Other minerals present in food (or supplements) — can compete for absorption: (e.g., iron supplements reduce Zn absorption; Zn antagonises Cu absorption).
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10
Q

Minerals in supplements. Common mineral carriers.

A

Minerals in supplements are rarely found as pure minerals - they’re bound to carrier molecules, also called ligands.
Common mineral carriers include:
– Organic: Citrate, ascorbate, gluconate, glycinate.
– Inorganic: Oxide, carbonate, sulphide, chloride.

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11
Q

Calcium: found and regulated

A

The most abundant mineral in the body.
99% of Ca in the body is found in mineralised
connective tissues (bones and teeth).
The rest (1%) is found in extra-cellular fluid, muscle and other tissues.
Ca levels in blood are tightly regulated by parathyroid hormone (PTH), vitamin D and calcitonin (at the expense of the skeleton when dietary intake is inadequate).

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12
Q

Ca Food sources

A

Vegetable sources have the highest bioavailability, e.g., Ca from cruciferous vegetables is absorbed 2x as efficiently as Ca from dairy.
Dark green and cruciferous veg.
Nuts and seeds; e.g., sesame, almonds.
Beans; e.g., edamame, haricot.
Herbs and spices; e.g., sage, coriander leaf.
Sardines including the tiny bones.

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13
Q

Ca functions: bone health

A

Building and preserving bone mass;
Ca is an abundant mineral that binds to the collagen framework in bone, increasing its density. It is needed mostly during growth.
* Osteoporosis
* Osteomalacia
* Fracture repair

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14
Q

Ca functions: cell signalling

A
  • Influences the transport of ions across the membranes of organelles.
  • Nerve impulses (synapses).
  • Regulates cardiac muscle function and mediates vasoconstriction (from increased concentration of Ca2+ ions in vascular smooth muscle cells).
    Blood pressure
    Muscle cramps
    Muscle spasms
    Confusion
    Memory loss
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15
Q

Ca functions: muscle contraction

A

Required (along with ATP) for the binding of actin and myosin fibres — Ca is stored in muscle cells in the sarcoplasmic reticulum.
* Leg cramps in pregnancy
* Pre-eclampsia

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16
Q

Ca functions: blood clotting

A

Ca ions are needed to activate vitamin-dependent clotting factors.
* Bleeding disorders
* Haemorrhaging

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17
Q

Ca functions: neuro-transmitters

A

Required for the conversion of tryptophan to serotonin (it is a co-factor).
* Mood-related PMS symptoms

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18
Q

Ca Absorption

A

Ca is absorbed by all parts of the small intestine, but especially in the duodenum, where conditions are more acidic due to the acidic chyme that enters from the stomach, which increases absorption.
50%–70% of ingested Ca is not absorbed and lost in the faeces.

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19
Q

Ca Active absorption

A

Active absorption is controlled by vitamin D (calcitriol), which binds to the enterocyte vitamin D receptor (VDR) and increases the transcription of calcium transporters called calbindins, which increase calcium movement from the GIT to the blood.

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20
Q

Ca Passive absorption

A

Passive absorption occurs without vit. D, when Ca is consumed.

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21
Q

Ca deficiency

A

Calcium deficiency is extremely rare as blood levels are typically maintained even with inadequate intake at the expense of bones.

22
Q

Ca Factors that inhibit absorption

A

Low vitamin D status
Low stomach acid (HCl dissolves calcium salts)
High intake of phytates / oxalates
Gastrointestinal dysfunction
Other minerals (e.g., Mg, Fe, Zn)

23
Q

Ca Factors that increase excretion

A

Menopause (low oestrogen)
High animal-protein diets (due to high levels of urea and sulphuric acid)
High-salt diets
High caffeine intake
Medications

24
Q

Ca and dairy

A

Dairy is high in sulphur-based amino acids (e.g., methionine), which can increase sulphuric acid formation — leaching calcium (an alkaline mineral) from bones.
High intake of other animal proteins (i.e., meat) contributes to calcium loss from bone.

25
Ca supplementation risks
Kidney stones; soft tissue calcification, especially when vitamin D and K levels are inadequate.
26
Ca nutrient interactions
High Ca doses decrease Mg, Zn, non-haem iron and phosphorus absorption.
27
Magnesium food sources
Magnesium (Mg) is the second most common cation found in the body, after potassium (K). Magnesium is found mostly in plants. Green leaves; e.g., Swiss chard, spinach Nuts and seeds; e.g., pumpkin seeds, flax Beans; e.g., soybeans, haricot, pinto Whole grains; e.g., amaranth, buckwheat Cacao powder
28
Mg functions: energy production
- Needed to convert ADP to ATP. - Essential for glucose metabolism and insulin sensitivity (Mg is a cofactor involved in the modulation of glucose transport - it is needed for the activity of tyrosine kinase) Fatigue Insulin resistance - diabetes, PCOS, atherosclerosis. Supporting growth
29
Mg functions: cell signalling
- Ion transport across cell membranes, i.e., for K and Ca ions - Conduction of nerve impulses - Mg is used in the phosphorylation of proteins (important for DNA repair, as well as metabolism and cell signalling pathways). Migraines Heart arrhythmias Hypertension Bipolar disorder Mood disorders PMS (esp. with B6)
30
Mg functions: blood clotting
Mg and Ca work together: Ca promotes clotting, Mg inhibits it. * Atherosclerosis * Angina, strokes
31
Mg functions: structural
- Mg needed in forming decay-resistant tooth enamel. - A key component of bone matrix - Stabilises cell membranes Osteoporosis, osteomalacia, rickets Supports tooth enamel
32
Mg functions: muscle relaxation
- Mg (and ATP) are required to break the actin-myosin bond - Vasodilator (anti-hypertensive) Muscle pain / cramps Fibromyalgia Constipation
33
Mg functions: sleep and calming
Mg is used as a co-factor for GABA synthesis and in the serotonin-melatonin pathway. * Insomnia * Stress / anxiety
34
Mg Absorption and excretion
In healthy adults, 30–50% of dietary Mg is absorbed, mostly in the distal small intestine (ileum). Mg is excreted in urine, faeces and, to a lesser extent, during intensive exercise and sweating. Mg homeostasis is regulated primarily by the kidneys.
35
Mg is inhibited by / enhanced by
Phosphate (especially from high-phytate-containing foods) and Ca may inhibit Mg absorption. Protein and fructose may enhance Mg absorption.
36
Why serum Mg levels do not accurately reflect Mg status
99% of our body’s magnesium resides inside our cells.
37
Mg supplementation / salt baths
When using Mg supplements, Mg glycinate, citrate and malate are favoured over Mg oxide due to its low bioavailability. Different formulations may have different applications e.g., Mg citrate can be more effective for constipation. Epsom salt baths (Mg sulphate) are an effective way of administering Mg (with a therapeutic dose of 500 g–1 kg per bath)
38
Mg tolerable upper limit and toxicity
TUL for Mg supplementation is 400 mg. Excessive intakes from supplements can lead to diarrhoea. Caution using high dose Mg for someone with hypotension.
39
Mg deficiency / insufficiency
Common causes of Mg insufficiency include poor nutrition (high in processed foods, low in dark green vegetables, legumes, nuts and seeds), chronic stress (increases Mg excretion), alcoholism and other malabsorption conditions.
40
Mg Symptoms of insufficiency
* Fatigue and insomnia. * Anxiety, depression, irritability, panic attacks. * Muscle cramps / spasms / twitches. * Headaches (e.g., tension-type and migraines). * Palpitations.
41
Zink as a co-factor
Zinc is the most abundant intracellular trace element, a co-factor in over 200 hundred metalloenzymes involved in catalytic, structural and regulatory functions; such as: – Superoxide dismutase (SOD) — antioxidant. – Alcohol dehydrogenase — breakdown of alcohol (↑ alcohol intake = ↑ zinc demand). – Carboxypeptidase — digestion of proteins. – Other enzymes involved in haem synthesis, folate absorption and DNA / RNA synthesis.
42
Zn Food sources
The highest food source of zinc is oysters. Vegetables vary in Zn content depending on the soil quality. - Nuts and seeds e.g., sesame, Brazil, pecans. - Grains e.g., rye flour, oats, amaranth, wheat. - Legumes e.g., adzuki, chickpeas (garbanzo). - Shellfish e.g., oysters, crabs, lobster, clams. - Meat e.g., calf’s liver, beef, lamb.
43
Zn functions: reproduction.
- Production of sex hormones (↑ zinc usage during adolescence). - Required for spermatogenesis. - Inhibits 5alpha-reductase (e.g., inhibits the conversion of testosterone to the more potent androgen DHT). Infertility (male and female) Erectile dysfunction Low testosterone
44
Zn functions: endocrine
Needed for T4 to T3 conversion - Thyroid health.
45
Zn functions: cell proliferation
- Needed for cell proliferation (e.g., in the skin) and differentiation. - Required for DNA binding proteins involved in gene expression - Aids tight junctions (i.e. in skin / GIT). Wound healing Acne Cancer Cirrhosis Burns
46
Zn functions: sensory
- Sense of taste and smell (taste buds contain Zn-containing enzymes). - Supports vision and hearing. Poor taste / vision, olfactory issues. Tinnitus.
47
Zn functions: immunity and antioxidant
- An important antioxidant. - Increases phagocyte, natural killer cell, T- and B-cell activity. - Anti-inflammatory (↓ inflammatory cytokines; e.g., interleukin-6 / TNF-a) - Anti-viral activity: inhibits replication Frequent infections Inflammation Cardiovascular disease
48
Zn functions: digestion
- Needed for the production of HCl - Used to create pancreatic enzymes Weak digestion Hypochlorhydria
49
Zn absorption
Zn absorption ranges from 20-40% depending on the bioavailability of the food source. * Protein generally enhances absorption but phytates in plants form a complex with Zn and inhibit absorption. * Excess Ca, Cu and non-haem Fe may also inhibit Zn absorption (e.g., simultaneous intake of milk or cheese can decrease Zn absorption). * Zn supplementation antagonises Cu absorption.
50
Zn deficiency, groups at risk
Deficiency is fairly common and can be caused by malabsorption, a diet high in phytates or low intake of Zn-rich foods. Groups at an increased risk: Older adults, alcoholics, pregnant women and athletes.
51
Zn Signs and symptoms of deficiency
* Poor sense of taste and smell. * Recurrent infections, delayed wound healing. * Skin disorders (e.g., acne), dandruff, white spots on fingernails. * Infertility (male and female) and low libido. * Signs of weak digestion (e.g., bloating, fatigue).
52
Zinc supplementation
The best absorbed form appears to be Zn picolinate but Zn citrate, Zn acetate and Zn glycinate are also well-absorbed. * Typical supplemental dosage is between 15–25 mg / day and it’s advised to take with food, as taken on an empty stomach can cause stomach upset.