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Chapter 12 Water and Major Minerals Chapter Outline I. Water: The Essential Ingredient for Life (Figure 12.1). *Water is the most essential nutrient; we can live much longer without food than without water. Recommended water intake is 1.0 milliliter to 1.5 milliliters per kilocalorie expended. A. Functions of water (Figure 12.3). *Water is important for the movement of nutrients and waste, cellular reactions, temperature regulation, and acid-base balance. Moreover, fluids in the body lubricate and cushion joints, cleanse the eyes, and moisten the food we eat. 1. Heat capacity 2. Cooling ability 3. Participation in metabolism 4. pH balance 5. Body fluids B. Electrolytes and water: a delicate equilibrium (Figures 12.4 and 12.5). *Dissolved ions, or electrolytes, help to maintain normal fluid balance. Key terms: electrolyte, hydrogen bond, heat capacity, salts, ion, cation, anion, plasma, sodium-potassium pump, semipermeable membrane, solute, osmosis, osmotic pressure II. Intake Recommendations: How Much Water Is Enough? A. Water excretion: Where does the water go? (Figure 12.9) B. Water balance. *Fluid is lost from the body via the urine, skin, feces, and lungs. The hormones ADH and aldosterone regulate fluid excretion from the kidneys. 1. Regulation of fluid excretion (Figure 12.10) 2. Regulation of blood volume and pressure (Figure 12.11) 3. Thirst. *The thirst response stimulates fluid intake. Caffeine, alcohol, and diuretic medications increase fluid excretion. Dehydration results when fluid intake is less than losses; it can seriously impair physical and mental performance. 4. Water reabsorption in the gastrointestinal tract C. Alcohol, caffeine, and common medications affect fluid balance D. Dehydration (Figure 12.13) E. Water intoxication Key terms: insensible water loss, osmoreceptors, antidiuretic hormone (ADH), vasoconstrictor, vasopressin, osmolarity, renin, angiotensin I, angiotensinogen, angiotensin II, aldosterone III. Major Minerals. *Minerals are inorganic elements and are categorized as major or trace depending on the amount in the body and the amount needed in the diet. A. Minerals in food B. Bioavailability (Figure 12.15). *The bioavailability of minerals may be affected by excess intake of single mineral supplements, phytate, oxalate, and fiber in plant foods, and mineral status in the body. Key terms: major minerals, trace minerals, phytate, oxalate © 2014 Jones & Bartlett Learning, LLC, an Ascend Learning Company IV. Sodium. *Sodium, the major extracellular cation, helps regulate water distribution and blood pressure. Sodium needs (500 mg/day) are well below average intakes (3,000 mg to 6,000 mg/day). A. Functions of sodium B. Dietary recommendations for sodium C. Sources of sodium D. Hyponatremia E. Hypernatremia Key terms: hyponatremia, hypernatremia, hypervolemia V. Potassium. *Potassium the major cation in the intracellular fluid, is necessary for nerve and muscle function. It is provided in the diet mainly from unprocessed foods, including fruits and vegetables. A. Functions of potassium B. Dietary recommendations for potassium C. Sources of potassium (Figure 12.19) D. Hypokalemia E. Hyperkalemia Key terms: hypokalemia, hyperkalemia VI. Chloride. *Chloride is the major extracellular anion, and a component of stomach acid. Chloride deficiency is most often associated with prolonged vomiting. A. Functions of chloride B. Dietary recommendations for chloride C. Sources of chloride D. Hypochloremia Key terms: chloride shift, metabolic alkalosis VII. Calcium. *Calcium, the most abundant mineral in the body, is stored in bones. It also functions in blood clotting, nerve and muscle function, and cellular metabolism. Major dietary sources of calcium are dairy products, calcium-fortified foods, and certain vegetables. A. Functions of calcium (Figure 12.20) 1. Bone structure 2. Nerve function 3. Blood clotting 4. Muscle contraction 5. Cellular metabolism B. Regulation of blood calcium (Figure 12.21) 1. Vitamin D 2. Parathyroid hormone 3. Calcitonin C. Dietary recommendations for calcium D. Sources of calcium (Figure 12.22) E. Calcium absorption © 2014 Jones & Bartlett Learning, LLC, an Ascend Learning Company F. Hypocalcemia G. Hypercalcemia H. Osteoporosis Key terms: osteoblasts, osteoclasts, hydroxypatite, linear growth, fibrin, calmodulin, ciliary action, hypocalcemia, hypercalcemia VIII. Phosphorus. *Phosphorus is a key component of ATP, DNA, RNA, phospholipids, and lipoproteins. Because phosphorus is widespread in foods, dietary phosphorus intake is rarely inadequate. A. Functions of phosphorus B. Dietary recommendations for phosphorus C. Sources of phosphorus (Figure 12.23) D. Hypophosphatemia E. Hyperphosphatemia Key terms: phosphorylation, hypophosphatemia, hyperparathyroidism, hyperphosphatemia IX. Magnesium. *Plant foods, like whole grains and vegetables, are important sources of magnesium, which is a cofactor for hundreds of enzymes. Low levels of magnesium are associated with kidney disease, alcoholism, and use of diuretics. A. Functions of magnesium B. Dietary recommendations for magnesium C. Sources of magnesium D. Hypomagnesemia E. Hypermagnesemia Key terms: hypomagnesemia, hypermagnesemia X. Sulfur. *Sulfur does not function alone as a nutrient, but as a component of certain amino acids, and the vitamins biotin and thiamin. Classroom Activities ACTIVITY 1: WHAT IS WRONG WITH THIS STATEMENT? This is a critical thinking activity that can be completed as a homework assignment or as inclass group work. Students may need to use their books to assist them in finding the answers. Directions: Determine which words are inaccurate within each statement. Change the words so the statement is true. 1. The body maintains its electrolyte balances through the intake and excretion of water and the movement of proteins. ANSWER: The body maintains its electrolyte balances through the intake and excretion of water and the movement of IONS. 2. The human body is made up of approximately 25 to 45 percent water. © 2014 Jones & Bartlett Learning, LLC, an Ascend Learning Company ANSWER: The human body is made up of approximately 50 to 75 percent water. 3. Leaner people have proportionately less water than overweight people do because muscle tissue is only about 10 percent water. ANSWER: Leaner people have proportionately MORE water than overweight people do because muscle tissue is heavier than fat. 4. The heat capacity of a substance is the amount of energy required to raise its temperature 3 degrees Celsius. ANSWER: The heat capacity of a substance is the amount of energy required to raise its temperature 1 degree Celsius. 5. When salts, such as sodium, dissolve in water they come apart and form free ions, which are only positively charged. ANSWER: When salts, such as sodium, dissolve in water they come apart and form free ions, which are POSITIVELY AND NEGATIVELY charged. 6. Humans can survive longer without water than food. ANSWER: Human can survive longer without FOOD than WATER. 7. Lettuce and cereal contain more water activity than chicken. ANSWER: Lettuce and CHICKEN contain more water activity than CEREAL. 8. Depending on the amount of water, protein, and sodium consumed, the body loses about a half liter of water each day through urine. ANSWER: Depending on the amount of water, protein, and sodium consumed, the body loses about ONE TO TWO LITERS of water each day through urine. 9. If an individual does not consume enough protein, the kidneys have to work harder to eliminate excess urea from the body. ANSWER: If an individual OVERCONSUMES protein, the kidneys have to work harder to eliminate excess urea from the body. 10. Thirst is always a reliable guide to avoiding dehydration. ANSWER: Thirst is NOT always a reliable guide to avoiding dehydration. ACTIVITY 2: WHAT’S ALL THE HYPE ABOUT BOTTLED WATER? The following activity can be used to illustrate the point that bottled and tap water can both be acceptable and safe sources of drinking water. This activity can be used within the lesson or for a group activity. As the class reviews the answers, the instructor can elaborate on each statement. Directions: For the first five questions identify whether the statement is describing bottled water, tap water, or both. For the last five questions, determine if the statement is true or false. © 2014 Jones & Bartlett Learning, LLC, an Ascend Learning Company 1. Many times, this source of water is fluoridated. 2. The Environmental Protection Agency (EPA) enforces the standards for this water. 3. This type of water is often filtrated in homes, removing fluoride and chlorine. 4. The Food and Drug Administration (FDA) regulates this water. 5. This is the water that has Standards of Identity that set maximum allowable standards for contaminants. 6. This water often contains minerals that interfere with the action of soap causing scum build up and discoloration. 7. Individual states may have their own quality standards for the local distribution of this kind of water. 8. Current Good Manufacturing Practices (CGMP) addresses issues with this type of water. 9. Overall, this water is considered safe drinking water. 10. This water has standard definitions in labeling. True or False 11. _____Twenty-five percent of bottled water comes from a municipal water source. 12. _____One of the reasons bottled water has become so popular is because baby boomers are seeking natural, low-calorie beverages. 13. _____All municipal water must be fluoridated. 14. _____Water softeners exchange minerals in tap water, such as calcium and magnesium, for sodium. 15. _____Standards that regulate bottled water are no more rigid than those that regulate tap water. ANSWERS 1. tap 2. tap 3. tap 4. bottled 5. bottled 6. tap 7. bottled © 2014 Jones & Bartlett Learning, LLC, an Ascend Learning Company 8. bottled 9. both 10. bottled 11. true 12. true 13. false 14. true 15. true ACTIVITY 3: FUNCTIONS OF MINERALS The following can be used as a pre-quiz to the lesson on minerals. It can also be used as a homework assignment. Directions: Match the mineral with its appropriate function in the body. Answers can be used more than once. a. sodium b. potassium c. chloride d. calcium e. sulfur f. magnesium g. phosphorus 1. ____ This mineral does not function alone as a nutrient, but as a component of certain amino acids, and the vitamins biotin and thiamin. 2. ____ Low levels of this mineral are associated with kidney disease, alcoholism, and diuretics. 3. ____ The key component of ATP, DNA, RNA, phospholipids, and lipoproteins. 4. ____ The most abundant mineral in the body. 5. ____ Adequate dietary intake of this mineral and vitamin D, along with physical activity, can help reduce the risk for osteoporosis. 6. ____ A major extracellular cation that helps regulate water distribution and blood pressure. 7. ____ A major extracellular anion and component of stomach acid. 8. ____ A major cation in the extracellular fluid that is necessary for nerve and muscle function. 9. _____ Hyponatremia is a result of a low concentration of this mineral. © 2014 Jones & Bartlett Learning, LLC, an Ascend Learning Company 10. ____ Hyperkalemia can cause cardiac arrest and death. This condition results from low concentrations of this mineral. ANSWERS 1. e. sulfur 2. f. magnesium 3. g. phosphorus 4. d. calcium 5. d. calcium 6. a. sodium 7. c. chloride 8. b. potassium 9. a. sodium 10. b. potassium © 2014 Jones & Bartlett Learning, LLC, an Ascend Learning Company