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The Trace Minerals Chapter 13 ©2016CengageLearning.AllRightsReserved. The Trace Minerals – An Overview • Trace mineral contents of foods • Vary with soil and water composition, and food processing • Deficiencies • Can affect people of all ages • May be difficult to recognize • Toxicities • FDA does not regulate trace minerals in supplements ©2016CengageLearning.AllRightsReserved. RDA (or AI) and UL Compared for Selected Trace Minerals ©2016CengageLearning.AllRightsReserved. Interactions • Common and well coordinated to meet body needs • Sometimes lead to nutrient imbalances • Excess of one causes a deficiency in another • Or interfere with work of another mineral • Contaminant minerals and toxic reactions • Nonessential trace minerals • Nickel, silicon, vanadium, cobalt, boron • More needs to be learned ©2016CengageLearning.AllRightsReserved. Iron • Too little and too much can be harmful • Roles in the body • Switches back and forth between two forms • Ferrous iron • Ferric iron • Cofactor in oxidation-reduction reactions • Part of electron carriers • Hemoglobin and myoglobin ©2016CengageLearning.AllRightsReserved. Iron, continued • Absorption • Body conserves iron • Balance maintained primarily through absorption • Ferritin • Iron storage in small intestine • Transferrin • Iron transport protein ©2016CengageLearning.AllRightsReserved. Iron Absorption Process ©2016CengageLearning.AllRightsReserved. Iron in food Mucosal cells in the intestine store excess iron in mucosal ferritin (a storage protein). If the body does not Iron is not absorbed and is need iron excreted in shed intestinal cells instead. Thus, iron absorption is reduced when the body does not need iron. If the body needs iron Mucosal ferritin releases iron to mucosal transferrin (a transport protein), which hands off iron to another transferrin that travels through the blood to the rest of the body. Stepped Art Iron absorption process Heme and Nonheme Iron • Types of iron • Heme iron • Found in animal foods • High bioavailability • Nonheme iron • Found in plant and animal foods • Absorption-enhancers for nonheme iron • MFP • Vitamin C • Some acids and sugars ©2016CengageLearning.AllRightsReserved. Heme and Nonheme Iron in Foods ©2016CengageLearning.AllRightsReserved. About 40% of the iron in meat, fish, and poultry is bound into heme; the other 60% is nonheme iron. Key: Heme Nonheme Heme accounts for about 10% of the average daily iron intake, but it is well absorbed (about 25%). Nonheme iron accounts for the remaining 90%, but it is less well absorbed (about 17%). All of the iron in foods derived from plants is nonheme iron. Stepped Art - Heme and nonheme iron in foods Factors that Inhibit Iron Absorption • • • • • • Phytates Vegetable proteins Calcium Polyphenols Dietary factors combined Individual variation in absorption • Health, stage in life cycle, and iron status ©2016CengageLearning.AllRightsReserved. Iron Transport and Storage • Transferrin delivers iron to bone marrow and other tissues • Storage • Ferritin • Hemosiderin • Recycling • Balance • Regulating hormone hepcidin ©2016CengageLearning.AllRightsReserved. Iron Recycled in the Body ©2016CengageLearning.AllRightsReserved. Some losses via sweat, skin, and urine Transferrin carries iron in blood. Some iron delivered to myoglobin of muscle cells Liver (and spleen) dismantles red blood cells, packages iron into transferrin, and stores excess iron in ferritin (and hemosiderin). Some losses if bleeding occurs Bone marrow incorporates iron into hemoglobin of red blood cells and stores excess iron in ferritin (and hemosiderin). Iron-containing hemoglobin in red blood cells carries oxygen. Stepped Art Iron Deficiency • • • • Most common nutrient deficiency worldwide Populations affected in United States Link with obesity Vulnerable stages in life • • • • Women in reproductive years Pregnancy Infants and young children Adolescence ©2016CengageLearning.AllRightsReserved. Assessment of Iron Deficiency • Even small blood losses can cause deficiency • Deficiency develops in stages • Iron stores diminish – serum ferritin • Decrease in transport iron transferrin • Hemoglobin and hematocrit values decline • Iron deficiency and anemia • Anemia – severe depletion of iron stores • Low hemoglobin concentrations • Symptoms ©2016CengageLearning.AllRightsReserved. Normal Blood Cells and Blood Cells in Iron Deficiency Anemia Compared ©2016CengageLearning.AllRightsReserved. Results of Iron Deficiency • Behavioral symptoms • Energy metabolism is impaired • Neurotransmitter synthesis is altered • Reduces work capacity and mental productivity • Motivational problems • Pica • Craving and consumption of nonfood substances ©2016CengageLearning.AllRightsReserved. Iron Overload • Hereditary hemochromatosis • • • • • • • Most common genetic disorder in United States Hemosiderosis Signs and symptoms Transferrin saturation and serum ferritin Characteristics of condition Treatment Research: targeting hepcidin activity ©2016CengageLearning.AllRightsReserved. Iron and Chronic Diseases • Heart disease • Excess iron • Free radicals • Cancer • Free radical damage • Limited evidence • Iron poisoning • Symptoms of toxicity • UL ©2016CengageLearning.AllRightsReserved. Iron Sources • Natural sources • Meats, fish, poultry, legumes, eggs • Enriched sources • Flour and grain products • Iron cookware • RDAs • Vegetarians • Women • Maximizing absorption ©2016CengageLearning.AllRightsReserved. Iron in Selected Foods Food (Best Source per kclalorie) Serving Size (kcalories) Food Group Approximate Amount of Iron (milligrams) Bread, whole wheat 1 oz slice (70 kcal) Grains 1 Cornflakes, fortified 1 oz (110 kcal) Grains 0.9 Spaghetti pasta ½ c cooked (99 kcal) Grains 1 Tortilla, flour 1 10"-round (234 kcal) Grains 2.4 Broccoli ½ c cooked (22 kcal) Vegetables Carrots ½ c shredded raw (24 kcal) Vegetables 0.6 0.3 Potato 1 medium baked w/skin (133 kcal) Vegetables 1.8 Tomato juice ½ c (31 kcal) Vegetables 1 Banana 1 medium raw (109 kcal) Fruits 0.5 Orange 1 medium raw (62 kcal) Fruits 0.1 Strawberries ½ c fresh (22 kcal) Fruits 0.3 Watermelon 1 slice (92 kcal) Fruits 0.4 Milk 1 c reduced-fat 2% (121 kcal) Milk and milk products 0.1 Yogurt, plain 1 c low-fat (155 kcal) Milk and milk products 0.1 Cheddar cheese 1½ oz(171 kcal) Milk and milk products 0.2 Cottage cheese ½ c low-fat 2% (101 kcal) Milk and milk products 0.1 Pinto beans ½ c cooked (117 kcal) Legumes, nuts, seeds 2.2 Peanut butter 2 tbs (188 kcal) Legumes, nuts, seeds 0.4 Sunflower seeds 1 oz dry (165 kcal) Legumes, nuts, seeds 1 Tofu (soybean curd) ½ c (76 kcal) Legumes, nuts, seeds 1.2 Ground beef, lean 3 oz broiled (244 kcal) Meats, poultry, seafood 2 Chicken breast 3 oz roasted (140 kcal) Meats, poultry, seafood 1 Tuna, canned in water 3 oz (99 kcal) Meats, poultry, seafood 1.3 Egg 1 hard cooked (78 kcal) Meats, poultry, seafood 0.8 Excellent, and sometimes unusual, sources: Clams, canned 3 oz (126 kcal) Meats, poultry, seafood 18+ Beef liver 3 oz fried (184 kcal) Meats, poultry, seafood 5.4 Parsley 1 c raw (22 kcal) Vegetables 3.9 ©2016CengageLearning.AllRightsReserved. Some of Zinc’s Roles in the Body • • • • • • • • Supports the work of hundreds of proteins Stabilizes cell membranes and DNA Immune function Growth and development Synthesis, storage, and release of insulin Blood clotting Thyroid hormone function Behavior and learning performance ©2016CengageLearning.AllRightsReserved. Zinc Absorption • Rate varies depending on amount consumed • 10-40 percent • May be used or retained in intestinal cells • Recycling • Small intestine • Two doses of zinc • Enteropancreatic circulation • Zinc losses ©2016CengageLearning.AllRightsReserved. Enteropancreatic Circulation of Zinc ©2016CengageLearning.AllRightsReserved. Zinc in food Mucosal cells in the intestine store excess zinc in metallothionein. The pancreas uses zinc to make digestive enzymes and secretes them into the intestine. If the body Zinc is not absorbed does not and is excreted in shed need zinc intestinal cells instead. Thus, zinc absorption is reduced when the body does not need zinc. If the body needs zinc Metallothionein releases zinc to albumin and transferrin for transport to the rest of the body. Stepped Art Enteropancreatic circulation of zinc. Zinc Transport and Deficiency • In the blood • Albumin • Transferrin • Deficiency • Widespread in developing world • Middle Eastern diets inhibit zinc absorption • Effects • Growth retardation • Impaired immune response • Central nervous system damage ©2016CengageLearning.AllRightsReserved. Zinc Toxicity and Sources • Symptoms • Interference with copper metabolism • Sources • Protein-rich foods • Shellfish, meats, poultry, milk, and cheese • Supplementation • Developing countries • May shorten duration of common cold ©2016CengageLearning.AllRightsReserved. Zinc in Selected Foods Food (Best Source per kclalorie) Serving Size (kcalories) Food Group Approximate Amount of Zinc (milligrams) Bread, whole wheat 1 oz slice (70 kcal) Grains 0.6 Cornflakes, fortified Spaghetti pasta 1 oz (110 kcal) ½ c cooked (99 kcal) Grains Grains Tortilla, flour- 1 10"-round (234 kcal) Grains 0.1 0.5 0.6 Broccoli Carrots ½ c cooked (22 kcal) ½ c shredded raw (24 kcal) Vegetables Vegetables 0.4 0.1 Potato 1 medium baked w/skin (133 kcal) Vegetables Tomato juice ¾ c (31 kcal) Vegetables Banana 1 medium raw (109 kcal) Fruits Orange 1 medium raw (62 kcal) Fruits Strawberries ½ c fresh (22 kcal) Fruits 0.1 0.1 Watermelon 1 slice (92 kcal) Fruits 0.3 Milk 1 c reduced-fat 2% (121 kcal) Milk and milk products 1 Yogurt, plain 1 c low-fat (155 kcal) Milk and milk products 2.1 Cheddar cheese Cottage cheese 1½ oz(171 kcal) ½ c low-fat 2% (101 kcal) Milk and milk products Milk and milk products Pinto beans ½ c cooked ( 1 17 koal) Legumes, nuts, seeds 1.4 0.7 1 Peanut butter 2 lbs (188 koal) Legumes, nuts, seeds 1 Sunflower seeds 1 oz dry (165 kcal) Legumes, nuts, seeds Tofu (soybean curd) ½ c (76 kcal) Legumes, nuts, seeds 1.5 0.9 Ground beef, lean 3 oz broiled (244 kcal) Meats, poultry, seafood Chicken breast 3 oz roasted (140 kcal) Meats, poultry, seafood Tuna, canned in water 3 oz (99 kcal) Meats, poultry, seafood Egg 1 hard cooked (78 kcal) Meats, poultry, seafood 0.5 0.4 0.2 4.2 0.9 0.8 0.6 Excellent, and sometimes unusual, sources: Oysters 3 oz cooked (139 kcal) Meats, poultry, seafood Sirloin steak, lean 3 oz broiled (172 kcal) Meats, poultry, seafood 12+ 5.7 Crab 3 oz cooked (94 kcal) Meats, poultry, seafood 4.8 ©2016CengageLearning.AllRightsReserved. Iodine • GI tract converts iodine in food to iodide • Iodide: readily absorbed by the body • Roles in the body • Part of thyroid hormones that regulate: • • • • • Body temperature Metabolic rate Reproduction and growth Blood cell production Nerve and muscle function ©2016CengageLearning.AllRightsReserved. Iodine Deficiency • Thyroid hormone production declines • Increased secretion of thyroidstimulating hormone (TSH) • Cells of thyroid expand: goiter • Goitrogen • Preventable mental retardation and brain damage • Cretinism ©2016CengageLearning.AllRightsReserved. Iodine Toxicity and Sources • Toxicity • Interferes with thyroid function • Enlarges thyroid gland • Goiter in an infant • UL • Recommendations • Sources • Seafood • Iodized salt ©2016CengageLearning.AllRightsReserved. Selenium • Substitute for sulfur in some amino acids • Methionine, cysteine, and cystine • Roles in body • Antioxidant • Part of proteins • Glutathione peroxidase • Enzymes activate or inactivate thyroid hormone ©2016CengageLearning.AllRightsReserved. Selenium Deficiency • Keshan disease • Type of heart disease in regions of China where soil lacks selenium • Cancer • May be protective factor • Supplements have not proved effective • Toxicity • UL • Effects ©2016CengageLearning.AllRightsReserved. Selenium Sources • • • • Found in soil Meats, milk, and eggs Brazil nuts Recommendations • RDA • Amount needed to maximize glutathione peroxidase activity ©2016CengageLearning.AllRightsReserved. Copper • Transport and balance depend on a system of proteins • Roles in body • Constituent of enzymes • Reactions that consume oxygen or oxygen radicals • Iron metabolism • Defense against oxidative damage • Other roles ©2016CengageLearning.AllRightsReserved. Copper Deficiency and Toxicity • Possible link to cardiovascular disease • United States’ diets provide adequate intake • Excessive intakes • Foods versus supplements • Genetic disorders that effect copper status • Menkes disease • Wilson’s disease ©2016CengageLearning.AllRightsReserved. Copper Sources • • • • • • Legumes Whole grains Nuts Shellfish Seeds Water delivered through copper plumbing ©2016CengageLearning.AllRightsReserved. Manganese • Body locations • Bones • Metabolically active organs • Roles in body • Cofactor for enzymes that facilitate metabolism • Bone formation • Conversion of pyruvate to a TCA cycle compound ©2016CengageLearning.AllRightsReserved. Manganese Deficiency • Requirements are low • Deficiencies are rare • Factors that limit manganese absorption • Toxicity • Environmental contaminate • UL • Recommendations • AI set based on average intakes • Source: grain products ©2016CengageLearning.AllRightsReserved. Fluoride • Found in bones and teeth • Fluorapatite • Dental caries • Sources • Drinking water • Most bottled waters lack fluoride • Tea and fish • Toxicity: fluorosis ©2016CengageLearning.AllRightsReserved. Chromium • Roles in the body • Participates in carbohydrate and lipid metabolism • Helps maintain glucose homeostasis • Diabetes-like condition may result if chromium lacking • Sources • Unrefined foods • Liver, brewer’s yeast, whole grains • Supplements ©2016CengageLearning.AllRightsReserved. Molybdenum • Working part of several metalloenzymes • Dietary deficiencies are unknown • Sources • Legumes, breads, grain products, leafy green vegetables, milk, and liver • Toxicity is rare • UL • Characteristics ©2016CengageLearning.AllRightsReserved. Contaminant Minerals • Impair body’s growth, work capacity, and general health • Heavy metals • Lead • Indestructible • Displaces nutrient minerals from metabolic sites • Children with iron deficiency especially vulnerable • Mercury • Cadmium ©2016CengageLearning.AllRightsReserved. Closing Thoughts on the Nutrients • Look at nutrients as a whole • Work cooperatively with one another • Actions are most often interactions • Most foods deliver multiple nutrients ©2016CengageLearning.AllRightsReserved. Phytochemicals and Functional Foods Highlight 13 ©2016CengageLearning.AllRightsReserved. Phytochemicals • Found in plant-derived foods • Have biological activity in the body • Physiological effects • May prevent development of chronic diseases • Adverse effects if consumed in excess • Functional foods ©2016CengageLearning.AllRightsReserved. Phytochemicals and Cancer • Protect against DNA damage • Soybeans • Phytoestrogens • Tomatoes • Lycopene ©2016CengageLearning.AllRightsReserved. Phytochemicals and Heart Disease • Flavonoids • Food sources • Heart-protection factors • • • • Carotenoids Plant sterols Lignans Defending against other diseases ©2016CengageLearning.AllRightsReserved. Functional Foods • All foods that have a potentially beneficial effect on health • Whole • Fortified • Modified • Characteristics similar to drugs • Long term consumption may be necessary for beneficial effect • Cost ©2016CengageLearning.AllRightsReserved. The Colors of Foods Rich in Phytochemicals Red Anthocyanins Lycopene Beets Cherries Cranberries Pink grapefruit Pomegranates Radicchio Radishes Raspberries Red apples Red peppers Red potatoes Rhubarb Strawberries Tomatoes Watermelon White-Brown Orange-Yellow Allicin Allyl sulfides Bananas Brown pears Cauliflower Chives Dates Garlic Ginger Leeks Mushrooms Onions Parsnips Shallots Turnips Beta-carotene Limonene Apricots Cantaloupe Carrots Lemons Mangoes Nectarines Oranges Papayas Peaches Persimmons Pineapple Pumpkin Rutabagas Squash Sweet potatoes Tangerines Yellow peppers ©2016CengageLearning.AllRightsReserved. Blue-Purple Anthocyanins Ellagic acid Phenolics Black currants Blackberries Blueberries Dried plums Eggplant Elderberries Plums Purple figs Purple peppers Raisins Purple cabbage Purple grapes Green Beta-carotene Lutein Indoles Artichokes Arugula Asparagus Avocados Broccoli Brussels sprouts Cabbage Celery Cucumbers Endive Green apples Green beans Green grapes Green onions Green pears Green peppers Honeydew melon Kiwifruit Leafy greens Limes Okra Peas Snow peas Spinach Sugar snap peas Zucchini Unanswered Questions • Research on safety and effectiveness still in progress • While products are available for purchase • Questions to ask • • • • Does it work? How much does it contain? Is it safe? Is it healthy? • Future foods ©2016CengageLearning.AllRightsReserved.