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Chapter 12 Water video Water And The Major Minerals Water • Most abundant substance in the body • An average healthy adult is about 60 percent water • Muscle tissue is approximately 65 percent water • Fat tissue is about 10 – 40 percent water • Males have higher body water (59 vs. 52% in women) • Athletes have more body water then sedentary individuals Water What does water do in the body? • The universal solvent and a transport medium • Water plays a key part in carrying nutrients to and removing wastes from the cells • Water helps to maintain body temperature by absorbing and releasing heat • Lubricant and protective cushion • Water is part of the blood and the fluid that bathes the body cells A developing fetus is cushioned in a sac of watery amniotic fluid to protect it from physical harm during pregnancy Water Water balance and maintenance • When the amount of water consume is equal to the amount that you lose daily, you are in water balance • When you are not in water balance, you may be taking too much or too little water Water • Water Loss: – Lose water through kidneys, large intestine, lungs and skin – Insensible loss is water that is lost daily through routine respiration and evaporation off the skin up to 1 quart daily • How to replenish water loss: – beverages and foods – A small amount of water can be generated during metabolism • Losing too much water can cause dehydration – Consuming too much water can cause hyponatremia (low sodium level) may result in death Water Water requirements are based on: • Body weight, gender – Adult female require an average intake of 9 cups of water – Adult male require about 13 cups of water • physical activity • air temperature • diet water sources: • Water • most fruits and vegetables contain up to 90% water Health Effects of water • Meets body’s fluid needs • Protect the bladder against cancer by diluting urine • Protect against kidney stones, prostate cancer, and breast cancer Water Types of water • Mineral water – from underground source, contains specific amount of naturally occurring minerals and trace element • Spring Water (well water) – flows from underground to the surface naturally, water is collected at the spring • Sparkling water – spring water with carbon dioxide gas. Do not have adhere to FDA standards for bottled water it is consider a soft drink Water Types (cont’d) • Distilled water – water that has been boiled and processed to remove most contaminants • Flavored water – water that has flavor such as lemon or lime added, may also contain sugar and calories • Vitamin Water – Water that has vitamins added to it. May also contain sugar and calories Bottled vs. Tap Water Bottled water • Cost ~ $1.00 - ~4.00 per gallon • Generally safe • Some are not tested for contaminants • Only bottled water sold across state lines are regulated by the FDA • More convenient • May taste better Water video Tap water • Cost less than 1 penny per gallon • Regulated by the EPA, state, and local regulations • Consumer have access to water quality reports • EPA requires that the public be notified it water quality does not meet standards • Available at the faucet • Contains fluoride to prevent tooth decay. Most bottled water do not contain fluoride The Minerals • Inorganic elements • Major minerals are essential nutrients found in >5g in the body • Found in both plant and animal foods • Minerals, like vitamins are part of enzymes • Work with your immune system • Play a valuable role in structural growth The Minerals • Absorption depends on bioavailability – the degree to which nutrient is available for absorption by the body • Nutrient interactions is common e.g. spinach is a source of calcium and oxalates • Divided into two categories – major and trace minerals Sodium What are sodium and salt? • Sodium is an electrolyte in the body • Most sodium is in the blood and the fluid surrounding the cells • About 90% of the sodium we consume is in the form of sodium chloride Sodium • Functions in the body –Regulate fluid balance –Transport substances such as amino acids across cell membranes –Act as preservative and enhance flavor of food e.g. Monosodium Glutamate (MSG) used to enhance food flavor in Asian cuisines Sodium balance in the body • The amount of sodium in the body is maintained at a precise level • When the body needs more, the kidneys decrease the amount that is excreted in urine • Likewise when you take too much, the kidneys increase the amount that is excreted • Smaller amounts of sodium are lost in the stool and daily perspiration Sodium • Sodium is widely available in foods • 77% of American's consumption of sodium is from processed foods. – 1 cup of fresh tomato has 11 mg of sodium vs. 355mg from canned tomato • 12% from foods that naturally contain sodium • 5% is added during cooking • 6% used to season foods at the table Sodium Sodium Recommendation • 1500 mg/day (19-50 yr) • 1300 mg/day (51-70 yr) • 1200 mg/day – (>70 yr) • Upper limit 2300 mg/day • Americans consume over 3,400mg daily Sodium Too much sodium • There is a direct relationship between sodium and blood pressure • As a person’s intake of sodium increases so is their blood pressure known as hypertension – increases risk of heart disease – Stroke – Kidney disease Hypertension • An increasing problem in the US • 33% of adults have it • Up to 30% of adults have “white coat hypertension” not the same as constant high blood pressure • Blood pressure is a measure of the force the blood exerts against the walls of the artery • highest at the moment of the heart beat known as systolic pressure Hypertension • Pressure is lower when your heart is at rest between beats called diastolic pressure • The measurements are systolic/diastolic millimeters of mercury • 120/80 mm HG is considered normal • Blood pressure rises as you age • High blood pressure is known as the silent killer because it has no physiological symptoms Hypertension • Hypertension can damage the arteries leading to the brain, kidneys and legs • Common in African American • Can be controlled through proper diet and exercise. • DASH Diet (Dietary Approach to Stop Hypertension) – – – – High in fruits and vegetables Low in fat, saturated fat, cholesterol and sweets High in whole grains Very similar to the recommended diet of MYPyramid Sodium • Deficiency symptoms – rare • Toxicity symptoms – Edema, acute hypertension • Significant source – Table salt, soy sauce – Moderate amounts in meats, milks, breads, and vegetables – Large amounts in processed foods Sodium Shake the Salt habit • Dilute can foods with water or rinse them in water to reduce the sodium • Buy low sodium foods • Use frozen vegetables instead of canned vegetables • Limit portions of deli meats • Skip the salty fries Potassium Roles in the body • Needed for fluid balance • Act as a blood buffer • 95% of potassium in the body is inside the cells • Keep the blood pH and acid base balance correct • Needed for muscle contraction and nerve impulse conduction – A dramatic increase in potassium can lead to irregular heartbeat or heart attack – Low levels can cause paralysis – Potassium is tightly controlled with the help of the kidneys Potassium • Potassium can lower blood pressure – Causes kidneys to excrete excess sodium – The dash diet is abundant in foods with potassium • Assists in bone health by preventing calcium and phosphorus from being lost from bones and kidneys • Reduces kidney stones by causing the body to excrete citrate • Recommendation – 4700 mg/day • Most adult do not meet their needs daily Potassium • Deficiency - hypokalemia – May occur with dehydration – vomiting or diarrhea – Use of diuretics or laxative – Seen in individual who suffer from anorexia and/ or bulimia • Toxicity - hyperkalemia – May occur with supplement as a salt substitute – Irregular heartbeat, damage the heart or result in death • Significant sources – All whole foods – Meats, milks, fruits, vegetables, grains, legumes Calcium Calcium is the most abundant mineral in the body • 99% in bones and teeth, 1% in body fluid • Calcium makes up almost 40% of the weight of the bones Functions of Calcium • Helps to build strong bones and teeth • Helps to lower high blood pressure • May help to fight colon cancer by protecting the lining of the colon Calcium Recommended intake – 1000 to 1200 mg/day – Upper level 2500 mg/day sources –Milk and milk products –Small fish (with bones) –Tofu (bean curd), greens (broccoli, chard), legumes Calcium • Deficiency – hypocalcemia – Stunted growth in children – Bone loss (osteoporosis) in adults • Toxicity from supplementation hypercalcemia – Constipation – Interfere with absorption of other minerals • The body can only absorb a maximum of 500mg of calcium at one time Osteoporosis • Weakening and softening of the bone • Decreased in bone mass • As older adults begin to hunch over, they can lose as much as 1 foot in height • During adolescence more bone is added than removed • Most people reach peak bone mass by age 30 • After peak bone mass, loss of bone begin to exceed new bone mass added Osteoporosis Factors affecting Osteoporosis • Inadequate calcium intake • Gender and hormones • Genetics and ethnicity • Physical activity and body weight • Smoking and alcohol Phosphorus The second most abundant mineral in the body About 85% in the bone bound with calcium Chief functions in the body – Mineralization of bones and teeth – Important in genetic material, part of phospholipids Phosphorus • Deficiency - hypophosphotemia – Blood level becomes low resulting in muscular weakness, bone pain, rickets and may lead to death • Toxicity - hyperphosphotemia – Calcification of non-skeletal tissues, particularly the kidneys – Loss of calcium from bone leading to decrease in bone mass • RDA – 1250 mg/day (9-18 yr) – 700 mg/day (>18 yr) – Upper level 3000 mg to 4000 mg/day • Sources – All animal tissues (meat, fish, poultry, eggs, milk) Magnesium • Chief functions in the body – Helps over 300 enzymes produce inside the cells – Needed for metabolism of the macronutrients – Maintain healthy bones and a regular heart beat – Immune system • RDA – Men (19-30 years): 420 mg/day – Women (19-30 years): 310 mg/day • Upper level for adults: 350 mg nonfood magnesium/day Magnesium • Deficiency – Hallucinations – difficulty in swallowing – In children, growth failure • Toxicity – There is no known risk associated with consumption from food – Large amounts from supplement can cause GI problems like diarrhea, cramps, and nausea – Some laxatives contain magnesium because of the cathartic effect Magnesium • Significant sources – Nuts, legumes – Whole grains – Dark green vegetables – Seafood – Chocolate, cocoa Chapter 13 The Trace Minerals The Trace Minerals • Essential nutrients found in the human body in <5g. • Needed in <20mg daily • Food sources varies widely • Nutrient interactions is very common Iron • The most abundant mineral on earth • The most abundant trace mineral in the body • An 130 pound woman has about 2300mg of iron in her body about the size of a dime • A 165 pound male will have about 4000mg of iron in his body • Key component of blood, highly valuable to the body • Once absorbed, very little leaves the body • ~95% of iron in the body is recycled and reused • Most iron is lost due to bleeding Iron • Occurs in two forms: – Heme – found in animal foods – Part of hemoglobin in red blood cells and myoglobin in the muscle cells – Easily absorbed by the body • Non-heme – – found mostly in plants foods – Not easily absorbed as heme iron In general, the body absorbs only 10 – 15% of the iron ingested Iron • You can enhance absorption of iron by eating a food that’s high in vit C along with iron rich foods • As little as 25mg of vit C can double the absorption of iron • Eating non-heme iron with heme iron can also enhance absorption • Too little or too much iron can be harmful Iron Functions • Hemoglobin and myoglobin transport Oxygen in red blood cells • Hemoglobin picks up carbon dioxide waste to the lung to be exhaled from the body • Needed for brain function, involved in the synthesis of neurotransmitter in the brain • Cofactor to enzymes • Involve in making of amino acids, collagens, and hormones Iron Factors that prevent non-heme iron absorption; • Phytates and Fibers (found in grains and vegetables • Oxalates ( spinach, beets, rhubarb) • Calcium and phosphorus (milk) • Food additives • Tannic acid (found in tea and coffee) Iron Deficiency – Iron deficiency is the most common form of nutritional disorder in the world • Symptoms of iron deficiency anemia: – – – – – Decrease in hemoglobin levels Diminish delivery of oxygen through the body weakness, fatigue, headaches Weak immune system Pica - craving for non nutrient substances like chalk or ice, common among pregnant women • Pre-menopausal women, pregnant women, preterm and low birth weight children and toddlers are all at risk Iron Toxicity from supplementation can cause: • Constipation, nausea, vomiting, diarrhea • In the U.S. accidental consumption of supplements containing iron is leading cause of poisoning deaths in children under age 6 • Ingestion of as little as 220mg as been shown to be fatal • The FDA requires warning label on iron supplements that contain 30mg of iron or more • Iron overload (hemochromatosis)– excessive storing of iron over several years Iron • Food sources – About half of Americans get their iron from enriched bread and other grains – Red meats, fish, poultry, shellfish, eggs contributes about 12% – Cooking food in iron skillet can increase non-heme iron content Iron • RDA – Men: 8 mg/day • Adult male consume over 16mg on average – Women (19-50 years): 18 mg/day to cover loss during menstruation • Consume about 70% (13mg) of recommended intake on average – Women (51+ years): 8 mg/day – Pregnant women: 27 mg/day – Vegetarians require 1.8 time higher than non vegetarians due to components in plant foods that reduce absorption of iron • Upper level for adults: 45 mg/day Zinc • • • • Zinc is found in every cell of the body It is involved in more than 100 enzymes Not considered essential until 1974 Roles – Needed for DNA synthesis, and for growth and development – Helps keep immune system healthy – Helps in wound healing by reducing inflammation that usually accompanies wounds – Helps fight age-related macular degeneration (AMD) by working with enzymes needed to produce active vitamin A in the eyes Zinc • Rate of absorption varies from 15 to 40% • During digestion zinc is released in the pancreas and travel to the small intestine with dietary zinc • Zinc is excreted primarily in feces • Zinc is transported by albumin into the bloodstream • Large dose of zinc prevent iron absorption due to iron binding to transferrin (protein that carries iron) Zinc • Deficiency symptoms – Hair loss – Loss of appetite – Impaired taste of foods – Delayed sexual maturation – impotence • Significant sources – Protein-containing foods – Red meats, shellfish – Whole grains Zinc • RDA – – – – Men: 11 mg/day Women: 8 mg/day Upper level for adults: 40 mg/day Vegetarians can have as much as 50% higher need for zinc • Toxicity symptoms – – – – Stomach pains Nausea, vomiting, diarrhea Can lower copper level in the body More than 300mg can suppress the immune system and lower HDL (good cholesterol) Iodine • Iodine is an essential mineral for the thyroid glands • The thyroid need iodine to make certain hormones that regulate the majority of the body’s cells – Regulate body temperature, – reproduction, – growth, – Influence the amount of energy released during basal metabolism Iodine Deficiency • Hypothyroidism – under activity of the thyroid hormone • Goiter – early sign of thyroid deficiency • Mental and physical retardation in babies born to mothers with iodine deficiency during pregnancy (cretinism) Fig. 13-9, p. 456 Iodine • Toxicity – overactive thyroid gland – Reduce the synthesis and release of thyroid hormones • RDA for adults: 150 g/day • Upper level: 1100 g/day • Significant sources – – – – Iodized salt, seafood, bread, dairy products, plants grown in iodine-rich soil and animals fed those plants Fluoride Fluoride is the safe form of fluorine, a poisonous gas Functions • Protect against tooth decay • Helps repair the enamel of the tooth that has already started to erode • Interferes with the ability of the bacteria to metabolize in carbohydrate, reducing the amount of acid Fluoride • AI – Men: 3.8 mg/day – Women: 3.1 mg/day • Upper level for adults: 10 mg/day • Significant sources – Drinking water (if fluoride containing or fluoridated) – Tea, seafood Fluoride • Deficiency symptoms – tooth decay, especially with children • Toxicity symptoms – Fluorosis (pitting and discoloration of teeth) – Occurs when teeth are forming, only infants and children up to age 8 are at risk – May occur from swallowing toothpaste or excessive use of dental products