Transcript Slide 1

Table 11-1, p. 379
Macrominerals
Overall importance in:
•Maintenance of electrolyte balance
•Mineralization of bones
•Enzyme cofactors
•Muscle contraction
•Nerve conduction
The major macrominerals are:
Table 11-1a, p. 379
Table 11-1b, p. 379
Average
absorption
about 30%
Fig. 11-1, p. 381
Table 11-2, p. 382
Extracellular concentrations highly regulated by parathyroid hormone ( bone
demineralization), calcitriol (calcium reabsorption), and calcitonin (decrease blood
Ca2+)
Fig. 11-2, p. 383
Intracellular calcium regulation is through calcium
channels; intracellular concentrations are VERY
LOW relative to extracellular concentrations
Increases in intracellular Ca2+ can act as a second
messenger signaling mechanism for many cells;
involved in neurotransmitter release and other
events
Fig. 11-3, p. 384
Table 11-3, p. 387
Deficiency: rickets in children, hypocalcemic tetany, muscle pain, osteoporosis in adults
Chronic deficiency associated with hypertension (inversely related), colon cancer (a
preventative), and obesity (low calcium yields heavier weight)
Toxicity: soft tissue calcification, constipation, kidney stones
Phosphorus
Found in: meat, poultry, fish, eggs, milk and milk products. Nuts, legumes, cereals, and
grains (animal sources are better). Most in the form of phytate.
Hydrolyzed in the lumen and released as inorganic phosphate; carrier mediated
Phytic acid/phytate
Fig. 11-7, p. 393
Functions: bone mineralization, in DNA and RNA, in nucleotide triphosphates (ie. ATP),
second messenger (cAMP and IP3), phospholipids, as an intracellular buffer
Deficiency: rare; anorexia, rickets, skeletal and cardiac myopathy, neurlogic problems
Toxicity:
rare
Table 11-4, p. 394
Table 11-5, p. 398
Vertebral bodies
Radius
Femoral neck
p. 412
Magnesium - ingested with phytate, other food sources
• found in dairy products, fish, meat and seafood, as well as in legumes, apples, apricots,
avocados, bananas, whole grain cereals, nuts, dark green vegetables, and cocoa, while
hard water and mineral water may also supply it in fair quantities
Functions:
• Formation of bones and teeth
• Aids in absorption of calcium and potassium
• As a part of the utilizable form of ATP
• Can help prevent kidney stones (along with B12)
• Is used for PMS symptoms, migranes, management of premature labor
Table 11-5, p. 398
Deficiency symptoms (mainly due to malabsorption, alcoholism):
cardiovascular problems, including tachycardia; irritability and seizure; insomnia, poor
memory, depression
Toxicity: rare; diarrhea and abdominal cramping; kidney failure; coma and death
Sodium
No more than 2,300 milligrams of sodium a
day. This is about 1 teaspoon of sodium
chloride (salt). To illustrate, the following are
sources of sodium in the diet.
1/4 teaspoon salt = 600 mg sodium
1/2 teaspoon salt = 1,200 mg sodium
3/4 teaspoon salt = 1,800 mg sodium
1 teaspoon salt
= 2,400 mg sodium
1 teaspoon baking soda
= 1000 mg
sodium
Most diets contain 5X this amount
Sources:
Virtually all processed foods
Absorption: Three mechanisms (at right)
Function:
Water balance; blood pressure
Nerve propagation
Membrane potential
Osteoporosis
Prevalence
Two Types
Diagnosis
Who’s at risk?
Other risk factors