© 2009 Cengage - Wadsworth Chapter 4 The Carbohydrates: Sugars, Starches, and Fibers.
2009 Cengage-Wadsworth Chapter 12 Microminerals.
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Transcript of 2009 Cengage-Wadsworth Chapter 12 Microminerals.
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2009 Cengage-Wadsworth
Chapter 12
Microminerals
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2009 Cengage-Wadsworth
Introduction
• Precise definition of “essential micromineral” not established– Sometimes defined as mineral
needed in amounts of <100 mg/day
• RDAs established for 6• AIs for 3 others
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2009 Cengage-Wadsworth
Iron
• Sources– Heme iron: meat, fish, poultry– Nonheme iron: nuts, fruits,
vegetables, grains, tofu, dairy– Grain foods fortified with iron
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2009 Cengage-Wadsworth
Iron
• Digestion, absorption, transport, storage, & uptake– Heme iron digestion & absorption
• Hydrolyzed from hemoglobin/myoglobin in stomach & small intestine
• Heme absorbed intact by heme carrier protein 1 (hcp 1)
• Hydrolyzed to inorganic ferrous Fe & protoporphyrin
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2009 Cengage-Wadsworth
Iron
– Nonheme iron digestion & absorption• Hydrolyzed from food components in stomach• Mostly ferric iron released into small intestine,
some ferrous
• Fe3+ may complex to ferric hydroxide Fe(OH)3 - relatively insoluble
• Fe2+ remains fairly soluble• Fe2+ absorbed via divalent cation transporter 1
(DMT1)• Absorption of Fe3+ increased by acidic
environment & chelation of the iron
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2009 Cengage-Wadsworth
Iron
– Factors influencing iron absorption
• Enhancers of iron absorption
– Sugars– Acids (e.g.
ascorbic, citric, lactic, tartaric)
– Meat, poultry fish– Mucin
• Inhibitors of iron absorption
– Polyphenols– Oxalic acid– Phytates– Phosvitin– Calcium, calcium
phosphate salts– Zinc– Manganese– Nickel
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2009 Cengage-Wadsworth
Iron
– Intestinal cell iron use • 3 options
– Transported through cytosol, across basolateril membrane to enter circulation
– Stored for use or elimination– Used in a functional capacity
• Regulation of iron absorption– Hepcidin– Ferroportin– Other basolateral membrane proteins
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2009 Cengage-Wadsworth
Iron
– Transport• Ferric Fe in blood - attached to transferrin• Ferrous Fe converted to ferric - catalyzed
by hephaestin (enterocytes) & ceruloplasmin (throughout body)
• Importance of transferrin
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2009 Cengage-Wadsworth
Iron
– Storage• Sites: liver, bone marrow, spleen• Storage proteins
– Ferritin» H form or L form» Unstable - constantly degraded &
resynthesized» Body & serum stores equalize
– Hemosiderin» Increases during iron overload
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2009 Cengage-Wadsworth
Iron
– Uptake by tissues• Affected by transferrin saturation level• Transferrin binds to transferrin receptors
(TfR1, TfR2) to form a complex• Complex internalized into vesicle• Protons pumped in to reduce pH• Iron released from transferrin• Apotransferrin returned to plasma• # of receptors affected by intracelluar Fe
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2009 Cengage-Wadsworth
Iron
• Functions & mechanisms of action– Hemoglobin & myoglobin– Cytochromes & other enzymes involved in
electron transport– Monooxygenases & dioxygenases– Peroxidases– Oxidoreductases– Other iron-containing proteins– Iron as a pro-oxidant
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2009 Cengage-Wadsworth
Iron
• Interactions with other nutrients– Vitamin C– Copper– Zinc– Vitamin A– Lead– Selenium
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2009 Cengage-Wadsworth
Iron
• Turnover– Hemoglobin, ferritin & hemosiderin
degradation yield plasma iron
• Excretion– Most through GI tract (blood, bile,
desquamated mucosal cells)– Skin (desquamation of surface cells)– Urine– Larger losses with hemorrhage, menses
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2009 Cengage-Wadsworth
Iron
• Recommended Dietary Allowance– Men: 8 mg– Women: premenopausal 18 mg,
postmenopausal 8 mg– Pregnancy: 27 mg; lactation: 9 mg
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2009 Cengage-Wadsworth
Iron
• Deficiency: iron deficiency with & without anemia– Vulnerable:
• Infants/young children• Adolescents• Menstruating females• Pregnant women
– Supplements
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2009 Cengage-Wadsworth
Iron
• Toxicity: hemochromatosis– Mutations in HFE gene – Body cannot accurately sense iron
stores and down-regulate intestinal absorption
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2009 Cengage-Wadsworth
Iron
• Assessment of nutriture - progression of deficiency– Serum ferritin decreases unless there is
inflammation/infection– Ferritin & transferrin saturation decrease– Free protoporphyrin rises– Anemia occurs - hemoglobin & hematocrit
typically altered– Blood cells indicators: MCV, MCH, MCHC
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2009 Cengage-Wadsworth
Zinc
• Sources– Red meats, seafood, poultry, pork,
dairy– Whole grains, vegetables– Availability affected by heat, Maillard
reaction products– Recycled from pancreatic & biliary
secretions
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2009 Cengage-Wadsworth
Zinc
• Digestion, absorption, transport, uptake, & storage– Digestion
• Hydrolyzed from amino/nucleic acids in stomach & small intestine
– Absorption• Carrier-mediated process
– Zrt- & Irt-like protein (ZIP) 4
• Passive diffusion & paracellular absorption with high intake
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2009 Cengage-Wadsworth
Zinc
– Factors influencing zinc absorption• Enhancers of zinc absorption
– Ligands - citric acid, picolinic acid, prostaglandins, amino acids
– Low zinc status
• Inhibitors of zinc absorption– Phytate– Oxalate– Polyphenols– Nutrients, e.g. folate, iron, calcium, copper
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2009 Cengage-Wadsworth
Zinc
– Intestinal cell zinc use - may be:• Used functionally• Stored• Transported across basolateral
membrane into plasma for transport
– Transport• Blood - bound loosely to albumin
– Also transferrin, alpha-2 macroglobulin, immunoglobulin G
– Histidine, cysteine
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2009 Cengage-Wadsworth
Zinc
– Uptake by tissues• ZIP carriers 1, 2, 4, 6, 7, 8, 14• ZnT transporters
– Distribution & storage• Found in all organs, especially liver,
kidneys, muscle, skin, bones• Usually stored bound to thionein as
metallothionein
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2009 Cengage-Wadsworth
Zinc
• Functions & mechanisms of action– Zinc-dependent
enzymes• Carbonic
anhydrase• Alkaline
phosphatase• Alcohol
dehydrogenase
• Carboxypeptidase• Aminopeptidase• Delta-aminolevulinic
acid dehydratase• Superoxide
dismutase (SOD)• Collagenases• Phospholipase C• Polyglutamate
hydrolase• Polymerases,
kinases, nucleases, transferases, phosphorylases, transcriptases
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2009 Cengage-Wadsworth
Zinc
– Other roles• Growth - regulation of transcription• Cell replication• Bone formation• Skin integrity• Cell-mediated immunity• Generalized host defense• Carbohydrate metabolism
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2009 Cengage-Wadsworth
Zinc
• Interactions with other nutrients– Vitamin A– Copper– Calcium– Cadmium
• Excretion– Mostly through GI tract– Small amount in urine & through skin
exfoliation/sweat
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2009 Cengage-Wadsworth
Zinc
• Recommended Dietary Allowance– Men: 11 mg; women: 8 mg– Pregnancy: 11 mg; lactation: 12 mg
• Deficiency– Elderly & vegetarians– Needs increased by alcoholism,
chronic illness, stress, trauama, surgery, malabsorption
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2009 Cengage-Wadsworth
Zinc
• Supplements• Toxicity
– UL = 40 mg
• Assessment of nutriture– Zinc in RBCs, leukocytes, neutrophils,
plasma/serum– Metallothionein concentrations– Urinary or hair zinc– Activity of zinc-dependent enzymes
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2009 Cengage-Wadsworth
Copper
• Sources– Organ meats, shellfish– Nuts, seeds, legumes, dried fruits
• Digestion, absorption, transport, uptake, & storage– Digestion
• Bound to organic components in food• Released in stomach, small intestine
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2009 Cengage-Wadsworth
Copper
– Absorption• Small amount via stomach (low pH)• Small intestine
– Active carrier-mediated transporters– Nonsaturable, passive diffusion process
• Transporters: Ctr1, DMT1• Most reduced before absorption
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2009 Cengage-Wadsworth
Copper
– Factors influencing copper absorption• Enchancers of copper absorption
– Amino acids– Organic acids other than vitamin C
• Inhibitors of copper absorption– Phytate– Zinc– Iron– Molybdenum– Calcium & phosphorus– Vitamin C– Excessive antacid ingestion/high pH
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2009 Cengage-Wadsworth
Copper
– Intestinal cell copper use• Stored, used, or moved into blood
– Transport & uptake• In blood: bound loosely to albumin or
bound to transcuprein (Tc), amino acids• In liver: binds to metallothionein, then to
apoceruloplasmin to form ceruloplasmin• Ceruloplasmin delivers Cu to tissues
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2009 Cengage-Wadsworth
Copper
– Storage• Concentrates in liver, brain & kidneys• Stored bound to amino acids, proteins, &
chaperones• Metallothionein - stores up to 12 Cu
atoms
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2009 Cengage-Wadsworth
Copper
• Functions & mechanisms of action– Ceruloplasmin– Superoxide dismutase– Cytochrome c oxidase– Amine oxidases– Tyrosine metabolism--dopamin
monooxygenase & p-hydroxyphenylpyruvate hydroxylase
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2009 Cengage-Wadsworth
Copper
– Lysyl oxidase– Peptidylglycine alpha-amidating
monooxygenase– Other roles
• Angiogenesis• Immune system function• Nervy myelination• Endorphin action• Pro-oxidant• Influences gene expression
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2009 Cengage-Wadsworth
Copper
• Interactions with other nutrients– Ascorbic acid– Zinc– Iron– Molybdenum & sulfur (animals)– Selenium– Cadmium, silver, mercury
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2009 Cengage-Wadsworth
Copper
• Excretion– Primarily through bile– Small amounts in urine, menstrual flow,
hair, nails, semen– Involves P-type ATPase: ATP7B
• Recommended Dietary Allowance– Adults: 900 µg– Pregnancy: 1,000 µg; lactation: 1,300 µg
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2009 Cengage-Wadsworth
Copper
• Deficiency– Excessive zinc consumption,
nephrosis, GI malabsorption
• Toxicity– UL = 10 mg– Wilson’s disease– Supplements
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2009 Cengage-Wadsworth
Copper
• Assessment of nutriture– Serum/plasma/RBC Cu– Serum ceruloplasmin– Response of serum ceruloplasmin to
Cu supplements– Cu concentrations in hair not useful
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2009 Cengage-Wadsworth
Selenium
• Sources– Plant content variable based on soil– Seafood
• Absorption, transport, uptake, storage, & metabolism– Absorption
• Selenoamino acid absorption• Factors influencing selenium absorption
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2009 Cengage-Wadsworth
Selenium
– Transport• Bound to sulfhydryl groups in alpha &
beta-globulins (e.g. VLDL, LDL)• Selenoprotein P
– Uptake & storage• High concentrations in thyroid gland,
kidney, liver, heart, pancreas, muscle• Also lungs, brain, bone, RBCs
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2009 Cengage-Wadsworth
Selenium
– Metabolism• Selenomethionine• Selenocysteine• Free Se converted to selenide• Selenate converted to selenite to
selenodiglutathione to selenide
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2009 Cengage-Wadsworth
Selenium
• Functions & mechanisms of action– Glutathione peroxidase (GPX)– Thioredoxin reductase (TrxR or TRR)– Selenophosphate synthetase (SPS)– Selenoprotein P (SEL P)– Selenoprotein W (SEL W)– Methionine R sulfoxide reductase (SEL R)– Other selenoproteins
• SEL 15; SEL S; SEL H, K, M, N
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2009 Cengage-Wadsworth
Selenium
• Interactions with other nutrients– Iron & copper– Methionine intake
• Excretion– About equally in urine & feces– Lungs & skin
• Exhalation of dimethylselenide
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2009 Cengage-Wadsworth
Selenium
• Recommended Dietary Allowance– Adults: 55 µg– Pregnancy: 60 µg; lactation: 70 µg
• Deficiency– Keshan disease– Kashin-Beck’s disease– People on total parenteral nutrition
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2009 Cengage-Wadsworth
Selenium
• Toxicity– UL = 400 µg
• Assessment of nutriture– Blood & plasma concentrations– Activities & concentrations of
selenoproteins• SEL P, glutathione peroxidase
– Toenails, urinary concentration
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2009 Cengage-Wadsworth
Chromium
• Sources– Trivalent form - Cr3+
– Meats, fish, poultry, whole grains
• Absorption, transport, & storage– Absorption
• Small intestine, especially jejunum• Diffusion or by carrier-mediated
transporter
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2009 Cengage-Wadsworth
Chromium
– Factors influencing chromium absorption• Enhancers of chromium absorption
– Amino acids– Picolinate– Vitamin C
• Inhibitors of chromium absorption– Neutral or alkaline environment - antacids– Phytates
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2009 Cengage-Wadsworth
Chromium
– Transport• Cr3+ binds with transferrin in blood• No transferrin - albumin• Globulins, possibly lipoproteins
– Storage• Concentrates in kidneys, liver, muscle,
spleen, heart, pancrease, bone• Thought to be stored with ferric Fe
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2009 Cengage-Wadsworth
Chromium
• Functions & mechanisms of action– Potentiates action of insulin– Glucose & lipid metabolism– Nucleic acid metabolism
• Interactions with other nutrients– Potential to displace iron in transferrin
unclear
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2009 Cengage-Wadsworth
Chromium
• Excretion– Mostly in urine, also desquamation of skin
cells
• Adequate Intake– Adults 50 or <
• Men: 35 µg; women: 25 µg
– Adults >50• Men: 30 µg; women: 20 µg
– Pregnancy: 30 µg; lactation: 45 µg
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2009 Cengage-Wadsworth
Chromium
• Deficiency– TPN, severe trauma & stress– Supplements
• Toxicity• Assessment of nutriture
– No specific tests– Observation of effects of Cr
supplementation
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2009 Cengage-Wadsworth
Iodine
• Sources– Food content variable based on soil– Seafoods, iodized salt
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2009 Cengage-Wadsworth
Iodine
• Digestion, absorption, transport, & storage– Organic bound I freed via digestion– Absorbed rapidly & completely– Travels as free iodide in blood– Concentrates in thyroid gland
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2009 Cengage-Wadsworth
Iodine
• Functions & mechanisms of action– Synthesis of thyroid hormones
• Thyroxine (T4)
• Triiodothyronine (T3)
– Transport of thyroid hormones in the blood• Thyroxine-binding globulin, albumin,
transthyretin
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2009 Cengage-Wadsworth
Iodine
• Interactions with other nutrients– Goitrogens
• Excretion– Most in urine, also in feces
• Recommended Dietary Allowance– Adults: 150 µg– Pregnancy: 220 µg; lactation: 290 µg
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2009 Cengage-Wadsworth
Iodine
• Deficiency– Thyroid hormone release as related to
iodide deficiency– Iodine deficiency & iodine deficiency
disorders• Goiter• Iodine deficiency disorders (IDDs) • Cretinism: neurological or hypothyroid
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2009 Cengage-Wadsworth
Iodine
• Toxicity– UL = 1,100 µg
• Assessment of nutriture– Urinary excretion– Thyroid size– Radioactive iodide (131I) uptake– Serum TSH concentrations
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2009 Cengage-Wadsworth
Manganese
• Sources– Whole grains, dried fruits, nuts, leafy
vegetables
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2009 Cengage-Wadsworth
Manganese
• Absorption, transport, & storage– Absorption
• Probably low-capacity, high affinity, active transport mechanism
• Factors influencing absorption– Fiber, phytate, oxalate, iron, copper
– Transport & storage• Free or bound as Mn2+ to alpha-2 macroglobulin,
albumin, beta globulin, gamma globulin• Accumulates in mitochondria
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Manganese
• Functions & mechanisms of action– Transferases– Hydrolases– Lyases– Oxido-reductases– Ligases/synthetases– Other roles
• Modulator of second messenger pathways
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Manganese
• Interactions with other nutrients– Iron; possibly calcium, zinc
• Excretion– Mostly in bile– Little in urine– Sweat, skin desquamation
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2009 Cengage-Wadsworth
Manganese
• Adequate Intake– Men: 2.3 mg; women: 1.8 mg– Pregnancy: 2 mg; lactation: 2.6 mg
• Deficiency• Toxicity
– Liver failure, neonatal TPN– Miners who inhale Mn dust– UL = 11 mg
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Manganese
• Assessment of nutriture– Mononuclear blood cell/plasma/
serum/whole blood concentrations– Enzyme activity
• Lymphocyte Mn-SOD
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Molybdenum
• Sources– Legumes, meat, fish, poultry, grains
• Absorption, transport, & storage– Thought to be passive absorption– Thought to travel in blood as
molybdate (MoO42+)
– Most found in liver, kidneys, bone
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2009 Cengage-Wadsworth
Molybdenum
• Functions & mechanisms of action– Sulfite oxidase– Aldehyde oxidase– Xanthine dehydrogenase & xanthine oxidase
• Interactions with other nutrients– Tungsten– Sulfur & copper– Manganese, zinc, iron, lead, ascorbic acid,
methionine, cysteine, protein
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2009 Cengage-Wadsworth
Molybdenum
• Excretion– Most as molybdate in urine– Small amounts in bile, sweat, hair
• Recommended Dietary Allowance– Adults: 45 µg– Pregnancy/lactation: 50 µg
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2009 Cengage-Wadsworth
Molybdenum
• Deficiency– Diet rich in antagonistic substances
(e.g. sulfate, Cu, tungstate)
• Toxicity– UL = 2 mg
• Assessment of nutriture– No validated indicators
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Fluoride
• Sources– Fluoridated water– Some grains, some marine fish– Tea
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2009 Cengage-Wadsworth
Fluoride
• Digestion, absorption, transport, & storage– Protein-bound F hydrolyzed– Thought to be absorbed by passive
diffusion (rapid in stomach)– Transported as ionic F or hydrofluoric
acid, or bound (nonionic/organic)– Most found in bones & teeth
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2009 Cengage-Wadsworth
Fluoride
• Functions & mechanisms of action– Promotes mineral precipitation from
amorphous solutions of Ca & phosphate - formation of apatite
– Can replace hydroxide ions in apatite– Topical F appears to decrease
production of acid by oral bacteria
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2009 Cengage-Wadsworth
Fluoride
• Interactions with other nutrients– Aluminum, calcium, magnesium,
chloride
• Excretion– Mostly in urine, also feces, sweat
• Adequate Intake– Men: 4 mg; women: 3 mg
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Fluoride
• Deficiency• Toxicity
– Fluorosis– UL = 1.3 mg for children 1-3– 10 mg for children >8 & adults
• Assessment of nutriture– Plasma or urine concentrations– Ion-specific electrode potentiometry
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Perspective 12
Nutrient-Drug Interactions
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2009 Cengage-Wadsworth
Nutrient-Drug Interactions
• Effects of foods/nutrients on drug absorption
• Effects of foods on drug metabolism
• Effects of foods/nutrients on the actions of drugs
• Effects of foods/nutrients on drug excretion
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2009 Cengage-Wadsworth
Drug-Nutrient Interactions
• Effects of drugs on nutrient absorption
• Effects of drugs on nutrient metabolism
• Effects of drugs on nutrient excretion
• Summary