Chapter 8 - 35-210-203-f13
Transcription
Chapter 8 - 35-210-203-f13
Chapter 8 Water & Minerals © 2012 Pearson Education, Inc. Objectives for Chapter 8 Explain the functions of water in the body and how we maintain hydration balance. Describe the daily recommended intake for water consumption. Describe the difference between dehydration and water intoxication. Nutrition and You, 2e © 2012 Pearson Education, Inc. Objectives for Chapter 8 List at least one food source for each major mineral. Identify the role of sodium in your body. Name at least three lifestyle habits that can increase the risk for high blood pressure. Describe osteoporosis and the factors that influence the risk of developing the disease. List at least one major food source for each trace mineral. Compare and contrast heme and nonheme iron. Explain the role of fluoride in tooth and bone structure. Nutrition and You, 2e © 2012 Pearson Education, Inc. Minerals are Elements Nutrition and You, 2e © 2012 Pearson Education, Inc. Water in the body On average, our bodies are made up of 60% water Factors that affect water content in the body Age Gender Fat and muscle tissue (muscle is 35% H20, fat: 1040% H20). Who has more water in the body? Men, women, athlete? Nutrition and You, 2e © 2012 Pearson Education, Inc. Functions of Water in the Body 1. Solvent • Many of the substances in our body are dissolved in water. • Molecules float around and come into contact with each other because of water. Nutrition and You, 2e © 2012 Pearson Education, Inc. Functions of Water in the Body 2. Transportation • Water in our blood (55% of volume is H20) and lymph transports substances through the body. • Brings oxygen and nutrients to our cells • Removes waste from cells for eventual excretion Nutrition and You, 2e © 2012 Pearson Education, Inc. Functions of Water in the Body 3. Maintain Body Temp Water is great at absorbing, carrying and releasing heat. When we’re hot: we sweat When we’re cold: Warm blood stays in our core We cannot control our body temperature well if we’re dehydrated. Nutrition and You, 2e © 2012 Pearson Education, Inc. Functions of Water in the Body 4. Lubricant and Protection Lubrication: Joints Eyeballs Saliva Cushion: Water surrounds the brain to protect it Fetus surrounded by amniotic sac Nutrition and You, 2e © 2012 Pearson Education, Inc. Water Balance in the Body Very important- too much or too little water can be dangerous Water in: Food (most) Beverages (all) Metabolism Water out: Urine Stool Exhalation Sweat Insensible water loss: (0.5-1 quart of water lost every day) Nutrition and You, 2e © 2012 Pearson Education, Inc. Water Balance in the Body: Dehydration Too little fluid: [solute] increases Dehydration can occur when too little water is taken in or too much water is lost (diarrhea, vomiting, fever, drugs (diuretics). When you’re thirsty- drink- you’re already a little dehydrated Nutrition and You, 2e © 2012 Pearson Education, Inc. Water Balance in the Body: Dehydration How do you know if you’re dehydrated: Weight change Dizziness Confusion Thirst Urine color Nutrition and You, 2e © 2012 Pearson Education, Inc. Water Balance in the Body: Hyponatremia “water intoxication” Too much fluid: [solute] decreases Normally if we take in too much water we will urinate it our Nutrition and You, 2e © 2012 Pearson Education, Inc. Water Balance in the Body: Hyponatremia “water intoxication” October 24, 1995: Anna Wood, a 15-year-old Australian schoolgirl who died from the effects of water intoxication secondary to use of MDMA June 9, 2002: 4-year-old Cassandra Killpack of Springville, Utah died as a result of water intoxication when her parents forcefully fed her as much as one US gallon (3.8 l) of water in a short period while she was being disciplined. Her mother, Jennette Killpack, was convicted in 2005 of child abuse homicide. On January 12, 2007, Jennifer Strange, a 28-year-old woman was found dead in her home by her mother, hours after trying to win a radio contest, which involved drinking large quantities of water without urinating. A nurse called the radio station to warn them about the danger in which they were putting people, but the disc jockeys rejected the warnings. 2002 Boston Marathon competitor Cynthia Luc 2013: 20-year-old Dutch student Lisa Nooij died from water intoxication four days after using MDMA at a festival. Nutrition and You, 2e © 2012 Pearson Education, Inc. Water Needs Everyone is different, needs depend on: Air temp Physical activity Diet Currently – if sedentary Females: 12 cups (80% from beverages= 9 cups) Males: 16 cups (80% from beverages = 13 cups Caffeine? Nutrition and You, 2e © 2012 Pearson Education, Inc. The Minerals in Your Body One pound = appx 450g Figure 8.9 Nutrition and You, 2e © 2012 Pearson Education, Inc. Sodium- major mineral What are sodium and salt? Sodium is an electrolyte (charged ion, Na+) in blood and in the fluid surrounding cells About 90 percent of sodium consumed is in form of sodium chloride (NaCl), table salt Functions: chief role is regulation of fluid balance Also transports substances such as amino acids across cell membranes Nutrition and You, 2e © 2012 Pearson Education, Inc. Sodium -major mineral Sodium balance in your body Sodium level is maintained by kidneys reducing or increasing sodium excretion as needed Smaller amounts lost in stool and sweat Daily needs: 1,500 mg/day for adults under 51 Food sources: about 77 percent of sodium consumed by Americans is from processed foods • Only 5 percent is added during cooking, 6 percent added at table, 12 percent occurs naturally in foods Nutrition and You, 2e © 2012 Pearson Education, Inc. Sodium -major mineral Too much or too little: UL for adults is set at 2,300 mg/day to reduce the risk of hypertension (high blood pressure) Some populations = 1,500mg/day Cut back on processed foods and salt added to foods to lower sodium intake Sodium deficiency is rare in healthy individuals consuming a balanced diet Nutrition and You, 2e © 2012 Pearson Education, Inc. Sodium -major mineral You and your blood pressure Blood pressure is a measure of force that blood exerts on the walls of the arteries. Expressed as systolic (when heart beats) over diastolic (at rest between beats) pressure <120/80 mm Hg is normal Systolic >120 or diastolic >80 = prehypertension > 140/90 = hypertension http://www.youtube.com/watch?v=diG519dFV Ns Nutrition and You, 2e © 2012 Pearson Education, Inc. Sodium -major mineral Hypertension is a silent killer (1/3 adults have HTN!) No symptoms – have blood pressure checked regularly Contributes to atherosclerosis, heart enlarges, weakens Damages arteries leading to brain, kidneys, legs, increasing risk of stroke, kidney failure, partial amputation of leg To control hypertension: Reduce weight, increase physical activity, healthy, balanced diet Nutrition and You, 2e © 2012 Pearson Education, Inc. The DASH: (Dietary Approaches to Stop Hypertension) Misc 8.10 Nutrition and You, 2e © 2012 Pearson Education, Inc. Misc 8.11 Nutrition and You, 2e © 2012 Pearson Education, Inc. Potassium -major mineral Functions: Fluid balance: electrolyte inside cells Muscle contraction and nerve impulse conduction Can help lower high blood pressure Aids in bone health: helps increase bone density Reduces kidney stones Nutrition and You, 2e © 2012 Pearson Education, Inc. Potassium -major mineral Daily needs: Adults: 4,700 mg/day Adult females consume only 2,200 to 2,500 mg/day, adult males only 3,300 to 3,400 mg/day on average Food sources: Fruits and vegetables Minimum of seven servings/day will meet potassium needs Dairy foods, nuts, legumes also good sources Nutrition and You, 2e © 2012 Pearson Education, Inc. Potassium -major mineral Too much or too little: Too much from supplements or salt substitutes can cause hyperkalemia in some individuals Can cause irregular heartbeats, damage heart and be life-threatening Too little can cause hypokalemia Can cause muscle weakness, cramps, irregular heartbeats and paralysis Can occur in excessive vomiting and/or diarrhea, in anorexia and/or bulimia eating disorders Nutrition and You, 2e © 2012 Pearson Education, Inc. Calcium -major mineral Most abundant mineral in body More than 99 percent located in bones and teeth Functions: Helps build strong bones and teeth Plays a role in muscles, nerves, and blood May help lower high blood pressure May fight colon cancer May reduce risk of kidney stones Nutrition and You, 2e © 2012 Pearson Education, Inc. Calcium -major mineral Food sources: Milk, yogurt, cheese, broccoli, kale, canned salmon (with bones), tofu processed with calcium, calciumfortified juices and cereals Nutrition and You, 2e © 2012 Pearson Education, Inc. Calcium -major mineral Too much UL: 2,500 mg/day Too much calcium leads to hypercalcemia Usually a result of one or more of your parathyroid glands, which regulate blood calcium levels Supplements (Calcium and or vitamin __ ) Other diseases Nutrition and You, 2e © 2012 Pearson Education, Inc. Osteoporosis: Not Just Your Grandmother’s Problem Bones are living tissue, constantly changing http://youtu.be/0dV1Bwe2v6c Peak bone mass occurs in early adulthood (20s) Then slowly more bone is lost than added As bones lose mass, become more porous and prone to fractures, leading to osteoporosis Nutrition and You, 2e © 2012 Pearson Education, Inc. Osteoporosis: Not Just Your Grandmother’s Problem Bone mineral density (BMD) test measures bone density (using a special X-ray or computed tomography (CT) scan) Low score = osteopenia (low bone mass) Very low score = osteoporosis Nutrition and You, 2e © 2012 Pearson Education, Inc. Calcium -major mineral Too little can lead to less dense, weakened, brittle bones, and increased risk Nutrition and You, 2e © 2012 Pearson Education, Inc. Osteoporosis: Risk factors Gender (females at higher risk due to loss of estrogen after menopause) Ethnicity (Caucasian and Asian-American at higher risk) Body type (smallerboned/petite women at higher risk) Family history of fractures increases risk Level of sex hormones (amenorrhea, menopause, or men with low levels of sex hormones) Nutrition and You, 2e Medications: glucocorticoids, antiseizure medications, aluminum-containing antacids, high amounts of thyroid replacement hormones Smoking Low physical activity: 30 minutes per day recommended Alcohol (more than one drink for women, two for men) Inadequate calcium and vitamin D (less than three cups/day of vitamin D-fortified milk or yogurt) © 2012 Pearson Education, Inc. Phosphorus -major mineral Second most abundant mineral in body 85 percent in bones, rest in cells and fluids outside cells, including blood Functions: Needed for bones and teeth Important component of cell membranes Part of DNA and RNA Nutrition and You, 2e © 2012 Pearson Education, Inc. Phosphorus -major mineral Food sources: Meat, fish, poultry, dairy Abundant in diet Too much or too little: UL set at 4,000 mg/day for adults 19 to 50 to prevent hyperphosphatemia, which can lead to calcification of tissues Too little can result in muscle weakness, bone pain, rickets, confusion, death; would need to be in state of near starvation to experience deficiency Nutrition and You, 2e © 2012 Pearson Education, Inc. Magnesium -major mineral Fourth most abundant mineral in body About half in bones, most of rest inside cells Functions: Helps more than 300 enzymes, including energy metabolism Used in synthesis of protein Helps muscles and nerves function properly Maintains healthy bones and regular heartbeat May help lower high blood pressure and reduce risk of type 2 diabetes Nutrition and You, 2e © 2012 Pearson Education, Inc. Magnesium -major mineral Daily needs: Many Americans fall short (70 to 80 percent of needs) Food sources: Whole grains, vegetables, nuts, fruits; also milk, yogurt, meat, eggs Too much or too little: UL from supplements (not foods) is set at 350 mg/day to avoid diarrhea True deficiencies are rare, but diuretics and some antibiotics can inhibit absorption Nutrition and You, 2e © 2012 Pearson Education, Inc. Chloride -major mineral Sulfur -major mineral Chloride: Helps maintain fluid balance Hard to become deficient Upper level is consistent with NaCl Sulfur: Helps make up the structure of some amino acids No known toxicities or deficiences Nutrition and You, 2e © 2012 Pearson Education, Inc. Iron- Trace mineral Two forms: Heme and nonheme iron Heme iron from animal sources is part of hemoglobin and myoglobin and easily absorbed Nonheme iron in plant foods is not as easily absorbed, due to phytates and other substances. Body only absorbs 10 to 15 percent of iron consumed. Nutrition and You, 2e © 2012 Pearson Education, Inc. Iron - Trace mineral Absorption increases if body stores are low Not much iron is excreted in urine or stool, and once absorbed, very little leaves body (95 percent recycled and reused) Nutrition and You, 2e © 2012 Pearson Education, Inc. Iron- Trace mineral Functions: Hemoglobin in red blood cells transports oxygen from lungs to tissues and picks up carbon dioxide waste from cells Myoglobin transports and stores oxygen in muscle cells. Helps enzymes that make neurotransmitters Daily needs: Men and women >50: 8 mg/day Women 19 to 50: 18 mg/day: higher due to iron lost during menstruation Food sources: Iron-enriched bread and grain products; heme iron in meats, fish and poultry Nutrition and You, 2e © 2012 Pearson Education, Inc. Iron- Trace mineral Too little: Deficiency is most common nutritional disorder in world Iron-deficiency anemia occurs when iron stores depleted and hemoglobin levels decrease Nutrition and You, 2e © 2012 Pearson Education, Inc. Iron- Trace mineral Too much iron from supplements can cause constipation, nausea, vomiting, diarrhea Leading cause of accidental poisoning deaths in children under 6 years Iron overload can damage heart, kidneys, liver, nervous system Hemochromatosis, a genetic disorder, can cause iron overload Nutrition and You, 2e © 2012 Pearson Education, Inc. Copper - Trace mineral Functions: Part of many enzymes and proteins Important for iron absorption and transfer, synthesis of hemoglobin and red blood cells Role in blood clotting and maintaining healthy immune system Food sources: Organ meats, seafood, nuts, seeds, bran cereals, whole-grain products, cocoa Nutrition and You, 2e © 2012 Pearson Education, Inc. Copper - Trace mineral Too much or too little: UL: 10,000 µg/day Excess can cause stomach cramps, nausea, diarrhea, vomiting, liver damage Copper deficiency rare in United States Nutrition and You, 2e © 2012 Pearson Education, Inc. Zinc - Trace mineral Involved in function of more than 100 enzymes Functions: DNA synthesis, growth, and development Healthy immune system and wound healing Taste acuity Food sources: Red meat, some seafood, whole grains Daily needs: Vegetarians, poverty can have low intakes Nutrition and You, 2e © 2012 Pearson Education, Inc. Zinc - Trace mineral Too much : UL = 40 mg/day As little as 50 mg can cause stomach pains, nausea, vomiting, diarrhea 60 mg/day can inhibit copper absorption Excessive amounts can suppress immune system, lower HDL cholesterol Nutrition and You, 2e © 2012 Pearson Education, Inc. Zinc - Trace mineral Deficiency: hair loss, impaired taste, loss of appetite, diarrhea, delayed sexual maturation, impotence, skin rashes, impaired growth Nutrition and You, 2e © 2012 Pearson Education, Inc. Selenium - Trace mineral Functions: Help regulate thyroid hormones Act as antioxidants May help fight cancer Food sources: meat, seafood, cereal, grains, dairy foods, fruits, vegetables Amount varies depending on soil content Nutrition and You, 2e © 2012 Pearson Education, Inc. Seleium - Trace mineral Selenium deficiency rare in United States Deficiency can case (exacerbate?) Keshan disease, damages the heart: seen in children in rural areas that have selenium-poor soils Often fatal, the disease afflicts children and women of child bearing age, characterized by heart failure and pulmonary edema. TX: selenium supplementation Nutrition and You, 2e © 2012 Pearson Education, Inc. Selenium - Trace mineral Too much UL = 400 µg/day Too much can cause toxic condition selenosis Symptoms: brittleness and loss of nails and hair, stomach and intestinal discomfort, skin rash, garlicky breath, fatigue, nervous system damage Nutrition and You, 2e © 2012 Pearson Education, Inc. Fluoride - Trace mineral Functions: Protects against dental caries Helps repair enamel eroded by acids from bacteria Reduces amount of acid bacteria produce Provides protective barrier Fluoridated drinking water has reduced dental caries in United States Nutrition and You, 2e © 2012 Pearson Education, Inc. Fluoride - Trace mineral Sources: Foods are not a good source. Fluoridated drinking water and beverages made with this water Too much or too little: Too little increases risk of dental caries. Too much can cause fluorosis (mottling/staining) when teeth are forming during infancy/childhood. UL adults = 10 mg/day, much lower for infants and children Nutrition and You, 2e © 2012 Pearson Education, Inc. Chromium - Trace mineral Functions: Helps insulin in your body May improve blood glucose control, but no large study confirms this theory Based on small study suggesting chromium supplement may reduce risk of insulin resistance, Chromium does not help build muscle mass Nutrition and You, 2e © 2012 Pearson Education, Inc. Chromium - Trace mineral Foods: grains, meat, fish, poultry, some fruits and vegetables Too much or too little: No known risk from consuming too much Deficiency is rare in United States. In China, where deficiency exists, a study indicated lower blood glucose and less insulin resistance for people with type 2 diabetes who took chromium supplements Nutrition and You, 2e © 2012 Pearson Education, Inc. Iodine - Trace mineral Functions: needed by thyroid to make essential hormones Thyroid hormones regulate metabolic rate; help heart, nerves, muscle and intestines function properly Food sources: iodized salt (400 µg/tsp) Amount in foods is low, depends on iodine content of soil, water, fertilizer Salt-water fish have higher amounts Nutrition and You, 2e © 2012 Pearson Education, Inc. Iodine - Trace mineral Too much : UL = 1,100 µg/day Excess iodine can impair thyroid function, decrease synthesis and release of thyroid hormones Nutrition and You, 2e © 2012 Pearson Education, Inc. Iodine - Trace mineral Early sign of deficiency = goiter (enlarged thyroid gland) http://youtu.be/8s14pILBG8A Mandatory iodization of salt has decreased iodine deficiency in United States but not in other parts of world Iodine deficiency during early stages of fetal development can cause cretinism (congenital hypothyroidism) Nutrition and You, 2e © 2012 Pearson Education, Inc. Minerals Found Widely in MyPlate Figure 8.10 Nutrition and You, 2e © 2012 Pearson Education, Inc.