Trace Minerals By Jennifer Turley and Joan Thompson © 2016 Cengage Presentation Overview • Explore functions, deficiency, adequacy, toxicity, and food sources of the trace minerals: Iron (Fe), Zinc (Zn), Iodine (I), Selenium (Se), Chromium (Cr), Molybdenum (Mo), Copper (Cu), Manganese (Mn), Fluoride (F), Cobalt (Co). Iron Functions • Is a component of hemoglobin, the protein that carries oxygen in the blood and myoglobin, the protein that makes oxygen available for the muscle. • Is a part of many other proteins and cytochrome enzymes (such as those required for electron transport in ATP production as well as in liver detoxification), other enzymes enzymes (flavoproteins), and iron storage proteins (transferrin, lactoferrin, and ferritin). Iron (Fe) Deficiency & Toxicity Deficiency Adequacy Toxicity (<66% of DRI) Approx. <5- DRI: 8-18 mg/day RDI: (>UL) >45 mg/day 12 mg/day 18mg Microcytic hypochromic anemia Central Nervous System: mental apathy, cold, dizzy, irritable, headache NeuroMusccular: weakness and fatigue Skin: pallor (paleness) Normal functioning of Unlikely from food. Most likely hemoglobin, from supplements and a genetic myoglobin, disorder Cardio-Vascular: cytochromes, enzymes, damages the cardiovascular and iron storage system Central Nervous System: proteins. damages the central nervous system Gl System: constipation, nausea, vomiting, and diarrhea Skin: bronze/gray skin color Other: damages the renal system and the liver Vegetarians have 1.8 times higher DRI value. Adult deficient, adequate, toxic values Anemia • Anemia can be caused by: – Shortage or abnormality of Red Blood Cells (RBC’s) compromising O2 delivery. – Nutrient Deficiencies: Iron (Fe), vitamin E, vitamin B12, folate & others. • Inadequate intake • Blood loss & Parasitic infection for Fe • Signs & Symptoms of Anemia are: • Muscular Weakness, Tiredness/fatigue • Mental Apathy & Headache • Paleness/Pallor Iron: Food Sources • Heme (10-20% absorbed): clams, oysters, organ meats, and red muscle meats • Nonheme (2-5% absorbed): highly fortified cereals, soybeans, white beans, pumpkin seeds, black-strap molasses, and spinach Iron in Foods Only supplement to treat and/or prevent Iron deficiency Anemia in susceptible individuals (up to 60 mg) with a Medical Doctor’s recommendation. Iodine Functions • Essential component of the thyroid hormones thyroxine (T4) and triiodothyronine (T3). • Regulates the metabolic rate and influences the function of brain, muscles, heart, the pituitary gland, and kidneys. Iodine (I) Deficiency & Toxicity Deficiency Adequacy Toxicity (<66% of DRI) Approx. <100 µg/day Hypothyroidism Other: Cretinism (growth and developmental abnormalities and mental retardation in utero and in children), goiter, reduced metabolic rate DRI: 150 µg/day RDI: (>µL) > 1,100 µg/day 1 5 0 µg Normal thyroid, brain, organ, and metabolic Hypothyroidism acute toxicity: Weak pulse and cardiac irritability, coma, burning of the mouth, throat, and stomach, abdominal pain, fever, nausea, vomiting, and diarrhea, and cyanosis chronic toxicity Goiter, hypothyroidism, thyroiditis, sensitivity reactions, thyroid cancer Adult deficient, adequate, toxic values Iodine: Food Sources • Seafood. • Iodine is found in the soil where sea water once covered the earth so plants grown in this soil contain some iodine. • In areas that do not have iodine in the soil, the development of iodine deficiency has been very common. • Iodized salt. • Processed foods containing iodized salt provide iodine. Iodine in Foods Zinc Functions • Catalytic, structural, and regulatory functions to support growth, development, and the function of over 100 enzymes. • Required for insulin synthesis, storage, and release. • Zinc throat lozenges have been shown to help with the common cold and do not pose toxicity risks when used for the duration of the cold. Zinc (Zn) Deficiency & Toxicity Deficiency Adequacy Toxicity (<66% of DRI) Approx. <5- DRI: 8-11 mg/day 7 mg/day RDI: 15 mg (>UL) >40 mg/day Gl System: decreased Normal catalytic, taste acuity, impaired structural, and appetite, diarrhea Skin: regulatory functions. acrodermatitis enteropathica, poor wound healing, eye and skin lesions Other: retarded growth and delayed sexual maturation, impotence, hair loss Cardio-Vascular: decreased HDL cholesterol Central Nervous System: headache Gl System: loss of appetite, upper gastrointestinal pain, nausea, vomiting, diarrhea, and abdominal cramps Immunity: altered and suppressed immunity Other: reduced copper status Vegetarians have 1.5 times higher DRI value. Adult deficient, adequate, toxic values Zinc: Food Sources • Shellfish (not all seafood) • Meats (especially red meats) & organ meats. • Whole grains and some fortified cereals, but it is not as bioavailable for the body. Zinc in Foods Adult DRI: 8-11 mg/day Fluoride Functions Bone & tooth calcification • Stimulates new bone formation • Prevents dental caries (cavities). – Replaces the hydroxy portion of hydroxyapatite with more decayresistant fluorhydroxyapatite (hardens tooth enamel and stabilizes bone mineral structure). Fluoride (F) Deficiency & Toxicity Deficiency Adequacy Toxicity (<66% of DRI) DRI: 3-4 mg/day (>UL) Approx. <2-2.6 mg/day RDI: none >10 mg/day Normal bone and tooth health. Formation of decay-resistant fluorhydroxyapatite Acute toxicity: cardiac arrhythmias, seizures and coma, nausea, vomiting, diarrhea, abdominal pain, and excessive salivation Chronic Toxicity: Fluorosis (tooth & skeletal), stiffness or pain in the joints, osteosclerosis, hypercalcification, muscle wasting, and neurological defects Tooth decay Adult deficient, adequate, toxic values Fluoride: Sources • Fluoridated water – 1 ppm → 1 mg/liter • Some marine fish –Sardines where the bones are consumed • Tea Quantitative data unavailable for graphical analysis. Selenium Functions • Selenoproteins including: – Glutathione peroxidase (antioxidant) – Thyroid hormone actions • Reduction-oxidation (redox) – Vitamin C – Other molecules Selenium (Se) Deficiency & Toxicity Deficiency Adequacy Toxicity (<66% of DRI) DRI: 55 µg/day (>UL) Approx. <36 µg/day RDI: 70 µg >400 µg/day Keshan disease Cardio-Vascular: cardiomyopathy Normal selenoproteins, antioxidant, vitamin C redox functioning Selenosis Central Nervous System: fatigue, irritability, and nervous system abnormalities GI System: GI distress, garlic breath odor Skin: skin rash Other: hair and nail brittleness and loss Adult deficient, adequate, toxic values Selenium: Food Sources • Most reliable sources: Meat, seafood, dairy as selenomethionine or selenocysteine • Plant foods (grains, fruits, vegetables), depending on soil selenium content. Selenium in Foods Adult DRI: 55 μg/day Manganese Functions • Bone formation • Amino acid, cholesterol, and carbohydrate metabolism. • Required for and/or activates several metalloenzymes. Manganese (Mn) Deficiency & Toxicity Deficiency Adequacy Toxicity (<66% of DRI) DRI: 1.8-2.3 mg/day (>UL) Approx. <1.2-1.5 mg/day RDI: 2 mg >11 mg/day Cardio-Vascular: reduced blood cholesterol levels Central Nervous System: altered mood and increased pain (in reproductively capable women) Skin: scaly red-dermatitis Normal bone formation and amino acid, cholesterol, and carbohydrate metabolism Central Nervous System: effects similar to Parkinson’s disease Neuro-Muscular: tremors, rigidity of limbs and truck, slow gait and lack of coordination Adult deficient, adequate, toxic values Manganese: Food Sources • Grains and grain products (37%) • Tea (20%) • Vegetables (18%) Manganese in Foods Adult DRI: 1.8-2.3 mg/day Molybdenum Functions • Cofactor for molybdoenzymes needed for the catabolism of sulfur containing amino acids and some RNA compounds Molybdenum (Mn) Deficiency & Toxicity Deficiency Adequacy Toxicity (<66% of DRI) DRI: 45 µg/day (>UL) Approx. <30 µg/day RDI: 75 µg >2000 µg/day Poorly documented in humans Symptoms documented with specific genetic defect and Chron’s disease Normal catabolism of sulfur containing amino acids and some RNA compounds Poorly documented in humans High intakes rapidly excreted in the urine Cu deficiency/dysfunction may increase risk of Mn toxicity Adult deficient, adequate, toxic values Molybdenum: Food Sources Levels depend on soil quality • Legumes • Grain products • Nuts Quantitative data unavailable for graphical analysis Chromium Functions • Potentiates the action of insulin • May improve glucose tolerance Chromium (Cr) Deficiency & Toxicity Deficiency Adequacy Toxicity (<66% of DRI) DRI: 25-35 µg/day (UL is Not Established) Approx. <17-23 mg/day RDI: 120 µg Poorly documented in humans Three patients lacking chromium in their TPN solution experienced weight loss, peripheral neuropathy, and increased free fatty acid oxidation Normal insulin activity Poorly documented in humans Individuals with kidney and liver disease may be more susceptible to chromium toxicity Adult deficient, adequate, toxic values Chromium: Food Sources • Whole grains especially the bran component Levels reduced by grain processing & increased in • Some beers acidic foods that are • French wines processed in stainless steel cookware. Quantitative data unavailable for graphical analysis. Copper Functions • Cofactor for antioxidant enzymes and in the electron transport chain. • Important for biosynthesis of melanin (a skin pigment), collagen and elastin (connective tissue proteins) • A component of the enzyme ceruloplasmin, which is instrumental in iron oxidation and binding to transferrin. • Helps maintain neurochemical balance and inactivates histamine release during allergic reactions. Copper (C) Deficiency & Toxicity Deficiency Adequacy Toxicity (<66% of DRI) DRI: 900 µg/day (>UL) Approx. <600 µg/day RDI: 2,000 µg (2 mg) >10,000 µg/day Is rare in adults, has occurred in prematurely born infants Normal antioxidant enzymes, electron Bone & tooth: osteoporosis in transport chain, infants and children connective tissue, iron Cardio-Vascular: normocytic oxidation, hypochromic anemia neurochemical Immunity: leukopenia and balance, and histamine neutropenia inactivation function Inherited syndrome called Menkes’ disease Is low but may occur from supplements and some beverages and drinking water GI System: abdominal pain, cramps, nausea, diarrhea, and vomiting Genetic, Wilson's disease, inability to excrete copper causes liver damage Adult deficient, adequate, toxic values Copper: Food Sources • • • • • • Organ meats Seafood Nuts & seeds Whole grains Wheat bran Cocoa products Copper in Foods Adult DRI: 900 μg/day Cobalt • Cobalt is the central component vitamin B12 (cobalamin). • See vitamin B12 for functions, food sources, deficiency, and toxicity information. Some Summary Points • The trace minerals essential in human nutrition have specific functions. • DRIs and food sources are established for all essential trace elements. • Deficiency and toxicity sign and symptoms are characterized for most of these nutrients. References for this presentation are the same as those for this topic found in module 5 of the textbook