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water
most abundant substance in body, average healthy adult is about 60 percent water, muscle tissue is 75 percent water, fat up to 20 percent, can survive only a few days without water
intracellular fluids
inside cells
extracellular fluids
interstitial fluid between cells and fluid in the blood
electrolytes
minerals that help maintain fluid balance
importance of water
acts as universal solvent and transport medium, helps maintain body temperature, lubricant for joints, eyes; part of mucus and saliva, protective cushion for brain, organs, and fetus
water balance
water consumed = water lost
you take in water through beverages and food, you lose water through your kidneys (as urine), large intestine, lungs, and skin
insensible water loss
through evaporation from skin and when you exhale
sensible water loss
through urine, feces, and sweat
dehydration
can result from inadequate water intake or too much water loss from diarrhea, vomiting, high fever, or use of diuretics
dry mouth
thirst mechanism due to increased electrolyte concentration in blood: less water available to make saliva
blood volume decreases and sodium concentration increases in blood
thirst mechanism in which the brain triggers thirst mechanism and secretion of antidiuretic hormone (ADH) to reduce urine output, fluid inside cells moves into blood by osmosis
cornerstone method
measure dehydration by measuring body weight before and after exercise, weight loss = water loss
hyponatremia
a condition of too little sodium in the blood
water daily needs
men: 16 cups/day (about 13 cups of beverages)
women: 12 cups/day (about 9 cups of beverages)
tap water
perfectly safe, monitored by Environmental Protection Agency (EPA), provides fluoride and helps prevent dental caries
bottled water
very popular, most products conform to FDA requirements, may actually be tap water, high cost, various "designer" waters on the market
inorganic elements
minerals, needed in relatively small amounts
major minerals
(macrominerals) needed in amounts greater than 100 milligrams/day
trace minerals
(microminerals) needed in amounts less than 15 milligrams/day
overconsumption of minerals
can be toxic; the difference between recommended and excessive amount may be minimal, foods alone rarely provide excessive amounts (supplements cause the problem)
sodium
an electrolyte (charged ion) in blood and in the fluid surrounding cells, 90% consumed sodium comes from table salt and NaCl
sodium function
chief role is regulation of fluid balance, also transports substances such as amino acids across cell membranes
sodium daily needs
1,500 milligrams/day for adults under 51
sodium dietary guideline
<2300 mg per day
too much sodium
hypertension, UL for adults is set at 2,300 milligrams/day to reduce the risk of hypertension (high blood pressure)
too little sodium
sodium deficiency is rare in healthy individuals consuming a balanced diet
blood pressure
a measure of force that blood exerts on the walls of arteries, systolic pressure/diastolic pressure, <120/80 millimeters Hg is normal
hypertension
high blood pressure, contributes to atherosclerosis, damages arteries leading to brain and kidneys, increasing risk of stroke and kidney disease, to control hypertension one should reduce weight, increase physical activity, and eat a balanced diet
the DASH diet
Dietary Approaches to Stop Hypertension
potassium functions
fluid balance: electrolyte inside cells (intracellular ion), muscle contraction and nerve impulse conduction, can help lower high blood pressure
potassium daily needs
women—2,600 milligrams/day
men—3,400 milligrams/day
potassium food sources
fruits and vegetables
minimum of 4 1/2 cups/day will help meet potassium needs, dairy foods, nuts, and legumes also good sources
too much potassium
too much from supplements or salt substitutes can cause hyperkalemia in some individuals
hyperkalemia
can cause irregular heartbeats, damage heart, and be life-threatening
too little potassium
can cause hypokalemia, may come from as result of excessive vomiting and/or diarrhea, anorexia and/or bulimia eating disorders
hypokalemia
can cause muscle weakness, cramps, irregular heartbeats, and paralysis
calcium
most abundant mineral in body, more than 99 percent located in bones and teeth
calcium functions
helps build strong bones and teeth, plays a role in muscles, nerves, and blood
calcium daily needs
1,000 to 1,200 milligrams/day, depending on age
calcium food sources
milk, yogurt, cheese
broccoli, kale, canned salmon (with bones), tofu processed with calcium, calcium-fortified juices, and cereals
3-300 rule for calcium intake
have three calcium-rich food servings daily, each calcium rich food source with 300 mg calcium
calcium upper limit
2,500 milligrams/day (ages 19-50); 2,000 milligrams (51+)
too much calcium
leads to hypercalcemia
hypercalcemia
impaired kidneys, calcium deposits in body
too little calcium
can lead to less dense, weakened, brittle bones, and increased risk for osteoporosis
bone mineral density
test measures bone density, low score = osteopenia (low bone mass), very low score = osteoporosis
osteoporosis risk factors
gender (females at higher risk due to loss of estrogen
after menopause)
ethnicity (Caucasian and Asian American at higher risk)
age (over 30)
body type (small-boned/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)
osteoporosis risk factors continued
medications: glucocorticoids, antiseizure medications, aluminum-containing antacids, and 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)
phosphorus
second most abundant mineral in body, 85% in bones; rest in cells and fluids outside cells, including blood
phosphorus functions
needed for bones and teeth, important component of cell membranes, needed for energy metabolism and stores, part of DNA and RNA
phosphorus food sources
meat, fish, poultry, and dairy, abundant in diet
phosphorus upper limit
UL set at 4,000 milligrams/day for adults 19 to 50, 3,000 milligrams for those aged 51 or older
too much phosphorus
hyperphosphatemia, which can lead to calcification of
tissues
too little phosphorus
can result in muscle weakness, bone pain, rickets, confusion, and death; would need to be in state of near starvation to experience deficiency
magnesium
another abundant mineral in body, about half in bones; most of the rest inside cells
magnesium functions
helps more than 300 enzymes, including energy metabolism, helps muscles and nerves function properly, reduces risk of type 2 diabetes
magnesium food sources
whole grains, vegetables, nuts
fruits; also milk, yogurt, meat, and eggs
magnesium upper limit
UL from supplements (not foods) = 350 milligrams/day to avoid diarrhea
too much or too little magnesium
deficiencies are rare, but diuretics and some antibiotics can
inhibit absorption
chloride
part of hydrochloric acid in the stomach, which enhances protein digestion
chloride functions
sodium and chloride are major electrolytes outside cells and in blood to help maintain fluid balance
chloride food sources
salt (NaCl) is main source
sulfur
component of other compounds in body, including the
vitamins thiamin, biotin, and pantothenic acid
sulfur functions
helps give proteins 3-D shape as part of amino acids methionine, cystine, and cysteine, sulfites used as food preservative
sulfur food sources
meat, poultry, fish, eggs, legumes, dairy, fruits, vegetables
too much or too little sulfur
no known toxicity or deficiency symptoms
iron
most abundant mineral on earth and main trace mineral in body, 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
iron functions
hemoglobin in red blood cells transports oxygen from lungs to tissues and picks up carbon dioxide waste from cells
iron daily needs
men and women >50: 8 milligrams/day
women 19 to 50: 18 milligrams/day: higher due to iron lost during menstruation
iron food sources
iron-enriched bread and grain products; heme iron in meats, fish, and poultry
iron absorption
iron status, form in food - heme vs. nonheme, acidity of GI tract vitamin C enhances absorption, other dietary components consumed with iron-containing foods
too much iron
from supplements can cause constipation, nausea, vomiting, and diarrhea, in the U.S. it is a a leading cause of accidental
poisoning deaths in children under six years, iron overload can damage heart, kidneys, liver, and nervous system
hemochromatosis
a genetic disorder, can cause iron overload
too little iron
most common nutritional disorder in world, anemia occurs when iron stores are depleted and hemoglobin levels decrease
anemia
symptoms can include: pale skin, fatigue upon exertion, poor temperature regulation, loss of appetite, apathy
most at risk: Infants, toddlers, chronic blood loss, vegans, runners, women of childbearing years
copper functions
important for iron absorption and transfer, synthesis of
hemoglobin and red blood cells
zinc functions
involved in function of more than 100 enzymes, taste acuity, treatment for common cold
zinc food sources
red meat, some seafood, and whole grains
too little zinc
deficiency: hair loss, impaired taste, loss of appetite, diarrhea, delayed sexual maturation, impotence, skin rashes, and impaired growth
selenium functions
act as antioxidants
selenium food sources
amount varies depending on soil content
fluoride functions
protects against dental caries and repair enamel, fluoridated drinking water has reduced dental caries in the United States
fluoride sources
best source is fluoridated drinking water and beverages made with this water
too much fluoride
can cause fluorosis (mottling/staining) when teeth are forming during infancy/childhood
too little fluoride
increases risk of dental caries
chromium functions
helps insulin in your body and increases effectiveness in cells, does not help build muscle mass
iodine functions
needed by thyroid to make essential hormones
iodine food sources
iodized salt
too much iodine
excess iodine can impair thyroid function, decrease synthesis, and release of thyroid hormones
too little iodine
goiter (enlarged thyroid gland), iodine deficiency during early stages of fetal development can cause congenital hypothyroidism
other minerals
arsenic, boron, nickel, silicon, and vanadium
exist in body but essential role in humans not established by research