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What factors influence water balance?
water levels maintained by altering electrolyte concentration (water follows solute to maintain concentration)
water moves via osmosis to maintain ion concentrations
ADH pathway
Angiotensin, renin, aldosterone pathway
What are the functions of water in the body?
transport/blood volume
fluid synthesis
lubricate joints
solvent
reactant and product in many reactions
hydrolysis
condensation
temperature control
sweat
waste product removal
What are the functions of sodium?
symport with glucose and amino acids
muscle and nerve function
water balance
What are the functions of potassium?
major cation ECF
fluid balance
suppress angiotensin system
muscle contraction
calcium excretion
nerve impulse
What are the functions of chloride?
balance sodium
stomach acid (HCl)
nerve pulse transmission
What are the functions of calcium?
bone
outer shell (compact bone, 75%)
replaces itself every 10 years
inner shell (spongy bone, add strength w/o weight, where minerals mobilized)
osteoclast activation
PTH and vitamin D activate Rankl production in osteoblasts
Rankl binds and causes osteoclast precusors to mature
cell metabolism
ICF metabolsim
binds to calmodulin
calcium-calmodulin complex binds and activates enzymes that participate in metabolism
nerve function
brings synaptic vesicles (Ca2+) to presynaptic plasma membrane so the neurotransmitters can be released
blood clotting
prethrombin (+ vitK) → prothrombin (+ Ca2+) → thrombin (+ fibrinogen) → firbrinogen monomer
muscle contraction
activation (Ca2+), cross-bridge, power stroke, ATP binds, release and cock
calcium binds to troponin to move trypomyosim and expose myosin to actin
What are the functions of phosphorous?
bone
main ICF anion
ATP
component of DNA
hormone activation
enzyme activation
phosphorylate amino acids with hydroxyl groups
What are the functions of magnesium?
ICF cation
stabilize ATP
required by 300 enzymes
calcium homeostasis
nerve impulse
insulin (may protect against diabetes and metabolic syndrome)
What do I need to know about sulfur?
EAT YOUR PROTEIN
What are good food sources of magnesium?
in chlorophyll
plants are a good source
What are good food sources of phosphorous?
milk
cheese
cereal
What are good food sources of calcium?
dark leafy greens
dairy products
fortified juices
What are good food sources of sodium?
10% comes naturally from food
75-80% comes from food processing and added salt
What are minerals?
essential, inorganic elements needed for function, growth, and maintenance
cannot be synthesized
major = > 100 mg/day
minor = < 100 m/day
often lost in cooking and processing
What is dehydration?
lack of water
causes vomiting, fever, diabetes, diarrhea, exercise, heat
symptoms:
mild to mod: dry mouth, fatigue, deep yellow urine, muscle weak
severe: kidney failure, seizures, delirium
What is water intoxication?
excess water intake
lead to hypnoatremia: dilutes serum proteins and sodium
at risk: endurance athletes, infants, those with mental illness
How can nutrition help in preventing and treating hypertension?
hypertension
excess salt can lead to increased BP
more common in African Americans
risk factor for: CVD, kidney disease, strokes, and decreased brain function
primary contributors: obesity, inactivity, alcohol, salt intake
prevention and treatment
DASH diet
potassium rich, magnesium, calcium
low fat and low sodium
high fiber
What is the role of nutrition in bone health and the prevention of osteoporosis?
diagnosed when bones become fragile
most common in 50+ asians and caucasians
more common in women
better to “stock up” when younger
What are the intake recommendations for sodium?
AI: 1500
only 200 mg/day sufficient but it is really hard to get rest of nutrients with only 200 mg of sodium
What are the intake recommendations for potassium?
90% absorbed via active transport
prevent hypokalemia and hyperkalemia
What are the intake recommendations for chloride?
AI based on amount consumed with sodium (chloride is “heavier” than sodium 60:40 ratio)
What are the intake recommendations for calcium?
RDA for post menopausal is higher
UL is reduced for elderly to reduced risk for kidney stones
bioavailability of food ranges greatly
What are the intake recommendations for phosphorous?
we often exceed the RDA
UL set to prevent potential decreased blood levels
What are the intake recommendations for magnesium?
supplemental Mg is not absorbed well
UL is set because too much supplementation can cause GI distress