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Calcium
•Main Functions: Bone and tooth formation, muscle contraction & relaxation, nerve function, blood clotting, blood pressure regulation
•Deficiency: Osteoporosis. If severe: muscle spasms
•One of the most common deficiencies in athletes
•Toxicity: Kidney stones, calcium deposits. If severe: Cardiac arrest, death
•Foods: Dairy; fortified dairy alternatives; fortified OJ, tofu, and cereals; leafy greens
•Supplementation: Typically recommended for females; vegans; those who avoid dairy
Phosphorus
•Main Functions: Bone health, component of ATP and PCr, buffers acidic end products of aerobic metabolism —> helps delay fatigue
•Deficiency: Rare. Can occur if taking too many antacids —> bone malformation, bone pain
•Toxicity: Osteoporosis, decreased calcium metabolism and vitamin D production
•Foods: Animal proteins (very bioavailable), nuts and legumes (not as bioavailable), preservatives (most bioavailable)
•Supplementation: Only if deficient
Magnesium
•Main Functions: Bone health, muscle contraction & relaxation, blood pressure regulation, blood clotting
•Involved in >300 enzyme functions including anaerobic and aerobic carb metabolism, lipid and protein metabolism, and ATP production
•Foods: Nuts, legumes, leafy greens, seafood
•Supplementation: Only if deficient. Research is limited and inconsistent
Sodium
•Main Functions: Regulates blood pressure, electrolyte and acid-base balance, nerve transmission, muscle contraction, aids in glucose absorption
•Deficiency: Cramping, nausea, vomiting, dizziness, disorientation. If severe: seizures, coma
•Toxicity: High blood pressure, bloating
•Foods: Canned foods, processed foods, fast foods, condiments, smoked meats, lunch meats, salted snack foods, soups, breads
•Supplementation: Reference hydration lecture
Potassium
•Main Functions: Regulates blood pressure, electrolyte balance, nerve transmission, muscle contraction
•Counteracts the effects of Na on blood pressure
•Deficiency: Muscle weakness/cramps. If severe: Cardiac arrhythmias
•Common in those who exercise for long periods of time, and who don’t consume enough K foods
•Toxicity: Rare. Can cause muscle weakness, vomiting. If severe: Cardiac arrhythmias
•Foods: Fruits and vegetables
•Supplementation: Not recommended
High doses of supplementation can stop the heart
Iron
•Main Functions: Transports oxygen (Hgb, Mgb), immune function, brain development
•Deficiency: Fatigue, lethargy, always feeling cold (cold intolerance), pale skin
•Toxicity: If severe: liver damage
•Foods: Absorption is enhanced with vitamin C consumption
•Heme: Most bioavailable; animal proteins (beef, poultry, fish)
•Non-heme: Less bioavailable; plant foods (soy, dried fruits, legumes, whole grains, fortified cereals, leafy greens)
Supplementation: Only if deficient, under physician guidance
Iron Deficiency
•One of the most common nutrient deficiencies in the United States (30-70%) and worldwide (<20%)
•More common in female athletes, distance runners, contact sport athletes, heavy weightlifters, and vegetarians/vegans
•(1) Iron depletion: Low iron stores in bone marrow
•Fatigue, lethargy
•(2) Iron-deficiency erythropoiesis: Further depleted iron stores
•Poor athletic performance
•(3) Iron deficiency anemia: Severe depletion à defective RBC’s
•Cold intolerance, mental impairments, pale skin, pica
Zinc
•Main Functions: Wound healing/tissue repair/growth; immune function; taste perception; synthesis of genetic material, hormones, and protein
•Deficiency: Rare. Can cause impaired immune function
•More common in vegetarians/vegans; those who follow long-term low-calorie diets; those with high sweat losses; those on chronic Fe supplementation
•Toxicity: Rare except with supplementation
•Foods: Most animal products (oysters, beef, fish, eggs, dairy), whole grains, legumes
•Supplementation: Only if deficient
Often marketed as a cold remedy – more research is still needed on its effectiveness