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- Water & 15 minerals are essential nutrients - Functions of water include hydration, temperature control, transport, & removal of waste products - Minerals key components of body structures & in regulation of body processes - Inadequate intakes associated with chronic disorders or deficiency diseases - Risk of overdose or excess intake exist |
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- Largest component of diet and body - Transports nutrients & waste products - Medium for chemical reactions - Body’s cooling system - Body’s main source of fluoride |
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Adults 60-70% water by weight
Proportion of water in tissues varies o blood 83% o muscle 75% o bone 22% o fat cells only 10% |
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Require enough water to replace daily water losses in: o Urine o Perspiration o Stool o Exhaled air
Thirst sensation decreases with age |
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Illness
High-protein diets
High fiber diets
Alcohol consumption
Athletes o Strenuous activity and hot humid weather increase needs up to 50%
Check weight before and after activity to determine water loss |
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Meeting Daily Water Needs |
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By drinking water, other beverages, & consuming foods: o beverages 85% water o fruits & vegetables 75 to 90% water o meats 50 to 70% water |
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- Physically inactive people need 2 cups of water for every 500 calories consumed
Fluid needs from liquids: o men ~12 cups daily o women ~9 cups daily |
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- 10 cups each day associated with decreased risk of – bladder, breast, & colon cancer – kidney stone formation |
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- Deficiency of water leads to dehydration
- Signs & symptoms of dehydration include: – nausea & dizziness – fast heart rate – increased body temperature – fatigue
- Dehydration can cause kidney failure & death |
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Water intoxication rare, but documented in: o marathon runners o infants o in conjunction with certain medications |
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- Environmental Protection Agency (EPA) responsible for safe public water supply in U.S. - Water quality monitored by local water utilities |
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- Quenches thirst better than soft drinks - Bottled water no “purer” or better than tap water |
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- FDA regulates bottled water industry - Bottled water is no safer or purer than tap water – and plastic bottles may contain BPA |
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- Hard water contains high amounts of minerals, carbonates, & sulfates - Soft water naturally low in minerals, or rendered soft by filtration |
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- Some enhanced waters may also contain calories -Flouridated Water |
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- Only 15 considered “essential” - Bioavailability varies based on food source & foods consumed concurrently |
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- Charges allow minerals to combine with minerals of opposite charge forming stable compounds
- Charged minerals involved in stimulating muscle contraction & nerve impulse propagation
-Mineral charges & other functions: o help maintain adequate water balance in body o assist in acid-base balance o act as cofactors
- Cofactors
- Individual minerals required for the activity of certain proteins |
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Minerals may combine with other substances in food & form highly stable compounds that not easily absorbed: |
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- key role in muscle & nerve activity - Excess & deficiency can cause irregular heart beats - Common food sources – bananas, potatoes, tomatoes, oranges, milk & milk products |
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- Key component of bones & teeth - Food sources: milk & milk products, meats, seeds & nuts |
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- Needed for formation & maintenance of tooth enamel - Helps prevent tooth decay - Added to municipal water supply in U.S. - Not removed by filters in water pitcher or faucet - Excess intake results in discoloration of teeth & bones |
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Functions: - Growth, taste, smell, hearing, immune function, carbohydrate metabolism - Required for >200 enzymes to function |
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- Component of thyroid hormone that help regulate energy production & growth - Inadequate intake result in goiter |
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- Key in bone formation & osteoporosis prevention
Also functions in: o muscle contraction o nerve signaling o blood clotting |
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- Calcium abundant in bones along with other minerals |
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- Bones go through repair & replacement process known as remodeling - Insufficient calcium for remineralization results in osteoporosis - Total bones replaced every decade |
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- Bones develop & mineralize throughout first three decades of life - After that, bone mineral content begins reduction - Higher peak bone mass results in decreased osteoporosis risk |
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Building & Maintaining Bones |
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- Bone mass increased by adequate calcium & vitamin D intake before age 30 - After 50, adequate calcium & vitamin D help preserve bone density - Vitamin D increases calcium absorption & deposition of calcium |
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- Dairy products - Soy milk - Tofu - Kale, broccoli, & bok choy - Calcium-fortified foods - Daily calcium intake needs: 1-1.3 grams - ~½ of U.S. females consume ≤ 600 mg calcium daily - Low calcium intake during growing years increases probability of fractures & osteoporosis - Soft drinks vs. milk consumption trends |
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- Affects 1 in 4 women & 1 in 8 men
- Preventable – diet & life style key factors
- Risk Factors for Osteoporosis o Female gender o Menopause o Deficient calcium intake o Caucasian or Asian descent o Thinness (“small bones”) o Cigarette smoking o Excessive alcohol consumption o Ovarectomy before age 45 o Physical inactivity o Deficient vitamin D status o Genetic factors |
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- Possible to consume excess calcium |
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- Key role in transport of oxygen as part of hemoglobin in red blood cells - Two forms of iron – heme (from animal sources) & non-heme (from plant sources) - Heme form higher bioavailability for absorption than non-heme |
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Iron (Fe): Getting Enough |
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o Sources: liver, red meat, dried beans, fortified cereals, raisins, & prune juice o Cooking foods in iron & stainless steel pans can provide significant source of iron o Vitamin C & iron absorption… |
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o Regulation of iron absorption provides protection against iron deficiency & overdose |
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Iron (Fe): Deficiency Symptoms |
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- fatigue & weakness - short attention span & irritability - poor appetite - increased susceptibility to infection |
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Iron (Fe): Deficiency Anemia Symptoms |
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- paleness - exhaustion - rapid heart rates |
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Iron (Fe): Excess Absorption |
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o Excess iron cannot easily be excreted o Hemochromatosis – an inherited disorder resulting in over absorption of iron |
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- Presence of HTN increases risk for heart disease, kidney failure, stroke, & myocardial infarction - Incidence increases with age |
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- Normal blood pressure is < 120/80 mm Hg |
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- referred to as salt sensitivity - Reduction in salt intake, weight loss, and physical activity improve blood pressure - Official advice is to limit daily sodium intake to 2400 mg. (equivalent to 1 teaspoon salt) - Newer recommendations as low as 1,500 mg. |
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- 90% with no identifiable cause called essential hypertension
- Risk factors for hypertension : o Age & family history o High sodium diet, obesity, physical inactivity, excess alcohol consumption, low fruit & vegetable consumption |
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HTN, Obesity, & Physical Activity |
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- Obesity major risk factor for hypertension - Most effective treatment is weight loss - 10% weight loss associated with significant decrease in blood pressure - Physically inactive or sedentary lifestyles foster hypertension - ≥ 30 minutes daily exercise recommended |
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Treatment of Hypertension |
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- Includes diet & lifestyle changes, and medication: |
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Cutting Back on Salt Intake (DASH Diet) |
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- Do not add salt to foods; use spices and lemon juice instead - Consume fresh or frozen fruits & vegetables - Choose only no-salt-added canned foods - Select low-sodium foods (check food label) - Avoid high-salt processed foods including salad dressings, pickles, canned soups and vegetables, corned beef, sausages, luncheon meats, & snack foods |
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- Not all processed foods taste salty - Age & sensitivity for salt taste |
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