water & the major minerals

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    WATER & THE MAJORMINERALS

    Water: The most indispensable nutrient in the body

    The major minerals are present in large amounts in the body & areneeded by the body in large amounts

    Their Recommended intakes are stated in milligrams & gramsCalciumPhosphorus

    PotassiumSulphurSodiumChlorideMagnesium

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    WATERA chemical substanceconsidered to be theessence of life.Chemical formula H2OTwo hydrogen atoms andan oxygen atom covalentlybondedExists in three forms solid,liquid and gas

    It is tasteless, odorless

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    WHAT ARE THE FOODSOURCES OF WATER?

    y Water itself y Other beveragesy Nearly all food sources have water, for example:y Vegetables, fruits ( up to 90%)y Meats and cheeses (about 50%) etc,whether fresh or

    dry, they have water.

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    ROLE OF WATER IN THEBODY

    y Carries nutrients and waste products around the body y Maintains structure of large molecules such as

    proteins and glycogeny Solvent for the other nutrients: minerals, vitamins,

    amino acids, glucose etc.y It helps in the regulation of normal body temperaturey It is needed for proper metabolism

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    WATER ROLES CONT.y The body has to maintain a certain level of water in the

    body so as to avoid dehydrationy Water helps remove toxins that our bodies take upfrom air, food and chemicals we use on our skins and

    hairy It also increases blood pressure levels in the body y Maintains blood volumey Lubricant aroun joints anjd inside the eye

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    WATER BALANCETHE BALANCE BETWEEN WATER INTAKE AND OUTPUT

    Normally daily water loss = daily water intake (gain)Table 1: Water Balance

    Water Sources Amount(ml)

    WaterLosses

    Amount(ml)

    Liquids 550-1500 Kidneys(urine)

    500-1400

    Foods 700-1000 Skin (sweat) 450-900Metabolic water 200-300 Lungs

    (breath)350

    GI tract(faeces)

    150

    Total 1450-2800 Total 1450-2800

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    BLOOD VOLUME &PRESSURE

    y Water maintains blood volume which in turninfluences blood pressure

    y An increase in blood volume increases blood pressureand vice versay Blood Pressure is regulated by kidneys. They secrete

    the enzyme renin which activates the renin-

    angiotensin-aldosterone pathway. Increased renincauses increase in blood pressure

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    BLOOD VOLUME &PRESSURE CONT. ADH (antidiuretic hormone) & WATER RETENTION

    ADH is a water-conserving hormone

    Produced by the hypothalamus & released by the pituitary gland in response to dehydration or decreased bloodpressureStimulates kidneys to reabsorb waterCauses vasoconstriction, hence, increasing bloodpressure

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    BLOOD VOLUME &PRESSURE CONT.RENIM & SODIUM RETENTIONy Juxtaglomerular cells in the kidneys respond to low blood

    pressure by releasing reniny In sequence, renin & angiotensin converting enzyme (A CE)act on their substrates to produce the active hormone

    angiotensin 2y Angiotensin 2 stimulates secretion of aldosterone which

    increases Na+ ions reabsorption & water by the kidneysy

    Consequently total blood volume increases & so does bloodpressurey Angiotensin 2 raises blood pressure also by causing

    vasoconstric tion

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    FLUID & ELECTROLYTEBALANCE

    An electrolyte is a salt that dissolves in water &dissociates into charged component particles (ions)

    A balance of about two-thirds of body fluids insidecells (intracellular fluid) & about one-third outsidecells (extracellular cells) is vital for cells to liveFluid balance means that the required amounts of

    water & solutes are present & are correctly proportioned among the various compartments

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    FLUID & ELECROLYTEIMBALANCEResults from the deficiency or excess of the electrolytesTable 2: Blood Electrolyte Imbalances; Deficiency

    E LECTRO LY TE N AME & C AUSE S SIGN S & SYPTO MSSodium (Na+) 136-148mEq/L

    HyponatremiaDecreased Na intake,increased Na loss through vomiting, diarrhoea

    Muscular weakness,dizziness, headache,mental confusion, coma

    Chloride ( Cl-) 95-105mEq/L Hypochloremia

    Excessive vomiting,overdehydratio, aldosteronedeficiency

    Muscle spasms, shallow

    respirations

    Potassium (K+) 3.5-5.0mEq/L

    HypokalemiaExcessive loss due to vomiting, decreased Kintake, kidney disease

    Muscle Fatigue, increasedurine output

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    FLUID & ELECROLYTEIMBALANCE CONT.

    E LECTRO LY TE N AME & C AUSE S SIGN S & SYMPTO MSCalcium ( Ca+): 4.5-5.5mEq/L

    HypocalcemiaducIncreased Ca loss, reducedCa intake

    Numbness, tingling of fingures, musclecramps

    Phosphate: 1.7-2.6 mEq/L HypophosphatemiaIncreased urinary loss,decreased intestinalabsorption

    Numbness, tingling of fingures, musclecramps, chest & musclepain

    Magnesium (Mg+): 1.3-2.1mEq/L

    HypomagnesemiaInadequate intake, excessiveloss in urine & faeces

    Weakness, irritability,nausea

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    FLUID & ELECROLYTEIMBALANCE CONT.Table 2: Blood Electrolyte Imbalances; Excess

    E LECTRO LY TE N AME & C AUSE S SIGN S & SYMPTO MS

    Sodium (Na+) 136-148mEq/L

    HypernatremiaDehydration, waterdeprivation, excessiveNa in diet orintravenous fluids

    Intense thirst,hypertension, edema

    Chloride ( Cl-) 95-105mEq/L HyperchloremiaDehydration, waterdeprivation, excessivechloride intake

    Weakness, deepbreathing

    Potassium (K+) 3.5-5.0mEq/L

    HyperkalemiaExcessive K intake,renal failure

    Irritability, nausea, vomiting, diarrhoea

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    FLUID & ELECROLYTEIMBALANCE CONT.Table 2: Blood Electrolyte Imbalances; ExcessE LECTRO LY TE N AME & C AUSE S SIGN S & SYMPTO MS

    Calcium ( Ca+): 4.5-5.5mEq/L

    HypercalcemiaExcessive intake of vitamin D

    Weakness, nausea, vomiting, bone pain

    Phosphate: 1.7-2.6mEq/L HyperphosphatemiaKidney failure to excrete

    excess phosphate

    Nausea, vomiting,muscular weakness

    Magnesium (Mg+) : 1.3-2.1mEq/L

    HypermagnesemiaRenal failure, increasedMg2+ intake

    Muscular weakness,paralysis, nausea, vomiting

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    ACID BALANCEMaintained by hydrogen ion concentration of body fluids , especially extracellular fluid

    The normal pH of systemic arterial blood is 7.35-7.45pH homeostasis is maintained by buffer systems, viaexhalation of carbon dioxide, kidney excretion of hydrogen ion and reabsorption of bicarbonate ionThe important buffer systems include proteins,carbonic acid-bicarbonate buffers An increase in carbon dioxide exhalation increasesblood pH and a decrease in carbon dioxide exhalationlowers blood pH

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    ACID BALANCECarbonic acid-Bicarbonate Buffer System

    If there s excess H+, HCO3- reacts with it restoring

    normal pH. The H2 CO3 dissociates into H2O & CO2and the CO2 is exhaled from the lungsH+ + HCO3- = H2CO3Hydrogen ion Bicarbonate ion Carbonic acid

    (weak base)

    If there s H+ shortage the H2 CO3 provides H+ as followsH2CO3 = H+ + HCO3-

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    CALCIUMMineral element needed by the body for thefunctioning of the heart, muscles and nerves.

    The most abundant mineral in the body

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    ROLE IN THE BODYy Bone healthy Cardiovascascular healthy Muscle maintenancey Blood clottingy Nerve impulse transmissiony Muscle contractiony Enzyme regulation and membrane permeability

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    FOOD SOURCESy Green leafy vegetables(brocolli)y Seafood(salmon)y Dairy products(milk, yoghurt, cheese, ice cream)y Calcium-fortified Orange juicey Cerealy Soy beveragesy bread

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    FOOD SOURCES

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    TOXICITY

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    RECOMMENDED INTAKESy The intake of calcium is most dependent on the age and

    gender.y

    Age 19-50 yrs(1000mg)y Age 51-70 yrs(1300mg)y Age 70 and above yrs(1200mg)

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    PHOSPHORUSTHE SECONDMOST ABUNDANTMINERAL IN THEBODY

    WORKS HAND INHAND WITHCALCIUM

    ABOUT 85 %FOUND BOUNDTO CALCIUM

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    FOOD SOURCES

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    FOOD SOURCES CONT.

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    ABSORPT ION TRANSPORTy A CTIVE TRANSPORT

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    ROLE IN THE BODYGrowth, maintenance and repair of cells and tissuesMineralization of bones and teeth, formation of tooth

    enamel ATP productionPart of phospholipidsImportant in formation of genetic material-DNA Part of every cell

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    DEFICIENCIESy Irregular breathingy Numbnessy Muscular weakness, Bone painy Speech problemsy Mental confusiony Retarded growth in childreny Poor formation of bones and teeth, can result in

    fragile bones

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    TOXICITYNo known toxicity but long-term excessive intake may result in inhibition of calcium absorption

    Calcification of non skeletal tissues, particularly thekidneys

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    RECOMMENDED INTAKES AGE GRO UP DAILY INT AKE (mg)

    INFANTS 0-6 months 1007-12 months 275

    CHILDREN 1-3 yrs 4602

    4-8 yrs 5009-18 yrs 1250

    ADULTS 700PREGNANT OR LA CTATING WOMEN

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    HEALTH EFFECTS

    y Excess binds to calcium forming deposits in tissueslike muscles

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    POTASSIUMRole in the body

    It maintains proper electrolyte balance and pH.

    It is also responsible for muscle contraction and nervetransmission.It plays a role in the storage of carbohydrates for use by muscle as fuel

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    FOOD SOURCESy mushroomsy spinachy broccoliy tomatoesy egg planty tunay squash

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    FOOD SOURCES CONT.Sweet potatoes Yoghurt Tomatoes

    Raisins Potatoes Beetroots

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    ABSORPT ION TRANSPORTy Active Transport: Protein mediated movement up the

    concentration gradienty

    Facilitated Diffusion: Protein mediated movementdown the concentration gradient

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    DEFICIENCIES Weak muscleIrregular heartbeat

    FatigueKidney stonesIncrease in the blood pressureGlucose intolerance

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    TOXICITYHigh intake of potassium salts or supplements may cause:

    Muscular weaknessNausea VomitingDiarrhoeaHeart attackIrregular heart beat

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    RECOMMENDED INTAKES Adequate Intake

    Adults: 4700 mg/day

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    SULPHURThe body s needs forsulphur in the humanbody is easily met by

    variety of foods andbeverages.

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    ROLE IN THE BODYy Part of proteinsy Stabilizes shapes of proteins by forming disulphide

    bridgesy Part of vitamins biotin & thiaminy Part of the hormone insuliny To dissolve waste materialsy It helps keep the skin attractive, makes hair glossy and

    responsible for the elasticity of nails

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    FOOD SOURCESy Fishy Milky

    Legumesy Nutsy Eggsy Radishesy

    Carrotsy Cabbagey Cheesey Dried beans

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    FOOD SOURCES CONT.

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    DEFICIENCYy Imperfect development of hair and nails

    There are sulphur creams and ointments that have beenremarkably successful in treating a variety of skinproblems.

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    TOXICITYy Would occur only if sulphur-containing amino acids

    were eaten in excess; this suppresses growth

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    RECOMMENDED INTAKESThere is no dietary allowance, diet sufficient in protein

    will generally be adequate in sulphur.

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    SODIUMConsidered one of the bulk minerals.Present only in small quantities in most natural foods.

    Excess dietary sodium is excreted in urine.

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    ROLE IN THE BODYRegulates fluids and acid-base balance in the body.Involved in nerve transmission and muscle

    contraction, including heart beat.Stimulate adrenal glands.Helps keep calcium and other mineral soluble in blood

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    FOOD SOURCESTable saltSoy sauce

    Large amounts in processed foods e.g. cheeseCanned & instant soupsModerate amount in meats, milks and vegetables

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    FOOD SOURCES CONT.

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    ABSORPT ION TRANSPORTy Active Transport: Protein mediated movement up the

    concentration gradienty

    Facilitated Diffusion: Protein mediated movementdown the concentration gradient

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    DEFICIENCIESMostly sodium deficiency occurs when excessive heatcauses heavy perspiration, thus reducing body water andsodium to the extent that gross dehydration affects normal

    activity patterns.Symptoms

    y Weaknessy Muscle crampsy

    Nauseay Mental apathy y Loss of appetitey Can lead to shock due to decreased blood pressure

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    TOXICITYy Edemay Acute hypertension

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    RECOMMENDED INTAKESINFANTS: 120mg/day ADULTS: 500mg/day

    MAXIMUM REQUIREMENT: 2400-3000mg/day or 6-7.5g of table salt/day

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    CHLORIDEy Major anion in extracellular fluids of the body y Chloride is one of the major mineral family y

    It takes up about 0.15% of the body weight

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    ROLE IN THE BODYy Chloride is a very important part of H Cl which is

    secreted from parietal cells in the stomach lining forthe purpose of establishing a desirable pH in whichpepsin can function

    y It helps in removing waste from the body y Reduce excess acid levelsy

    Essential part of digestive juicesy Chloride acts as neutralizing agent since it works to

    bring the acid and alkaline level back into balance

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    FOOD SOURCESy Table salty Processed meaty

    Canned vegetablesy Tomato based saucesy French friesy Olivesy Peanut butter

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    ABSORPTIONy Chloride is absorbed by the intestine during food

    digestiony

    Passes through permeable membrane in and out of redblood cells allowing the maintenance of osmosisequilibrium

    y It also passes through extracellular fluids and

    intercellular fluids in the veinsy Any excess chloride is passed out of the body throughurine

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    TRANSPORTPassive difffusion

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    DIFICIENCIES & TOXICITYy Too little chloride can result in loss of fluids due to excessive

    sweating, vomiting or diarrheay When chloride levels depreciate there might be low blood

    pressurey There also will be loss of potassium via uriney Alkalosis is a dangerous condition that causes blood pH to

    elevate and it can develop if acid levels drop. The carrier willexperience problems in breathing, swallowing, ability to controlmuscle function if not addressed

    y

    Too much salt results in the body retaining watery Can lead to hypertensiony Chloride has no known toxicity as excess chloride is excreted by

    the body. However high levels can cause vomiting

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    RECOMMENDED INTAKESDaily intakes0-6 months: 0.18 g/day

    1-12 months: 0.57 g/day Ch ildren and adults1-3 yrs: 1.5 g/day 4-8 yrs: 1.9 g/day 9-50 yrs: 2.3 g/day and higher levels for pregnant women

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    MAGESIUMy It is needed in the body and only about 1 ounce

    (=28.3g) is present in a 130-pound (=60 Kg) person. Itsmostly found in the bones and some in the musclesand soft tissues. In the absence of calcium it alsoensures normal blood concentrations.

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    ROLE IN THE BODYy Bone mineralizationy Protein buildingy Enzyme actiony Maitenance of functioning of immune systemy Catalyses the reaction that adds the last phosphate to

    high-energy compound ATPy Works with calcium in muscle contraction, nerve

    impuse transmission and blood clotting.y Maintains bone health, necessary for energy

    metabolism.

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    FOOD SOURCESpotatoescornflakescheddar cheese

    flourbananapeanut buttersunflower seedstomato juice

    tofuhalibutcashewsbroccolipinto beans

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    DEFICIENCIESy Weaknessy If extreme - convulsion

    - hallucinations- difficulty in swallowing

    y In children, growth failure

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    TOXICITYFrom nonfood sources

    Diarrhoea

    AlkalosisDehydration

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    RECOMMENDED INTAKESRDA

    y men (19-30): 400mg/day y

    women (19-30): 310mg/day

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    HEALTH EFFECTS