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The MineralsThe Minerals
• Small, naturally occurring, inorganicinorganic,
chemical elements
• Serve as structural components• Serve as structural components
Minerals classification
The minerals present in the body are classified
into:
�Major elements (Macronutrients)
�Trace elements�Trace elements
� Essential trace elements
� Non-essential trace elements
Slide 3
Major vs. TraceMajor vs. Trace
Major minerals� LARGer Quantities (>5g)
• Calcium
• Magnesium
• Phosphorous
Trace Minerals
� SMALLer Quantities (<5g)
• Iron
• Zinc
• Copper
• Fluoride• Phosphorous
• Sodium
• Potassium
• Chloride
• Sulfur
• Fluoride
• Selenium
• Iodine
• Chromium
• Manganese
• Molybdenum
Mineral FunctionsMineral Functions
1. Bone Health
2. Blood Health
3. Fluid Balance3. Fluid Balance
4. Energy Metabolism
5. Antioxidant
Minerals for: Bone HealthMinerals for: Bone Health
Major minerals� LARGEr Quantities
Calcium
Magnesium
Trace Minerals
� SMALLer Quantities
Iron
Zinc
CopperMagnesium
Phosphorous
Sodium
Potassium
Chloride
Sulfur
Copper
Fluoride
Selenium
Iodine
Chromium
Minerals for: Blood Minerals for: Blood HealthHealth
Major minerals� LARGEr Quantities
Calcium
Magnesium
Trace Minerals
� SMALLer Quantities
Iodine
IRONIRONIRONIRON
ZINCZINCZINCZINCMagnesium
Sodium
Potassium
Chloride
Phosphorous
Sulfur
ZINCZINCZINCZINC
COPPERCOPPERCOPPERCOPPER
Fluoride
Selenium
Chromium
Molybdenum
Manganese
Minerals for: Fluid BalanceMinerals for: Fluid Balance
Major minerals� LARGEr Quantities
Calcium
Magnesium
Phosphorous
Trace Minerals
� SMALLer Quantities
Iron
Zinc
CopperPhosphorous
SodiumSodiumSodiumSodium
PotassiumPotassiumPotassiumPotassium
ChlorideChlorideChlorideChloride
Sulfur
Copper
Fluoride
Selenium
Chromium
Minerals for: Energy MetabolismMinerals for: Energy Metabolism
Major minerals� LARGEr Quantities
Calcium
Magnesium
Trace Minerals
� SMALLer Quantities
Iron
Zinc
CopperPhosphorous
Sodium
Potassium
Chloride
SulfurSulfurSulfurSulfur
Copper
Fluoride
Selenium
IodineIodineIodineIodine
ChromiumChromiumChromiumChromium
http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=stryer.figgrp.1942
Calcium� Distribution:
� Most abundant mineral in body – 2% of body weight� Provides structure to bones and teeth
Calcium exists in two forms that have quite
different functions.different functions.
1. 99% of total body calcium is present in the bone and teeth as crystals called hydroxyapatite.
2. 1% of total body calcium is present in body fluid as an ionized form and it has an important part for the physiologic activity.
Slide 11
Functions of CalciumFunctions of Calcium
I. Calcification of bones and teeth.
II. Blood clotting as activator of thrombokinase.
III. It is important for maintenance of the heart
beat.
IV. Regulate the transport of ions across cellIV. Regulate the transport of ions across cell
membranes and it is particularly important in
nerve transmission and muscle contraction.
V. It is cofactor for several enzymes.
Slide 12
Calcium balance
• The skeleton serves as a bank from which the
blood can borrow and return Ca²⁺ as needed.
• Withdrawal and deposition of Ca²⁺ are
regulated by hormones sensitive to blood
⁺
⁺
regulated by hormones sensitive to blood
level of Ca²⁺. These hormones are:
�Parathyroid hormone (PTH)
�Calcitonin: ( Calcium lowering hormone)
Slide 13
Parathyroid hormone (PTH)
• A decrease in the calcium concentration in the
blood stimulates the release of PTH from
parathyroid gland.
• PTH: increase serum Ca²⁺ and decrease serum
phosphorus:
Slide 14
⁺
phosphorus:
• It increase urinary excretion of phosphorous and
decrease urinary excretion of calcium.
• Stimulates release of calcium from bone.
• Increase the synthesis of 1.25 dihydroxy
cholecalciferol form of vitamin D which
increases absorption of calcium from the
intestine.
Calcitonin ( Calcium lowering hormone)
• A rise in the calcium concentration in the blood, stimulates the secretion of the calcitonin by the thyroid gland.
• Calcitonin: decrease serum Ca²⁺ level (opposite PTH) by:
�Decrease withdrawal of Ca²⁺ from bone
Slide 15
⁺
�Decrease withdrawal of Ca²⁺ from bone (dissolution of bone).
�Increase Ca²⁺ excretion by the kidney.
�Inhibit synthesis of 1.25 dihydroxycholecalciferol
Calcium
recommendations
• Calcium recommendations during adolescence
are set high (1300 mg/day) to ensure that the
skeleton will be strong and dense.
• Between the ages of 19-50, recommendations • Between the ages of 19-50, recommendations
are lowered to 1000 mg/day.
• Over 50, the recommendations are raised again
to 1800 mg/day to minimized bone loss.
Mosby items and derived items © 2006 by Mosby, Inc. Slide 16
Dietary Calcium SourcesDietary Calcium Sources
• Dairy: milk, cheese, yogurt
• Broccoli, dark green vegetables
• Orange juice with calcium• Orange juice with calcium
• Salmon, sardines with the bones
Dietary Calcium SourcesDietary Calcium Sources
• Milk and milk products typically contain more calcium than other food sources
• Milk also contains vitamin D and lactose which can enhance calcium absorption
Dietary Calcium SourcesDietary Calcium Sources
Not Only Milk
Other dairy options:
� Low-fat cheese in a sandwich � Low-fat cheese in a sandwich
� Yogurt dips with vegetables
� Low-fat shredded cheese on soups and salads
� Cottage cheese
Abnormal level of Ca²Abnormal level of Ca²⁺⁺⁺⁺⁺⁺⁺⁺
• May be due to disease of:
�parathyroid,
�kidney �kidney
�disturbed vitamin D level.
Mosby items and derived items © 2006 by Mosby, Inc. Slide 20
Ca and osteoporosisCa and osteoporosis
• Osteoporosis is a silent thief. It leads to
progressive loss of bone mass that occurs in
the elderly of both sexes but is pronounced in
postmenopausal women (mostly women 45
years or more).years or more).
Mosby items and derived items © 2006 by Mosby, Inc. Slide 21
It is characterized by
frequent bone fractures,
which are the major
disability among the elderly.
Ca and osteoporosisCa and osteoporosis
• Patient life-style may influence calcium
metabolism,
immobilized or sedentary individual tends to show
bone loss,bone loss,
while patient that exercise regularly tend to
increase their bone mass.
Mosby items and derived items © 2006 by Mosby, Inc. Slide 23
Ca and osteoporosisCa and osteoporosis
• Although estrogen replacement is the most
effective prevention of postmenopausal bone
loss, calcium supplementation (often given in
combination with vitamin D). Further reduces
the risk of fracture due to bone loss,the risk of fracture due to bone loss,
particularly in elderly patients
Mosby items and derived items © 2006 by Mosby, Inc. Slide 24
Rickets
• Rickets is a disorder caused by a
lack of vitamin D, calcium, or
phosphate.
• It leads to softening and
weakening of the bones.weakening of the bones.
• There is low serum and urinary
calcium and phosphorus level.
Mosby items and derived items © 2006 by Mosby, Inc. Slide 25
Phosphorous
� Distribution:
� Second most abundant mineral in the body
� Critical role in bone formation
� Gives bones and teeth strength and rigidity
Slide 26
Functions of
phosphorous:
• Enters in formation in bones and teeth.
• Formation of high energy compounds as ATP.
• Enters in the structure of nucleotides and nucleic acids (genetic material).
• It is important for the biosynthesis of phospholipids • It is important for the biosynthesis of phospholipids present in cell membrane.
• It is in carbohydrate metabolism as hexose ester (glc-6-P and Fr-6-P).
• It is acts as buffer to maintain the acid-base balance of cellular fluid.
• Enter the formation of coenzymes as NADP.
Mosby items and derived items © 2006 by Mosby, Inc. Slide 27