Trace Elements in Human Nutrition

Trace elements are required by the body in small quantinties for normal growth, development and physiology.

Iron
Is a constituent of haemoglobin, myoglobin and enzymes. Associated with ferritin, hemosiderin ( spleen, liver, bone marrow) and transferrin ( blood). Source is meat, eggs, vegetables, cereals. Deficiency is observed in four stages in life 1) At 6mnts‐4yrs iron content of milk is low, body grows rapidly and body reserves are insufficient 2) during early adolescence due to expanding RBC mass and need to deposit iron in myoglobin 3) menstrual iron loss 4) pregnancy, expanding blood volume of mother, demands of fetus and placenta, blood loss during childbirth. Manifests as anemia, impair psychomotor development, decreased physical activity and resistance to fatigue.Excess is never encountered from food, rarely due to long term ingestion of home brews made in iron vessels or children ingesting medicinal iron supplements. Idiopathic hemochromatosis‐inborn error of metabolism – enhanced iron absorption

Iodine
Is a component of thyroid hormones and is needed for proper functioning of thyroid gland, is needed in cell metabolism and to convert food to energy,it helps to metabolize excess fat, it may help prevent fibrocystic breast disease by regulating the effects of estrogen, is important in physical and mental development, improves mental alertness and cognitive function and also prevents multiple miscarriages. Iodine deficiency symptoms are common in women, especially pregnant women or those over 50, and in older children. Goitre, is often the first sign of iodine deficiency. It results from over-stimulation of the gland as the body tries to produce thyroid hormones in the absence of iodine. The other symptom of chronic iodine deficiency is hypothyroidism, where the thyroid gland does not produce enough thyroid hormones. Some can be serious, such as cretinism, a type of mental and physical retardation in children. Source is from seafood, in czech republic also eggs, milk and iodised salt ( 25mg/kg). There is not enough iodine in food alone to cause toxicity, the most vulnerable group to toxicity are children. Eating too many foods high in iodine or from medication or supplementation, this can lead to hyperthyroidism which causes over-production of thyroid hormones accelerating the body's metabolism therefore resulting in palpitations, anxiety, irritability, sweating, and weight loss. Other symptoms are metallic taste in the mouth, a painful mouth or throat, thirst, shortness of breath, vomiting, diarrhea, abdominal pain, fever, shock or seizures, stupor, delirium. Doses in excess of 1g can cause burning in the mouth, weak heartbeat, and even coma.

Copper
Is a constituent of many enzymes, participating in iron binding in Hb ( hematopoiesis), formation of pigmentation, immune function, constituent of cellular respiratory enzymes. Source‐ organ meats (liver), egg whites, seafood, nuts and seeds. Deficiency‐exceptional, described in malnourished children‐ anemia, bone demineralisation, impaired immunity, hair and nail growth

Chromium
Trivalent form enhances the action of insulin hene increased glucose tolerance, six valent form is allergen and carcinogen. Source‐yeast, meat, cheese, nuts. Deficiency is rare but if it occurs the resut is decreased glucose tolerance, hyperlipidemia, acceleration of atherosclerotic changes

Fluoride
Bone and teeth formation. Source‐water, tea, fish if consumed with bone. Deficiency‐ increased caries formation, poor bone mineralisation. Excess‐brown pigmentation of teeth

Selenium
Present at active site of glutathione peroxidise that catalyses the breakdown of hydroperoxides, thus preventing damaged caused by free radicals. Positively influences immunity, probably anti carcinogenic. Souce‐seafood, kidney, liver ( grains and seeds depending on soil). Deficiency‐decreased lymphocytes and natural killer activity, decreased interferon formation, keshan disease ( cardiomyopathy), kashin – beck disease (osteoarthropathy)

Zinc
Involved in >200 enzyme reactions, component of superoxide dismutase, preventing oxidative stress, positively influence tissue growth and healing, participates in insulin formation and spermatogenesis. Source‐meat, liver, eggs, seafood. Deficiency – growth retardation, decrease immunity, loss of appetite, skin, nail, hair changes.

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 * 1) Minerals in Human Nutrition