Chapter Review

BRING IT HOME

CHAPTER 14 BRING IT HOME

Iron across the life span

Among the essential vitamins and minerals, the variability in iron requirements between sexes and across the lifespan can be significant. The different RDAs of the Dietary Reference Intakes (DRIs) reflect the critical role of iron in oxygen transport, enzyme function, and growth and development.

Using the Interactive DRI for Health Professionals (http://fnic.nal.usda.gov/fnic/interactiveDRI/) complete the following chart. You can also use the DRI chart in the appendix of this book.

Sex Age Height Weight Activity Level RDA Iron (mg)
Male 9 4 feet 2 inches 62 pounds Low active
Female (Not Pregnant or Lactating) 9 4 feet 62 pounds Low active
Male 29 5 feet 10 inches 165 pounds Low active
Female (Not Pregnant or Lactating) 29 5 feet 7 inches 135 pounds Low active
Female (Pregnant, 25 Weeks) 29 5 feet 7 inches 150 pounds Low active
Female (Lactating) 29 5 feet 7 inches 145 pounds Low active
Male 59 5 feet 10 inches 170 pounds Low active
Female (Not Pregnant or Lactating) 59 5 feet 7 inches 140 pounds Low active

After completing the chart with the RDA for iron for each of the individuals listed address the following questions.

Question 14.3

1. Do the requirements for iron differ for boys and girls at age 9?

YES         NO

Question 14.4

2. Do the requirements for iron differ for men and women at age 29?

YES         NO

  1. What factors might influence the difference in iron needs?

  2. How might iron requirements change if either the man or woman followed a vegan diet?

Question 14.5

3. How do iron requirements for women aged 19 to 50 years change with pregnancy and lactation?

Question 14.6

4. Why do you think the RDA for a woman at age 59 is actually lower than for a man of the same age?

Question 14.7

5. Using the sample day’s intake below:

  1. Identify two “good” sources of heme and non-heme iron.

    1.           2.

    1.           2.

  2. Underline the dietary components that might enhance the iron absorption and circle those that might inhibit iron absorption or bioavailability.

Sample Day’s Intake

BREAKFAST

1 cup whole-grain fortified breakfast cereal

1 cup low-fat milk

2 tablespoons raisins

1 cup coffee

LUNCH

2 ounces sliced turkey breast

1 ounce Swiss cheese

2 slices whole wheat bread

1 tablespoon mayonnaise

2 sliced tomatoes

12 cup baby carrots

SNACK

2 tablespoons peanut butter

4 graham cracker squares

1 apple

1 cup hot tea

DINNER

3 ounces lean beef steak, broiled

1 medium potato, baked

1 tablespoon sour cream

2 cups raw spinach with 2 tablespoons slivered almonds and 12 cup fresh orange segments

2 tablespoons salad dressing

1 ounce French bread

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KEY IDEAS

KEY IDEAS

  • Trace minerals are essential nutrients that are required in very small amounts in human nutrition. These include chromium, copper, fluoride, iodine, iron, manganese, molybdenum, selenium, and zinc.

  • Trace minerals have vital roles in the body such as acting as co-factors in numerous chemical reactions.

  • Trace minerals are found in both plant and animal foods, but their actual bioavailability is influenced by many factors.

  • Trace mineral deficiencies can have varied, yet serious, consequences, particularly of concern in pregnant women and growing children.

  • Chromium may enhance the action of insulin in maintaining blood glucose levels.

  • Copper is a component of certain enzymes and has critical roles in the body including energy metabolism, iron transport and storage, and antioxidant function.

  • Fluoride is important for hardening tooth enamel and the prevention of dental caries.

  • Iodine is a component of thyroid hormones that helps regulate energy metabolism.

  • Iron is a component of many enzymes, as well as proteins, that transport oxygen in the body.

  • Heme iron is the predominant form of iron in the body and is found only in animal foods, while non-heme iron, found in both plant and animal foods, makes up the majority of iron we consume. Non-heme iron is not as well absorbed as heme iron.

  • Iron deficiency is the most prevalent nutritional disorder in the United States and globally. It is caused not only by insufficient intake, but also by blood loss or impaired absorption.

  • Selenium is a component of certain human proteins and functions as a co-factor in certain enzyme systems.

  • Zinc is present in many enzyme systems and regulatory proteins making it essential for all body processes.

  • Trace minerals are found across all food groups, thus sufficient intake can generally be achieved by consuming a varied and balanced diet.

  • Ultratrace minerals are not currently classified as essential nutrients, but may have important roles in the body. They include arsenic, boron, nickel, silicon, and vanadium.

332

NEED TO KNOW

NEED TO KNOW

Review Questions

Question 14.8

1. Trace minerals differ from major minerals in all of the following ways, EXCEPT:

  1. their daily requirement is less than 100 milligrams.

  2. their safe range of intake is more narrow.

  3. they are found in smaller amounts in the body.

  4. they are less essential in human health.

  5. they include iodine and iron.

1. d

Question 14.9

2. All of the following are general properties of trace minerals, EXCEPT:

  1. they are found only in foods of animal origin.

  2. many are co-factors for enzymes.

  3. very little digestion is required.

  4. they are absorbed primarily in the small intestine.

  5. they circulate freely in the blood.

2. a

Question 14.10

3. The majority of iodine intake in the United States comes from:

  1. fruits and vegetables.

  2. iodized salt.

  3. milk and processed grains.

  4. nuts and vegetable oils.

3. c

Question 14.11

4. Which trace mineral is an essential component of thyroid hormones?

  1. chromium

  2. iodine

  3. iron

  4. selenium

  5. zinc

4. b

Question 14.12

5. According to the World Health Organization, the number one nutritional disorder worldwide is:

  1. beriberi.

  2. goiter.

  3. iron deficiency anemia.

  4. pellagra.

  5. zinc deficiency.

5. c

Question 14.13

6. In contrast to heme iron, non-heme iron:

  1. is found only in animal foods.

  2. makes up the majority of iron we consume.

  3. is better absorbed by the body.

  4. is less influenced by dietary components that inhibit absorption.

  5. is the most prominent form of iron in the body.

6. b

Question 14.14

7. Of the trace minerals, only _______ cannot be excreted in the urine or bile.

  1. chromium

  2. copper

  3. iodine

  4. iron

  5. zinc

7. d

Question 14.15

8. Which trace mineral has been demonstrated to play a role in slowing progression of age-related macular degeneration, which can lead to loss of vision?

  1. chromium

  2. copper

  3. manganese

  4. selenium

  5. zinc

8. b

Question 14.16

9. Which trace mineral is required for the function of perhaps more proteins in the body than any other mineral?

  1. copper

  2. chromium

  3. iron

  4. selenium

  5. zinc

9. e

Question 14.17

10. Which of the following is NOT an ultratrace mineral?

  1. boron

  2. manganese

  3. nickel

  4. silicon

  5. vanadium

10. b

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Dietary Analysis Using SuperTracker

Dietary Analysis Using SuperTracker

Discovering the trace minerals in your meals

Question 14.18

1. Log on to the United States Department of Agriculture (USDA) website at www.supertracker.usda.gov. If you have not done so already, you will need to create a profile to get a personalized diet plan. This profile will allow you to save your information and diet intake for future reference. Do not use the general plan.

Question 14.19

2. Click the Track Food and Activity option.

Question 14.20

3. Record your food and beverage intake for one day that most reflects your typical eating patterns. Enter each food and beverage you consumed into the food tracker. Note that there may not always be an exact match to the food or beverage that you consumed, so select the best match available.

Question 14.21

4. Once you have entered all of your food and beverage choices into the food tracker, on the right side of the page under the bar graph, you will see Related Links: View by Meal and Nutrient Intake Report. Print these reports and use them to answer the following questions:

  1. Did you meet the target recommendations for the trace minerals (iron, iodine, chromium, fluoride, copper, zinc, selenium, molybdenum, and manganese) for the day you selected? If not, what minerals fall below the target numbers?

  2. For each trace mineral target that you missed, list two specific foods you could consume to increase your intake of that mineral.

  3. Were you above the targets for any of the trace minerals? If so, which ones? Are any of these numbers above the toxicity level for that mineral?

  4. Iron deficiency anemia is the number one nutritional deficiency in the United States. What groups are most at risk for this deficiency? If you developed iron deficiency anemia, what physical symptoms would you be likely to experience?