MINERALS(矿物质).ppt
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1、SECTION 5 MINERALS(矿物质)(矿物质)一、一、Introduction Elements(元素)(元素)in human body 1.Total elements In human body is over 80.2.Essential elements in human body over 20,most of them(about 20)are mineral elements Microelements:Fe,Zn,Se,I,Cu,Co,Cr,F,Mn,Minerals Mo,Si,Ni,B,V.Macroelements:Ca,P,Na,K,Mg,S,Cl.Func
2、tion of minerals in body1.Composition of human body.2.Maintain the pH and osmotic pressure(渗透压)of body liquids.3.Regulating the exciting of nerve and muscle.4.Components of prosthetic group(辅基),hormone,vitamin,protein,nucleic acid,and activator(激活剂)of enzyme.5.The others 二、钙(二、钙(Calcium)1.Distributi
3、on of Calcium in human body1.Distribution of Calcium in human body Ca in the body:850-1200g 1.5%-2.0%of body weight Bone,teeth,99%:Hydroxyapatite(羟磷灰石)amorphous Ca(未定形钙)Combined form,0.5%:combined with protein and citric acid(柠檬酸)Ion,0.5%:Miscible Ca Pool(混溶钙池)In blood,extra-cellular fluid,soft tiss
4、ue,and exchangeable.2.Function of calcium in body1).Principal component of skeletal tissue Osteoblasts(成)Osteoclasts(破)Bone Ca(miscible Ca pool)Children:1-2 year Adult:10-12 y(2%-4%per year,700mg/d)After 40y:Ca in the bone decreased by 1%per year Earlier in females than in males;Most rapidly during
5、first 3 years After menopause;Taller people less rapidly.2).Regulating neuromuscular(神经肌肉)excitability,maintaining transmission of nerve impulses (神经冲动)and heart beats.(3)Influencing enzymereaction:Succinodehydrogenase(琥珀酸 脱氢酶).Lipase(脂肪酶),ATPase(三磷酸腺苷酶),proteinase(蛋白酶),(4)Others:hormone secretion,b
6、lood coagulation(凝结),acid-base balance,normal colloid(胶体).3.Absorption and Metabolism 1)Mechanism of absorption:Position:in the small intestine Transcellular(跨细胞):saturable(可饱和的)(active)transfer that involves a calcium-biding protein,calbindin(钙结合蛋白).Paracellular(同细胞水平):a nonsaturable (diffusional 扩
7、散)transfer that is a linear(一维的)function of the calcium content of the chyme(食糜).Ca,P metabolism2)Affecting factors Age children:75%0f ingested Ca;40%of food Ca adults:30%-60%;20%70y 1/3 of adults;female Physiological situation pregnancy and breast-feed others Body Ca conc.Dietary factors increasing
8、 Ca absorption:Vit.D,Lactose,Some amino acids:Arginine(精氨酸),lysine(赖氨酸)decreasing Ca absorption :phytate(植酸盐),oxalate(草酸盐),fibre,fatty acid,alcohol;thyroid hormone(甲状 腺素),cortisol(皮质醇),and antibiotics:penicillin,chloramphenical(氯霉素),neomycin(新霉素)膳食成分对钙吸收利用的影响提高吸收利用降低吸收利用无作用乳糖植酸盐磷某些氨基酸膳食纤维蛋白质Vit D草酸盐
9、Vit C脂肪(脂肪泻时)柠檬酸乙醇果胶3)Excretion Fecal Ca:194 73 mg/d in the American men from unabsorbed Ca and endogenous(内源性)CaUrine Ca:diets containing 600-800 mg/d ranges between 80-250mg in urine.Sweat Ca:20-30mg/d;1g/d at high temp.Milk Ca:150-300mg/d Renal tubular reabsorption of Ca is increased by parathyro
10、id hormone(甲状旁腺素),a fall in plasma Ca,metabolic alkolosis(代谢性碱中毒),and diuretics(利尿剂).Increased by saline diureses(含盐多尿症),carbohydrate ingestion,phosphate deprivation(丧失),metabolic acidosis(代谢性酸中毒),cortisal,thyroid and growth hormones,diets rich in protein and magnesium(镁).fecalVit.D and parathyin(甲状
11、旁 腺素):renal reabsorptionCalcitonin(降血钙素):inhibiting bone loss and increasing urine Ca.Calmodulin(钙调节素):regulating the Ca in the cell.4)Biologic control system for homeostasis (体内平衡)of Ca.ECF:Extracellular fluid Calcium balance On average,in a typical adult approximately 1g of elemental calcium(Ca2+)
12、is ingested per day.Of this,about 200mg/day will be absorbed and 800mg/day excreted.Approximately 1kg of(Ca2+)is stored in bone and about 500mg/day is released by resorption or deposited during bone formation.Of the 10g of(Ca2+)filtered through the kidney per day only about 200mg appears in the urin
13、e,the remainder being reabsorbed.4.DRIs of Ca(1)Estimation of DRIs(膳食参考摄入量)Infants:mean intake of breast milk(母乳)Others:Ca balance test(平衡试验)Direct measure(2)DRIs(mg/d)y:0 0.5 1 4 11 18 50AI:300 400 600 800 1000 800 1000 Y:pregnant women wet nurse(乳母)AI:1000(中期)1200(晚期)1200UL(tolerable upper intake
14、level,):2000mgNOAEL:1500mg5.Dietary source milk,small shrimps(小虾),kelp(海带),legumes(豆类):soy bean、black soy bean(黑豆),red bean(红豆),sesame paste(芝麻酱),and many Ca supplements(钙补充剂).常用食物中的钙含量(mg/100g食部)名称含钙量名称含钙量名称含钙量人 奶34海带(干)1177蚕 豆93牛 奶120发 菜767腐 竹280奶 酪590银 耳380花生仁67蛋 黄134木 耳357杏仁(生)140标准粉24紫 菜343西瓜子(
15、炒)237标准米10大 豆367南瓜子(炒)235虾 皮2000豆腐丝284核桃仁119猪肉(瘦)11豆 腐240277小白菜93163牛肉(瘦)6青 豆240大白菜61羊肉(瘦)13豇 豆100油 菜140鸡肉(瘦)11豌 豆84韭 菜105三、三、Iron(铁铁)1.iron in BodyBody iron(4-5g)Hemoglobin(血红蛋白)(60%-75%)Myoglobin(肌红蛋白)(3%)Heme enzymes(含铁酶)Cytochromes(细胞色素)Cytochrome oxidase(细胞色素氧化 酶)Peroxidase (过氧化物酶)Catalase (过氧化
16、氢酶)Ferritin(铁蛋白)Hemosiderin(含铁血黄素)4 mg as transport iron bound to transferrin(运铁蛋白)in the plasma.No free ion of iron in the body.Functional Fe(75%)Storage Fe(25%)iron in Body2.Physiologic functions(1)Important role in oxygen and electron transport Composition of hemoglobin and myoglobin:Oxygen trans
17、port.Composition of enzymes:electron transport.(2)Others:Catalyzing-carotene Vit.A;Promoting produce of antibody;Lipids transport in blood;Detoxifying(去毒):drugs in liver Kidney and RBC3.Absorption and Metabolism AbsorptionFe3+Fe2+Food Fe duodenumJejunum空Ileum回colon Plasma iron (4mg)Fe3+transferrin (
18、3540mg turned over/d)Storage Fe 300400mg R-E system,liver,spleen,bone marrowBone marrow 2025mg/dhemoglosinHemoglobin catabolismUrine,sweet,bile,feces(0.51mg/d)TransportationUtilization and conservationStorageHemorrhage RBC lost in urine,menstrual loss 0.31mg/dAll body cellDeath cellsDesquamation(脱落)
19、of cells2025mgExcretion outline of iron metabolism in adultIron absorption and metabolism Human unable to excrete excess iron.Iron balance physiologically regulated by control of absorption 1)Absorption of nonheme iron(非血红素铁)Food FeGastric juice pH=7Solubility of(Fe2+Fe3+)AbsorptionCrypt at the base
20、 of villiFeTransferrindesquamationvilliBlood according to needFe2+rapid transit time in GI chylia(胃液缺乏),malabsorption syndromes precipitation(沉淀)by alkalinization(碱化),phosphates phytates(植酸),oxalate(草酸)and antacids(抗酸剂)iron dosage male:A0.022D female:A0.025D A:iron absorbed D:Iron dosage factors of
21、decreasing absorptionfactors of increasing absorption v iron dosage v vit.C,B2;amino acids:cysteine(半胱氨酸)v MFP factor(meat fish poultry factor,肉鱼禽因子)v Ca,Fe help each other to diminish the inhibitors;Zn,Fe have competitive absorption.2)absorption of heme iron(血红素铁)heme iron enzyme duodenum cell bloo
22、d(transferring)The absorption of heme iron is not influenced by inhibitors which decrease the absorption of nonheme iron.3)absorption rate of iron in the foods rice 1%corn 3%black bean 3%lettuce 4%flour 5%soybean 6%fish 11%hemoglobin 15%mustle,liver 22%2)Reason v Poor dietsv Poor absorption v Blood
23、loss:menstruation(月经),hemorrhage(出血),0.5 mg Fe per ml blood.v Pregnancy 1)Prevalence of IDA China:40%0f children under 3 y World:4y,0.6%-7.7%5-8y,5.5%young healthy women,35%-58%4.iron-deficiency anemia(IDA)Prevalence of anemia 3)The process assessment of IDA 1st stage iron decrease(ID):stored iron e
24、xhaustion,serum ferritin.2nd stage Iron-deficiency in erythrocytosis(红细胞生成缺铁期):serum Fe and ferritin,iron-biding capacity(saturation of transferrin,运铁蛋白饱和度),cons.of free erythrocyte protoporphyrin(FEP)(游离原扑啉)3rd stage IDA:hemoglobin and hematocrite(红细胞压积)values decline.4)Deficiency symptoms Immune s
25、ystem:Reduced resistance to infectionNervous/Muscular systems Reduced work productivity,tolerance to work;Reduced physical fitness(健康):weakness,fatigue(疲劳);Impaired cognitive function(损害认识功能)(children);Reduced learning ability;Increased distractibility (注意力分散);Impaired visual discrimination(识别力);Imp
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