NUTR 200 Lecture Notes - Lecture 21: Hypochromic Anemia, Critical Role, Hemoglobin

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NUTR 200 Nutrition for Today 05/14/2018
MJ Gunnarson, MS, RD 1
Trace Minerals Iron, Iodine, Zinc
Reading
P 311-324
Chapter 14 - Introduction, Iodine…, Iron, Zinc
Objectives for today:
Explain the importance the intestine in maintaining proper iron levels in the body.
Describe the changes in red blood cells that occur in iron deficiency
Explain why iron overload is problematic
State the role of iodine in the body
Describe goiter
Understand the importance of zinc in the body (important in >300 enzymes)
Iron
Food sources
Meats abundant in heme iron (also contain non-heme iron)
Plant sources
- only contain non-heme iron
-leafy green veges, beans, enriched grains
-absorbed at less than half the rate of heme iron
-enriched grains
Absorption of iro adjusts to eet the body’s eeds
RDA: 8mg for men, 18mg for women
Iron released from proteins in foods
Stomach acid
Proteases
Iron absorbed in duodenum
--remember that duodenum is first part of small
intestine but only ~12 inches
Specific carrier proteins
on enterocytes for heme
and non-heme iron
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NUTR 200 Nutrition for Today 05/14/2018
MJ Gunnarson, MS, RD 2
Specific transport protein in blood = transferrin
Interacts with proteins on cells to deliver iron
Iron storage protein = Ferritin
Found in every cell, high amounts in liver
Factors that promote absorption
Stomach acids and protease activity
Vitamin C
Iron deficiency
Factors that impair absorption
Phytates (grains and seeds), oxalate (leafy greens)
Supplemental Calcium when consumed with an iron containing meal
Iron overload
What Factors Regulate Total Body Iron?
Body supply controlled by iron absorption
individual’s iron status
the type of iron in foods
amount of stomach acid for digestion
dietary factors
Excretion?
No excretory pathway (not selectively excreted)
Very small daily iron losses
Mainly via cell sloughing (GI tract, skin)
menstruation
Functions
Component of hemoglobin (oxygen carrying molecule in red blood cells)
Component of myoglobin (oxygen carrying molecule in muscle cells)
Coenzyme involved in energy metabolism of carbohydrates, fats, and proteins, and immunity
Iron Deficiency - can lead to iron deficiency anemia
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Document Summary

Meats abundant in heme iron (also contain non-heme iron) Absorbed at less than half the rate of heme iron. Absorption of iro(cid:374) adjusts to (cid:373)eet the body"s (cid:374)eeds. Rda: 8mg for men, 18mg for women: iron released from proteins in foods. -remember that duodenum is first part of small intestine but only ~12 inches. Specific carrier proteins on enterocytes for heme and non-heme iron. Interacts with proteins on cells to deliver iron. Iron storage protein = ferritin: found in every cell, high amounts in liver. Phytates (grains and seeds), oxalate (leafy greens) Supplemental calcium when consumed with an iron containing meal. Very small daily iron losses: mainly via cell sloughing (gi tract, skin, menstruation. Component of hemoglobin (oxygen carrying molecule in red blood cells) Component of myoglobin (oxygen carrying molecule in muscle cells) Coenzyme involved in energy metabolism of carbohydrates, fats, and proteins, and immunity. Iron deficiency - can lead to iron deficiency anemia.

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