Cereal products provide about one-third of the intake of manganese and beverages (tea) and vegetables
are the other major contributors.
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Vitamin C is a reducing agent (antioxidant). In humans, vitamin C acts as an electron donor for eight enzymes,
of which three are involved in collagen hydroxylation, and two are involved in carnitine biosynthesis.
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Various expert groups have made consensus recommendations for
consumption of ALA and/or the very long chain omega-3s.
The evidence is strongest for reduction of Cardio Vascular Disease risk by EPA and DHA.
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Phosphorus is the second most abundant inorganic element in the body and is a part of many important
compounds. Phosphorus as phosphate is a major buffer of acid in urine by
virtue of its monovalent, divalent and trivalent forms.
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The amount of energy needed for the internal bodily functions necessary for life (eg cell metabolism, synthesis and metabolism of enzymes and hormones) is called the basal metabolic rate (BMR). BMR represents about 45-70% of daily energy expenditure.
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In excess, Manganese can interfere with iron absorption.
Manganese is excreted rapidly into the gut through bile and lost primarily in faeces. Low bile excretion can therefore increase the potential for manganese toxicity
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Iron in foods can come in two general forms - as
haem or non-haem iron. Iron from animal food sources such as meat, fish and poultry may be either
haem or non-haem whereas the iron in plant sources such grains and vegetables is non-haem.
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Molybdenum is found in plant foods and reflects the soil content in which they grow. Legumes are
major contributors of molybdenum in the western diet, as are grain products and nuts.
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Beri beri is one of two distinct major diseases from deficiency of thiamin. In acute
beri beri there is a high output cardiac failure, warm extremities, bounding pulse, oedema and cardiac
enlargement.
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Phosphorus is so widespread in the food supply that
dietary phosphorus deficiency is extremely rare, the exception being long-term, severe food restriction.
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Vitamin B6 is found in a wide range of foods including organ meats, muscle meats, breakfast cereals,
vegetables and fruits.
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The amount of protein in the diet is a
factor contributing to the efficiency of zinc absorption as zinc binds to protein.
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High intakes of n-6 polyunsaturated fats have been associated with blood lipid profiles
associated with a lower risk of coronary heart disease.
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Vitamin K deficiency causes a bleeding tendency through a lack of activity of the procoagulant
proteins.
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Omega-3 fatty acids are so named due to a double chemical bond at the n-3 position in the molecule. Humans are unable to insert a double
bond at the n-3 position of a fatty acid and thus require a dietary source.
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Dietary fibre intakes have been linked to reduced risk of CHD, mainly through an effect on
plasma cholesterol. Complete vegetarians typically have higher ratios of high density lipoprotein (HDL) "Good" cholesterol to total cholesterol than either lacto-ovo-vegetarians or nonvegetarians.
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Low intakes of calcium have been associated with a condition of low
bone density called osteoporosis which is quite common in western cultures and which often results in
bone fracture.
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Recommended carbohydrate intake in adults and children is 45-65% of
dietary energy intake. There is believed to be an increased risk for Coronary Heart Disease at high carbohydrate intakes (>65%) and increased risk of obesity with low carbohydrate, high fat intakes (<45%).
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Pellagra, a disease caused by niacin deficiency, was a major problem in the Southern states
of the US in poor Blacks and Whites whose diet consisted of maize (American corn) and little else.
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Symptoms of biotin deficiency include dermatitis, conjunctivitis,
alopecia and Central Nervous System (CNS) abnormalities, including developmental delay in infants. People with
genetic biotinidase deficiency will have increased requirements.
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Vitamin B 12 deficiency can produce haematological, neurological or gut symptoms. The underlying problem is interference with DNA synthesis leading to production of
abnormally large erythrocytes.
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Vitamin C deficiency causes scurvy, symptoms of which include skeletal and vascular lesions with
gingival changes, pain in the extremities, haemorrhage, oedema, ulcerations and death.
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Vitamin C is found in high concentrations in gastric juices where it may prevent the formation of N-nitroso-compounds, which are potential
mutagens.
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Dietary fibre is the most effective treatment for all forms of constipation due to its influence on faecal
bulk and consistency.
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If sunlight exposure is adequate, dietary vitamin D can
be considered unnecessary.
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Dehydration of as little as 2% loss of body weight results in impaired physiological responses and
performance.
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Molybdenum is involved in catabolism of sulphur amino acids and heterocyclic compounds
including purines and pyridines.
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Vitamin B 12 is required for the
synthesis of fatty acids in myelin and, in conjunction with folate, for DNA synthesis.
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Calcium is required for the normal development and maintenance of the skeleton as well as for the
proper functioning of neuromuscular and cardiac function.
|
Calcium intake throughout life is a major factor affecting the
incidence of osteoporosis, however other factors, notably adequate vitamin D status and exercise, also
play a role.
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Sodium is important for maintaining the membrane
potential of cells and for active transport of molecules across cell membranes.
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Sodium is found in most foods as sodium chloride, generally known as 'salt'. Sodium is a cation needed to maintain extracellular volume and serum osmolality.
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Osteoporosis is one of the major causes of morbidity amongst older Australians and New Zealanders,
particularly postmenopausal women.
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It has been postulated that diets high in fibre have a lower energy density and may therefore help in moderating obesity.
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Adequate intake of
vitamin B 12 is essential for normal blood function and neurological function.
|
Haem iron is more bioavailable to humans than the non-haem. The presence of other nutrients such as vitamin C and organic acids such as citric, lactic or malic acid
can increase the absorption of non-haem iron.
|
A 10-year study of skin cancer in the US initially found no effect of supplemental selenium at 200 μg/
day on basal cell or squamous cell skin cancer, but significant reduction in total cancer and cancers of
the prostate, lung and colorectum.
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The reported health effects of chronic mild dehydration and poor fluid intake include
increased risk of kidney stones, urinary tract cancers, colon
cancer as well as diminished physical
and mental performance.
|
Adequate dietary fibre is essential for proper functioning of the gut and has also been related to risk
reduction for a number of chronic diseases including heart disease, certain cancers and diabetes.
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The nine indispensable or essential amino acids, defined as those that the body is unable to synthesise
from simpler molecules, are histidine, isoleucine, leucine, lysine, methionine, phenylalanine, threonine,
tryptophan and valine.
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The major adverse effect of increased sodium chloride intake is elevated blood pressure, a risk factor
for cardiovascular and renal diseases.
|
Water is defined as an essential nutrient because it is required in amounts that exceed the body's ability
to produce it. All biochemical reactions occur in water.
|
Copper deficiency results in defects in connective tissue that lead to vascular and skeletal problems, and
anaemia related to defective iron metabolism. It can also affect the central nervous system and the immune and cardiovascular systems, notably in infants.
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Iron is a component of a number of proteins including haemoglobin. Haemoglobin is important for transport of oxygen to tissues
throughout the body.
|
Iodine was one of the first trace elements to be identified as essential. In the 1920s it was shown
to be an integral component for normal growth and metabolism. Soon after, it was recognised as a key regulator of important cell processes.
|
Thiamin plays an essential role in the supply of energy to the tissue, in carbohydrate metabolism
and in the metabolic links between carbohydrate, protein and fat metabolism.
|
Choline is a precursor for a number of compounds including the neurotransmitter acetylcholine. It is also important for lipid and cholesterol transport and metabolism if methyl groups.
|
Cholesterol comes in 2 main forms: LDL (Low Density Lipoprotein) Cholesterol and HDL (High Density Lipoprotein) Cholesterol. LDL Cholesterol is harmful, and is associated with an increased risk of Coronary Heart Disease(CHD). HDL Cholesterol is beneficial, and reduces the risk of CHD.
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In Australia, the National Nutrition Survey of 1995 indicated that 45% of dietary fibre comes from breads
and other cereal foods, 10% from fruit and 30% from vegetables.
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Linoleic Acid, the most common Polyunsaturated fatty acid, is involved in the regulation of gene expression. Linoleic Acid is also found as a structural component of cell membranes and is important in
cell signalling.
|
People with hypertension, diabetes and chronic kidney disease and greater age tend to be more
sensitive to the blood pressure raising effects of sodium chloride intake. Being overweight also appears to
increase susceptibility.
|
Chronically high levels of alcohol ingestion can negatively affect vitamin A status through an effect on
the liver.
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Amino acids are used for the
synthesis of body proteins and other metabolites, and can also be used as a source of dietary energy.
The proteins of the body are continually being broken down and resynthesised in a process called
protein turnover.
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Pantothenic acid is
involved in fatty acid metabolism. It is essential to almost all forms of life
and is widely distributed in foods. Chicken, beef, potatoes, oat-based cereals, tomato products, liver,
kidney, egg yolks and whole grains are major sources in western diets.
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Vitamin C, in addition to providing its own benefits, interacts with other nutrients. It aids in the absorption of iron and copper, the maintenance of glutathione in the reduced form, the regeneration, or sparing, of alpha-tocopherol and the
stabilisation of folate.
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The major role of vitamin E is to protect polyunsaturated fatty acids from oxidation. It acts as
an anti-oxidant in the lipid phase of cell membranes.
|
Vitamin B6 acts as a coenzyme in the metabolism of amino acids, glycogen
and sphingoid bases.
|
For infants, breast-feeding is recommended, as the iron in formula is much less bioavailable
(generally only 10-20% as available as that in breast milk)
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Wernicke's encephalopathy is one of two distinct major diseases from deficiency of thiamin. It is usually seen in people who have been drinking alcohol heavily and eating very little. (Alcohol requires thiamin for its metabolism). The characteristic feature is paralysis of one or more of the external
movements of the eyes.
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Polyunsaturated fatty acids contain two or more double bonds. The most common is Linoleic Acid. It is described as 'omega-6' due to the position of the double bonds and occurs in seed oils,
eg sunflower, safflower and corn.
|
Molybdenum is absorbed very efficiently over a wide range of
intakes. No clear deficiency syndrome has been seen in animals even with
major reductions in molybdoenzymes.
|
Inadequate folate intake leads to changes in bone marrow and other rapidly dividing tissues. As depletion progresses, eventually, full-blown anaemia results in weakness, fatigue, irritability and palpitations.
|
Water fills the spaces in and between cells and helps
form structures of large molecules such as protein and glycogen. Water is also required for digestion,
absorption, transportation, dissolving nutrients, elimination of waste products and thermoregulation.
|
The environment within the gastrointestinal
tract, which can be affected by other dietary constituents, markedly influences the solubility and
absorptive efficiency of zinc.
|
Iodine is an integral component of a key thyroid hormone. The thyroid hormones are required for normal growth and development of tissues such as the central nervous system and have a broader role in maturation of the
body as a whole. They are important for energy production and oxygen consumption in cells thereby helping to maintain the body's metabolic rate.
|
Fluoride is a normal constituent of the human body, involved in the mineralisation of both teeth and
bones. Because of its role in the prevention of dental caries, fluoride
has been classified as essential to human health.
|
Selenium is found in a range of foods, the content of which varies with geographic sources of the
food. Soil concentrations can range from <0.01 μg/g to >1,000 μg/g with plant food content reflecting
this range.
|
Clinical deficiency of Vitamin B6 is rare. The symptoms of deficiency include seborrhaeic dermatitis, microcytic anaemia, convulsions, and
depression and confusion
|
Alcohol intakes
below about 5% of dietary energy are recommended.
|
Manganese deficiency in animals is associated with impaired growth, reproductive function and
glucose tolerance as well as changes in carbohydrate and lipid metabolism. Manganese deficiency also interferes with
skeletal development.
|
Copper is widely distributed in foods with nuts and seeds being major
contributors. Wheat bran cereals and whole grain products are also good sources.
|
Vitamin E deficiency symptoms have never been described. Deficiency occurs only as a result of genetic abnormalities, fat malabsorption syndrome, or protein-energy malnutrition.
|
In the last decade, there has been
an exponential rise in publications on health benefits of omega-3 polyunsaturated fatty acids, particularly the longer chain
omega-3s, EPA, DPA and DHA.
|
Pantothenic acid deficiency is very rare. Symptoms of a deficiency of Pantothenic acid include irritability, restlessness, fatigue, apathy, malaise, sleep disturbance, nausea,
vomiting and cramping, numbness and staggering gait, as well as hypoglycaemia and increased insulin
sensitivity.
|
Processing of food (cutting up,
cooking etc) greatly improves availability and thus absorption of carotenoids from foods.
|
Thiamin is a water-soluble substance that occurs in free or phosphorylated forms in most plant and
animal tissue.
|
Leafy green vegetables, vine fruit such as tomatoes, cucumbers, zucchini, eggplant and pumpkin,
and root vegetables are particularly good sources of Potassium. It is also moderately abundant in
beans peas, tree fruits, milks, yoghurts and meats.
|
Magnesium is a cofactor for more than 300 enzyme systems and is involved in
both aerobic and anaerobic energy generation and in glycolysis.
|
Saturated fatty
acids have both physiological and structural functions. They can be synthesised by the body so are not
required in the diet.
|
Most of the early signs of deficiency are neurologic or neuromuscular defects that may develop with time into anorexia, nausea, muscular
weakness, lethargy, weight loss, hyper-irritability, hyper-excitability, muscular spasms, tetany and finally
convulsions.
|
With current food supplies
and patterns of eating, it is almost impossible to obtain sufficient vitamin D from the diet alone.
|
Ingestion of fluoride in the pre-eruptive development of teeth has the effect of reducing caries due to
uptake of fluoride by enamel crystallites and formation of fluorohydroxyapatite.
|
All of the necessary amino acids can be provided in the amounts needed from plant
sources.
|
Riboflavin and its derivatives are
important for the body's handling of some other nutrients including conversion of vitamin B-6 to its
bioactive form, and conversion of tryptophan to niacin.
|
Energy is released from food
components by oxidation. The main sources of energy are carbohydrates, proteins, fats and, to a lesser
degree, alcohol.
|
Zinc is widely distributed in foods. Meats, fish and poultry are the major contributors to the diet
but cereals and dairy foods also contribute substantial amounts.
|
Vitamin B 12 can be stored in the liver
for many years.
|
The major sources of Riboflavin are milk and milk products and fortified breads and cereals.
|
Long Chain (LC) n-3 fatty acids (EPA, DHA, and DPA) are found predominantly in oily fish such as mackerel,
herrings, sardines, salmon and tuna and other seafood.
|
Energy is not a nutrient but is required in the body for metabolic processes, physiological functions,
muscular activity, heat production, growth and synthesis of new tissues.
|
Retinoic acid plays an important role in
embryonic development, particularly in the development of the spinal cord and vertebrae, limbs, heart,
eye and ears
|
Zinc is a component of various enzymes that help maintain structural integrity of proteins and
regulate gene expression. The biological function of zinc can
be catalytic, structural or regulatory.
|
Selenium functions as an antioxidant and in redox reactions and thyroid metabolism. It is thought to have a role in cellular antioxidant systems.
|
Magnesium is widely distributed in the food supply in both plant and animal foods. Most green
vegetables, legumes, peas, beans and nuts are rich in magnesium, as are some shellfish and spices.
|
Vitamin A is a fat-soluble vitamin which helps maintain normal reproduction, vision and immune
function. Vitamin A intakes or requirements are generally expressed in terms of retinol equivalents (RE). Retinol is required for the integrity of epithelial cells throughout the body.
|
The best-known role for vitamin
K is the maintenance of normal blood coagulation. The vitamin K-dependent coagulation proteins that are made in the liver have both coagulant and anticoagulant properties.
|
Functional indicators of iron deficiency may include reduced physical work capacity, delayed
psychomotor development in infants, impaired cognitive function, impaired immunity and adverse
pregnancy outcomes.
|
Unlike most animals, humans and primates lack a key enzyme necessary for the biosynthesis of
vitamin C. We therefore require a dietary source.
|
Frank copper deficiency is rare in humans but has been
seen in certain circumstances in infants.
|
Dental caries is often identified
as the limiting factor in terms of an upper intake of cariogenic sweeteners, even in an era of fluoride
exposure.
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