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Journal of Trace Elements in Medicine... 2015Trace elements are inorganic constituents of the human body present in concentrations less than 50mg/kg body weight. An exception is iron that is found in slightly... (Review)
Review
Trace elements are inorganic constituents of the human body present in concentrations less than 50mg/kg body weight. An exception is iron that is found in slightly higher amounts, 60 mg/kg body weight, but it is classified within this category due to its physiological roles. Requirements of trace elements can vary according to age, gender, growth, body composition, genetics, pregnancy, lactation, wound healing and burns, alcohol abuse, infections, and diseases (anemia, coronary artery, Keshan, Kashin-Beck). Additionally, interactions may occur with dietary factors, such as other minerals (iron versus copper), phytates (zinc), oxalates (iron), fiber (manganese), and polyphenolic compounds (molybdenum). On a global basis, requirements can vary according to soil and geographical location, food preparation and processing, food accessibility, cultural practices (geophagia) and pollution. Furthermore, global differences exist in body composition, ethnicity, and age of menarche.
Topics: Animals; Global Health; Growth and Development; Humans; Nutritional Requirements; Nutritional Status; Trace Elements
PubMed: 24912973
DOI: 10.1016/j.jtemb.2014.04.006 -
Biological Trace Element Research Apr 2017Trace mineral micronutrients are imperative for optimum host response. Populations worldwide are prone to their insufficiency owing to lifestyle changes or poor... (Review)
Review
Trace mineral micronutrients are imperative for optimum host response. Populations worldwide are prone to their insufficiency owing to lifestyle changes or poor nutritional intake. Balanced levels of trace minerals like iron (Fe), zinc (Zn), selenium (Se) and copper (Cu) are essential to prevent progression of chronic conditions like periodontitis. Their excess as well as deficiency is detrimental to periodontal health. This is specifically true in relation to Fe. Furthermore, some trace elements, e.g. Se, Zn and Cu are integral components of antioxidant enzymes and prevent reactive oxygen species induced destruction of tissues. Their deficiency can worsen periodontitis associated with systemic conditions like diabetes mellitus. With this background, the present review first focusses on the role of four trace minerals, namely, Fe, Zn, Se and Cu in periodontal health followed by an appraisal of the data from case control studies related to their association with chronic periodontitis.
Topics: Animals; Chronic Periodontitis; Humans; Micronutrients; Trace Elements
PubMed: 27580897
DOI: 10.1007/s12011-016-0832-y -
Kardiologiia Mar 2021Selenium is an important micronutrient that is essential for the functioning of the human body. Being a component of the active center of several antioxidant enzymes... (Review)
Review
Selenium is an important micronutrient that is essential for the functioning of the human body. Being a component of the active center of several antioxidant enzymes selenium prevents cell injury by free radicals. Decline in selenium-containing enzymes results in progression of oxidative stress and chronic inflammation, which are considered as possible causes for the development of many cardiovascular diseases. This review focuses on mechanisms for prevention of myocardial and vascular injury through the adequate selenium supply to the body. The importance of monitoring and correction of the selenium status in appropriate patients is underlined.
Topics: Antioxidants; Cardiology; Humans; Oxidative Stress; Selenium; Trace Elements
PubMed: 33849425
DOI: 10.18087/cardio.2021.3.n1186 -
Clinical Nutrition ESPEN Aug 2022Continuous renal replacement therapy (CRRT) is essential to the management of acute kidney injury (AKI) in critical illness. Unfortunately, large quantities of...
BACKGROUND & AIMS
Continuous renal replacement therapy (CRRT) is essential to the management of acute kidney injury (AKI) in critical illness. Unfortunately, large quantities of micronutrients are shown to be lost in CRRT effluent. Current literature describes serum micronutrient values in CRRT patients to be below-reference range, yet seldom compares such values to other critically ill populations unexposed to CRRT. The aim of this study was to describe and compare the prevalence of micronutrient and carnitine deficiencies in critically ill patients at high malnutrition risk exposed to CRRT to a group of patient unexposed to CRRT.
METHODS
A retrospective chart review was conducted at Duke University Hospital using the electronic medical record. The study group consisted of patients at high malnutrition risk requiring intensive care unit (ICU) admission from 01/01/2017-12/31/2018 with one or more of the following serum micronutrient levels checked: carnitine, copper, zinc, selenium, and vitamins B1, B6, B9, and C. Micronutrient deficiencies were defined as below the reference range and carnitine deficiencies were interpreted as an acyl to free carnitine ratio (ACFR) of >0.4.
RESULTS
106 ICU patients met inclusion criteria and 46% were exposed to CRRT. At least one micronutrient deficiency was reported in 90% of CRRT patients compared to 61% patients unexposed to CRRT (p = 0.002). A greater percentage of copper (p < 0.001) and carnitine (p < 0.001) deficiencies were found among patients exposed to CRRT, while more zinc deficiencies were noted among non-CRRT patients (p = 0.001).
CONCLUSIONS
The vast majority of CRRT patients presented with micronutrient deficiencies. Clinicians should have a heightened awareness of the risk for serum copper, carnitine, and vitamin B6 deficiencies among CRRT patients. Further prospective and randomized-controlled trials are needed to better define this new category of malnutrition and test supplementation strategies to address and prevent these clinically-relevant deficiencies.
Topics: Carnitine; Continuous Renal Replacement Therapy; Copper; Critical Illness; Humans; Malnutrition; Micronutrients; Retrospective Studies; Trace Elements; Zinc
PubMed: 35871932
DOI: 10.1016/j.clnesp.2022.05.008 -
Critical Reviews in Food Science and... 2020Interactions between drugs and micronutrients have received only little or no attention in the medical and pharmaceutical world in the past. Since more and more... (Review)
Review
Interactions between drugs and micronutrients have received only little or no attention in the medical and pharmaceutical world in the past. Since more and more pharmaceutics are used for the treatment of patients, this topic is increasingly relevant. As such interactions - depending on the duration of treatment and the status of micronutrients - impact the health of the patient and the action of the drugs, physicians and pharmacists should pay more attention to such interactions in the future. This review aims to sensitize physicians and pharmacists on drug micronutrient interactions with selected examples of widely pescribed drugs that can precipitate micronutrient deficiencies. In this context, the pharmacist, as a drug expert, assumes a particular role. Like no other professional in the health care sector, he is particularly predestined and called up to respond to this task. The following article intends to point out the relevance of mutual interactions between micronutrients and various examples of widely used drugs, without claiming to be exhaustive.
Topics: Drug Interactions; Humans; Micronutrients; Trace Elements
PubMed: 30580552
DOI: 10.1080/10408398.2018.1522613 -
The British Journal of Nutrition Dec 2022Multiple micronutrient deficiencies are widespread in Ethiopia. However, the distribution of Se and Zn deficiency risks has previously shown evidence of spatially...
Multiple micronutrient deficiencies are widespread in Ethiopia. However, the distribution of Se and Zn deficiency risks has previously shown evidence of spatially dependent variability, warranting the need to explore this aspect for wider micronutrients. Here, blood serum concentrations for Ca, Mg, Co, Cu and Mo were measured ( 3102) on samples from the Ethiopian National Micronutrient Survey. Geostatistical modelling was used to test spatial variation of these micronutrients for women of reproductive age, who represent the largest demographic group surveyed ( 1290). Median serum concentrations were 8·6 mg dl for Ca, 1·9 mg dl for Mg, 0·4 µg l for Co, 98·8 µg dl for Cu and 0·2 µg dl for Mo. The prevalence of Ca, Mg and Co deficiency was 41·6 %, 29·2 % and 15·9 %, respectively; Cu and Mo deficiency prevalence was 7·6 % and 0·3 %, respectively. A higher prevalence of Ca, Cu and Mo deficiency was observed in north western, Co deficiency in central and Mg deficiency in north eastern parts of Ethiopia. Serum Ca, Mg and Mo concentrations show spatial dependencies up to 140-500 km; however, there was no evidence of spatial correlations for serum Co and Cu concentrations. These new data indicate the scale of multiple mineral micronutrient deficiency in Ethiopia and the geographical differences in the prevalence of deficiencies suggesting the need to consider targeted responses during the planning of nutrition intervention programmes.
Topics: Humans; Female; Micronutrients; Trace Elements; Minerals; Malnutrition; Ethiopia; Nutritional Status
PubMed: 35109956
DOI: 10.1017/S0007114522000319 -
Environmental Research Dec 2022The increasing amount of bio-waste creates the need to develop a method for efficient management based on processes that are more environmentally friendly than...
The increasing amount of bio-waste creates the need to develop a method for efficient management based on processes that are more environmentally friendly than incineration and composting. This research aimed to utilize the waste of raspberry seeds after supercritical CO2 extraction. The biomass was enriched with micronutrients by the biosorption process to prepare micronutrient fertilizers for organic farming and biofortification of raspberries fruits. It was observed that at 100% dose of micronutrients, raspberry crop yield increased by 3%, and transfer of micronutrients to fruit biomass increased by 4.7%, 6.4%, and 8.8% (Cu, Mn, Zn, respectively) compared to commercial fertilizer. The supply of micronutrients at a dose of 150% led to a significant increase in micronutrient content of 3%, 41%, and 8% (Cu, Mn, and Zn, respectively) compared to commercial fertilizer. Research shows that the application of higher doses of micronutrients leads to the enrichment of edible parts of fruits, and fertilizers ensure environmental safety. The fruits contained on average 11.5% more microelements compared to the groups fertilized with the commercial product. The fruit yield (9.09-10.4 Mg per hectare) and the sugar content (9.82-10.2%) were also the highest. The micronutrients released from fertilizers and available to plants throughout the vegetation period affect the increase in yield, especially in the case of plants fruiting several times a year.
Topics: Biofortification; Biomass; Carbon Dioxide; Fertilizers; Fruit; Micronutrients; Rubus; Soil; Sugars; Trace Elements
PubMed: 36100107
DOI: 10.1016/j.envres.2022.114304 -
BioMed Research International 2018Micronutrient deficiencies are common in inflammatory bowel disease and have clinical impact, being both a sign of complicated disease and a cause of morbidity. The... (Review)
Review
Micronutrient deficiencies are common in inflammatory bowel disease and have clinical impact, being both a sign of complicated disease and a cause of morbidity. The involved systemic inflammatory response is responsible for altering the concentration of a wide range of trace elements in the serum, including zinc and selenium. This review summarizes recent advances and evidence-based knowledge regarding the impact of selenium and zinc on oxidative stress and microbiota changes in IBD patients. Getting new insight into the impact of malnutrition, particularly on the micronutrients' impact on the development, composition, and metabolism of microbiota, as well as the influence of oxidative stress and the mucosal immune response, could help in implementing new management strategies for IBD patients, with focus on a more integrated approach.
Topics: Humans; Inflammatory Bowel Diseases; Micronutrients; Selenium; Trace Elements; Zinc
PubMed: 30258848
DOI: 10.1155/2018/1813047 -
Nutrients Apr 2022Parenteral nutrition (PN) provides support for patients lacking sufficient intestinal absorption of nutrients. Historically, the need for trace element (TE)... (Review)
Review
Parenteral nutrition (PN) provides support for patients lacking sufficient intestinal absorption of nutrients. Historically, the need for trace element (TE) supplementation was poorly appreciated, and multi-TE products were not initially subjected to rigorous oversight by the United States Food and Drug Administration (FDA). Subsequently, the American Society for Parenteral and Enteral Nutrition (ASPEN) issued dosage recommendations for PN, which are updated periodically. The FDA has implemented review and approval processes to ensure access to safer and more effective TE products. The development of a multi-TE product meeting ASPEN recommendations and FDA requirements is the result of a partnership between the FDA, industry, and clinicians with expertise in PN. This article examines the rationale for the development of TRALEMENT (Trace Elements Injection 4*) and the FDA's rigorous requirements leading to its review and approval. This combination product contains copper, manganese, selenium, and zinc and is indicated for use in adults and pediatric patients weighing ≥10 kg. Comprehensive management of PN therapy requires consideration of many factors when prescribing, reviewing, preparing, and administering PN, as well as monitoring the nutritional status of patients receiving PN. Understanding patients' TE requirements and incorporating them into PN is an important part of contemporary PN therapy.
Topics: Adult; Child; Dietary Supplements; Humans; Manganese; Parenteral Nutrition; Pharmaceutical Preparations; Selenium; Trace Elements; United States
PubMed: 35565737
DOI: 10.3390/nu14091770 -
Comprehensive Reviews in Food Science... May 2024Selenium (Se) is a naturally occurring essential micronutrient that is required for human health. Selenium supports cellular antioxidant defense and possesses bioeffects... (Review)
Review
Selenium (Se) is a naturally occurring essential micronutrient that is required for human health. Selenium supports cellular antioxidant defense and possesses bioeffects such as anti-inflammation, anti-cancer, anti-diabetic, and cardiovascular and liver protective effects arising from Se-enhanced cellular antioxidant activity. Past studies on Se have focused on elucidating Se speciation in foods, biofortification strategies to produce Se-enriched foods to address Se deficiency in the population, and the biochemical activities of Se in health. The bioavailability and toxicity of Se are closely correlated to its chemical forms and may exhibit varying effects on body physiology. Selenium exists in inorganic and organic forms, in which inorganic Se such as sodium selenite and sodium selenate is more widely available. However, it is a challenge for safe and effective supplementation considering inorganic Se low bioavailability and high cytotoxicity. Organic Se, by contrast, exhibits higher bioavailability and lower toxicity and has a more diverse composition and structure. Organic Se exists as selenoamino acids and selenoproteins, but recent research has provided evidence that it also exists as selenosugars, selenopolysaccharides, and possibly as selenoflavonoids. Different food categories contain various Se compounds, and their Se profiles vary significantly. Therefore, it is necessary to delineate Se speciation in foods to understand their impact on health. This comprehensive review documents our knowledge of the recent uncovering of the existence of selenosugars and selenopolysaccharides and the putative evidence for selenoflavonoids. The bioavailability and bioactivities of these food-derived organic Se compounds are highlighted, in addition to their composition, structural features, and structure-activity relationships.
Topics: Humans; Selenium; Selenium Compounds; Selenic Acid; Antioxidants; Trace Elements
PubMed: 38551194
DOI: 10.1111/1541-4337.13329