Minerals and Trace Elements 189
mendations but are highlighted in Figure 9.1, might
prove to be essential for the optimum health and well-
being of humans.
Major constraints to the elucidation of the poten-
tial roles of minerals and trace elements in the onset
of degenerative diseases include diffi culties in assess-
ing status, and thereby defi ning requirements, and
myriad interactions among minerals and other nutri-
ent and nonnutrients in the diet. Sometimes, natural
experiments of genetic disorders can throw light on
the potential roles of minerals in disease processes
and these will also be discussed as appropriate in the
following sections.
9.2 Calcium
Calcium is a metallic element, fi fth in abundance in
the Earth’s crust, of which it forms more than 3%.
Calcium is never found in nature uncombined; it
occurs abundantly as chalk, granite, eggshell, sea-
shells, “hard” water, bone, and limestone. The metal
is used as a reducing agent in preparing other metals
such as thorium, uranium, and zirconium, and is
used as a deoxidizer, disulfurizer, or decarburizer for
various ferrous and nonferrous alloys. It is also used
as an alloying agent for aluminum, beryllium, copper,
lead, and magnesium alloys. Calcium was among the
fi rst materials known to be essential in the diet. All
foods of vegetable origin contain small but useful
amounts of calcium. Animals concentrate calcium
in milk, and milk and dairy products are the most
important food sources of calcium for many human
populations.
Absorption, transport, and
tissue distribution
The adult human body contains about 1200 g of
calcium, which amounts to about 1–2% of body
weight. Of this, 99% is found in mineralized tissues,
such as bones and teeth, where it is present as calcium
phosphate (together with a small component of
calcium carbonate), providing rigidity and structure.
The remaining 1% is found in blood, extracellular
fl uid (ECF), muscle, and other tissues.
Calcium is under close homeostatic control, with
processes such as absorption, excretion and secretion,
and storage in bone being involved in maintaining the
concentration of ionized calcium in the plasma within
1a
1
H
3
Li
11
Na
19
K
37
Rb
55
Cs
87
Fr
8 1b 2b 3b 4b 5b 6b 7b 8b
5
B
13
Al
6
C
14
Si
7
N
15
P
8
O
16
S
9
F
17
Cl
32
Ge
33
As
34
Se
35
Br
50
Sn
53
I
31
Ga
2
He
10
Ne
18
Ar
36
Kr
54
Xe
86
Rn
85
At
84
Po
83
Bi
82
Pb
49
In
81
Tl
51
Sb
52
Te
2a 3a 4a 5a 6a 7a
4
Be
12
Mg
20
Ca
38
Sr
56
Ba
88
Ra
23
V
41
Nb
73
Ta
105
25
Mn
43
Tc
75
Re
24
Cr
74
W
106
42
Mo
26
Fe
76
Os
44
Ru
30
Zn
80
Hg
48
Cd
27
Co
77
Ir
45
Rh
28
Ni
78
Pt
46
Pd
29
Cu
79
Au
47
Ag
21
Sc
39
Y
57
La
89
Ac
22
Ti
40
Zr
72
Hf
104
Lanthanides^71
Lu
70
Yb
69
Tm
68
Er
60
Nd
62
Sm
61
Pm
63
Eu
67
Ho
64
Gd
65
Tb
66
Dy
58
Ce
59
Pr
Actinides Th^9091 Pa^92 U Np^93 Pu^94 Am^95 Cm^96 Bk^9798 Cf Es^99100 Fm^101 Md^102 No^103 Lr
Figure 9.1 The periodic table of the elements. The widely accepted or putative essential elements are encircled.