Minerals and Trace Elements 189mendations 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 within1a
1
H
3
Li
11
Na
19
K
37
Rb
55
Cs
87
Fr8 1b 2b 3b 4b 5b 6b 7b 8b5
B
13
Al6
C
14
Si7
N
15
P8
O
16
S9
F
17
Cl
32
Ge33
As34
Se35
Br
50
Sn53
I31
Ga2
He
10
Ne
18
Ar
36
Kr
54
Xe
86
Rn85
At84
Po83
Bi82
Pb49
In
81
Tl51
Sb52
Te2a 3a 4a 5a 6a 7a4
Be
12
Mg
20
Ca
38
Sr
56
Ba
88
Ra23
V
41
Nb
73
Ta
10525
Mn
43
Tc
75
Re24
Cr74
W
10642
Mo26
Fe76
Os44
Ru30
Zn80
Hg48
Cd27
Co77
Ir45
Rh28
Ni78
Pt46
Pd29
Cu79
Au47
Ag21
Sc
39
Y
57
La
89
Ac22
Ti
40
Zr
72
Hf
104Lanthanides^71
Lu70
Yb69
Tm68
Er60
Nd62
Sm61
Pm63
Eu67
Ho64
Gd65
Tb66
Dy58
Ce59
PrActinides Th^9091 Pa^92 U Np^93 Pu^94 Am^95 Cm^96 Bk^9798 Cf Es^99100 Fm^101 Md^102 No^103 LrFigure 9.1 The periodic table of the elements. The widely accepted or putative essential elements are encircled.