Minerals and Trace Elements 205
may have dietary intakes of potassium exceeding
6 g/day.
Micronutrient interactions
As might be expected from the close metabolic inter-
actions among the major electrolytes, potassium and
sodium dietary interactions may be important in
determining the risk of coronary heart disease and
stroke. Another potentially important interaction
concerns calcium. Potassium appears to have positive
effects on calcium balance by regulating the acid–base
balance and ameliorating any effects of sodium on
calcium depletion.
9.7 Iron
Iron is a relatively abundant element in the universe.
It is found in the sun and many types of stars in con-
siderable quantity. The core of the Earth is thought to
be largely composed of iron and it makes up 4.7% of
the Earth’s crust. The most common ore is hematite,
which is frequently seen as black sands along beaches
and streams. Taconite is becoming increasingly
important as a commercial ore. Because iron is easy
to obtain, its discovery is lost in the history of man,
many thousands of years ago. The early Greeks were
aware of the health-giving properties of iron. Iron has
been used for centuries as a health tonic. It is therefore
paradoxical that although the need for iron was dis-
covered long ago and although it is the most common
and cheapest of all metals, iron defi ciency is probably
the most frequent defi ciency disorder in the world
and the main remaining nutritional defi ciency in
Europe. Iron can exist in oxidation states ranging
from −2 to +6. In biological systems, these oxidation
states occur primarily as the ferrous (Fe^2 +) and ferric
(Fe^3 +) forms and these are interchangeable.
Absorption, transport, and
tissue distribution
The iron content of a typical 70 kg adult man is
approximately 4–5 g. Of this content, approximately
two-thirds is utilized as functional iron such as
hemoglobin (60%), myoglobin (5%), and various
heme (cytochromes and catalase) and nonheme
(NADH hydrogenase, succinic dehydrogenase, aconi-
tase) enzymes (5%). The remaining iron is found in
body storage as ferritin (20%) and hemosiderin (10%),
the two major iron storage proteins. Only very minor
quantities of iron (<0.1%) are found as a transit
chelate with transferrin, the main iron transport
protein in the body.
The metabolism of iron differs from that of other
minerals in one important respect: there is no phy-
siological mechanism for iron excretion. The body has
three unique mechanisms for maintaining iron balance
and preventing iron defi ciency and iron overload:
● storage of iron (with ferritin being an important
reversible storage protein for iron)
● reutilization of iron (especially of iron in
erythrocytes)
● regulation of iron absorption.
In theory, therefore, when the body needs more iron,
absorption is increased, and when the body is iron
suffi cient, absorption is restricted. This control is not
perfect but is still of great importance for the preven-
tion of iron defi ciency and excess. Iron from food is
Table 9.8 Sodium and potassium content of various foods (mg/100 g
edible portion)
Food Na K
Legumes
Red kidney beans 18 1370
Soyabeans 5 1730
Lentils 12 940
Dried fruit
Raisins 60 1020
Figs 62 970
Nuts
Walnuts 7 450
Almonds 14 780
Fruit and vegetables
Banana 1 400
Melon 5–32 100–210
Potato 11 320
Spinach 140 500
Meat and fi sh
Beef, veal, lamb 52–110 230–260
Chicken 81 320
Herring 120 320
Halibut 60 410
Tuna 47 400
Mussels 290 320
Miscellaneous
Cow’s milk 55 140
Chocolate 11 300
Reproduced from Sánchez-Castillo and James in Sadler et al. Encyclo-
pedia of Human Nutrition, copyright 1999 with permission of
Elsevier.