Some nutritional aspects of trace metals

Nutritional profile and risk assessment of inorganic elements in enteral and parenteral nutrition formulas

The contents of essential (Ca, Fe, K, Na, P, and Zn) and potentially toxic inorganic elements (As, Al, Cd, Cr, Cu, Mn, and Pb) in enteral and parenteral nutrition formulas were evaluated by inductively coupled plasma optical emission spectrometry (ICP OES) and graphite furnace atomic absorption spectrometry (GFAAS). A total of 30 enteral formulas, 23 parenteral solution components, and 3 parenteral solutions were analyzed. The elements Ca and K presented the higher contents (72-2918 mg L-1 and 235-2760 mg L-1) while the lowest concentration levels were found for As and Cd (<0.68 µg L-1 and <0.01-0.62 µg L-1) in the studied samples. The validated analytical methods presented an accuracy of 75-116% and RSD values lower than 9.8%. Calcium gluconate and magnesium sulfate, which are used as raw materials in parenteral solution, are potential sources of Al and Mn contamination. A Hazard Quotient (HQ) >1 was obtained for Al (27 ± 1 µg L-1) in one of the parenteral samples, whereas the established limit is 25 µg L-1. Enteral samples were considered safe for consumption regarding the Al, As, and Cd levels. One healing-specific and pediatric formula contained Pb at levels above 0.25 µg kg-day-1, too high for safe consumption. The enteral formulas (pediatric, diabetes-specific, renal-specific, healing-specific, and standard formula with addition of fiber) presented risks in relation to the consumption of Cr and Mn (>250 µg day-1 and >11 mg day-1). The results indicate the need for strict monitoring, considering that these formulations are often the single patient's food source.

The effect of different ammonium to nitrate ratios on antioxidant activity, morpho-physiological and phytochemical traits of Moldavian balm (Dracocephalum moldavica)

Improving yield and secondary metabolites production of medicinal plants through nutrition management recently has been considered. The present study was done to determine the effects of different ammonium (NH₄⁺) to nitrate (NO₃^-) ratios (100:0, 75:25, 50:50, 25:75, 0:100) on morphophysiological, nutrient contents (N, P, K, Ca, and Mg), phenolic compounds (Total phenolics (TPC) and flavonoid (TFC) contents and individual phenolics including chlorogenic acid, rosmarinic acid, gallic acid, cinnamic acid, caffeic acid, rutin, p-Coumaric acid, apigenin, and quercetin by HPLC-DAD), essential oil composition (by GC and GC-MS), and antioxidant capacity (by DPPH and FRAP assays) of Moldavian balm (Dracocephalum moldavica L.) in deep water culture (DWC) system. The highest biomass and morphological traits values of D. moldavica observed in 0:100 ratio of NH₄⁺:NO₃^-. Also, the highest TPC and TFC was earned in plants that supplied with 0:100 ratio of NH₄⁺:NO₃^-. Using the 25:75 ratio of NH₄⁺:NO₃^- caused the highest nutrient contents (N, Ca and Mg) in the leaves. p-Coumaric acid was detected as the major abundant phenolic compound in extracts and the application of 75:25 ratio of NH₄⁺:NO₃ resulted in the highest amounts of p-Coumaric acid, gallic acid, rosmarinic acid, caffeic acid, quercetin, and rutin. The highest antioxidant capacity by both FRAP and DPPH assays was obtained in 75:25 ratio of NH₄⁺:NO₃^-. Also, the highest geranial and geranyl acetate, geraniol, and neral were obtained in 75:25, 25:75, and 50:50 ratios of NH₄⁺:NO₃^-, respectively. Plants supplied with the 0:100 ratio of NH₄⁺:NO₃^-, had the highest total carotenoids, while the highest chlorophyll a and b content gained with 75:25 ratio of NH₄⁺:NO₃^-. These results suggest that the management of N source in nutrient recipe could contribute to enhance of morphophysiological traits, antioxidant activity and phytochemical compounds in Moldavian balm.

The concentrations of bioelements in the hair samples of Jordanian children who stutter

OBJECTIVES

This study investigates the levels of 15 bioelements (calcium, copper, chromium, sodium, iron, magnesium, manganese, zinc, cobalt, selenium, molybdenum, vanadium, potassium, boron, and lithium) in the hair species of Jordanian stutterer.

METHODS

The subjects of the study included 25 cases of stuttering, and 25 normal children (age and sex matched). The severity of stuttering (low, moderate, and severe) were assessed using Stuttering Severity Instrument, Fourth edition (SSI-4). Hair samples of subjects were cut, washed, dried, physically degraded, hydrolyzed, and analyzed by Inductively Coupled Plasma Mass Spectrometry (ICP-MS).

RESULTS

Results indicated that the levels of bioelements (Calcium, Copper, Chromium, Magnesium, Manganese, Cobalt, Selenium, Molybdenum, Vanadium, Boron, and Lithium) were significantly lesser in the hair samples of stuttering group than the control group.

CONCLUSION

The findings of the current study could support the use of biochemical analyses as diagnostic biomarker for stuttering.

Copper deficiency in the preterm infant of very low birthweight. Four cases and a reference range for plasma copper

Four preterm infants of very low birthweight (less than 1500 g) developed signs of copper deficiency between age 8 and 10 weeks. All had required prolonged ventilatory support, parenteral nutrition, and nasojejunal feeding. The clinical features, which included osteoporosis, oedema, anaemia, neutropenia, and late apnoea improved when the oral copper intake was increased. Diagnosis was made more difficult because a suitable reference range for plasma copper was not available. Serial measurements of plasma copper in 39 preterm infants who had no important medical problems were used to produce a reference range for plasma copper from 30 weeks' gestation to term plus seven weeks. This information will aid recognition of hypocupraemia in the very low birthweight infant who is particularly at risk of copper deficiency.

Acrodermatitis enteropathica

A brief review of the clinical and biochemical features of Acrodermatitis enteropathica is given. This condition in now known to be caused by a systemic zinc deficiency secondary to a defect in the intestinal absorption of zinc and it illustrates the metabolic importance of this element in man.