Exam 13: Nutrients Involved in Blood Health and Immunity

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One of your friends is interested in taking an immune-boosting supplement containing vitamin C, vitamin E, and zinc as well as some herbal extracts and asks for your opinion. Explain to your friend how the immune system works and the role of nutrition in the immune system. Would you advise her to take the supplement? Why or why not? What other advice would you provide your friend with to help her achieve optimal immune health?

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The immune system works to prevent the body from disease, promote healing, and guard against cancer.
There are two types of immune responses, non-specific and specific.
The non-specific immune response uses the skin and mucous membranes to block invaders from entering the body. Other responses such as coughing, sneezing, vomiting, and diarrhea are all designed to expel harmful agents. Furthermore, the acidic environment of the stomach can kill foodborne microbes.
There are also immune cells such as macrophages, neutrophils, and natural killer cells that can destroy wide variety of harmful microorganisms.
Inflammatory chemicals and the high temperature of a fever can also kill disease-causing microbes.
Conversely, the specific immune function is directed against recognized antigens. This response needs time to develop and can take a couple of days.
The specific immune response relies primarily on two types of cells, the B cells and T cells.
The B cells differentiate into plasma cells that produce antibodies to flag the antigens for destruction. The B cells also differentiate into memory cells, which remain in circulation and can quickly attack an invader if you have previously been exposed to the pathogen.
Cytotoxic T cells will kill the body cells harbouring microbes or any other non-self substances. The helper T cells produce chemicals that activate the B cells and cytotoxic T cells.
Optimal nutrition is critical for a healthy immune system. If an individual is poorly nourished, they are at an increased risk for illness and infection.
If an individual has inadequate intakes of protein, it will impair the body's ability to make antibodies and for the immune cells to kill bacteria.
The essential fatty acids are also important in immune health. The essential fatty acids play a role in the development of eicosanoids, which are required for the immune system to respond to invaders. It is important to have a good balance of essential fatty acids as both deficient and excessive intakes have been found to impair the immune response.
Vitamins and minerals are also involved in the immune system. Vitamin A helps maintain the mucosal surfaces of membranes in the non-specific immune response. Vitamin A deficiencies have been associated with increased infections, however, excessive intakes may also be detrimental.
Vitamin C, E, and the mineral selenium contribute to the immune response through their antioxidant functions.
Zinc is required for gene expression and enzyme activation for B an T cell proliferation and copper is required for the immune cells to multiply.
Iron is important in the function of T and B cells as well as the neutrophils. Conversely, iron is also a pro-oxidant, thus excessive amounts can hamper the immune system.
I would not advise her to take the supplement. In most cases, excessive intakes of these nutrients will impair not enhance the immune response. Furthermore, the supplement will not provide all of the nutrients required by the immune system. Unless there is an actual deficiency of these nutrients the extra amounts are unlikely to be beneficial.
I would advise my friend to eat a healthy, well-balance diet high in foods containing the nutrients involved in maintaining the immune system.
I would also encourage her to achieve and/or maintain a healthy body weight. Excess body weight has been associated with increased infections, delayed wound healing, and a poor antibody response.

It has been proposed that zinc supplementation could beneficial for those with elevated blood glucose levels. Consider the roles of zinc in the body. Would you say this is a plausible hypothesis? Why or why not?

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Yes, I believe this is a plausible hypothesis because zinc has a role in insulin synthesis and secretion. Zinc also influences how adipose cells can take up glucose.

A non-governmental organization (NGO)wishes to reduce the risk of infections in children by providing mass vitamin A supplementation. What should they check first to ensure the program will be effective in improving immune health? Why?

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The NGO should first check the vitamin A status of the population. Vitamin A supplementation can improve immune health in populations with low vitamin A status; however, there is evidence that excessive intakes of vitamin A can have the opposite effective and impair immune response.

The oxygen-carrying protein used to transport oxygen in muscle is called:

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Which of the following explains why folate is critical to the health of a newly conceived embryo?

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Mohammed has been fighting off a cold and is considering taking a vitamin C supplement providing 1 000 mg every day. Mohammed has also recently been diagnosed with hemochromatosis. Would you recommend he take the vitamin C supplement? Why or why not?

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Breast feeding can provide the infant with protection against illnesses because:

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Which of the following individuals is MOST likely to be vitamin B12 deficient?

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Kylie has lost 30 pounds over the past year bringing her weight down into the healthy range. What impact could this have on her immune system?

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Zinc lozenges are often used by people with the common cold. How could intakes above the UL impact the immune system?

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Hapreet has just had her ferritin levels checked and her physician has told her that her levels are low. She is surprised to hear this because she has not noticed any physical symptoms. In what stage of iron deficiency is Hapreet?

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Which blood protein transports copper?

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Juanita is 32-years-old and has just found out she is pregnant. She knows that folate is an important nutrient and wants to make sure she is meeting the recommendation. She calculates that she is getting 200 ug of food folate a day and 320 ug of synthetic folic acid from fortified food sources. How many ug of dietary folate equivalents (DFE)is provided by her diet? Is a change needed? Why or why not?

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What is the name of the zinc associated structures that helps maintain the integrity and shape of proteins?

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A patient has low serum and red blood cell folate. When their physician measures their homocysteine levels they are slightly elevated. What stage of a folate deficiency is the patient in?

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Consumption of high levels of folate supplements can mask a(n)________ deficiency.

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Which form of folate is found in most supplements?

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Amy would like to enhance the absorption of iron from her spinach salad. Which of the following foods should she add to her salad?

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When reviewing the nutritional profile for an adult female who is 29-years-old you notice that her copper intakes are 650 ug/day and her zinc intakes are 15 mg/day. What dietary changes would you recommend if any?

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The majority of copper is absorbed from the:

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