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FNDH 700 Final 100% Correct Verified 2024 Version

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The only nutrient deficiency that is also prevalent in Industrialized counties - Iron Iron deficiency's effect on Transferrin - increases transferrin synthesis and total iron binding capacity Physical symptoms in severe IDA - Reduced work capacity and breathlessness on exertion What exacerbates anemia - Infectious diseases such as malaria and worm infections What interferes with iron absorption? - Phytates, this is an issue in lower income countries as most of the iron consumed is plant based that also has phytates Why do women absorb more iron? - Because they have lower stores Sources of nonheme iron - Dark leafy greens What enhances iron absorption? - Protein and ascorbic acid Primary use of stored iron? - Production of hemoglobin Full-term infants are iron stores - Born with substantial iron stores that will last about 6 months (preterm or LBW, only 2-3 months). This is when iron rich complementary foods should be introduced Why is more iron required during periods of growth? - As the blood volume expands, the iron requirement grows. It can be difficult to maintain this positive balance.Iron absorption, cows milk v. breast milk - Although cows milk has more iron only 10% of it can be absorbed while 50% of iron in breast milk can be Hookworm and Iron - In tropical counties hookworm is a major cause of gastrointestinal blood loss, contributing to deficiency in older children and adults Serum Iron Concentration - Not a great way to determine anemia, measures serum iron and is reduced by inflammation, malignancy, and during menstruation. Total Iron Binding Capacity - Test for iron deficiency, TIBC is raised in iron deficiency. Transferrin Saturation - Test for iron deficiency, ratio of serum iron and TIBC, decreased in iron deficiency Serum Ferritin - Test for iron deficiency, reflects the status of total body iron stores. Low value indicates anemia. Test of choice! Problem with Serum Ferritin test - Inflammation and infection rise levels and can hide deficiency Universal supplimentation of Iron - Great where iron deficiencies are very common. Give out supplements to all! Ferrous Sulphate - Highly soluble form of iron used to fortify infant formula and bread Regions with iodine deficiency - Mountainous and river deltas What industrial country was discovered to be mildly iodine deficient in the 2000's - Australia Goitrogens - Substances that compete with iodine uptake, found in maize, sweet potatoes, lima beans

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FNDH 700 Final | 100% Correct | Verified
| 2024 Version
The only nutrient deficiency that is also prevalent in Industrialized counties - ✔✔Iron



Iron deficiency's effect on Transferrin - ✔✔increases transferrin synthesis and total iron binding capacity



Physical symptoms in severe IDA - ✔✔Reduced work capacity and breathlessness on exertion



What exacerbates anemia - ✔✔Infectious diseases such as malaria and worm infections



What interferes with iron absorption? - ✔✔Phytates, this is an issue in lower income countries as most
of the iron consumed is plant based that also has phytates



Why do women absorb more iron? - ✔✔Because they have lower stores



Sources of nonheme iron - ✔✔Dark leafy greens



What enhances iron absorption? - ✔✔Protein and ascorbic acid



Primary use of stored iron? - ✔✔Production of hemoglobin



Full-term infants are iron stores - ✔✔Born with substantial iron stores that will last about 6 months
(preterm or LBW, only 2-3 months). This is when iron rich complementary foods should be introduced



Why is more iron required during periods of growth? - ✔✔As the blood volume expands, the iron
requirement grows. It can be difficult to maintain this positive balance.

, Iron absorption, cows milk v. breast milk - ✔✔Although cows milk has more iron only 10% of it can be
absorbed while 50% of iron in breast milk can be



Hookworm and Iron - ✔✔In tropical counties hookworm is a major cause of gastrointestinal blood loss,
contributing to deficiency in older children and adults



Serum Iron Concentration - ✔✔Not a great way to determine anemia, measures serum iron and is
reduced by inflammation, malignancy, and during menstruation.



Total Iron Binding Capacity - ✔✔Test for iron deficiency, TIBC is raised in iron deficiency.



Transferrin Saturation - ✔✔Test for iron deficiency, ratio of serum iron and TIBC, decreased in iron
deficiency



Serum Ferritin - ✔✔Test for iron deficiency, reflects the status of total body iron stores. Low value
indicates anemia. Test of choice!



Problem with Serum Ferritin test - ✔✔Inflammation and infection rise levels and can hide deficiency



Universal supplimentation of Iron - ✔✔Great where iron deficiencies are very common. Give out
supplements to all!



Ferrous Sulphate - ✔✔Highly soluble form of iron used to fortify infant formula and bread



Regions with iodine deficiency - ✔✔Mountainous and river deltas



What industrial country was discovered to be mildly iodine deficient in the 2000's - ✔✔Australia



Goitrogens - ✔✔Substances that compete with iodine uptake, found in maize, sweet potatoes, lima
beans

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