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矿物质与人类健康:从缺乏到中毒

Minerals and Human Health: From Deficiency to Toxicity.

作者信息

Razzaque Mohammed S, Wimalawansa Sunil J

机构信息

Department of Medical Education, University of Texas, Rio Grande Valley, Edinburg, TX 78520, USA.

Cardiometabolic Institute, Brunswick, NJ 08902, USA.

出版信息

Nutrients. 2025 Jan 26;17(3):454. doi: 10.3390/nu17030454.

DOI:10.3390/nu17030454
PMID:39940312
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11820417/
Abstract

Minerals are essential nutrients that play critical roles in human health by regulating various physiological functions. Examples include bone development, enzyme function, nerve signaling, and the immune response. Both the deficiencies and toxicities of minerals can have significant health implications. Deficiencies in macrominerals such as calcium, magnesium, and phosphate can lead to osteoporosis (associated with falls and fractures), cardiovascular events, and neuromuscular dysfunction. Trace mineral deficiencies, such as iron and zinc. Selenium deficiency impairs oxygen transport, immune function, and antioxidant defenses, contributing to anemia, delaying wound healing, and increasing susceptibility to infectious diseases. Conversely, excessive intake of minerals can have severe health consequences. Hypercalcemia can cause kidney stones and cardiac arrhythmias as well as soft-tissue calcification, whereas excessive iron deposition can lead to oxidative stress and organ/tissue damage. Maintaining adequate mineral levels through a balanced diet, guided supplementation, and monitoring at-risk populations is essential for good health and preventing disorders related to deficiencies and toxicities. Public health interventions and education about dietary sources of minerals are critical for minimizing health risks and ensuring optimal well-being across populations. While a comprehensive analysis of all macro and micronutrients is beyond the scope of this article, we have chosen to focus on calcium, magnesium, and phosphate. We summarize the consequences of deficiency and the adverse events associated with the overconsumption of other minerals.

摘要

矿物质是必需营养素,通过调节各种生理功能在人类健康中发挥关键作用。例如,骨骼发育、酶功能、神经信号传导和免疫反应。矿物质的缺乏和过量都可能对健康产生重大影响。钙、镁和磷酸盐等常量矿物质的缺乏会导致骨质疏松症(与跌倒和骨折相关)、心血管事件和神经肌肉功能障碍。微量矿物质缺乏,如铁和锌。硒缺乏会损害氧气运输、免疫功能和抗氧化防御,导致贫血、伤口愈合延迟,并增加对传染病的易感性。相反,过量摄入矿物质会产生严重的健康后果。高钙血症会导致肾结石和心律失常以及软组织钙化,而过量的铁沉积会导致氧化应激和器官/组织损伤。通过均衡饮食、有指导的补充以及对高危人群进行监测来维持适当的矿物质水平,对于保持良好健康和预防与缺乏和过量相关的疾病至关重要。关于矿物质膳食来源的公共卫生干预措施和教育对于将健康风险降至最低并确保全体人群的最佳健康至关重要。虽然对所有宏量和微量营养素进行全面分析超出了本文的范围,但我们选择重点关注钙、镁和磷酸盐。我们总结了缺乏的后果以及与其他矿物质过度摄入相关的不良事件。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7a2/11820417/720d55a30c19/nutrients-17-00454-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7a2/11820417/7fc32b4833cd/nutrients-17-00454-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7a2/11820417/ef106239fe6d/nutrients-17-00454-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7a2/11820417/145c5042ba73/nutrients-17-00454-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7a2/11820417/720d55a30c19/nutrients-17-00454-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7a2/11820417/7fc32b4833cd/nutrients-17-00454-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7a2/11820417/ef106239fe6d/nutrients-17-00454-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7a2/11820417/145c5042ba73/nutrients-17-00454-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7a2/11820417/720d55a30c19/nutrients-17-00454-g004.jpg

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