Defining reference values of trace elements in the tear film: diagnostic methods and possible applications.

The study has been performed on tears of apparently healthy subjects who live and work in urban and rural areas, respectively. After the collection the following elements were investigated: chromium (Cr); arsenic (As); copper (Cu); zinc (Zn); selenium (Se); rubidium (Rb); barium (Ba); lead (Pb) and cobalt (Co). Significantly higher values of As were found in subjects living and working in rural areas as compared to those found in urban area residents (0.290 vs. 0.025; p<0.001). Conversely, Ba and Pb were significantly lower in rural area residents (1.10 vs. 2.50, p=0.027 and 1.70 vs. 1.10, p=0.057, respectively). Our data show that trace elements analysis in tears is possible; further studies could define if it could be a reliable biomarker in persons exposed to high concentration of trace elements due to working or environmental reasons.

Toxicity considerations when revising the Nordic nutrition recommendations.

The Nordic countries have issued common nutrition recommendations since 1980. In connection with the 3rd revision, a joint working group of nutritionists and toxicologists assessed the toxicology of selected trace elements. Values for upper limits of intake were established for iron, zinc, iodine and selenium. The safety factors between the lowest intakes at which adverse effects had been reported and the suggested upper limits of intake were small. In the toxicological evaluation of upper safe intake levels of essential trace elements, interactions between trace elements as well as long-term exposure to moderately elevated trace element intakes have to be considered.

Evaluation of multiple micronutrient supplementation in the management of oral submucous fibrosis in Karachi, Pakistan.

Oral submucous fibrosis (OSF) is an oral precancerous condition characterized by symptoms such as intolerance to spicy food, altered salivation, progressive difficulty in opening the mouth, and signs like vesiculation, ulceration, blanching, rigidity, and stiffening of the oral mucosa and depapillation and altered mobility of the tongue. It is seen mostly among people of Indian subcontinent origin. The major structural change is extensive fibroelastic scarring of the lamina propria and deeper connective tissues. A combination of micronutrients (vitamins A, B complex, C, D, and E) and minerals (iron, calcium, copper, zinc, magnesium, and others) was evaluated for its efficacy in controlling the symptoms and signs of OSF in 117 compliant subjects in Karachi, Pakistan, in a single-arm preliminary study. The subjects received supplementation for one to three years. Significant improvement in symptoms, notably intolerance to spicy food, burning sensation, and mouth opening, was observed at exit. The interincisor distance deteriorated in 11 subjects (10%) at exit; it was stable in 56 subjects (49%) and improved in 48 (41%). The mean interincisor distance was 19.1 +/- 10.8 (SD) mm at exit compared with 16.2 +/- 7.5 mm at baseline. A significant proportion of concomitant lesions like leukoplakia also regressed at exit. The major outcome from this study was a beneficial clinical response in subjects with OSF to multiple micronutrient intervention, which justifies its further evaluation in well-designed randomized controlled trials in other settings in South Asia.

Evaluation of copper sulfate and a copper lysine complex as growth promoters for weanling swine.

Two 5-wk trials using 176 weanling pigs (average initial weight of 8.3 kg and age of 31 d) were conducted to examine the effect of feeding varying levels of dietary Cu from copper sulfate (CuSO4) or a copper lysine complex (CuLys) on performance, mineral stores, serum copper, and serum mitogenic activity. Dietary treatments were 0 (15 mg/kg of Cu in basal diet), 100, 150, or 200 mg/kg of supplemental Cu from CuSO4 or CuLys. Average daily gain and ADFI increased linearly (P < .01) with increasing dietary levels of Cu during wk 1 to 2, 3 to 5, and 1 to 5, with no difference (P > .10) between the Cu sources. Overall gain:feed ratios were not consistently affected by Cu source. Dietary Cu linearly increased liver, kidney (P < .001), and brain (P < .05) concentrations of Cu. In the liver, the linear response to supplemental Cu differed between Cu sources (P < .001); pigs fed 200 mg/kg of Cu from CuLys had the highest concentration of Cu. Serum Cu concentrations increased linearly during wk 1 to 2 (P < .01), 3 to 5, and 1 to 5 (P < .001), with no difference (P > .10) between sources. Serum mitogenic activity increased linearly during wk 1 to 2 and 1 to 5 (P < .05). Growth performance was linearly improved as the dietary level of Cu increased from 15 to 200 mg/kg, with similar responses for both Cu sources. Serum and tissue concentrations of Cu were generally equally affected by the two Cu sources, except liver Cu concentration, which was onefold higher for pigs fed 200 mg/kg of Cu as CuLys.

Micronutrients (magnesium, zinc, and copper): are mineral supplements needed for athletes?

Mineral elements, including magnesium, zinc, and copper, are required by the body in modest amounts for the maintenance of health and for the development of optimal physiological function. For athletes, adequate amounts of these minerals are required for physical training and performance. Studies of athletes during training, as compared to nontraining control subjects, indicate the potential for increased losses of minerals in sweat and urine. Some studies report suboptimal intakes of minerals, particularly among athletes who are actively attempting to lose weight to meet standards for competition. However, most athletes consume diets that provide adequate amounts of minerals to meet population standards. Athletes should be counseled to consume foods with high nutrient density rather than to rely on mineral supplements. General use of mineral supplements can alter physiological function and impair health.

Efficacy of a copper-lysine complex as a growth promotant for weanling pigs.

Eight 28- or 35-d experiments involving, 1,301 crossbred pigs weaned at 30 +/- 2 d of age (7.0 to 7.9 kg initial weight) were conducted to evaluate the efficacy of a Cu-lysine complex (CuLys; CuPLEX 80 in Exp. 1 to 5, and CuPLEX 100 in Exp. 6 to 8) at dietary concentrations of 50, 100, or 200 ppm as a growth promoter for weanling pigs. CuPLEX 80 contained 50% Cu in the complexed from (1 mol Cu:2 mol lysine) and 50% Cu as CuSO4.5H2O (CuSO4). All the Cu in CuPLEX 100 was in the complexed form. In general, the addition of Cu from CuSO4 or either CuLys source improved pig performance. Overall, averaged across Cu sources, there were no differences between 100 and 200 ppm of Cu in the magnitude of improvement over controls for daily gain (14.0 vs 14.3%), daily feed (12.1 vs 10.7%), or feed:gain ratio (1.6 vs 3.0%). Averaged across levels of Cu supplementation, the percentage improvements from CuLys additions were greater than those for CuSO4 for growth rate (16.8 vs 11.5%; P < .03) and feed intake (14.1 vs 8.7%' P < .01), but not for efficiency of feed utilization (2.2 vs 2.4%). These trends were similar for both sources of CuLys. Liver Cu concentrations of pigs receiving 200 ppm of Cu in the totally complexed form (CuPLEX-100) were lower (P < .025) than concentrations in those receiving 200 ppm of Cu from CuSO4 (111 vs 221 ppm).(ABSTRACT TRUNCATED AT 250 WORDS)

[Nutritive value of daily food rations reproduced in different regions of the country. IV. Copper, zinc and manganese levels]. / Wartosc odzywcza calodziennych racji pokarmowych odtwarzanych w kilku regionach kraju. CZ. IV. Zawatosc miedzi, cynku, manganu.

The content of copper, zinc and manganese in daily diets reconstructed in the laboratory in 1988 on the basis of data on the yearly food consumption in 1986 of two social groups (manual and mental workers) with medium income was determined. The diets were prepared for four regions of the country (Warszawa, Lublin, Poznan, Wroclaw). It was found out that the content of copper and zinc in the diets in 1986 and the realisation of recommended dietary allowances for these minerals were lower than in 1973, 1980 and 1981. The degree of realization of the recommended intake of zinc and copper in diets from 1986 was on average 67% and 45% respectively. The content of manganese in the diets was in the range of recommendation. The content of microminerals in the diets was usually similar in the all studied regions of the country.

Upper limits of zinc, copper and manganese in infant formulas.

Upper limits are proposed for zinc, copper and manganese in infant formulas. At these limits intakes would be lower than would intakes shown to be associated with toxicity, but the upper limits of an entirely safe range of intake remain uncertain. The proposed limits provide a considerable margin beyond normal nutritional requirements, and it is not recommended that formulas should typically contain these quantities. The proposed upper limits (per 100 kcal) are 1.5 mg of zinc, 200 micrograms of copper and 50 micrograms of manganese.