Phosphorus Total body content of phosphorus is 1kg. second most abundant mineral in the body. It is an intracellular ion.
80% of it occurs in combination with Ca in the bones and teeth. 10% is found in muscles and blood in association with proteins,carbohydrates and lipids. Remaining 10% is widely distributed in various chemical compounds.
BIOCHEMICAL FUNCTIONS : Formation of bone & teeth. Production of high energy phosphate compounds e.g ATP,GTP,Creatine phosphate. Synthesis of coenzymes NAD+, NADP+,pyridoxal phosphate.  DNA & RNA Synthesis,phospholipids and phosphoprotein synthesis.
Involved in Phosphorylation reactions for activation of proteins and enzymes. Regulates Acid Base balance(Phosphate buffer).  Involved in the metabolism of carbohydrates,Glucose-6- phosphate, Fructose-6-phosphate.
DIETARY REQUIREMENT AND SOURCES. RDA of phosphate is based on the calcium intake. Ca:P in 1:1 is recommended.This is found in milk.Other sources include,cereals,green leafy vegetables,meat and eggs.
ABSORPTION Calcitriol  favours phosphate absorption Acidity  favours while  phytate  decreases phosphate uptake.
PLASMA PHOSPHATE. 40mg/dl of whole blood. Serum contains 3-4mg/dl. Phosphate may exist as free ions (inorganic)  or in complex form, with cations such as Ca,Mg,Na,K ,OR bound to proteins ( organic phosphate). Inorganic phosphate is present in two forms, HPO ₄⁻⁻ ,H ₂ PO ₄⁻
RBC’s contain more phosphate chiefly organic phosphate. Plasma inorganic levels are higher in children. Fasting serum phosphate levels are higher than post-prandial levels.
EXCRETION. A reciprocal relation with Phosphorus and Calcium The reabsorption of phosphate by renal tubules is inhibited by PTH .
Level decreases in Hyperparathyroidism and increases in Hypoparathyroidism. In Renal failure – Phosphorus excretion diminished - Ca excretion Increase leading to low Ca levels and high phosphorus level causing acidosis. Vitamin D deficient rickets is characterized by decreased serum phosphate(1-2mg/dl)
BIOCHEMICAL FUNCTIONS: Regulation of acid base balance,fluid balance and osmotic pressure. Formation of HCl in gastric juice. The enzyme salivary amylase is activated by chloride. Chloride shift  involves the active participation of Cl⁻.
DIETARY REQUIREMENT AND SOURCES 5-10g per day.Adequate intake of sodium satisfy the chloride requirement of the body. Common salt,leafy vegetables,whole grains,eggs and milk are good sources.
PLASMA CHLORIDE. 95-105meq/l Cerebrospinal fluid contains higher level of Chloride(125meq/l),due to low protein in CSF.So chloride is higher in order to maintain donnan membrane equilibrium . EXCRETION. Exists parallel relationship between excretion of chloride and sodium.
HYPOCHLOREMIA: Reduction in serum chloride due to vomiting diarrhea,respiratory alkalosis,addison’s disease and excessive sweating. HYPERCHLOREMIA: Increase in serum chloride due to dehydration,respiratory acidosis and cushing’s syndrome.

Macrominerals

  • 1.
  • 2.
    Phosphorus Total bodycontent of phosphorus is 1kg. second most abundant mineral in the body. It is an intracellular ion.
  • 3.
    80% of itoccurs in combination with Ca in the bones and teeth. 10% is found in muscles and blood in association with proteins,carbohydrates and lipids. Remaining 10% is widely distributed in various chemical compounds.
  • 4.
    BIOCHEMICAL FUNCTIONS :Formation of bone & teeth. Production of high energy phosphate compounds e.g ATP,GTP,Creatine phosphate. Synthesis of coenzymes NAD+, NADP+,pyridoxal phosphate. DNA & RNA Synthesis,phospholipids and phosphoprotein synthesis.
  • 5.
    Involved in Phosphorylationreactions for activation of proteins and enzymes. Regulates Acid Base balance(Phosphate buffer). Involved in the metabolism of carbohydrates,Glucose-6- phosphate, Fructose-6-phosphate.
  • 6.
    DIETARY REQUIREMENT ANDSOURCES. RDA of phosphate is based on the calcium intake. Ca:P in 1:1 is recommended.This is found in milk.Other sources include,cereals,green leafy vegetables,meat and eggs.
  • 7.
    ABSORPTION Calcitriol favours phosphate absorption Acidity favours while phytate decreases phosphate uptake.
  • 8.
    PLASMA PHOSPHATE. 40mg/dlof whole blood. Serum contains 3-4mg/dl. Phosphate may exist as free ions (inorganic) or in complex form, with cations such as Ca,Mg,Na,K ,OR bound to proteins ( organic phosphate). Inorganic phosphate is present in two forms, HPO ₄⁻⁻ ,H ₂ PO ₄⁻
  • 9.
    RBC’s contain morephosphate chiefly organic phosphate. Plasma inorganic levels are higher in children. Fasting serum phosphate levels are higher than post-prandial levels.
  • 10.
    EXCRETION. A reciprocalrelation with Phosphorus and Calcium The reabsorption of phosphate by renal tubules is inhibited by PTH .
  • 11.
    Level decreases inHyperparathyroidism and increases in Hypoparathyroidism. In Renal failure – Phosphorus excretion diminished - Ca excretion Increase leading to low Ca levels and high phosphorus level causing acidosis. Vitamin D deficient rickets is characterized by decreased serum phosphate(1-2mg/dl)
  • 12.
    BIOCHEMICAL FUNCTIONS: Regulationof acid base balance,fluid balance and osmotic pressure. Formation of HCl in gastric juice. The enzyme salivary amylase is activated by chloride. Chloride shift involves the active participation of Cl⁻.
  • 13.
    DIETARY REQUIREMENT ANDSOURCES 5-10g per day.Adequate intake of sodium satisfy the chloride requirement of the body. Common salt,leafy vegetables,whole grains,eggs and milk are good sources.
  • 14.
    PLASMA CHLORIDE. 95-105meq/lCerebrospinal fluid contains higher level of Chloride(125meq/l),due to low protein in CSF.So chloride is higher in order to maintain donnan membrane equilibrium . EXCRETION. Exists parallel relationship between excretion of chloride and sodium.
  • 15.
    HYPOCHLOREMIA: Reduction inserum chloride due to vomiting diarrhea,respiratory alkalosis,addison’s disease and excessive sweating. HYPERCHLOREMIA: Increase in serum chloride due to dehydration,respiratory acidosis and cushing’s syndrome.