Zinc also aids the interaction of insulin with its target tissues to facilitate the uptake of blood sugar.. Furthermore, zinc deficiency in the womb can lead to a weakened immune system
Trang 1673
xanthan gum A food additive used as an
emulsi-fier in salad dressing, syrup, and pie fillings where
viscous mixtures are desired Xanthan gum is
sta-ble to heat and acidic conditions, making it a
ver-satile stabilizer A water-soluble POLYSACCHARIDE,
xanthan gum is produced by bacteria and is
con-sidered a safe additive
As a supplement, xanthan gum is a source of
water-soluble FIBER, and it improves the body’s
ability to use glucose (BLOOD SUGAR), decreasing
the need for INSULIN, the hormone responsible for
lowering blood sugar Xanthan gum improves GLU
-COSE TOLERANCEin diabetics, apparently by slowing
starch digestion and preventing glucose from being
dumped into the bloodstream Xanthan gum may
also help lower blood CHOLESTEROL (See also DIA
-BETES MELLITUS; FOOD ADDITIVES.)
xanthophyll A yellow pigment related to BETA
-CAROTENEthat cannot be converted to vitamin A
XANTHOPHYLLbelongs to the family of CAROTENOIDS,
widely distributed yellow-orange pigments found
in many plants It is often added to poultry feed to
color poultry skin yellow and to deepen the color
of egg yolks Consumers often associate these color
changes with quality
xenobiotic Any compound found in the body
that originated from the external environment
Xenobiotics represent a diverse group of chemicals,
ranging from PESTICIDES to drugs, industrial
sol-vents and cigarette tar Xenobiotics are either
stored in fatty tissues, such as adipose (fat) tissue
and nerves, or they are processed by enzymes and
eliminated through the bile, urine, and, to a certain
extent, in sweat However, long-term exposure to
environmental chemicals in the home or the
work-place can lead to their buildup in the body, ulti-mately leading to illness
Chemical modification of xenobiotics occurs chiefly in the LIVER; lungs, kidneys, and intestines also play a role Enzymes of these organs convert foreign compounds to more water-soluble forms, so that they can be excreted To accomplish this feat, the body employs a battery of oxidizing enzymes, called Phase 1 enzymes These enzymes require
IRON, NIACIN, and RIBOFLAVINfor their activity A sec-ond battery of enzymes, called Phase 2 enzymes, then attaches compounds—including amino acids, sulfate, and sugar acids—to the modified xenobi-otic The “conjugated” product is generally much more soluble in body fluids, is more easily excreted
and is less harmful than the unprocessed xenobiotic.
Key nutrients support Phase 2 processes: the sulfur-containing amino acid CYSTEINE, VITAMIN C, PAN
-TOTHENIC ACID and niacin (See also CANCER;
DETOXICATION; GLUTATHIONE.) McFadden, S A “Phenotypic Variation in Zenobiotic Metabolism and Adverse Environmental Response: Focus on Sulfur-Dependent Detoxification Pathways,”
Toxicology 111 (1996): 43–65.
xylitol A sugar alcohol used as a sweetener Xyl-itol is a derivative of a common pentose (small sugar) that is as sweet as SUCROSE (table sugar) Small amounts occur naturally in PLUMS, RASPBER
-RIES, STRAWBERRIES, and vegetables like CAULI
-FLOWER and EGGPLANT The commercial source is birch bark Xylitol is used in sugar-free gum and diet foods like jams and jellies It has little effect on
BLOOD SUGAR Like other sugar alcohols, such as MANNITOLand
SORBITOL, xylitol resists fermentation by oral bacte-ria Early studies indicated that chewing sugarless gum sweetened with xylitol after eating sugar-rich
Trang 2foods reduced the rate of dental cavities More
recently, children given xylitol daily seemed to
develop less tooth decay Xylitol may interfere with
decay-causing bacteria by blocking their utilization
of other sugars However, the safety of this additive
is questionable Bladder and adrenal gland tumors can form and organs can be damaged when ani-mals consume xylitol for long periods (See also
ARTIFICIAL SWEETENERS; NATURAL SWEETENERS;
TEETH.)
674 xylitol
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yam (Dioscorea spp.) A starchy tuber of a
tropi-cal plant Yams are unrelated to the rich SWEET
POTATOES sold in the United States, which they
resemble Yams were cultivated in Africa and Asia
as early as 8000 B.C and are now a staple among
people living in tropical regions They are produced
in West Africa, Southeast Asia, and the Polynesian
islands The cush cush yam (D trifida), the Asiatic
yam (D alata), and the white yam (D rotunda) are
important food yams Yams can be baked, broiled,
roasted, or fried Unlike sweet potatoes, true yams
contain little BETA-CAROTENE Compared to POTA
-TOES, yams contain the same amount of protein,
but 50 percent more starch They contain half as
much vitamin C as potatoes
Several varieties of yams contain ALKALOIDS,
plant substances that possess powerful physiologic
effects The Asiatic bitter yam, D hispida, contains
diosorine, a toxin that can be removed by soaking
or boiling it in water Chinese yams, D opposita and
D batatas, are used in Oriental medicine Certain
wild types of yams yield STEROIDS, hormone-like
substances that have been used to prepare oral
contraceptives and arthritis medications
yeast See BAKER’S YEAST; BREWER’S YEAST; CANDIDA
ALBICANS
yellow no 5 and no 6 See ARTIFICIAL FOOD COL
-ORS
yogurt A fermented milk product Yogurt is one
of the oldest cultured dairy foods Commercially, a
mixture of fresh, skimmed, and nonfat dry MILKS
are inoculated with bacteria that ferment milk
sugar to LACTIC ACID, which both curdles the milk
and acts as a PRESERVATIVE
In terms of nutrients, yogurt resembles the milk from which it was prepared, including the calcium content The nutritional quality varies with the type of milk, type of lactic acid cultures, fermenta-tion condifermenta-tions, storage condifermenta-tions, and additives Producers may add thickeners (CARRAGEENAN, modified starch, PECTIN, or AGAR), nonfat dry milk solids and SUGAR, as well as fruit flavor, to yogurt Acid-producing bacteria such as LACTOBACILLUS ACI
-DOPHILUS , L bulgaricus, and Streptococcus thermophilus
are sometimes added as well
Various claims have been made regarding the possible health benefits of yogurt Studies have shown that yogurt with live cultures of lactic acid-producing bacteria is tolerated by lactose-sensitive people, presumably due to the presence of bacter-ial enzymes capable of degrading LACTOSE (milk sugar) to simple sugars The conjecture that yogurt offers protection against coronary heart disease by lowering blood CHOLESTEROL arose from observa-tions of Masai tribesmen of East Africa who con-sume large amounts of yogurt-like foods, yet maintain low blood cholesterol levels Subsequent studies have failed to support this hypothesis Data
on the effects of yogurt on gastrointestinal infec-tions are conflicting Yogurt’s role in increasing longevity remains unproven
Yogurt has become popular in the United States since the 1960s due to its convenience, variety of flavors, and its image as a health food Many vari-eties of yogurt are available: fat and nonfat, plain and flavored, frozen yogurts, and yogurt drinks Yogurt may be pasteurized, so the live bacteria are destroyed Manufacturers may add back acid-producing bacteria Nonfat yogurt contains 6 per-cent of its calories as fat; low-fat yogurt, 24 perper-cent; and whole milk yogurt, 48 percent The nutrient content of 1 cup (227 g) of nonfat yogurt is: 127
Trang 4calories; protein, 13 g; carbohydrate, 17.4 g; fat,
0.41 g; cholesterol, 4 mg; calcium, 452 mg;
potas-sium, 579 mg; thiamin, 0.11 mg; riboflavin, 0.53
mg; niacin, 0.28 mg One cup of yogurt made from
whole milk (227 g) provides 138 calories; protein,
7.9 g; carbohydrate, 10.6 g; fat, 7.6 g; cholesterol, 29
mg; calcium, 275 mg; potassium, 216 mg; thiamin,
0.07 mg; riboflavin, 0.32 mg; niacin, 0.17 mg
Shalev, E et al “Ingestion of Yogurt Containing
Lacto-bacillus Acidophilus Compared with Pasteurized
Yogurt as Prophylaxis for Recurrent Candidal
Vagini-tis and Bacterial Vaginosis,” Archives of Family Medicine
5 (1996): 593–596.
yo-yo dieting (diet-induced obesity) A pattern of
repeated losing and regaining of weight This
pat-tern of weight fluctuation may carry added health
risks for overweight people People whose weight
fluctuates repeatedly suffer increased mortality
from heart disease as well as other causes With
on-again off-on-again DIETING, some people may gradually adapt to using food more efficiently, possibly mak-ing weight loss more difficult with repeated dietmak-ing cycles, although there is no consensus on the long-term consequences
There are other possibilities: Yo-yo dieting may increase a dieter’s desire for fatty foods and it may lower self-esteem, leading to other ineffective weight-loss strategies Fat regained after drastic weight loss tends to cluster in the upper body and the abdominal cavity The so-called android pat-tern, with a waist to hip ratio greater than 1.0, increases the risk of CARDIOVASCULAR DISEASE The National Task Force on the Prevention and Treat-ment of Obesity concluded that yo-yo dieting may not pose serious health risks (1994) OBESITY is a complex phenomenon due to many factors, in-cluding inheritance and environmental influ-ences More study is needed to define long-term health effects of repeated dieting (See also WEIGHT MANAGEMENT.)
676 yo-yo dieting
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zeaxanthin A yellow-pigmented XANTHOPHYLL
derived from BETA-CAROTENE This CAROTENOIDhas
powerful ANTIOXIDANTproperties and is plentiful in
corn and dark green leafy vegetables such as
spinach and collard greens It is typically found in
combination with lutein, a closely-related
caro-tenoid Neither zeaxanthin nor lutein can be
con-verted to vitamin A Recent studies have linked
consumption of zeaxanthin and LUTEIN, from foods,
with reduced risk of eye diseases such as macular
degeneration and cataracts It is believed that these
carotenoids protect delicate eye tissue from damage
by FREE RADICALSand that they may act as light
fil-ters, preventing harmful blue light from the sun
from reaching inner eye structures
zein A protein from CORN Zein is deficient in two
dietary essential AMINO ACIDS, LYSINE, and TRYPTO
-PHAN High lysine varieties of corn have been
devel-oped to partially remedy this deficiency Zein is
commercially produced by treating cornmeal with
alcohol It is used as an edible coating for CANDY
and shelled nuts and finds many industrial uses,
ranging from paper coating to microencapsulation
(See also GLUTEN.)
Zen macrobiotic diet See MACROBIOTIC DIET
zinc An essential trace mineral nutrient required
for a wide array of metabolic processes The body
contains about 2.2 g of zinc, more than any trace
mineral except iron The highest concentrations
occur in the skin, prostate gland, eyes, nails, and
hair, although it is widely distributed among
tis-sues Over 100 different ENZYMES(biological
cata-lysts) require zinc For example, zinc is required by
DNApolymerase, an enzyme required for the
syn-thesis of DNA (responsible for inheritance), and by
RNA polymerase, an enzyme required for the syn-thesis of RNA RNA guides the synsyn-thesis of proteins using the genetic information stored in DNA Gene activators that regulate the expression of genetic information often utilize proteins containing zinc
to bind to specific regions on the DNA molecule
Possible Roles in Maintaining Health
Other roles range from protection against oxidation
to digestion and BLOOD SUGARregulation Thus zinc
is classified as an ANTIOXIDANTwhen it functions as
a cofactor for SUPEROXIDE DISMUTASE, the enzyme that disarms a particularly reactive form of oxygen
In digestion, the pancreatic PROTEASE, CARBOXYPEP
-TIDASE, requires zinc for its protein-degrading action Furthermore, the hormone INSULIN is processed and packaged as a zinc complex Zinc also aids the interaction of insulin with its target tissues to facilitate the uptake of blood sugar Zinc supports normal cell division and growth, the function of cell membranes, the IMMUNE SYS
-TEM, BONE calcification and the development and function of male reproductive organs Many trace minerals and vitamins, including zinc, are required for normal growth and development Zinc defi-ciency can cause birth defects, complicated deliver-ies and low birth weight, as well as impaired learning and delayed sexual development
Immune System It is well established that zinc stimulates the IMMUNE SYSTEM Zinc activates T-lymphocytes, the soldiers and generals of the immune system Furthermore, zinc deficiency in the womb can lead to a weakened immune system
at birth and enhanced risk of infection in newborn infants Furthermore, zinc deficiency may be par-tially responsible for the weakened immunity that
so frequently accompanies AGING Zinc
Trang 6supplemen-tation can improve white cell counts and antibody
production in healthy, elderly people There are
intriguing hints that the zinc status of some AIDS
patients is marginal; these patients have a severely
imbalanced immune system Zinc may help lessen
symptoms of such autoimmune diseases as
RHEUMATOID ARTHRITIS, when the body begins to
attack its own tissues Zinc’s role in combating the
common cold is controversial Some studies have
shown that zinc supplements can reduce the length
and severity of cold symptoms, while other studies
have been inconclusive Additional research is
needed to determine whether zinc can help cold
sufferers lessen their misery
Cancer A healthy immune system helps
pre-vent cancer, and zinc-deficient animals are more
sensitive to carcinogens (cancer-causing agents)
Patients with prostate cancer have significantly
lower zinc levels, as do those with esophageal
can-cer Whether zinc supplementation alone corrects
prostate enlargement or slows prostate cancer is
unproven
Male Fertility Zinc is implicated in normal
prostate functions and male infertility The male
sex hormone, TESTOSTERONE, may regulate zinc
metabolism in the prostate, and zinc, in turn, may
affect testosterone metabolism in the prostate Zinc
deficiency leads to a lowered sperm count as well
as impotence, and initial studies suggest that zinc
can be used therapeutically in these cases
Vision Zinc plays a role in vision Conversion
of VITAMIN A to its biologically active form, retinal,
requires zinc Zinc-deficient alcoholics may suffer
from night blindness, and zinc has been used in this
situation Aging frequently brings blindness In
cer-tain cases, zinc supplementation may slow the
progress of vision loss due to this condition
Tissue Repair Zinc seems to promote wound
healing, particularly in zinc-deficient individuals
Zinc is necessary for tissue repair and growth Zinc
ointments have been used to treat ACNE
Taste Zinc deficiency leads to altered taste and
smell sensitivity; diminished taste acuity may
respond to zinc
Requirements The RECOMMENDED DIETARY
ALLOWANCE for adult men is 11 mg and for adult
women is 8 mg Pregnancy and lactation increase a
woman’s requirements
Sources The best sources of zinc are animal products SEAFOODS, MEAT, and POULTRY provide readily absorbed forms of zinc BREWER’S YEAST, whole GRAINS, and BRANcontain zinc Zinc in veg-etables and grains is tightly bound, limiting its
BIOAVAILABILITY Recently zinc has been added to parenteral (IV) nutrient formulations and to break-fast cereals
Marginal (subclinical) zinc deficiency can be a problem for many Americans Early symptoms of a subclinical deficiency include loss of appetite, altered taste and smell, decreased appetite, as well
as slow growth in children Lethargy, white spots
on fingernails, slow wound healing, impotence, and delayed sexual development may follow Chronic dieters, alcoholics, strict vegetarians, and young children with diets compromised by junk food often consume inadequate zinc and other trace nutrients Some patients with EATING DISOR
-DERSmay be zinc deficient Zinc may help patients recovering from injury or infection Pregnant and lactating women require zinc and other trace min-erals Elderly people may rely on zinc-deficient foods, a situation that is compounded by their reduced ability to absorb trace minerals like zinc Strenuous exercise increases zinc loss through sweating and increased excretion, consequently an athlete’s need for zinc increases
Factors that increase the need for zinc include kidney disease, diabetes, cystic fibrosis, INFLAMMA
-TORY BOWEL DISEASE, inherited zinc deficiency, and the use of diuretics and laxatives A high-fiber diet and foods containing PHYTIC ACID can bind trace minerals and limit zinc uptake when large amounts are taken Likewise, excessive COPPER, IRON, or CAL
-CIUMdisplace zinc and limit its uptake
Safety Zinc is relatively nontoxic, and modest zinc supplementation for insurance may be appro-priate particularly when the diet is compromised or there is maldigestion or malabsorption The ratio of zinc to copper should be about seven to one, the ratio of the RDAs Symptoms of zinc excess include nausea, bloating, abdominal cramps, diarrhea, and fever A high zinc intake (100 to 300 mg daily) may suppress the immune system, lower HIGH-DENSITY LIPOPROTEIN(HDL, believed to protect against heart disease) and block the absorption of copper, creat-ing a copper deficiency Copper deficiency in turn
678 zinc
Trang 7can increase blood CHOLESTEROL, LOW-DENSITY
LIPOPROTEIN(LDL, the undesirable form) and lower
HDL, thus increasing the risk of CARDIOVASCULAR
DISEASE (See also ATHEROSCLEROSIS.)
Mares-Perlman, J A et al “Zinc Intake and Sources in
the U.S Adult Population 1976–1980,” Journal of the
American College of Nutrition 14, no 4 (1995):
349–357.
Mossad, S B et al “Zinc Gluconate Lozenges for Treating
the Common Cold,” Annals of Internal Medicine 125
(1996): 81–88.
zymogen (proenzyme) An inactive form of an enzyme that is converted in the body to an active enzyme Examples include pepsinogen, secreted by the STOMACHto form PEPSINfor protein digestion in the stomach; chymotrypsinogen and trypsinogen secreted by the PANCREAS to form CHYMOTRYPSIN
and TRYPSIN for protein DIGESTIONin the intestine Secretion of these DIGESTIVE ENZYMESas zymogens normally assures their safe transit through the cell before activation so they do not attack the tissue that is their source
zymogen 679