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This lesson covers iron and sodium, two minerals with very different roles and concerns, as required by AQA GCSE Food Preparation and Nutrition (8585), specification section 3.2.2. Iron deficiency is the most common nutritional deficiency worldwide, while excessive sodium intake is a major public health concern in the UK. Both are frequently examined.
Iron is a trace mineral (trace element) — it is needed in small amounts, but it is absolutely essential for life. The body of an average adult contains approximately 4 grams of iron, most of which is found in the blood.
| Function | Detail |
|---|---|
| Haemoglobin production | Iron is a key component of haemoglobin, the protein in red blood cells that carries oxygen from the lungs to every cell in the body. Without iron, haemoglobin cannot be formed, and oxygen delivery is impaired. |
| Myoglobin | Iron is also part of myoglobin, a protein that stores oxygen in muscle cells for use during physical activity. |
| Energy metabolism | Iron is involved in enzyme systems that release energy from food. |
| Immune function | Iron supports the normal function of the immune system. |
| Cognitive function | Adequate iron is important for concentration, memory, and mental performance, particularly in children and adolescents. |
There are two forms of iron in food, and this distinction is very important:
| Type | Source | Absorption |
|---|---|---|
| Haem iron | Found only in animal products — red meat, liver, kidney, poultry, fish | Well absorbed (15–35% absorption rate). Not significantly affected by other dietary factors. |
| Non-haem iron | Found in plant foods and also in animal products — dark green leafy vegetables, pulses, fortified cereals, dried fruit, wholegrain bread | Less well absorbed (2–20% absorption rate). Absorption is affected by other dietary factors. |
flowchart TD
A["Dietary Iron"] --> B["Haem Iron<br/>(animal sources)"]
A --> C["Non-Haem Iron<br/>(plant sources)"]
B --> D["Well absorbed<br/>(15-35%)"]
C --> E["Less well absorbed<br/>(2-20%)"]
F["Vitamin C"] -->|"enhances<br/>absorption"| E
G["Tannins in tea<br/>Phytates in cereals"] -->|"inhibit<br/>absorption"| E
style B fill:#c0392b,color:#fff
style C fill:#27ae60,color:#fff
style F fill:#f1c40f,color:#000
style G fill:#e74c3c,color:#fff
| Factor | Effect on Iron Absorption |
|---|---|
| Vitamin C | Enhances absorption of non-haem iron. Eating Vitamin C-rich foods with iron-rich foods significantly improves uptake. |
| Haem iron | Haem iron is inherently better absorbed than non-haem iron. |
| Tannins (in tea and coffee) | Inhibit non-haem iron absorption. Drinking tea with meals reduces iron uptake. |
| Phytates (in wholegrain cereals) | Inhibit non-haem iron absorption by binding to iron in the gut. |
| Calcium | High calcium intake at the same meal can reduce iron absorption. |
| Oxalates (in spinach) | Inhibit iron absorption — spinach contains iron but also oxalic acid, which reduces how much iron is actually absorbed. |
Exam Tip: The Vitamin C/iron absorption link and the tannin/iron absorption link are among the most commonly tested facts. Always mention Vitamin C as a way to enhance non-haem iron absorption and tea/tannins as an inhibitor.
| Source Type | Examples |
|---|---|
| Red meat | Beef, lamb, pork (haem iron — well absorbed) |
| Offal | Liver, kidney (very rich in haem iron) |
| Poultry and fish | Chicken, turkey, tuna, sardines (haem iron) |
| Dark green leafy vegetables | Spinach, kale, broccoli, watercress (non-haem iron) |
| Pulses | Lentils, chickpeas, kidney beans, baked beans (non-haem iron) |
| Fortified cereals | Many breakfast cereals are fortified with iron; UK flour is fortified by law (non-haem iron) |
| Dried fruit | Apricots, raisins, figs (non-haem iron) |
| Eggs | (non-haem iron) |
| Wholegrain bread | (non-haem iron) |
Iron deficiency is the most common nutritional deficiency in the world and is also common in the UK, particularly among certain groups.
Iron-deficiency anaemia occurs when the body does not have enough iron to produce adequate haemoglobin. Red blood cells become small and pale (microcytic, hypochromic) and cannot carry sufficient oxygen.
| Symptom | Explanation |
|---|---|
| Tiredness and fatigue | Reduced oxygen delivery to cells means less energy is produced. |
| Pale skin and pale inner eyelids | Less haemoglobin gives blood a paler colour. |
| Shortness of breath | The body tries to compensate for reduced oxygen by breathing faster. |
| Dizziness and headaches | Reduced oxygen to the brain. |
| Cold hands and feet | Poor oxygen delivery to extremities. |
| Brittle nails | Nails may become thin, flat, or spoon-shaped (koilonychia). |
| Poor concentration | Especially noticeable in school-age children. |
| Weakened immune system | Increased susceptibility to infections. |
| Group | Reason |
|---|---|
| Teenage girls and women of childbearing age | Iron is lost through menstruation each month. Teenage girls who also have a poor diet are especially at risk. |
| Pregnant women | Blood volume increases during pregnancy, requiring more iron. The developing baby also needs iron. |
| Vegetarians and vegans | No haem iron in the diet; non-haem iron is less well absorbed. Must rely on plant sources plus Vitamin C to enhance absorption. |
| Young children | Rapid growth increases iron demand. Fussy eating can lead to inadequate intake. |
| Athletes | Increased iron loss through sweat and higher demand for oxygen transport. |
| Older adults | Reduced appetite and dietary variety can lead to low iron intake. |
Exam Tip: When advising a vegetarian on how to improve iron intake, suggest: (1) eating iron-rich plant foods (dark green leafy veg, pulses, fortified cereals), (2) consuming Vitamin C with meals to enhance absorption, and (3) avoiding tea with meals as tannins inhibit absorption.
Sodium is a macro mineral found mainly as sodium chloride (table salt) in the diet. While sodium is essential for life, the major concern in the UK is excess intake rather than deficiency.
| Function | Detail |
|---|---|
| Fluid balance | Sodium helps regulate the balance of water inside and outside cells (osmotic balance). This is critical for maintaining blood volume and blood pressure. |
| Nerve function | Sodium ions are essential for transmitting nerve impulses (electrical signals) along nerve cells. |
| Muscle contraction | Sodium works with potassium to enable muscle contraction and relaxation. |
| Nutrient absorption | Sodium helps the small intestine absorb certain nutrients, including glucose and amino acids. |
The vast majority of sodium in the UK diet comes from processed and manufactured foods, not from salt added at the table or during cooking.
| Source Type | Examples |
|---|---|
| Processed foods | Ready meals, crisps, savoury snacks, takeaway food, canned soups, processed meats (bacon, ham, sausages, salami) |
| Bread | One of the largest contributors to sodium intake in the UK due to the quantities consumed |
| Cheese | Particularly hard and processed cheese |
| Sauces and condiments | Soy sauce, ketchup, gravy granules, stock cubes |
| Breakfast cereals | Some contain significant amounts of salt |
| Salt added during cooking or at the table | Table salt, sea salt, rock salt |
| Natural sources | Small amounts are naturally present in most foods, including meat, fish, vegetables, and milk |
Exam Tip: Approximately 75% of the sodium in the UK diet comes from processed and manufactured foods. Only about 10–15% is added during cooking or at the table. This is an important fact — it means that reducing processed food consumption is more effective than simply not adding salt at the table.
The UK government recommends that adults consume no more than 6 grams of salt per day (equivalent to about 2.4 grams of sodium). Current average intake in the UK is approximately 8 grams of salt per day — significantly above the recommended limit.
| Age Group | Maximum Recommended Salt Intake |
|---|---|
| 1–3 years | 2 g/day |
| 4–6 years | 3 g/day |
| 7–10 years | 5 g/day |
| 11 years and over | 6 g/day |
| Adults | 6 g/day |
Excess sodium intake is a major public health concern because of its link to several serious conditions:
| Condition | How Excess Sodium Contributes |
|---|---|
| High blood pressure (hypertension) | Excess sodium causes the body to retain water, increasing blood volume and putting extra pressure on blood vessel walls. |
| Coronary heart disease (CHD) | High blood pressure damages the walls of arteries, increasing the risk of fatty deposits (atherosclerosis), which can lead to heart attacks. |
| Stroke | High blood pressure increases the risk of blood vessels in the brain bursting or becoming blocked. |
| Kidney disease | The kidneys must work harder to excrete excess sodium, potentially causing long-term damage. |
| Stomach cancer | Some evidence links high salt intake to increased risk of stomach cancer. |
flowchart TD
A["Excess Sodium<br/>Intake"] --> B["Water Retention"]
B --> C["Increased<br/>Blood Volume"]
C --> D["High Blood<br/>Pressure"]
D --> E["Coronary Heart<br/>Disease"]
D --> F["Stroke"]
D --> G["Kidney<br/>Disease"]
style A fill:#c0392b,color:#fff
style D fill:#e74c3c,color:#fff
style E fill:#8e44ad,color:#fff
style F fill:#8e44ad,color:#fff
style G fill:#8e44ad,color:#fff
| Strategy | Detail |
|---|---|
| Read food labels | Check the traffic light labels and nutrition information panel. Choose products with green (low) salt indicators. |
| Reduce processed food | Eat fewer ready meals, takeaways, processed meats, and salty snacks. |
| Do not add salt at the table | Remove the salt shaker from the table. |
| Use less salt in cooking | Gradually reduce the amount of salt added to recipes. |
| Use herbs and spices | Flavour food with herbs, spices, lemon juice, garlic, and pepper instead of salt. |
| Choose low-salt alternatives | Select reduced-salt versions of sauces, stock cubes, and snacks. |
| Cook from scratch | Home-cooked meals generally contain less salt than processed equivalents. |
Sodium deficiency is extremely rare in the UK because salt is so prevalent in the diet. It can occur in cases of:
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