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F&N Bulletin Vol 23 No 1b - United Nations University

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10<br />

V. Iyengar<br />

» Stable isotopic techniques are used routinely to<br />

assess the absorption of iron, copper, zinc, selenium,<br />

calcium, and magnesium from test meals. It is possible<br />

to extend the range of application to other<br />

elements, such as molybdenum, nickel, vanadium,<br />

tin, and boron, to better understand their biological<br />

functions. Semistable, very long-lived radionuclides<br />

(aluminum-26, manganese-53, and iodine-129) can<br />

be used for monoisotopic elements.<br />

» Use of stable isotopic techniques for absorption<br />

studies is not limited to those elements that are<br />

essential to the human body. They can also be used<br />

for toxicological studies of lead, cadmium, mercury,<br />

and chromium. For heavy metals, stable isotopic<br />

techniques have been used in humans to study<br />

cadmium absorption.<br />

» Impressive progress has been seen in the instrumentation<br />

of isotope ratio mass spectrometry (IRMS)<br />

incorporating a gas-chromatographic interface. This<br />

improvement facilitates the conversion of specific<br />

compounds to carbon dioxide, hydrogen, or nitrogen,<br />

yielding compounds specific to isotope ratio<br />

measurements. This is expected to open new and<br />

exciting applications in nutritional sciences.<br />

Conclusions<br />

Isotopic techniques have been used extensively in<br />

industrialized countries to analyze human energy<br />

requirements, human body composition, and the<br />

metabolism of important nutrients, such as protein,<br />

fat, vitamins, and minerals. The information acquired<br />

has led directly to many improvements in nutrition<br />

and health. These techniques have only begun to be<br />

applied in developing countries, where they can not<br />

only benefit millions through improved nutrition, but<br />

also serve as specific indicators of broader social and<br />

economic advances. Stable isotopes provide the only<br />

direct way to measure iron uptake and bioavailability<br />

and are regarded the “gold standard” for iron studies in<br />

humans. Isotopic methods are unique for measuring<br />

the absorption of zinc from foods and breastmilk<br />

intake by infants.<br />

References<br />

1. WHO. Nutrition for health and development (NHD).<br />

Progress and prospects on the eve of the 21st century.<br />

Geneva: World Health Organization, 1999.<br />

2. UNICEF. The state of the world’s children 1998. Oxford:<br />

Oxford <strong>University</strong> Press, 1997.<br />

3. WHO. Global database on child growth and malnutrition:<br />

forecast of trends. Document WHO/NHD/99.12.<br />

Geneva: WHO, 1999.<br />

4. UNICEF. Malnutrition in South Asia. A Regional<br />

profile, ROSA Publication. Kathmandu, Nepal: UNICEF<br />

Regional Office for South Asia, 1997.<br />

5. James WPT. The nutritional crisis to come. In: Koop<br />

EC, Pearson C, Schwarz RM, eds. Critical issues in<br />

global health. San Francisco, Calif, USA: Jossey-Bass,<br />

2001:<strong>23</strong>8–50.<br />

6. World Bank. World development indicators. World<br />

development report 1994: infrastructure for development.<br />

Washington, DC: World Bank, 1994.<br />

7. Underwood B. Undernutrition. In: Koop EC, Pearson<br />

C, Schwarz RM, eds. Critical issues in global health. San<br />

Francisco, Calif, USA: Jossey-Bass, 2001:229–37.<br />

8. WHO. Global database on body mass index (BMI).<br />

Geneva: World Health Organization, 1999.<br />

9. Iyengar GV, Nair PP. Global outlook on nutrition and<br />

the environment: meeting the challenges of the next millennium.<br />

The Science of the Total Environment 2000;<br />

249:331–46.<br />

10. Prasad AS. Essential and toxic trace elements in health<br />

and disease. New York: Alan R. Liss, 1988.<br />

11. Goyer RA. Toxic and essential metal interactions. Annu<br />

Rev Nutr 1997;17:37–50<br />

12. Goyer RA. Transplacental transport of lead. Environ<br />

Health Perspect 1990;89:101–5.<br />

13. Elsenhans B, Schuemann K, Forth W. Toxic metals:<br />

interactions with essential metals. In: Rowland IR, ed.<br />

Nutrition toxicology and cancer. Boca Raton, Fla., USA:<br />

CRC Press, 1991:2<strong>23</strong>–58.<br />

14. Iyengar GV. Elemental analysis of biological systems.<br />

Boca Raton, Fla., USA: CRC Press, 1989.<br />

15. IAEA. Harmonization of health related environmental<br />

measurements using nuclear and isotopic techniques.<br />

Vienna: International Atomic Energy Agency, 1997.<br />

16. Mellon FA, Sandstroem B, eds. Stable isotopes in human<br />

nutrition. Inorganic nutrient metabolism. New York:<br />

Academic Press, 1996.<br />

17. Klein PD, Klein ER. Stable isotope usage in developing<br />

countries: safe tracer tools to measure human nutritional<br />

status. International Atomic Energy Agency<br />

<strong>Bulletin</strong> 1987;4:41–4.<br />

18. IAEA. Targeting malnutrition. Isotopic tools for evaluating<br />

nutrition worldwide. Vienna: International Atomic<br />

Energy Agency, 1996.<br />

19. Anand S, Ravallion M. Human development in poor<br />

countries: on the role of private incomes and public<br />

services. J Econ Perspect 1993;7:133–50.<br />

20. Nutrition and Health Related Environmental Studies—<br />

NAHRES-57. Report of the advisory group meeting<br />

to review the IAEA’s current nutrition activities and<br />

to identify relevant new areas. Vienna: International<br />

Atomic Energy Agency, 2000.

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