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== Essentiality == === Essential nutrients === {{anchor|Essential nutrients}} An '''essential nutrient''' is a nutrient required for normal physiological function that cannot be synthesized in the body β either at all or in sufficient quantities β and thus must be obtained from a [[Diet (nutrition)|dietary]] source.<ref>{{cite web | url = http://library.med.utah.edu/NetBiochem/nutrition/lect1/2_1.html | title = What is an essential nutrient? | publisher = NetBiochem Nutrition, [[University of Utah]]}}</ref><ref name="VaughanGeissler2009">{{cite book| first1 = John Griffith | last1 = Vaughan | first2 = Catherine | last2 = Geissler| first3 = Barbara | last3 = Nicholson | first4 = Elisabeth | last4 = Dowle | first5 = Elizabeth | last5 = Rice | name-list-style = vanc |title=The new Oxford book of food plants|url=https://books.google.com/books?id=UdKxFcen8zgC&pg=PA212|access-date=13 October 2010|year=2009|publisher=Oxford University Press US|isbn=978-0-19-954946-7|pages=212β}}</ref> Apart from [[water]], which is universally required for the maintenance of [[homeostasis]] in mammals,<ref>{{cite journal | vauthors = JΓ©quier E, Constant F | title = Water as an essential nutrient: the physiological basis of hydration | journal = European Journal of Clinical Nutrition | volume = 64 | issue = 2 | pages = 115β23 | date = February 2010 | pmid = 19724292 | doi = 10.1038/ejcn.2009.111 | s2cid = 205129670 | url = http://www.nature.com/ejcn/journal/v64/n2/pdf/ejcn2009111a.pdf | doi-access = free }}</ref> essential nutrients are indispensable for various cellular [[metabolic process]]es and for the maintenance and function of tissues and organs.<ref name="AJCN">{{cite journal | vauthors = Chipponi JX, Bleier JC, Santi MT, Rudman D | title = Deficiencies of essential and conditionally essential nutrients | journal = The American Journal of Clinical Nutrition | volume = 35 | issue = 5 Suppl | pages = 1112β6 | date = May 1982 | pmid = 6805293 | doi = 10.1093/ajcn/35.5.1112 | doi-access = free }}</ref> The nutrients considered essential for humans comprise nine amino acids, two fatty acids, thirteen [[vitamin]]s, fifteen [[Mineral (nutrient)|minerals]] and [[choline]].<ref name="AJCN" /> In addition, there are several molecules that are considered conditionally essential nutrients since they are indispensable in certain developmental and pathological states.<ref name="AJCN" /><ref name="Carver">{{cite book |last1=Carver |first1=Jane | name-list-style = vanc |chapter=Conditionally essential nutrients: choline, inositol, taurine, arginine, glutamine and nucleotides |editor1-first=Patti J |editor1-last=Thureen |editor2-first=William W |editor2-last=Hay |title=Neonatal Nutrition and Metabolism |date=2006 |publisher=Cambridge University Press |location=Cambridge, UK|pages=299β311|doi=10.1017/CBO9780511544712.020|isbn=9780511544712}}</ref><ref>{{cite journal | vauthors = Kendler BS | title = Supplemental conditionally essential nutrients in cardiovascular disease therapy | journal = The Journal of Cardiovascular Nursing | volume = 21 | issue = 1 | pages = 9β16 | date = 2006 | pmid = 16407731 | doi = 10.1097/00005082-200601000-00004 | s2cid = 28748412 }}</ref> ====Amino acids==== {{Main|Essential amino acid}} An essential amino acid is an amino acid that is required by an organism but cannot be synthesized ''[[de novo synthesis|de novo]]'' by it, and therefore must be supplied in its diet. Out of the twenty standard protein-producing amino acids, nine cannot be [[endogenous]]ly synthesized by humans: [[phenylalanine]], [[valine]], [[threonine]], [[tryptophan]], [[methionine]], [[leucine]], [[isoleucine]], [[lysine]], and [[histidine]].<ref>{{cite journal | vauthors = Young VR | title = Adult amino acid requirements: the case for a major revision in current recommendations | journal = The Journal of Nutrition | volume = 124 | issue = 8 Suppl | pages = 1517Sβ1523S | date = August 1994 | pmid = 8064412 | doi = 10.1093/jn/124.suppl_8.1517S | url = http://jn.nutrition.org/cgi/reprint/124/8_Suppl/1517S.pdf }}</ref><ref name="DRI">{{cite web | title = Dietary Reference Intakes: The Essential Guide to Nutrient Requirements | publisher = Institute of Medicine's Food and Nutrition Board | url = http://fnic.nal.usda.gov/dietary-guidance/dietary-reference-intakes/dri-reports |access-date=14 July 2014 |url-status=dead |archive-url=https://web.archive.org/web/20140705140516/http://fnic.nal.usda.gov/dietary-guidance/dietary-reference-intakes/dri-reports |archive-date=5 July 2014 }}</ref> ====Fatty acids==== {{Main|Essential fatty acid}} Essential fatty acids (EFAs) are [[fatty acid]]s that humans and other animals must ingest because the body requires them for good health but cannot [[Biosynthesis|synthesize]] them.<ref>{{cite book | title = Modern Nutrition in Health and Disease | edition = 6th | year = 1980 | first1 = Robert S. | last1 = Goodhart | first2 = Maurice E. | last2 = Shils | name-list-style = vanc | publisher = Lea and Febinger | location = Philadelphia | isbn = 978-0-8121-0645-9 | pages = [https://archive.org/details/modernnutritionie6shil/page/134 134β138] | url = https://archive.org/details/modernnutritionie6shil/page/134 }}</ref> Only two fatty acids are known to be essential for humans: [[alpha-linolenic acid]] (an [[omega-3 fatty acid]]) and [[linoleic acid]] (an [[omega-6 fatty acid]]).<ref>{{cite book | vauthors = Ellie W, Rolfes SR | title = Understanding Nutrition | edition = 11th | location = California | publisher = Thomson Wadsworth | year = 2008 | pages = 154}}</ref> ====Vitamins and vitamers==== {{Main|Vitamin}} Vitamins occur in a variety of related forms known as [[vitamers]]. The vitamers of a given vitamin perform the functions of that vitamin and prevent symptoms of deficiency of that vitamin. Vitamins are those essential organic molecules that are not classified as amino acids or fatty acids. They commonly function as [[enzymatic cofactor]]s, metabolic regulators or [[antioxidant]]s. Humans require thirteen vitamins in their diet, most of which are actually groups of related molecules (e.g. [[vitamin E]] includes [[tocopherol]]s and [[tocotrienol]]s):<ref>{{cite journal | vauthors = Brigelius-FlohΓ© R, Traber MG | title = Vitamin E: function and metabolism | journal = FASEB Journal | volume = 13 | issue = 10 | pages = 1145β55 | date = July 1999 | pmid = 10385606 | doi = 10.1096/fasebj.13.10.1145 | s2cid = 7031925 | doi-access = free }}</ref> vitamins A, C, D, E, K, [[thiamine]] (B<sub>1</sub>), [[riboflavin]] (B<sub>2</sub>), [[Niacin (nutrient)|niacin]] (B<sub>3</sub>), [[pantothenic acid]] (B<sub>5</sub>), [[pyridoxine]] (B<sub>6</sub>), [[biotin]] (B<sub>7</sub>), [[folate]] (B<sub>9</sub>), and [[cobalamin]] (B<sub>12</sub>). The requirement for vitamin D is conditional, as people who get sufficient exposure to ultraviolet light, either from the sun or an artificial source, synthesize vitamin D in the skin.<ref name="lpi">{{cite web |title=Vitamin D |url=https://lpi.oregonstate.edu/mic/vitamins/vitamin-D |publisher=Micronutrient Information Center, Linus Pauling Institute, Oregon State University, Corvallis |access-date=14 March 2022 |date=11 February 2021}}</ref> ====Minerals==== {{Main|Mineral (nutrient)}} Minerals are the [[exogenous]] [[chemical element]]s indispensable for life. Although the four elements [[carbon]], [[hydrogen]], [[oxygen]], and [[nitrogen]] ([[CHON]]) are essential for life, they are so plentiful in food and drink that these are not considered nutrients and there are no recommended intakes for these as minerals. The need for nitrogen is addressed by requirements set for protein, which is composed of nitrogen-containing amino acids. [[Sulfur]] is essential, but again does not have a recommended intake. Instead, recommended intakes are identified for the sulfur-containing amino acids [[methionine]] and [[cysteine]]. The essential nutrient [[trace elements]] for humans, listed in order of [[Reference Daily Intake|recommended dietary allowance]] (expressed as a mass), are [[potassium]], [[chloride]], [[sodium]], [[calcium]], [[phosphorus]], [[magnesium]], [[iron]], [[zinc]], [[manganese]], [[copper]], [[iodine]], [[chromium]], [[molybdenum]], and [[selenium]]. Additionally, [[cobalt]] is a component of vitamin B<sub>12</sub> which is essential. There are other minerals which are essential for some plants and animals, but may or may not be essential for humans, such as [[boron]] and [[silicon]]. ====Choline==== {{Main|Choline}} Choline is an essential nutrient.<ref>{{cite web |title=Dietary Intakes of Choline |url=https://www.ars.usda.gov/ARSUserFiles/80400530/pdf/dbrief/9_choline_intakes_0708.pdf |website=usda.gov |publisher=United States Department of Agriculture |access-date=May 8, 2021}}</ref><ref>{{cite web |title=Choline |url=https://ods.od.nih.gov/factsheets/Choline-HealthProfessional/#:~:text=Choline%20is%20an%20essential%20nutrient,phospholipids%20vital%20for%20cell%20membranes. |website=nih.gov |publisher=National Institutes of Health |access-date=May 8, 2021}}</ref><ref>{{cite journal |last1=Zeisel |first1=Steven H |last2=da Costa |first2=Kerry-Ann |title=Choline: an essential nutrient for public health |journal=Nutrition Reviews |date=November 1, 2009 |volume=67 |issue=11 |pages=615β623 |doi=10.1111/j.1753-4887.2009.00246.x |pmid=19906248 |url= |pmc=2782876 }}</ref> The cholines are a family of water-soluble [[quaternary ammonium compound]]s.<ref name="Choline HMDB">{{cite encyclopedia|title=Choline|url=http://www.hmdb.ca/metabolites/hmdb00097|website=Human Metabolome Database|publisher=The Metabolomics Innovation Centre, University of Alberta, Edmonton, Canada|access-date=13 September 2016|date=17 August 2016}}</ref><ref>Britannica, The Editors of Encyclopaedia. "choline". Encyclopedia Britannica, 11 Dec. 2013, https://www.britannica.com/science/choline. Accessed 17 February 2022.</ref> Choline is the parent compound of the cholines class, consisting of ethanolamine having three methyl substituents attached to the amino function.<ref>National Center for Biotechnology Information (2022). PubChem Compound Summary for CID 305, Choline. Retrieved February 17, 2022 from https://pubchem.ncbi.nlm.nih.gov/compound/Choline.</ref> Healthy humans fed artificially composed diets that are deficient in choline develop fatty liver, liver damage, and muscle damage. Choline was not initially classified as essential because the human body can produce choline in small amounts through phosphatidylcholine metabolism.<ref>{{cite web |title=Choline |url=https://lpi.oregonstate.edu/mic/other-nutrients/choline |website=Micronutrient Information Center |date=28 April 2014 |publisher=Oregon State University |access-date=May 8, 2021}}</ref> === Conditionally essential === Conditionally essential nutrients are certain organic molecules that can normally be synthesized by an organism, but under certain conditions in insufficient quantities. In humans, such conditions include [[Preterm birth|premature birth]], limited nutrient intake, rapid growth, and certain disease states.<ref name="Carver" /> [[Inositol]], [[taurine]], [[arginine]], [[glutamine]] and [[nucleotides]] are classified as conditionally essential and are particularly important in neonatal diet and metabolism.<ref name="Carver" /> === Non-essential === {{Main|Dietary fiber}} Non-essential nutrients are substances within foods that can have a significant impact on health. [[Dietary fiber]] is not absorbed in the human digestive tract.<ref>{{Cite web|title=High-Fiber Diet - Colon & Rectal Surgery Associates|url=http://www.colonrectal.org/high_fiber.cfm|access-date=2020-08-16|website=www.colonrectal.org|archive-date=2020-09-26|archive-url=https://web.archive.org/web/20200926091147/http://colonrectal.org/high_fiber.cfm|url-status=dead}}</ref> [[Soluble fiber]] is metabolized to butyrate and other short-chain fatty acids by bacteria residing in the large intestine.<ref name="Butyrate synthesis pathways">{{cite journal | vauthors = Vital M, Howe AC, Tiedje JM | title = Revealing the bacterial butyrate synthesis pathways by analyzing (meta)genomic data | journal = mBio | volume = 5 | issue = 2 | pages = e00889 | date = April 2014 | pmid = 24757212 | pmc = 3994512 | doi = 10.1128/mBio.00889-14 }}</ref><ref name="lupton">{{cite journal | vauthors = Lupton JR | title = Microbial degradation products influence colon cancer risk: the butyrate controversy | journal = The Journal of Nutrition | volume = 134 | issue = 2 | pages = 479β82 | date = February 2004 | pmid = 14747692 | doi = 10.1093/jn/134.2.479 | doi-access = free }}</ref><ref name="Prebiotic digestion">{{cite journal | vauthors = Cummings JH, Macfarlane GT, Englyst HN | title = Prebiotic digestion and fermentation | journal = The American Journal of Clinical Nutrition | volume = 73 | issue = 2 Suppl | pages = 415Sβ420S | date = February 2001 | pmid = 11157351 | doi = 10.1093/ajcn/73.2.415s | doi-access = free }}</ref> Soluble fiber is marketed as serving a [[Prebiotic (nutrition)|prebiotic]] function with claims for promoting "healthy" intestinal bacteria.<ref>{{cite journal | vauthors = Brownawell AM, Caers W, Gibson GR, Kendall CW, Lewis KD, Ringel Y, Slavin JL | title = Prebiotics and the health benefits of fiber: current regulatory status, future research, and goals | journal = The Journal of Nutrition | volume = 142 | issue = 5 | pages = 962β74 | date = May 2012 | pmid = 22457389 | doi = 10.3945/jn.112.158147 | doi-access = free }}</ref> ===Non-nutrients=== [[Ethanol]] (C<sub>2</sub>H<sub>5</sub>OH) is not an essential nutrient, but it does supply approximately {{convert|7|kcal|kJ|order=flip|abbr=off}} of food energy per gram.<ref name=Lieber>{{cite journal | vauthors = Lieber CS | title = Relationships between nutrition, alcohol use, and liver disease | journal = Alcohol Research & Health | volume = 27 | issue = 3 | pages = 220β31 | date = 29 September 2004 | pmid = 15535450 | pmc = 6668875 | url = https://pubs.niaaa.nih.gov/publications/arh27-3/220-231.htm | access-date = 2 January 2020 }}</ref> For spirits (vodka, gin, rum, etc.) a standard serving in the United States is {{convert|1+1/2|USfloz|ml|order=flip|abbr=off}}, which at 40%{{nbsp}}ethanol (80{{nbsp}}proof) would be 14 grams and {{convert|98|kcal|kJ|order=flip|abbr=on}}. At 50%{{nbsp}}alcohol, 17.5 g and {{convert|122.5|kcal|kJ|order=flip|abbr=on}}. Wine and beer contain a similar amount of ethanol in servings of {{convert|5|and|12|USfloz|mL|order=flip|abbr=on}}, respectively, but these beverages also contribute to food energy intake from components other than ethanol. A {{convert|5|USfloz|mL|order=flip|abbr=on}} serving of wine contains {{convert|100|to|130|kcal|kJ|order=flip|abbr=on}}. A {{convert|12|USfloz|mL|order=flip|abbr=on}} serving of beer contains {{convert|95|to|200|kcal|kJ|order=flip|abbr=on}}.<ref>{{Cite web |title=RECENT DATA ON ETHANOL CONTRIBUTION TO ENERGY REQUIREMENTS OF NORMAL INDIVIDUALS. UPPER LIMIT OF ALCOHOL INTAKE |url=https://www.fao.org/4/M2834E/M2834E00.htm |access-date=2025-02-06 |website=www.fao.org}}</ref> According to the U.S. Department of Agriculture, based on [[NHANES]] 2013β2014 surveys, women ages 20 and up consume on average 6.8{{nbsp}}grams of alcohol per day and men consume on average 15.5 grams per day.<ref>{{Cite web|url=https://www.ars.usda.gov/ARSUserFiles/80400530/pdf/1314/Table_1_NIN_GEN_13.pdf|title="What We Eat in America, NHANES 2013-2014"}}</ref> Ignoring the non-alcohol contribution of those beverages, the average ethanol contributions to daily food energy intake are {{convert|48|and|108|kcal|kJ|order=flip|abbr=on}}, respectively. Alcoholic beverages are considered [[empty calorie]] foods because, while providing energy, they contribute no essential nutrients.<ref name=Lieber/> By definition, [[phytochemical]]s include all nutritional and non-nutritional components of edible plants.<ref name="lpi1">{{cite web|title=Phytochemicals|url=http://lpi.oregonstate.edu/mic/dietary-factors/phytochemicals|publisher=Micronutrient Information Center, Linus Pauling Institute, Oregon State University, Corvallis, OR|access-date=31 December 2017|date=February 2016}}</ref> Included as nutritional constituents are [[provitamin]] A [[carotenoid]]s,<ref name="lpi2">{{cite web|title=Carotenoids|url=http://lpi.oregonstate.edu/mic/dietary-factors/phytochemicals/carotenoids|publisher=Micronutrient Information Center, Linus Pauling Institute, Oregon State University, Corvallis, OR|access-date=31 December 2017|date=August 2016}}</ref> whereas those without nutrient status are diverse [[polyphenol]]s, [[flavonoid]]s, [[resveratrol]], and [[lignan]]s that are present in numerous plant foods.<ref name="lpi3">{{cite web|title=Flavonoids|url=http://lpi.oregonstate.edu/mic/dietary-factors/phytochemicals/flavonoids|publisher=Micronutrient Information Center, Linus Pauling Institute, Oregon State University, Corvallis, OR|access-date=31 December 2017|date=February 2016}}</ref> Some phytochemical compounds are under preliminary research for their potential effects on human diseases and health.<ref name="lpi1" /><ref name="lpi2" /><ref name=lpi3/> However, the qualification for nutrient status of compounds with poorly defined properties ''[[in vivo]]'' is that they must first be defined with a [[Dietary Reference Intake]] level to enable accurate food labeling,<ref>{{cite web|title=Nutrient content claims--general principles; 21CFR101.13|url=https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfcfr/CFRSearch.cfm?fr=101.13|archive-url=https://web.archive.org/web/20030914054754/http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfcfr/CFRSearch.cfm?FR=101.13|url-status=dead|archive-date=September 14, 2003|publisher=US Food and Drug Administration|access-date=31 December 2017|date=1 April 2017}}</ref> a condition not established for most phytochemicals that are claimed to provide antioxidant benefits.<ref name="nutra">{{cite web |title= New Roles for Polyphenols. A 3-Part Report on Current Regulations and the State of Science | last = Gross | first = Paul | name-list-style = vanc |date= 1 March 2009 |publisher= Nutraceuticals World |url= http://www.nutraceuticalsworld.com/issues/2009-03/view_features/new-roles-for-polyphenols/}}</ref>
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