Undid revision 957629934 by Whywhenwhohow (talk)
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Adding short description: "Deficiency in intravenous nutrition patients", overriding automatically generated description
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{{Short description|Deficiency in intravenous nutrition patients}}
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'''Chromium deficiency''' is described as the consequence of an insufficient dietary intake of the mineral [[chromium]]. Chromium was first proposed as an [[essential element]] for normal glucose metabolism in 1959,<ref>{{cite journal|last1=SCHWARZ|first1=K|last2=MERTZ|first2=W|title=Chromium(III) and the glucose tolerance factor.|journal=Archives of Biochemistry and Biophysics|date=November 1959|volume=85|pages=292–295|pmid=14444068|doi=10.1016/0003-9861(59)90479-5}}</ref>
The essentiality of chromium has been challenged.<ref name=Vincent>{{cite journal|last=Vincent|first=John B.|title=Chromium: celebrating 50 years as an essential element?|journal=Dalton Transactions|year=2010|volume=39|issue=16|pages=3787–3794|doi=10.1039/B920480F|pmid=20372701}}</ref><ref>{{cite journal |doi=10.1111/j.1753-4887.1999.tb06909.x |last=Jeejeebhoy |first=Khursheed N. |title=The role of chromium in nutrition and therapeutics and as a potential toxin |journal=Nutrition Reviews |volume=57 |issue=11 |pages=329–335 |year=1999 |pmid=10628183|doi-access=free }}</ref><ref name=Vincent2>{{cite book|last1=Vincent|first1=JB|
==Signs and symptoms==
The claimed symptoms of chromium deficiency caused by long-term [[total parenteral nutrition]] are severely [[impaired glucose tolerance]], weight loss, peripheral neuropathy and confusion.<ref name=Freund>{{cite journal |last=Freund |first=Herbert |author2=Atamian, Susan |author3=Fischer, Josef E.
==Diagnosis==
According to the Dietary Reference Intake review, neither plasma nor urine concentrations can serve as useful clinical indicators of chromium status. Before chromium became a standard ingredient in total parenteral nutrition (TPN), people
==Dietary recommendations==
The U.S. Institute of Medicine (IOM) updated Estimated Average Requirements (EARs) and Recommended Dietary Allowances (RDAs) for chromium in 2001. For chromium there was not sufficient information to set EARs and RDAs, so needs are described as estimates for Adequate Intakes (AIs). The current AIs for chromium for women ages 14 and up is 25 μg/day up to age 50 and 20 μg/day for older. AI for pregnancy is 30 μg/day. AI for lactation is 45 μg/day. For men ages 14 and up 35 μg/day up to age 50 and 30 μg/day for older. For infants to children ages 1–13 years the AI increases with age from 0.2 to 25 μg/day. As for safety, the IOM sets [[Tolerable upper intake level]]s (ULs) for vitamins and minerals when evidence is sufficient. In the case of chromium there is not yet enough information and hence no UL. Collectively the EARs, RDAs, AIs and ULs are referred to as [[Dietary Reference Intake]]s (DRIs).<ref name=ChromiumDRI>Chromium. IN: [https://www.ncbi.nlm.nih.gov/books/NBK222329/ Dietary Reference Intakes for Vitamin A, Vitamin K, Arsenic, Boron, Chromium, Chromium, Iodine, Iron, Manganese, Molybdenum, Nickel, Silicon, Vanadium, and Chromium] National Academy Press. 2001,
Japan
The [[European Food Safety Authority]] (EFSA) refers to the collective set of information as Dietary Reference Values, with Population Reference Intake (PRI) instead of RDA, and Average Requirement instead of EAR. AI and UL defined the same as in United States. The EFSA does not consider chromium to be an essential nutrient, and so has not set PRIs, AIs or ULs. Chromium is the only mineral for which the United States and the European Union disagree on essentiality.<ref name="EFSA">{{cite web | title = Overview on Dietary Reference Values for the EU population as derived by the EFSA Panel on Dietetic Products, Nutrition and Allergies| year = 2017| url = https://www.efsa.europa.eu/sites/default/files/assets/DRV_Summary_tables_jan_17.pdf}}</ref><ref>{{citation| title = Tolerable Upper Intake Levels For Vitamins And Minerals| publisher = European Food Safety Authority| year = 2006| url = http://www.efsa.europa.eu/sites/default/files/efsa_rep/blobserver_assets/ndatolerableuil.pdf}}</ref>
For U.S. food and dietary supplement labeling purposes the amount in a serving is expressed as a percent of Daily Value (%DV). For chromium labeling purposes 100% of the Daily Value was 120 μg, but as of27 May
===Sources===
Approximately 2% of ingested chromium(III) is absorbed, with the remainder being excreted in the feces.
==Diabetes==
==Supplementation==
Chromium supplementation in general is subject to a certain amount of controversy as it is by no means clear that chromium is an essential element in human biology.<ref>{{cite book |last1=Maret|first1=Wolfgang
===
In 2005, the U.S. Food and Drug Administration approved a Qualified Health Claim for chromium picolinate with a requirement for very specific label wording: "One small study suggests that chromium picolinate may reduce the risk of insulin resistance, and therefore possibly may reduce the risk of type 2 diabetes. FDA concludes, however, that the existence of such a relationship between chromium picolinate and either insulin resistance or type 2 diabetes is highly uncertain."<ref>[https://wayback.archive-it.org/7993/20171114183739/https://www.fda.gov/Food/IngredientsPackagingLabeling/LabelingNutrition/ucm073017.htm FDA Qualified Health Claims: Letters of Enforcement Discretion, Letters of Denial] U.S. Food and Drug Administration, Docket #2004Q-0144 (August 2005).</ref> In 2010, chromium(III) picolinate was approved by Health Canada to be used in dietary supplements. Approved labeling statements included: "...provides support for healthy glucose metabolism."<ref>{{cite web |url=http://webprod.hc-sc.gc.ca/nhpid-bdipsn/monoReq.do?id=65 |title=Monograph: Chromium (from Chromium picolinate) |publisher=Health Canada |date =9December
==See also==
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==Further reading==
*A "possible resolution of controversies in chromium biology" is suggested by Wolfgang Maret in chapter 9, pp
*{{cite web|title=Dietary Supplement Fact Sheet: Chromium|url=http://ods.od.nih.gov/factsheets/Chromium-HealthProfessional/|publisher=Office of Dietary Supplements, National Institutes of Health|accessdate=24 February 2013}}
*[[Chromium in glucose metabolism]]
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== External links ==
{{Medical resources
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{{Nutritional pathology}}
{{Elements in biology}}
{{DEFAULTSORT:Chromium Deficiency}}
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