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52 Cards in this Set

  • Front
  • Back
Vitamin needs
We need about 1 oz (28g) for every 70 kg of food we consume
Vitamin
Essential organic substances needed in small amounts in the diet for the normal fxn, growth, and maintenance of body tiss
Can't be synthesized in suff amts to meet needs or at all
Must be organic, must have a biochemical fxn in the body and must be required in diet in very small amts
Vitamins
Both plant and animal sources
Synthetic and natural vit have same chem structure and work equally, but potency is different
Lipid-soluble vitamins
A, D, E, K
Are excreted less readily from body, less susceptible to cooking loss and more potentially toxic
Vit A and D
Can cause toxicity with long term intake of 3x human needs
Vit E, C, B-6, and B-12 and niacin
Can cause toxicity when consumed in very large amts (15-100 times human needs)
Lipid-soluble
Except for K, are not readily excreted from body, but water-soluble are
Two exception are vit B-6 and B-12, which are stored much longer than both the other water-sol vitamins and vit K
Water-soluble
An occasional lapse generally causes no harm (no niacin for 10 days or no vit C for 20-40 days before symptoms of deficiency)
Fat mal-absorption
(Cystic fibrosis, celiac disease, Crohn's disease) is associated with mal-absorption of the lipid-soluble, and alcohol and some intestinal diseases can lower the absorption of some water-soluble vit
Absorption of vitamins
Fat-soluble - absorbed along with dietary fat - 40-90% of these are absorbed when consumed in recommended amts - some diseases lower absorption
Water-soluble - 90-100% are absorbed from diets with recommended amts - excess alcohol and intestinal diseases decrease absorption
Transport of vitamins
Dietary lipid-soluble - transported by chylomicrons and reach liver via chylomicron remnants and stored or redistributed - exception is retinoate, that can bind to serum albumin and be transported to liver via portal vein
Water-soluble - transported via portal vein to liver and stored or redistributed
Functions of Vit A
Hormone
Retinal - visual pigment
Retinol - immune system
Retinoate - cell growth and proliferation
Functions of Vit D
Hormone
Blood Ca regulation
Functions of Vit E
General antioxidant
Coenzyme fxn
Functions of Vit K
Prosthetic group coenzyme
Carboxylation of blood and bone proteins - of glutamate R group
Vit A
Deficiency is m/c cause of non-accidental blindness in world
Over 90% stored in liver and small amounts in adipose tiss, kidneys, bone marrow, testicles, and eyes
Preformed Vit A
As retinol (retinoid) and retinyl esters (no vit A activity - storage)
Found in animal products
Absorption of retinol can be as high as 90%
After absorption is transported as retinyl esters
Provitamin A
Caroteniods
Some can be converted to retinoid form
Intestinal cells can split B-carotene in two molecules of retinoids
Found in plant products
Absorption is much lower than that of retinol
Carotenoids and retinoids
Inter-conversions of B-carotene and various retinoids
The synthesis of retinoate is a "dead end" in metabolic terms
Carotenoids to Retinoids
Enzymatic conversion of carotenoids occurs in liver or intestinal cells, forming retinal and retinoic acid
Provitamin A carotenoids - beta-barotene, alpha-carotene, beta-cryptoxanthin
Other carotenoids - lutein, lycopene, zeaxanthin
Transport of vitamins
Dietary lipid-soluble - transported by chylomicrons and reach liver via chylomicron remnants and stored or redistributed - exception is retinoate, that can bind to serum albumin and be transported to liver via portal vein
Water-soluble - transported via portal vein to liver and stored or redistributed
Functions of Vit A
Hormone
Retinal - visual pigment
Retinol - immune system
Retinoate - cell growth and proliferation
Functions of Vit D
Hormone
Blood Ca regulation
Functions of Vit E
General antioxidant
Coenzyme fxn
Functions of Vit K
Prosthetic group coenzyme
Carboxylation of blood and bone proteins - of glutamate R group
Vit A
Deficiency is m/c cause of non-accidental blindness in world
Over 90% stored in liver and small amounts in adipose tiss, kidneys, bone marrow, testicles, and eyes
Preformed Vit A
As retinol (retinoid) and retinyl esters (no vit A activity - storage)
Found in animal products
Absorption of retinol can be as high as 90%
After absorption is transported as retinyl esters
Provitamin A
Caroteniods
Some can be converted to retinoid form
Intestinal cells can split B-carotene in two molecules of retinoids
Found in plant products
Absorption is much lower than that of retinol
Carotenoids and retinoids
Inter-conversions of B-carotene and various retinoids
The synthesis of retinoate is a "dead end" in metabolic terms
Carotenoids to Retinoids
Enzymatic conversion of carotenoids occurs in liver or intestinal cells, forming retinal and retinoic acid
Provitamin A carotenoids - beta-barotene, alpha-carotene, beta-cryptoxanthin
Other carotenoids - lutein, lycopene, zeaxanthin
Vit A in foods
Women - 700ug
Men - 900ug
Daily value - 1000ug
Beef liver, sweet potato, carrots, kale, broccoli
Particularly in dark-green, orange, red and yellow veggies
Conversion values for retinol activity equivalents
1 retinol activity equivalent (RAE) - 1ug retinol, 12ug beta, 24ug alpha and beta-crypt
1 IU vit A activity - .3ug retinol, 3.6ug beta, 7.2ug alpha and beta-crypt
Fxns of vit A
Vitamin A: hormone - retinal (visual pigment), retinol (immune system), retinoate (cell growth and proliferation)
Vitamin A analogs in dermatology: retin-A and Accutane to treat acne and psoriasis, meds to lessen the damage from excess sun and UV light exposure
Carotenoid fxns
Prevention of CVD - antioxidant capabilities, >5 servings of fruits and veggies
Cancer prevention - antioxidant capabilities, lung,oral,prostate cancers, foods more protective than supplements
Age-related macular degeneration
Cataracts
Deficiency
Night blindness
Keratinization of epithelial tiss
Xerophthalmia
Blindness
Toxicity
Acute - GI upsets/nausea, HA, muscle uncoordination
Chronic - Liver damage, hair loss, bone/muscle pain, dry skin and mucous membranes, hemorrhages, coma, fractures
Teratogenic - fatal malformation, spontaneous abortion
Vit D
1933 - milk first fortified with vit D
Vit D in foods
Women AI - 5ug
Men AI - 5ug
Daily value - 10ug
Cod liver oil, salmon, herring, tuna, eel
Vit D synthesis
Prohormone
From cho and sun exposure
Insufficient sun exposure makes this a vit
Activated by enzymes in liver ande kidneys
Deficiency diseases - rickets, osteomalacia
Further from equator, UV decreases
Decreases by 70% by age 70
Too much melanin in dark-skinned people may block UV light and synthesis
Sunscreens with SPF >8 may prevent synthesis
UV light produces 80-100% of vit D we use
Few foods provide
Active vit D
Synthesized in skin or from diet, is a hormone: 1,25(OH)2VitaminD3 (calcitriol)
Fxns of vit D
Calcitriol and PTH interact to control blood pressure (Ca)
Low blood Ca triggers - PTH and calcitriol mobilize Ca from bone, PTH also reduces Ca excretion by kidneys and stim kidney secretion of calcitriol, calcitriol stim intestinal Ca absorption
When blood Ca is too high, calcitonin responds by promoting Ca deposition in the bone (off switch)
Vit D deficiency
Rickets - poor bone mineralization in children
Osteomalacia - soft bones in adults
Toxicity of vit D
UL - 50ug/d (2000 IU/day)
Regular intake of 5-10x the AI can be toxic
Over-absorption of Ca increases Ca excretion
Ca deposits in kidneys, heart and blood vessels, narrowing of pulmonary arteries and aorta, facial changes, mental retardation
Results from consuming megadoses not excess sun exposure
Vit E
Tocopherols (more active compounds)
Tocotrienols
Plant oils are rich sources
Food sources of vit E
Women RDA - 15mg
Men RDA - 15mg
Daily value - 30 IU
Sunflower oil, safflower oil, mayonnaise, sunflower seeds, almonds, canola oil, avocado
Fxns of vit E
General antioxidant
Important for protection the membrane of nerve and RBC (deficiency may cause neural damage and hemolytic anemia)
One of several compounds helpful in reducing oxidative stress
More better?
Body does not rely solely on vit E for antioxidant protection
Better protection appears to be provided by combo
Toxicity of vit E
Relatively non-toxic, but excessive amts can interfere with vit K in blood clotting (risk of hemorrhaging, particularly for people taking anticoagulants)
UL is 1000mg of a-tocopherol from natural sources
1500 IU - natural sources
1100 IU - synthetic sources
Vit K
PHylloquinones (K1) from plant sources - main dietary form and more biologically active
Menaquinones (K2) from fish oils, meats, and intestinal bacteria
Vitamin K
Essential for normal blood clotting and important for bone health
Vit K in foods
Women AI - 90ug
Men AI - 120ug
Daily value - 89ug
Kale, spinach, turnip greens, brussel sprouts, broccoli
Blood coagulation
forming a blood clot requires the participation of vitamin K
Specifically provides Ca-binding capacity in blood prot by carboxylation of glutamate residues