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77 Cards in this Set

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Fat Soluble



Vitamin A, E, D, and K


Can accumulate in tissues and are not excreted quickly-


Excess can be just as harmful as deficiency


Function depends on the presence of other fat-soluble vitamins.

Water Soluble Vitamins (List)

Thiamin Panotheric Acid


Ribolfavin Biotin


Niacin Vitamin C


Vitamin B6


Folate


Vitamin B12

Water Soluble Vitamin Characteristics

Susceptible to heat


Kidney removes and excretes excess (tox. rare)


Water will leach out vitamins


Function as co-enzymes


Participate in energy metabolism


Marginal deficiencies more common

Vitamin A sources

From animals: liver, eggs, milk


provide retinoids that are converted to retinol


From plants: carrots, leafy greens, orange fruit



Vitamin A forms

Retinol, Retinal, an Retinoic Acid


B-Carotene --> potent provitamin A


carotenoids- storage and transport



B-Carotene

Converted to vitamin A in the intestinal mucousa

Vitamin A storage

90% is stored in liver as retinyl palmitate - chylomicron transports from intestine to liver


From liver to cells ritinol binds to protein RBP





Vitamin A Excretion

Small amount excreted in urine

Vitamin A absorption

-Retinoids-- retinyl esters broken down to free retinol in small intestine


-Carotenoids are absorbed intact

Vitamin A and Vision

-retinal conversion of light into nerve impulses


-retinoic acid: structural components of the eye


Cones (color) Rods (darkness & motion)

Rhodopsin

-Opsin and 11-cis retinal


-When light energy is absorbed by rhodopsin- it converts 11-cis retinal into all trans retinal

Deficiences of Vitamins A

-decreased resistance to infections


-Children w/ low fruit and veg. intake


-Alcoholism (absorption & liver damage)


-liver disease


- fat malabsorption


-Celiac's disease, cystic fibrosis


-abnormal skeletal development/maintenance


-night blindness

Cell Keratinization

-leading cause of blindness in third world countries

Bitot Spots

Pockets of keratin in the sclera of eye --> reversable



Xerophthlamia

Keratinization of the cornea of the eye

Upper Level of Vitamin A

-300ug of retinol


-hypervitaminous results from long term supplement use


Fatal dose: 12g

Vitamin A Toxicity

Short Term (100xRDA)- headaches, blurred vision, poor muscle coordination


Long Term (permanent damage)- bone and muscle pain, loss of appetite, skin disorders, headache, dry skin, vomiting, hairloss

Vitamin D Forms

-D2-ergocalciferol (plants)

-D3-cholecalciferol (naturally occurring,in skin or ingested, not biologically active)


1a, 25-di(OH) - converted in kidney, biologically active


Vitamin D Sources

-Sunlight and skin exposure


-Fortified food


-Eggs, Fish Oil

Vitamin D RDA

Birth-50 years: 200 IU (international units)


51-70 years: 400 IU


71+- 600 IU



Vitamin D Functions

-Promotes absorption of calcium from the small intestine


-maintains blood levels of calcium and phosphate


-Bone formation, mineralization, growth and repair

At Risk Populations (Deficiency)

-breastfed infants


-older adults


-people with limited sun exposure


-darker skin pigments


-certain religious groups

Vitamin D Effects

-increased calcium absorption in the gut


-decreased renal calcium and phosphorus excretion.


-Decreased PTH secretion


-Increased bone calcification

Vitamin D Toxicity

-most potentiall toxic vitamin


-Increases blood calcium concentrations


--> kidney and heart failure



Vitamin D Formation

7-Sehydrocholestrol -->SUN --> Pre Vitamin D3


--> Heat --> Vitamin D3 --> liver-->


2, 5-hydroxy vitamin D3 --> Kidney --> 1a, 25-dihydroxy vitamin D3

Vitamin E Role

-antioxidant


-absorbed with dietary fats


-Incorporated into the chylomicron


-incorporated into very low density lipoproteins


-Stored in adipose tissue, cell membranes

Vitamin E Forms

-not a single substance but family of fat soluble vitamins


Tocopherols: alpha, beta, gamma, delta


Tocotrienols: alpha, beta, gamma

Vitamin E Sources

-Asapargus, Avocado, Eggs, Milk, Nuts, Spinach (etc.)


-unheated oils , whole grain foods

Vitamin E RDA

15mg alpha-tocopherol per day


Tolerable Upper Intake (UL): 100mg

Antioxidant Vitamin E

-stabilizes free radicals or oppose oxidation


-

Vitamin E Functions

-protects your skin from UV light


- reverses oxidative stress


-Protects PUFAs, lipid membranes and LDLs from oxidation


-Added to oil based foods and skin products to reduce rancidity and spoilage


-Normal nerve and muscle development


-Enhances immune system


-Promotes vitamin A absorption if low

Vitamin E Deficiency

-Erythrocyte hemolysis leads to anemia


-Anemia in premature infants


-loss of muscle coordination and reflexes


-impaired vision, speech


-impaired immunity


-Associated with fat malabsorption



Vitamin E Toxicity

May be harmful: nausea, intestinal stress


-Interacts with anticoagulants

Vitamin K Forms

Forms: Vitamin K1-plant origin


Vitamin K2- normally produced by bacteria in the large intestine



Vitamin K Sources

Leafy green vegetables, veg. oil, cereals, broccoli

Vitamin K Recommendations

Average Intake Men: 120ug/day


Average Intake Women: 90ug/day

Vitamin K Roles

-synthesis of blood clotting protein


-synthesis of bone proteins that regulate blood calcium


- vitamin k deficiencies increase the risk of hemorrhagic disease developing



Coagulation

-transformation of liquid blood into a solid gel


-stops blood flow in the damaged area


-fibirin is the final protein which produces meshwork to trap RBC and other cells

Vitamin K and Role with Clotting

-Calcium can only bind after gamma carboxylation of specific glutamic acid residues in these proteins--- calcium necessary for clotting activation


-Vitamin K2 is a co-factor for carboxylation reaction


-proteins known as "vitamin K dependent"

Vitamin K Defiency

-caused by malabsorption or liver failure


-blood clotting disorders


-osteoporosis due to failed carboxylation of osteokalcin and decreased activity of osteoblasts.


-under normal circumstances deficiencies are rare


Newborns- hemorrhagic disease

Vitamin K Toxicity

-Uncommon, no known toxicities


-high doses can decrease effectiveness of anticlotting medications

Thiamine (Vitamin B1) Sources

- Nuts, seeds, brown rice (some seafood), and whole-grain products


-Legumes, milk, and beef liver

RDA for Thiamin

1.1mg/day for women


1.2mg/day for men


Daily Value on food label is 1.5mg


-Low income people and elders may barely meet needs


-Surplus is lost in urine, non-toxic, no UL


-.5mg per 1,000 calories in daily diet

Thiamine (Vitamin B1) Function

-Co-enzyme for carbohydrates metabolism


-Thiamine is converted to thiamine


pyrophosphate (TPP) is a coenzyme for:


- pyruvate dehydrogenase


- a-ketoglutarate dehydrogenase

Thiamine Deficiency

-Malnutrtion


-Chronic Consumption of Alcohol


-Liver Disease


-A diet high in raw fish and shellfish


-Meals with tea and coffee

Thiamine Deficiency: Beriberi

Wet: a cardiovascular disease


Dry: a nervous system disease


-Heart failure most common cause of death

Riboflavin (Vitamin B2) Forms

Part of co-enzymes:


FMN (flavin mononucleotide)


FAD (flavin adenine dinucleotide)


-->easily destroyed by UV light

Riboflavin (Vitamin B2) Sources

-Milk, cheese, egg white, and liver


-Leafy green vegetables


-Almonds and soybeans


Fortified Foods: baby foods, and cereals

Riboflavin RDA

Men: 1.3mg/day


Women: 1.1mg/day

Riboflavin (Vitamin B2) Role

Co-enzymes for about 150 oxidation-reduction reactions involved in:


Carbohydrate, protein, and fat metabolism


Activation of vitamin B12 and folate


Protection of erythrocytes from oxidative stress

Riboflavin (Vitamin B2) Deficiency

-Not getting enough in diet


-Poor absorption in the intestine


-An increase in excretion


- Exercise/increase metabolic rate

Ariboflavinosis

-Cracked and red lips


-Mouth ulcers, angular cheilitis


-Dry skin


-Bloodshot eyes and light sensitivity

Niacin (Vitamin B3) forms

-heat stable; little cooking loss


-NAD (nicotinamide adenine dinucleotide)


- NADP (nicotinamide adenine dinucleotide phosphate)

Niacin (Vitamin B3) Sources

-Enriched grains and ready to eat cereal


-beef, chicken, turkey, fish


-asparagus, peanuts


-tryptophan can be converted into niacin

Niacin (B3) RDA

-14mg/day women


-16mg/day men


Daily Value is 20mg


Upper Level is 35mg



Niacin Deficiency

Pellagra


3Ds


-Dimentia


-Diarrhea


-Dermatitis




--> poor appetite, weight loss, weakness


- became epidemic when corn became a staple food in southern Europe.

Pantothenic Acid (Vitamin B5)

-essential for CHO, fat and protein metabolism


-Formation of sterols


-Deficiency rare


AI: 5mg/day


Daily Value: 10mg


Food Sources: mushroom, milk, liver, peanut, eggs

Pyridoxine (Vitamin B6) Function

-4 compounds, co-enzyme


--Needed for metabolism of CHO, Fat & proteins


Synthesize neurotransmitters


Synthesis of hemoglobin

Pyridoxine (Vitamin B6) Sources

Food: fish, poultry, enriched cereals, potatoes, milk, fruits and vegetables, small amount of intestinal bacteria


-Heat and alkaline sensitive

Pyridoxine RDA

1.3mg/day adults


1.7mg/day men over 50


1.5mg/day for women over 50


Daily Value set at 2mg


Athletes may need more

Pyridoxine Deficiency

-poor diet


-alcoholism


Symptoms: depression, vomiting, skin disorders, and nerve irritation

Biotin (B7) Function

-Metabolism of CHO and Fat


-assist the addition of CO2 to other compounds


-Synthesis of glucose, fatty acids, DNA

Biotin (B7) Sources

-cauliflower, yolk, liver, peanuts, cheese


-Intestinal synthesis of biotin


-Biotin content only available for a small number of foods


-We excrete more than we consume

Biotin (B7) AI

AI=30ug/day for adults


Deficiency rare


No upper level

Biotin Deficiency

-Requires large amount


-scaly inflamed skin, tongue, and lip changes


-poor appetite, nausea, vomiting


-anemia


-poor growth

Folate

-converts vitamin B12 to co-enzyme form

***supports DNA synthesis and cell replication and growth





Folate (RDA)

RDA: 400 ug/day


Toxicity masks B12 deficiency


OTC Prenatal supplement contains 800ug


Average intake below RDA

Folate Deficiency

-RBC grow, cannot divide


-Pregnant women at risk


-Alcoholics


-Megaloblastic Anemia

Vitamin B12 Function

-Role in folate metabolism


-maintenance of myelin sheaths


-RBC formation

Vitamin B12 Sources

-intestinal bacteria


-animal products


-seafood


-eggs


-milk


** no plant source

Vitamin B12 RDA

RDA: 2.4ug/day


B12 deficiency usually occurs due to impaired absorption

Pernicious Anemia: B12

-type of megaloblastic anemia characterized by decreased number of enlarged blood cells


neurological- numbness and tingling in the hands and feet


demylination- difficulty in maintaining balance, depression, confusion, dementia, poor memory

Vitamin C Forms

-ascorbic acid


-salt form--asorbate



Vitamin C Food Sources

-Citrus fruit, broccoli, strawnerry, spinach


-easily lost through cooking


-sensitive to heat


-sensitive to iron and copper

Vitamin C RDA

-90mg/day for male


-75mg/day women


Daily Value 60mg/day


Upper level: 2g/day

Vitamin C functions

-antioxidant recycles vitamin e


-collagen synthesis


- stabilizes folate


-enhance absorption of iron


-proper functioning of the immune system

Vitamin C deficiency

for 3-4 months results in Symptomatic Scurvy:


Adults:


-liver spots on skin


-bleeding from all mucous membranes


Severe Scurvy:


-Liver damage, dyspnea, and death