Exam 3: Chapter 13 Flashcards

1
Q

What vitamins are considered water-soluble?

A
  • B-vitamins
    • Thiamin
    • Riboflavin
    • Niacin
    • Pantothenic acid
    • Biotin
    • Vitamin B-6
    • Folate
    • Vitamin B-12
    • Vitamin C
  • Choline*
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2
Q

Generally speaking, is the risk of toxicity from water-soluble vitamins high or low?

A
  • Generally low
  • Risk of toxicity less than fat-soluble
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3
Q

What cooking methods are best to keep vitamins in foods?

A
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4
Q

Why do we enrich food and what vitamins and minerals are added to foods for enrichment?

A

Grains are important source of B-Vitamins, but during milling the germ, bran and husk layers are removed leaving the starchy endosperm

To counteract nutrient loss from milling, nearly all bread and cereal products are enriched with 4 B-vitamins:

  • Thiamin
  • Riboflavin
  • Niacin
  • Folic Acid
  • Iron (a mineral)
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5
Q

When did enrichment begin and why?

A

Enrichment began in the 1940’s to protect against deficiency diseases.

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6
Q

Thiamin (B1) Deficiency

A
  • Beriberi
    • Sinhalese (I can’t, I can’t)
    • Impairs
      • Peripheral neuropathy
    • Two types—wet and dry
    • Congestive heart failure
  • Wernicke-Korsakoff Syndrome
    • Alcohol
      • 1) decrease absorption
      • 2) increases excretion
      • 3) poor diet
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7
Q

Thiamin Toxicity

A

No UL

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8
Q

Riboflavin (B2) Toxicity

A

No UL

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9
Q

Riboflavin (B2) Deficiency

A

Ariboflavinosis

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10
Q

Niacin (B3) Toxicity

A
  • UL: 35 mg
    • applies only to supplements and fortification
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11
Q

Niacin (B3) Deficiency

A
  • Pellagra
    • 4 D’s
    • Dermatitis, Diarrhea, Dementia– if not treated
    • Death
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12
Q

Pantothenic Acid Toxicity

A

•No UL—no known toxicity

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13
Q

Pantothenic Acid Deficiency

A

Very rare

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14
Q

Biotin Toxicity

A

No UL

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15
Q

Biotin Deficiency

A
  • Biotinase enzyme deficiency
  • Excessive consumption of raw eggs (avidin)
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16
Q

Vitamin B-6 (pyridoxine) Toxicity

A
  • UL: 100mg
    • Irreversible nerve damage
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17
Q

Vitamin B-6 (pyridoxine) Deficiency

A

Microcytic hypochromic anemia

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18
Q

Folate Toxicity

A
  • UL: 1 mg—synthetic folic acid
    • May mask B-12 deficiency
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19
Q

Folate Deficiency

A
  • Megaloblastic (macrocytic) anemia
  • Neural Tube Defects
  • Maternal deficiency of folate plus genetic predisposition
  • All women capable of getting pregnant urged to take in 400 micrograms of folic acid
  • Current fortification yields about 200 micrograms of folic acid daily
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20
Q

Vitamin B-12 (cobalamin) Toxicity

A

No UL

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21
Q

Vitamin B-12 (cobalamin) Deficiency

A
  • Pernicious Anemia
    • Inadequate production of the intrinsic factor
  • Macrocytic Anemia (megaloblastic anemia)
  • Neurological changes
    • Sensroy disturbances in the legs (burning, tingling, numbness)
    • Loss of concentration and memory
    • Disorientation and dememtia
  • Elevated plasma Homocysteine concentrations
    • Lead to heart attacks and strokes
22
Q

Vitamin C Toxicity

23
Q

Vitamin C Deficiency

A
  • Scurvy
  • Cancer and heart disease
24
Q

Why do smokers need additional Vitamin C? How much more do they need?

A

Smokers need several times more vitamin C than non-smokers because the effectiveness of that vitamin is decreased by nicotine.

Smokers need an additional 35 mg/day.

25
What individuals are at risk of Vitamin B-12 Deficiency?
* Atrophic gastritis * Malabsorption * Treatment * Monthly injections * Nasal gel * Very high oral doses (1-2mg) * Passive diffusion * Vegans
26
What is the difference between the terms "folate" and "folic acid", and where do each of these come from?
Folate is the generic name while Folic Acid is the synthetic form (ie from supplements). Folate can be found in foods such as orange juice, life cereal, and lentils.
27
In terms of exposure to heat, is Niacin more or less stable compared to the other water soluble vitamins?
Niacin is more heat stable in comparison to other water soluble vitamins.
28
What are the two forms of Niacin?
* Nicotinic acid * Nicotinamide
29
What amino acid can Niacin be synthesized from?
tryptophan
30
What happens when riboflavin is exposed to light?
riboflavin is destroyed by exposure to light
31
Functions of Thiamin
**•Coenzyme form:** •thiamin pyrophosphate (TPP) **•Required for carbohydrate and branched chain amino acid metabolism** * Decarboxylation reactions --removal of carbon dioxide * Glucose→Pyruvate→Acetyle-CoA * CAC * Alpha-ketoglutarate→succinyl-CoA * Additional B-vitamins needed for these reactions **•Pentose phosphate pathway** * Coenzyme for transketolase * Converts the 6-carbon glucose to 5-carbon pentose
32
Riboflavin (B2) Functions
* **Coenzymes:** flavin mononucleotide (FMN) and flavin adenine dinucleotide (FAD) * **Energy metabolism** * Citric acid cycle * Succinate→Fumerate * Beta-oxidation * Fatty acids to acetyl-CoA—the enzyme fatty acyl dehydrogenase requires FAD * Other B vitamin functions * Antioxidant function (glutathione synthesis)
33
Niacin Functions
* Coenzymes: NAD+ and NADPH * Oxidation-reduction reactions * Required in at least 200 reactions especially ATP production * NAD+ is required for catabolism of carbohydrate, fat and protein * **The Coenzyme Form of Niacin, NAD+ is required for Glycolysis and the Citric Acid Cycle**
34
Pantothenic Acid functions
* Coenzyme A (acetyl-CoA) * Acyl carrier protein
35
Biotin Functions
* Coenzyme in carboxylase reactions (adds CO2) * Pyruvate→oxaloacetate * Breakdown of some AA to use as energy * Carboxylation of acetyl-CoA to form malonyl-CoA so fatty acids can be synthesized
36
Vitamin B-6 Functions
* **In metabolism** * PLP coenzyme involved in amino acid metabolism * Glycogenolysis * **In immunity** * Supports normal function and regulates gene expression * **Synthesis of compounds** * In the red blood cell, heme is made, neurotransmitters also made like serotonin, DOPA, GABA
37
Functions of Folate
* Central coenzyme form: tetrahydrofolic acid (THFA) * DNA synthesis * Amino acid metabolism * Neurotransmitter synthesis * Dopamine, norepinephrine
38
Vitamin B-12 Functions
* Functions * Cofactor in 2 enzymatic reactions * Formation of methionine from homocysteine * Enzyme methylmalonyl mutase needed for fatty acid metabolism
39
Vitamin C Functions
* Reduction-oxidation reactions (electron donor) * Cofactor for metalloenzymes * Ferrous (fe 2+) reduced form coverted to oxidized form (ferric, Fe3+) during enzymatic activity. * Collagen synthesis * Connective tissues * Synthesis of other vital compounds * Cholesterol to bile acids * Hormones—keeps metalloenzyme in the reduced state * Antioxidant activity * Iron absorption * Immune function
40
Food Sources of Thiamin
41
Food Sources of Riboflavin
42
Food Sources of Niacin
43
Food Sources of Pantothenic Acid
44
Food Sources of Biotin
45
Food Sources of Vitamin B-6
46
Food Sources of Folate
47
Food Sources of Vitamin B12
48
Food Sources of Vitamin C
49
Absorption, transport, storage, and excretion of Vitamin B12
* Free vitamin binds to R-protein * Released by pancreatic lipases * Free vitamin then binds with intrinsic factor
50
Digestion and Absorption of Vitamin B12, in detail
51
What is intrinsic factor and why do we need this? Where is it produced?
Intrinsic factor (IF), also known as gastric intrinsic factor (GIF), is **a glycoprotein** produced by the **parietal cells of the stomach**. It is necessary for the **absorption of vitamin B12 (cobalamin)** later on in the small intestine.