Fat Soluble Vitamins Flashcards

1
Q

Historical Perspective Certain foods were known to cure illnesses resulting from what we now recognize to be “vitamin deficiencies”.

For example, ancient Egyptians treated night blindness with a topical application of juice extracted from the liver.(Vitamin A)

A

Certain foods were known to cure illnesses resulting from what we now recognize to be “vitamin deficiencies”. For example, ancient Egyptians treated night blindness with a topical application of juice extracted from the liver.(Vitamin A)

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2
Q

Liver is now recognized as a rich source of vitamin___.

Today, we know that vitamin A plays a crucial role in maintenance of__ ___ particularly in ___light.

A

Liver is now recognized as a rich source of vitamin A. Today, we know that vitamin A plays a crucial role in maintenance of good vision, particularly in low light.

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3
Q

Current and Future Research on Vitamins… It took some time to uncover the true nature of various vitamins. Certain vitamins such as vitamins _ and _ can be synthesized in the body. More to come!

A

It took some time to uncover the true nature of various vitamins. Certain vitamins such as vitamins D and K can be synthesized in the body. More to come!

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4
Q

Fat-Soluble Vitamins: Vitamins A, D, E, and K

Absorption First into the ___, then the___

Transport Many require p___ ___

Storage ___ in the cells associated with___

Excretion __ readily excreted, tend to remain in __ ___ sites

Toxicit___ to reach toxic levels, when consumed from supplements

Requirements Needed in____ doses (perhaps weeks or even months)

A

Absorption First into the lymph, then the blood Transport Many require protein carriers Storage Trapped in the cells associated with fat Excretion Less readily excreted, tend to remain in fat-storage sites Toxicity Likely to reach toxic levels, when consumed from supplements Requirements Needed in periodic doses (perhaps weeks or even months)

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5
Q

Absorption of Fat-Soluble Vitamins

Digestive processes in stomach release vitamins from food

____ produced in ___ and stored in__ ___aids in absorption

Digestive enzymes released by____as help to further release vitamins (esp__)

Essentially all absorptoion takes place in __ ___. Fat soluble vit are absorbed along with __ ___

Small amts of vit __ and ___ are made by bact in terminal part of small intes and large intestine; some may be ___

A

Absorption of Fat-Soluble Vitamins

Digestive processes in stomach release vitamins from food

Bile produced in liver and stored in gall bladder aids in absorption

Digestive enzymes released by pancreas help to further release vitamines (esp A)

Essentially all absorptoion takes place in small intestine. Fat soluble vit are absorbed along with dietary fat

Small amts of vit K and biotin are made by bact in terminal part of small intes and large intestine; some may be absorbed

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6
Q

Forms of Vitamin A

Provitamin is ___ ____

Forms:

___

___

___ ___

A

Forms of Vitamin A

Provitamin is Beta Carotene

Forms:

Retinol

Retinal

Retinoic Acid

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7
Q

Conversion of Vitamin A

___ ____(in animal foods)–>_____ (supports reproduction)<–>_____ (participates in vision)–>+____ (Regulates Growth)

___ ____(in plant foods)–> ____

A

Conversion of Vitamin A

Retynl esters (in animal foods)à Retinol (supports reproduction)ßàRetinal (participates in vision)àRetinoic acid (Regulates Growth)

Beta carotene (in plant foods)à Retinal

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8
Q

Food Sources: Vitamin A and Beta-carotene

A

Food Sources: Vitamin A and Beta-carotene

Liver

Sweet potato

Carrots

Milk

Apricots

Spinach

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9
Q

Current Unit of Measurement of Vitamin A 1µg of ____ = 1 __ ___ ____ (RAE)

____ of Beta-carotene = 1µg of retinol

A

1µg of retinol = 1 Retinol Activity Equivalent (RAE) 12µg of Beta-carotene = 1µg of retinol

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10
Q

Primary Functions Role in Vision

Light causes a change in ___ and retinal (trans form) is released. This change in ____n to ___ and trans ____ in turn initiates a ___ to the brain.

Rhodopsin is then ___ after forming___ back into its original shape (___ form)

Some retinal is ___from the cycle. This must be replaced by ___ from the _____. It is converted to retinal in the ____

A

Role in Vision

Light causes a change in retinal and retinal (trans form) is released. This change in rhodopsin to opsin and trans retinal in turn initiates a signal to the brain.

Rhodopsin is then rebuilt after forming retinal back into its original shape (cis form)

Some retinal is lost from the cycle. This must be replaced by retinol from the bloodstream. It is converted to retinal in the eye.

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11
Q

Other Functions of Vitamin A

Cell ____

Integrity of ___ __

Integrity of ___ ___

Necessary for___ ___ __ and possibly other aspects of__ ___

Support of __ ___

A

Other Functions of Vitamin A Cell Differentiation Integrity of epithelial cells Integrity of mucous membrane Necessary for T-lymphocyte function and possibly other aspects of immune function Support of normal growth

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12
Q

Recommended Dietary Allowances (RDA) (according to Institute of Medicine) Adults (19-50 years) Men - ___µg of retinol (3,000 I.U.) Women - ___µg of retinol (2,333 I.U.)

A

Adults (19-50 years) Men - 900µg of retinol (3,000 I.U.) Women - 700µg of retinol (2,333 I.U.)

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13
Q

Deficiency of Vitamin A

Symptoms of deficiency include ____, ___ ___, ___ ___ to ____, ____ of ____ ___ of the ____

A

Deficiency of Vitamin A Symptoms of deficiency include anorexia, retarded growth, increased susceptibility to infections, keratinization of epithelial cells of the skin, etc.

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14
Q

____ _____

A

Follicular Hyperkeratosis

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15
Q

_____

A

Xeropthalmia

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16
Q

Vitamin A Deficiency and Blindness

Worldwide, vitamin A deficiency is the ___ leading cause of blindness. ___-____ cases are reported every year.

A

Worldwide, vitamin A deficiency is the second leading cause of blindness. 250-500,000 cases are reported every year.

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17
Q

Toxicity of Vitamin A

Hypervitaminosis A can cause specific symptoms such as ___, ___ __ ___ skin, ____, ___, ____, ___ and ____ ___ etc.

A

Hypervitaminosis A can cause specific symptoms such as anorexia, dry, itchy and desquamating skin, alopecia, ataxia, headache, bone and muscular pain, etc.

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18
Q

Consuming the Right Amount of Vitamin A

A

Consuming the Right Amount of Vitamin A

19
Q

Vitamin D Synthesis and Activation

______ (a precursor)–>______–> _____ (inactive)–> (in the___ by hydroxylation) ________–>(in the ____ by hydroxylation) ________vitamin D3 (active)

A

Vitamin D Synthesis and Activation

7-dehydrocholesterol (a precursor)à Previtamin D3à Vitamin D3 (inactive)à (in the liver by hydroxylation) 25 hydroxy vitamin D3à (in the kidney by hydroxylation) 1, 25 dihydroxy vitamin D3 (active)

20
Q

Primary Role of Vitamin D

Blood ___ (contribute to blood ____)

à Fcn of ___ ___

____ of ____

àCell ____

A

Primary Role of Vitamin D

Blood Calcium (contribute to blood clotting)

à Fcn of neuromuscular jcn

àMineralization of Bone

àCell Metabolism

21
Q

Vitamin D Deficiency Disease:

____ In infants and children, vitamin D deficiency results in rickets.

Symptoms include:

___ ___/__ ___

__ ___

___ on ___ (rachitic ___)

A

In infants and children, vitamin D deficiency results in rickets. Symptoms include: Bowed legs/knock knees Bowed-chest Knobs on ribs (rachitic rosary)

22
Q

Osteomalacia (“___ bones”) Vitamin D deficiency in ___.

Most likely to occur in people with diseases of the __ __ ____ ____ ____

A

Vitamin D deficiency in adults. Most likely to occur in people with diseases of the kidney, stomach, gallbladder, intestines, and liver.

23
Q

Adequate Intake for Vitamin D (Food and Nutrition Board)

___ ____/day

____IU

A

Adults - 10µg/day or 400 I.U.

24
Q

Food Sources of Vitamin D

__ ___e.g. sardines and salmon

Fortified ___

Fortified __ ___

A

Fatty fish e.g. sardines and salmon Fortified milk Fortified breakfast cereals

25
Q

Possible Roles of Vitamin D

Prevention of ____ and delay of____

____diseases, ____ and_____

____ Disease

A

Prevention of fractures and delay of osteoporosis Autoimmune diseases, osteoarthritis and diabetes Cardiovascular Disease

26
Q

Possible Roles of Vitamin D (continued)

____ and ____

____ function and wheezing illnesses

____ prevention More to come…

A

Schizophrenia and depression Lung function and wheezing illnesses Cancer prevention More to come…

27
Q

New Guidelines for Vitamin D Intake

Possibly, future research will establish adequate levels for ___ ___ such as children, young adults and seniors.

A

Possibly, future research will establish adequate levels for various populations such as children, young adults and seniors.

28
Q

Vitamin E: ______

A

Tocopherols

29
Q

Food Sources of Vitamin E

A

Food Sources of Vitamin E

Veggie Oils

Seeds Nuts

30
Q

Chief Function: Antioxidant Action

A

Chief Function: Antioxidant Action

Neutralize free radicals

31
Q

Deficiency of Vitamin E Deficiency of vitamin E is____

Diseases of____ _____ (e.g. cystic fibrosis) may be associated with deficiency.

____, ____-___ ___ ___ are susceptible to developing deficiency symptoms.

A

Deficiency of vitamin E is rare. Diseases of fat malabsorption (e.g. cystic fibrosis) may be associated with deficiency. Premature, low-birth weight infants are susceptible to developing deficiency symptoms.

32
Q

Symptoms

____
___
___
___

A

Erythrocyte hemolysis (premature infants) Muscle weakness Degenerative neurologic problems Incoordination of limbs

33
Q

Toxicity

A

Least toxic of all fat-soluble vitamins

34
Q

Potential Benefits of Vitamin E

Protection against __ ___

Prevention of ____

Prevention of ___ ___

A

Protection against heart disease Prevention of cancer Prevention of Alzheimer’s disease

35
Q

Food Sources of Vit K

___
___

___ ___
___

___

___
____

____

A

Food Sources

Milk

Eggs

Brussels Sprouts

Collards

Liver

Cabbage

Spinach

Broccoli

36
Q

Non-Food Source of Vitamin K

____ in the gastrointestinal tract can synthesize vitamin K.

Newborn infants are born with a ____ gut.

The vitamin K producing bacteria take ____ to establish themselves.

A

Bacteria in the gastrointestinal tract can synthesize vitamin K. Newborn infants are born with a sterile gut. The vitamin K producing bacteria take weeks to establish themselves.

37
Q

Primary Role:___ ___

____–>_____

A

Primary Role: Blood Clotting

38
Q

Deficiency of Vitamin K

Deficiency of vitamin K is generally ____.

It may occur in conditions associated with ___ ___.

____ disease can occur in newborn infants who are born with a ___ gut.

A

Deficiency of Vitamin K Deficiency of vitamin K is generally uncommon. It may occur in conditions associated with fat-malabsorption. Hemorrhagic disease can occur in newborn infants who are born with a sterile gut.

39
Q

Toxicity of Vitamin K in Infants

___ ____

___ _____

___ ____

A

Hemolytic anemia Hyperbilirubinemia Severe jaundice

40
Q

Non-Vitamins

A

___

41
Q

Phytochemicals

A

Phytochemicals

Fight Cancer

42
Q

Some Examples Broccoli (sulforaphane) Apples (flavonoids) Soybeans (Isoflavones) Garlic (allicin) Grapes/wine (resveratrol) Strawberries (ellagic acid) Blueberries (flavonoids) Citrus fruits (limonene) Flax seed (lignans) Black tea (flavonoids) Tomatoes (lycopene)

A

Broccoli (sulforaphane) Apples (flavonoids) Soybeans (Isoflavones) Garlic (allicin) Grapes/wine (resveratrol) Strawberries (ellagic acid) Blueberries (flavonoids) Citrus fruits (limonene) Flax seed (lignans) Black tea (flavonoids) Tomatoes (lycopene)

43
Q

Summary…

Each fat-soluble vitamin performs a very unique role in human nutrition.

Potential for toxicity exists.

Do not take __ ___ vitamin supplements without consulting a dietitian.

Color your plate with fruits and vegetables!

A

Each fat-soluble vitamin performs a very unique role in human nutrition. Potential for toxicity exists. Do not take fat-soluble vitamin supplements without consulting a dietitian. Color your plate with fruits and vegetables!