Nutrition- exam 2- Fat Soluble Vitamins Flashcards

0
Q

What does your body make when it needs vitamin A?

A

Retinol binding protein. It carries retinol from the liver (where vitamin A is stored) to body cells

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1
Q

Vitamin A - structure

A

3 forms :
Retinol (alcohol form)
Retinal (aldehyde form)
Retinoic acid (acid form)

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2
Q

Where is most of vitamin A stored?

A

The liver

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3
Q

What form of vitamin A affects a person’s vision?

A

Retinal (aldehyde form)

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4
Q

Vitamin A : vision chemistry

A

Rhodopsin is a visual molecule found in the retina. It is composed of retinal and opsin(a protein).

Light breaks away retinal.

Enzymatic reaction.

Slow process

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5
Q

Night blindness

A

Slow recovery of vision in the dark after bright flash due to vitamin A deficiency.

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6
Q

Vitamin A deficiency

A

Uncommon in US

Takes 1-2 years for symptoms to show because 90% of body’s amount is stored in the liver.

S/S
⋅ xerophtalmia- blindness caused by damage to cornea (progressive /gradual)
⋅keratinization - secretion of keratin (rough, dry, scaly skin)
⋅decrease in mucus secretion

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7
Q

What other roles does vitamin A have?

A

Development of epithelial and goblet cells

BONE REMODELING- vitamin A helps in dismantling bones so they can grow bigger.

Production of steroids and thyroid hormones

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8
Q

Beta carotene

A

Found in carrots

A precursor of vitamin A

Inefficient for providing vitamin A so body usually uses it as an antioxidant instead of converting it into vitamin A

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9
Q

Accutane/Retin-A

A

Accutane - orally. Made from vitamin A but chemically different. Effective but highly toxic (severe birth defects)

Retin-A - topical. Fights acne, wrinkles, other skin disorders. Thins out skin.

**More prone to skin cancer. **

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10
Q

Vitamin A toxicity

A

Free vitamin A damages cells (sorta like free radicals)

S/S
⋅ slow clotting time, birth defects
⋅bone defects- too much vitamin A means too much bone dismantling activity, interferes with vitamin D to maintain normal blood calcium

Vitamin A supplements are a BAD idea

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11
Q

Why is vitamin D non essential?

A

Can be made in the skin with cholesterol and sunlight

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12
Q

Vitamin A sources

A

Liver(with caution)
Dark green vegetables
Deep orange vegetables and fruits (squash, cantaloupe, carrots, sweet potatoes)

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13
Q

How does vitamin D increase Calcium absorption?

A

Calbindin synthesis

Calbindin is a protein needed to absorb calcium. Synthesis of Calbindin requires vitamin D

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14
Q

Roles of vitamin D

A

Elongates intestinal Vili
Increases Calcium absorption
Promotes bone mineralization
Increases TB resistance

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15
Q

Vitamin D deficiency

A

Rickets- bones fail to calcify normally, affects children (bow legged)

Osteomalacia - poor mineralization of bones, affects adults (soft, flexible, brittle and deformed bones)

Osteoporosis - Loss of calcium from bones (results in fractures), elderly

16
Q

What are 3 conditions that are prone to seeing vitamin D deficiency?

A

Dark skin, breastfeeding, lack of sunlight

17
Q

Vitamin D toxicity

A

Raises blood calcium concentrations

Forms stones in soft tissues and kidneys

May harden blood vessels

18
Q

Free radicals

A

Molecules with unpaired Electron

Very reactive - tries to find things to bond with but destroys cells in the process. Antioxidants make compounds with free radicals to prevent damage to cells.

19
Q

Sources of vitamin D

A
Dairy products (fortified milk)
Sunlight
20
Q

Vitamin D structure

A

Vitamin D2 - ergo calcification, plant version

Vitamin D3 - cholecalciferol, animal version

21
Q

Vitamin E structure

A

Tocopherol : 4 forms

Alpha, beta, gamma, delta

22
Q

Vitamin E roles

A

Fat-soluble antioxidant

Free radicals and fats do not get along!!!

You will find tocopherol in mayonnaise to keep the fat from oxidizing. It helps shelf life.

23
Q

(Vitamin E : Fat-soluble) = (_______: water-soluble)

A

Vitamin C

Both act as antioxidants

24
Antioxidants are most likely heat sensitive.
True.
26
Vitamin E deficiency
CYSTS IN BREASTS
27
Vitamin E toxicity
Relatively rare b/c Concentrations are regulated by liver Extremely high doses may interfere with vitamin K activity (blood clotting) S/S ⋅nausea, cramps, blurry vision, fatigue
28
Vitamin K roles
Activation of clotting factor prothrombin Bone protein metabolism
28
What two vitamins will interfere with which vitamins?
Extremely high vitamin A (Fat- soluble) will interfere with vitamin C (water-soluble). Extremely high vitamin E(fat-soluble) will interfere with vitamin K(fat soluble).
29
Sources of vitamin E
Oils Seeds Leafy green vegetables
30
Vitamin K deficiency
Primary deficiencies are rare Secondary deficiency: ex. decrease in fat absorption, especially true I'm gallbladder removal (gallbladder helps in fat digestion) Drugs(antibiotics and anticoagulants) -especially wide spectrum antibiotics b/c they clean out normal microflora. Microflora can synthesize vitamin K. S/S Bleeding, weakness
31
Primary deficiencies
Due to not enough intake
32
Secondary deficiency
Body can't absorb for some reason
33
Vitamin K toxicity
Not common Jaundice, hemolysis of RBC, brain damage Reduce effectiveness of anticoagulants
34
Hemorrhagic Disease of the Newborn
Excessive bleeding b/c of less prothrombin (clotting factor) due to a sterile intestinal tract. Single dose of vitamin K given at birth: orally or by injection
35
Sources of vitamin K
Storage in liver | GI bacteria