unit 5- vitamins Flashcards

1
Q

vitamins

A
  • organic compounds that are vital to life and indispensable to body fxn
  • only needed in minute amounts, and are non-caloric, essential nutrients
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2
Q

2 classes of vitamins

A

1) fat soluble
2) water soluble

-the solubility of a vitamin confers on its many characteristics and determines how it is absorbed, transported, stored and excreted

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3
Q

fat soluble vitamines

A

ADEK

  • dissolve in lipid and require bile for absorption
  • absorbed into lymph and travel through blood with protein carriers
  • they are not readily excreted, tend to build up and therefore higher risk for toxicity
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4
Q

can fat soluble vitamins collect up?

A

-can be stored in liver or with other lipids in fatty tissues, and can build up to toxic amounts
(therefore caution fat soluble supplements)

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5
Q

3 active forms of vitamin A in body

And what are food sources of Vit A

A

1) retinol
2) retinal
3) retanoic acid

-preformed vit A is only found in foods of animal origin (liver and fish oil, as well as milk (lost when skim), cheese, and fortified cereal

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6
Q

retinol

A

-stored in liver, and the body’s cells convert retinol to the two other active forms

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7
Q

b-carotene

A
  • found in plant foods (i.e. orange veggies such as carrots, sweet potatoes and apricots; and dark green veggies like spinach and broccoli; and other colour veggies such as iceberg lettuce, beets, and sweet corn)
  • can be converted to vitamin A
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8
Q

vitamin A functions

A

-gene expression, vision, cell differentiation, reproduction and growth, and immunity

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9
Q

Vitamin A toxicity

A
  • chronic intake of even small excesses can weaken bones and contribute to hip fractures
  • pregnant women must use caution as it can cause malformations to fetus
  • children are the most sensitive to toxicity
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10
Q

Vit D

A
  • cholecalciferol
  • UV light from sun can convert cholesterol in human skin into Vit D precursor, which is absorbed into blood
  • liver and kidneys then finish converting precursor to active Vit D
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11
Q

D functions

A
  • hormone

- plays role in regulating blood calcium and phosphorus levels, thus maintaining bone integrity

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12
Q

D deficiency

A
  • low levels may be linked to high bp, some types of cancer, T1D, heart disease, RA, IBD, and even MS
  • the well established problems are calcium balance and bones=> rickets in children and osteomalacia in adults
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13
Q

what does the risk of vit D deficiency increase with?

A

age

-due to lower intake, housebound, decreased ability to activate vit D, and need increases after 50

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14
Q

Vit D toxicity

A

-most potentially toxic of all vitamins (but no risk just form sun)

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15
Q

factors that affect conversion to active Vit D from sun?

A

-skin tone, sunscreen use, pollution, clothing, geography, and time of year

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16
Q

Food sources of Vit D

A
  • fortified milk and margarine, eggs, butter, fortified soy beverages (some rice and almond beverages), as well as some fatty fish
  • more foods are starting to be fortified
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17
Q

is breast milk high or low in Vit D

A

-low (therefore supplementation of breasted infants is recommended)

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18
Q

Vit E

A

-tocopherol (god standard= alpha version)

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19
Q

function of Vit E

A
  • antioxidant (main defender against oxidative damage)
  • especially important in RBC and lungs (high exposure to oxygen)
  • may protect LDL from oxidation and reduce inflame (thus protecting against heart disease)
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20
Q

Vit E deficiency: rare or common

A

rare (usually only occurs in premature infants)

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21
Q

why is Vit E deficiency rare?

A

3 reasons:

1) found in many foods
2) body stores enough in fatty tissue to last a long time
3) cells recycle their working supply of vitamin E, using the same molecules over again

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22
Q

Vit E toxicity

A

rre

-no adverse affects reported from naturally occurring Vit E

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23
Q

when is Vit E toxicity more likely to occur?

A

frm supplements and fortified foods

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24
Q

Food sources of Vit E

A

MANY:

-vegetable oils, f+v, fortified cereals/grains, meats+alts, and milk products

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25
Q

what destroys Vit e?

A

heat processing and oxidation

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26
Q

Vit K functions

A
  • help synthesize proteins that help clot the blood

- also needed for synthesis of key bone proteins

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27
Q

Vit K Deficiency

A

-few have

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28
Q

why are infants given a dose of Vit K at birth

A
  • they are born with sterile intestinal tract, and vit K producing bacteria take weeks to establish
  • give to prevent hemorrhage
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29
Q

Vit K toxicity

A

-rare (no upper limit set)

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30
Q

Vit K sources

A
  • intestinal bacteria

- dark, leafy greens, and members of cabbage family

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31
Q

which 2 fat soluble vitamins can be derived from non-food source?

A

Vid D and K

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32
Q

water soluble vits

A
  • C and B
  • dissolve in water, so they are absorbed into blood stream where they travel freely
  • most not stored; are excreted in urine
  • less risk of toxicity; needed in frequent doses
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33
Q

The B Vitamins

A
  • act as coenzymes, and some are also involved in energy metabolism
  • play important roles in body, and typically deficiencies occur together, as many food sources contain a combo of the Bs
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34
Q

In north america, which product is fortified by vit B

A

-refined grain products

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35
Q

Thiamin function

A
  • plays critical role in energy metabolism of all cells

- occupies site on nerve cell membranes therefore, nerve processes and muscles depend heavily on thiamin

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36
Q

thiamin food sourses

A

-small amounts occur in many nutritious foods, such as legumes, enriched/whole grain cereals, sunflower seeds and pork

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37
Q

thaimin deficiency

A

= beriberi
-characterized by loss of sensation in the hands and feet, muscular weakness, advancing paralysis and abnormal heart action

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38
Q

Wernicke-Korsakoff

A

-severe thiamin deficiency, seen in those who abuse alcohol (as it impairs the absorption of thiamin from the digestive tract and speeds up its excretion in the urine)

39
Q

Thiamin toxicity

A

-no reports

40
Q

Roboflavin function

A
  • plays role in energy metabolism of all cells

- helps to support vision and skin health

41
Q

Riboflavin food srouces

A

-milk products, and enriched grain

42
Q

Riboflavin deficiency

A

=ariboflavinosis

43
Q

when diet is deficient in _____, it may also be deficient in riboflavin

A
  • thiamin
  • they have similar food sources
  • riboflavin deficiency often goes undetected bc symptoms of thiamin deficiency more severe
44
Q

riboflavin toxicity

A

-no reported

45
Q

niacin functions

A

-also participates in energy metabolism of all cells

46
Q

what aa can be converted to niacin in body

A

-tryptophan (found in almost all proteins)

47
Q

niacin equivalents

A

-amount of niacin preseent in food and take into account the niacin that can be created from the tryptophan present in the food

48
Q

niacin sources

A

-almost all protein containing foods are a source of niacin and tryptophan (only protein of corn limited)

49
Q

Niacin deficiency

A

= pellagra

50
Q

niacin toxicity

A

-linked to supplement intake rather than food
=niacin flush
-over time the body adapts to high doses and syptoms resolve, but it is important to monitor for liver damage

51
Q

Niacin as a medication

A

-physicians may administer large doses as part of treatment to lower blood lipids

52
Q

pantothenic acid and biotin functions

A

-both play role in energy metabolism

53
Q

pantothenic acid and biotin food sources

A

-both are found widespread in foods

54
Q

pantothenic acid and biotin deficiencies

A

-rare

55
Q

vitamin B6

A

-pyridoxine

56
Q

vit B6 functions

A

-participates in over 100 reactions in body tissues and plays role in the metabolism of protein and aa’s

57
Q

vit B6 food sources

A

-meats, fish, and poultry

58
Q

vit B6 deficiency

A

-may be related to incidence of heart disease (more research needed)

59
Q

cit B6 toxicity

A

large doses from supplements can be dangerous

60
Q

Folate

A

=folic acid

61
Q

folate functions

A
  • plays important role in cell division

- cells that divide rapidly are most vulnerable to deficiency

62
Q

those at risk of folate deficiency

A
  • pregnant
  • elderly (many meds interfere with absorption; elderly often have lowered food intake)
  • alcoholic (decreased absorption and lowe food intake)
  • smokers (folate inactivation in lungs occurs, increasing need)
63
Q

what kinds of meds can interfere with folate absorption

A

-antacids, aspirin, oral contraceptives, and anticonvulsants

64
Q

what is folate deficiency associated with

A
  • neural tube defects
  • women of child birthing years advised to consume a 400ug supplement; all white flour, enriched pasta and corn meal have been fortified
65
Q

neural tube defects

A

-abnormalities of the brain and spinal cord apparent at birth

66
Q

folate food sources

A

-liver, legumes, beets, leafy green vegetables, as well as oranges, and cantaloupe

67
Q

Vit B12 deficiency

A
  • bc vit B12 and folate closely related, B12 deficiency causes identical anemia to folate deficiency
  • also causes neuromuscular dysfunction, such as creeping paralysis and general malfunctioning of nerves and muscles
68
Q

Vit B12 deficiency

A
  • bc vit B12 and folate closely related, B12 deficiency causes identical anemia to folate deficiency
  • also causes neuromuscular dysfunction, such as creeping paralysis and general malfunctioning of nerves and muscles
69
Q

will admin of folate clear up anemia

A

yes

-but allows vit B12 deficiency (and corresponding NM dysfunction) to continue undetected

70
Q

what does Vit B12 require for absorption

A

-intrinsic factor (made by stomach)

71
Q

what happens to IF as we age

A

-as we age, many lose ability to produce enough stomach acidity and IF, which reduces ability to absorb B12

72
Q

does a change in diet always correct Vit B12 deficiency

A
  • no

- some people have inherited defect in gene for IF (this usually begins in mid-adulthood)

73
Q

B12 food sources

A

-only present in foods of animal origin (vegetarians and vegans at higher risk; some vegetarian products are fortified- i.e. soy meat alts, some fermented products, some algae, Red Start T6635 yeast)

74
Q

can a vitamin B12 deficiency occur in her infant even if the pregnant/lactating mother appears healthy?

A

yes
-deficiency in pregnancy can cause irreversible NS damage in the developing fetus, which cannot be detected until the baby is born

75
Q

Vit C

A

= ascorbic acid

76
Q

vit C fxn

A

-performs # of functions but best known is maintaining connective tissues and as an antioxidant

77
Q

Vit C deficiency

A
  • scurvy (symptoms from the breakdown of collagen in absence of vit C)
  • rare
78
Q

Vit C toxicity

A
  • result of vit C being used as a nutraceutical
  • here recommendations as high as 4000mg/day but UL= 2000mg/day
  • leads to megadoses
79
Q

nutrceutical

A

-marketing a nutrient as having pharmacological effect

80
Q

Vic C requirement

A

-not that much bc much is recycled back into the active form for reuse (and urinate the rest out)

81
Q

Vic C and smokers

A

-tobacco introduce oxidants to our body that depletes the body’s Vit C
-therefore they need more to maintain blood vitamin levels similar to that of a non-smoker
(even being around second hand smoke)

82
Q

Vit C sources

A
  • f+v are key

- best= fresh, raw and quickly cooked fruits, vegetables and juices

83
Q

what is Vitamin C vulnerable to?

A

-heat and also destroyed by oxygen

84
Q

Phytochemicals

A
  • compounds derived from plants and have biological activity in the body and may support health beyond traditional nutrients
  • can have profound physiological effects on our body
85
Q

what was once thought about phytochemical

A

-at one time, phytochemical were thought to only play role in sensory qualities in food

86
Q

food contains thousands of ___

A

chemicals

87
Q

are chemicals in food all good?

A

some are beneficial, some have no effect, and others are harmful

88
Q

food chemicals in different peple

A

-they exert different effects on different people or when taking differing doses or at different life stages

89
Q

what is the safest way to obtain phytochemicals

A

-through foods
(as it is uncertain if any phytochemical is actually effective at fighting disease or if it safe to consime them at high doses)

90
Q

functional foods

A

-whole or modified foods that demonstrate physiological benefits or have the ability to reduce chronic disease risk due to the phytochemical that they contain

91
Q

modified functional foods

A
  • have phytochemicals, nutrients, or other compounds added to them, which provide additional benefits
  • added phytochemicals may produce effects that are vastly different from those seen in whole foods
  • ie margarin, juice or yogurt that has plant sterol added to them
92
Q

how do vitamins differ from carbs, fats and proteins

A

-structure (vits are individual units), function (don’t yield energy) and dietary intake (micro or milligrams, not grams)

93
Q

what does bioavilabilty of a vitamin depend on?

A
  • efficienct of digestion and time of transit through GI
  • previous nutrient intake and nutrition status
  • other foods consumed at the same time
  • method of food prep
  • source of nutrient