Vitamin A Flashcards
What is vitamin A?
A group of fat-soluble retinoids, including retinol, retinal, retinoic acid, and retinyl esters.
What are the two groups of vitamin A in the diet?
Preformed vitamin A (retinoids) and provitamin A carotenoids.
What is the most potent precursor of vitamin A?
β-Carotene.
Name two other provitamin A carotenoids.
- α-Carotene
- β-Cryptoxanthin
What is required for vitamin A absorption in the body?
Bile salts.
What is the absorption percentage of retinol and β-carotene from dietary sources?
- Retinol: 70-90%
- β-Carotene: 20-50%
Where is most vitamin A stored in the body?
Approximately 90% is stored in the liver, primarily in stellate cells as retinyl esters.
How is vitamin A transported in the body?
It is released into circulation bound to prealbumin (transthyretin) and retinol-binding protein (RBP).
What happens when the body’s vitamin A stores are depleted?
Vitamin A deficiency occurs, impairing physiological functions even before clinical eye signs appear.
What is the recommended daily intake of vitamin A for adults?
- Males (>18 years): 900 μg RAE/day
- Females (>18 years): 700 μg RAE/day
- Pregnant women: 770 μg RAE/day
- Lactating women: 1300 μg RAE/day
What is Retinol Activity Equivalent (RAE)?
The amount of vitamin A providing activity equivalent to:
* 1 μg all-trans-retinol
* 6 μg β-carotene
* 12 μg other provitamin A carotenoids
What are rich food sources of vitamin A?
- Plant: Carrots, dark green leafy vegetables.
- Animal: Liver, cod liver oil.
What is the leading cause of preventable childhood blindness?
Vitamin A deficiency (VAD).
How does VAD affect pregnant women?
It increases all-cause mortality and adversely affects pregnancy outcomes.
What percentage of women of childbearing age in the UAE have vitamin A deficiency?
3%, indicating a mild public health problem.
Which age group is most vulnerable to VAD?
Preschool-age children.
Why are preschool children more vulnerable to VAD?
- High requirements for rapid growth
- Transition from breastfeeding to other diets
- Increased frequency of infections
Which gender is more affected by night blindness and Bitot’s spots?
Males (1.2-10 times more than females).
Why is VAD common in rice-dependent communities?
Rice is low in vitamin A, and such communities have limited dietary diversity.
What physiological stages increase the risk of VAD in women?
- Pregnancy (especially last trimester)
- Lactation
Name some conditions associated with secondary vitamin A deficiency.
- Liver diseases
- Protein-energy malnutrition (PEM)
- Malabsorption (e.g., cystic fibrosis, chronic diarrhea, bile duct obstruction)
What are the early manifestations of VAD?
Increased rates of infections due to compromised epithelial barriers and immune system.