Vitamins Flashcards
Biotin AI
30 mcg
Vitamin K AI
120 mcg / 90 mcg
Vitamin B6 RDA
1.3-1.7 mg
Folate RDA
400 mcg
Vitamin C RDA
90 mg / 75 mg
Pantothenic Acid AI
5 mg
Riboflavin RDA
1.3 mg / 1.1 mg
Vitamin A RDA
900 mcg RAE / 700 mcg RAE
Vitamin D RDA
15 mcg
Vitamin B12 RDA
2.4 mcg
Thiamin RDA
1.2 mg / 1.1 mg
Niacin RDA
16 mg / 14 mg
Vitamin E RDA
15 mg
Differences between macro and micronutrients
- Energy vs. no energy
- Quantity amount (grams vs micro or milligrams)
- All vitamins are essential (only essential macronutrients are glucose, linoleic/linolenic acid, and 9 AAs)
Fat-soluble vitamin absorption/transport/storage/excretion
Absorbed in the small intestine into the lymphatic system, which requires bile, digestive enzymes and micelles. Transported via chylomicrons to the liver. Excess stored mainly in the liver and fat tissue (except K). Small amounts excreted in bile.
Water-soluble vitamin absorption/transport/storage/excretion
Absorbed in the small intestine directly into the blood stream via the portal vein. Transported in the blood, often bound to proteins such as albumin. Very minimal storage. Excreted in the urine (except B12 and B6)
Vitamin A functions
- Vision: retinal turns visual light into nerve signals, retinoid acid helps maintain normal differentiation of cells in eye (cornea, rod cells)
- Growth & development: retinoid acid required for cell formation
- Reproduction: requires retinol or retinal
- Immunity: retinoids help maintain epithelial layers, differentiation of some cells produced by immune system
Vitamin A deficiency
- Xerophthalmia (irreversible blindness)
- Follicular hyperkeratosis
- Impaired immunity
- Poor growth
Vitamin A toxicity
Hypervitaminosis A (acute, chronic, teratogenic); hypercarotenemia
Rhodopsin
A molecule in rod cells: opsin (protein) + cis-retinal
Visual cycle
When rhodopsin is exposed to bright light, cis-retinal becomes trans-retinal. Opsin is released from retinal, which sends nerve impulse that carries visual information to the brain. Retinal is reused (some lost), and rhodopsin is reformed.
Xerophthalmia
Irreversible blindness caused by vitamin A deficiency. Disease progression:
- Night blindness
- Decreased mucus production
- Development of Bitot’s spots, conjunctival xerosis
- Cornea softens
- Scarring
Follicular hyperkeratosis
Vitamin A deficiency. Normal epithelial cells in the underlying skin layers are replaced with keratinized cells. Hair follicles become plugged with keratin, which causes bumpy, rough, and dry skin.
Acute vitamin A toxicity
Caused by ingestion of 100x RDA within a short period. Symptoms include GI upset, headache, blurred vision, muscular uncoordination
Chronic vitamin A toxicity
Caused by a large intake of vitamin A over a long time. Symptoms include bone/muscle pain, hip fractures, skin disorders, headache, dry skin, hair loss, increased liver size, double vision
Teratogenic vitamin A toxicity
Causes spontaneous abortion or birth defects
Vitamin D nomenclature
D3: cholecalciferol, found in animal products
D2: ergocalciferol, found in plants, fortified foods
How active vitamin D is formed in the body
- Sunlight converts 7-dehydrocholesterol to previtamin D3, and forms D3 with body heat
- Liver hydroxylates D3 to 25-OH-D3
- Kidney hydroxylates more to 1,25-(OH)2 D3, which is the active form / hormonal form (aka Calcitriol)
Vitamin D functions
- Regulates blood Ca and P levels. Calcitriol increases intestinal absorption of Ca from foods. With PTH, releases calcium from bone into blood, which increases blood Ca levels. Prevents Ca from being excreted in urine.
- Bone growth and development
- Cell differentiation
Vitamin D deficiency
Rickets (kids), osteomalacia (adults)
Rickets
Caused by vitamin D deficiency in kids. Symptoms include bowed legs, outward bowed chest, knobs on ribs, rapid enlargement of head, muscle spasms
Osteomalacia
Caused by vitamin D deficiency in adults. Symptoms include loss of Ca, soft, flexible, brittle, deformed bones. Bending of spine, bowed legs.
Vitamin D toxicity
Hypercalcemia: over absorption of Ca, which causes irreversible calcification of heart, lungs, and kidneys. Narrows pulmonary arteries, facial changes, mental retardation. Infants most susceptible.