Vitamins Flashcards

1
Q

Vitamins

A
Organic compounds 
Must be obtained from diet 
Accessory growth factors 
- fat soluble
- water soluble
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2
Q

Provitamins

A

Consumed in an inactive form and become active vitamins in the body.

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3
Q

Solubility and storage

A

Water soluble (B group vitamins and C) are absorbed directly into the blood and travel freely, excreted in urine

Fat soluble (ADEK) are absorbed first into the lymph, then the blood. Many require protein carriers, stored in cells associated with fat and are less readily excreted.

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4
Q

Fat soluble vitamins

A

Can reach toxic levels when supplemented
Closely associated with the absorption and transport of lipids
Optimal absorption requires presence of bile salts
Transported by chlyomicrons
Stored in body lipids
ADEK

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5
Q

Water soluble vitamins

A

Vit C, B groups
Folate and vit B have synergistic relationship
Can be destroyed by exposure to light, oxidation, cooking and storage. Can be minimised by refrigeration, using air tight wrappers, clean fruits before cut, steam not boil etc.

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6
Q

B vitamins

A
Do not provide body with energy/ fuel 
Thiamin 
Riboflavin 
Niacin 
Pantothenic acid
Biotin 
Form part of the coenzyme system that enable release of energy from energy yielding macronutrients
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7
Q

Thiamin B1

A

Coenzyme thiamin pyrophosphate:

  • decarboxylation reactions- during glucose metabolism, TPP decarboxylates pyruvate to form Acetyl coA
  • pentose phosphate pathway- metabolises glucose to make products such as monosaccharide deoxyribose for DNA synthesis
  • nerve function - ? May help synthesis neurotransmitters or produce energy to fuel nerve tissue

Pork, legumes, nuts, seeds, whole grain cereal products

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8
Q

Thiamin B1 deficiency

A

At risk:
Alcoholics, alcohol requires thiamin for metabolism, Poor, Elderly, GI disease , HIV
Beriberi- chronic thiamin deficiency first described in countries that subsisted on polished rice
- dry beriberi (without oedema): nerve degeneration, tingling sensation due to loss of nerve transmission, muscle wasting, poor arm and leg coordination, deep pain in calf muscles
- wet beriberi (with oedema swelling): enlarged heart, heart failure, severe oedema
Wernicke- Korsakoff syndrome

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9
Q

Riboflavin B2 functions

A

Coenzymes involved in numerous metabolic pathways: flavin mononucleotide, flavin adenine dinucleotide
- citric acid cycle critical for energy metabolism
- deamination reaction
- involved in glutathione peroxidase enzymes
Riboflavin involved in conversion of other nutrients- B6 to pyridoxal phosphate, tryptophan to niacin, methylenetetrahydrofolate to methylTHF
Found in milk and milk products, fortified breads and cereals, destroyed by UV light

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10
Q

Riboflavin (B2) deficiency

A

Ariboflavinosis

  • glossitis
  • angular stomatitis
  • cheilosis
  • seborrhaeic dermatitis
  • anaemia

No reports of riboflavin toxicity

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11
Q

Niacin (B3)

A

Two coenzymes formed are:
Nicotinamide adenine dinucleotide
Nicotinamide adenine dinucleotide
Many metabolic pathways that promote synthesis of new compounds rely on NADP

Body can make niacin from tryptophan with help of riboflavin, vitamin B6 and iron

Found in beef, pork, whole grain cereals, eggs, milk
Heat stable

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12
Q

Niacin (B3) deficiency

A
Pellagra 
-dermatitis 
- diarrhoea 
- dementia
Persists in areas of India, China and Africa 

Can be toxic if overconsumed- flushing, itching, burning, headaches, liver abnormalities

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13
Q

Pantothenic Acid (vitamin B5)

A

Part of coenzyme A
Synthesis of fatty acids
Citric acid cycle
Synthesis of amino acids, steroid, neurotransmitter

Found in chicken, beef, potatoes, tomato products, egg yolks

Deficiency very rare, no toxicity

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14
Q

Biotin (vitamin B7)

A
Carboxylate enzymes 
Gluconeogenesis 
Citric acid cycle 
Fatty acid synthesis 
Breakdown of amino acids 
DNA synthesis 
Initially called vitamin H 
Found in cauliflower, liver, peanuts 

Deficiency- prolonged intake of raw egg whites, use of anticonvulsant drugs, genetic disorders- results in hair loss, rash, neurological disorders
No known toxicity

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15
Q

Vitamin B6

A

Three forms: pyridoxal, pyridoxine, pyridoxamine
Can all be converted to pyridoxal phosphate (PLP), a coenzyme involved in:
- protein metabolism- synthesis of nonessential amino acids
-CHO metabolism- gluconeogenesis and glycolysis
- blood cell synthesis
- synthesis of neurotransmitter
- Niacin metabolism
Found in fortified cereals, meat, fish, poultry, potatoes

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16
Q

Vitamin B6 deficiency

A

Microcytic hypochromic anaemia
- red blood
Cells that are microcytic (small) hypochromic (deficient in haemoglobin)

Other reported symptoms of B6 deficiency include:
Seborrhaeic dermatitis
Neurological symptoms

Alcoholics at risked alcohol decreased absorption of B6, interferes with synthesis of PLP
UL is 50mg/d, can be toxic