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Chapter 7 Vitamins:

Vital Keys to Health

1

Understanding Vitamins

Vitamins

Needed in small amounts

Not an energy source

Individual units rather than long chains

Essential for normal functioning, growth, and maintenance of the body

2

Understanding Vitamins

Fat-soluble vs. water-soluble

Fat-soluble: Vitamins A, D, E, K

Absorbed with fat into lymphatic system

Stored in larger quantities

Less vulnerable to cooking losses

Water-soluble: B Vitamins and Vitamin C

Absorbed into bloodstream

Stored in small amounts

Vulnerable to cooking losses

3

Understanding Vitamins

Food preparation affects vitamins in foods

Vitamins found in all food groups

Factors that determine amounts

Source (animal vs. plant)

Sunlight

Moisture

Growing conditions

Plant’s maturity at harvest

Packaging and storage

5

Food preparation affects vitamins in foods

Enrichment and fortification

Enrichment—replacing lost nutrients in processed foods

Fortification—adding extra nutrients to foods that wouldn’t have them naturally

Some is required by law

Understanding Vitamins

6

Food preparation affects vitamins in foods

Provitamins

Inactive

Body must change them to active form

Example: beta-carotene

Understanding Vitamins

7

Vitamin A: The Retinoids

Forms of Vitamin A

Active forms (retinoids)

Retinol

Retinal

Retinoic acid

Precursors (carotenoids)

8

Vitamin A: The Retinoids

Functions

Vision

Maintaining healthy cells

Fighting infections and bolstering immune function

Promoting growth and development

Cell development and health

9

Vitamin A

Functions of vitamin A

Vision: night and day

Changes incoming light to visual images

Keeps eye’s surface healthy

Allows night and color vision

11

Vitamin A

Functions of vitamin A

Cell production and differentiation

Regulates production of enzymes, blood carrier proteins, and structural proteins (like those in the skin)

Skin

Needed to replace epithelial cells

12

Vitamin A

Functions of vitamin A

Immune function

Produce immune cells

Reproduction

Keep reproductive tracts healthy

Bones

Helps produce bone cells

Required for bone remodeling

13

Vitamin A

Dietary Recommendations

Retinol activity equivalent (RAE)

Sources of Vitamin A

Animal food sources (retinoids)

Plant food (provitamin A carotenoids)

Fortified foods

14

Vitamin A

Vitamin A Deficiency

Rare in North America and Western Europe

Leading cause of child blindness worldwide

Affects eyes, body cell development, and immune function

16

Vitamin A

Vitamin A Deficiency

The Eyes

Xerophthalmia

The Skin and Other Epithelial Cells

Keratin

Immune function

Vulnerable to infection

Other Effects

Growth retardation, bone deformities, defective teeth, and kidney stones

17

Vitamin A

Vitamin A Toxicity

Symptoms

Fatigue, vomiting, abdominal pain, bone and joint pain, loss of appetite, skin disorders, headache, blurred or double vision, and liver damage

18

Vitamin A

Vitamin A Toxicity

Teratogen

Causes birth defects

Discoloration of skin

Acne treatment

Retin-A and Accutane

Use with caution

19

The Carotenoids

Plant pigments

Major Carotenoids

Alpha-carotene

Beta-carotene (most common)

Lutein

Zeaxanthin

Cryptoxanthin

Lycopene

20

The Carotenoids

Functions of carotenoids

Not technically essential

Can function as potent antioxidants

Protect vision

Lowers risk of certain cancers

21

22

Food Sources, Absorption, and Storage of Carotenoids

Good sources

Orange and yellow fruit and vegetables, dark green vegetables

Body absorbs 20–40% of carotenoids eaten

Dietary fat increases absorption

Photo © PhotoDisc

The Carotenoids

Vitamin D

Forms and formations

Activated in liver and kidney

25-hydroxyvitamin D [25(OH)D]

Functions

Essential for bone health

Protects against certain cancers and other chronic diseases

Helps regulate insulin formation and secretion

24

Vitamin D

Sources

Exposure to sunlight

Fortified foods

Milk

Breakfast cereals

Supplements

26

Vitamin D

Deficiency

Rickets in children

Osteomalacia and osteoporosis in

adults

Toxicity

Hypercalcemia

27

Vitamin E

Forms

Family of eight similar compounds

Only alpha-tocopherol considered for human vitamin E requirement

Stored mainly in body fat

Functions

Antioxidant

Protects cell membranes from free radicals

May lower risk of some chronic diseases

28

Vitamin E

Dietary Recommendations

Related to intake of polyunsaturated fatty acids

RDA

15 mg/day alpha tocopherol for adults

19 mg/day for breastfeeding

31

Vitamin E

Food Sources

Nuts, seeds, vegetable oil, whole grain, wheat germ oil, fruit, vegetables, and animal products

32

Vitamin E

Deficiency

Occurs with fat malabsorption or rare genetic disorders

Toxicity

Nontoxic and adverse effects have not been found

Can interfere with blood clotting

33

Vitamin K

Functions

Blood clotting

Bone health

Dietary Recommendations

Men 120 mg/day

Women 90 mg/day

34

Vitamin K

Food sources

Green vegetables, plant oils, intestinal bacteria

35

Vitamin K

Deficiency

Rare in healthy people

Newborn babies at risk

Toxicity

Rare

Can interfere with anticoagulant medications

36

The Water-Soluble Vitamins

Eight B Vitamins

Act primarily as coenzymes in energy metabolism

Vitamin C

Antioxidant

Can stabilize Vitamin E

37

Thiamin

Functions

Coenzyme in energy metabolism

Part of the coenzyme thiamin pyrophosphate (TPP)

Helps break down glucose, make RNA and DNA; helps power protein synthesis

Helps synthesize and regulate neurotransmitters

38

Thiamin

Dietary recommendations

Men 1.2 mg/d

Women 1.1 mg/d

Pregnancy 1.4 mg/d

Breastfeeding 1.5 mg/d

Food sources

Pork, legumes, nuts and seeds, fish and seafood, enriched grain products

Cooking reduces content

39

Thiamin

Deficiency

Beriberi: Overall profound muscle weakness and nerve destruction

Milder symptoms: Headache, irritability, depression, and loss of appetite

Toxicity

No reports of thiamin toxicity

Riboflavin

Functions

Coenzyme in energy metabolism

Supports antioxidants

Food sources

Milk and dairy products

Enriched grains, eggs

41

Riboflavin

Deficiency

Ariboflavinosis

Occurs most often in chronic alcoholism

Toxicity

No reported cases

42

Niacin

Functions

Coenzyme in energy metabolism

Supports fatty acid synthesis

43

Niacin

Food sources

Can be made from amino acid tryptophan

Whole and enriched grains

Meat, poultry, fish, nuts, and peanuts

44

Niacin

Deficiency

Pellagra

“Four Ds”: Dermatitis, diarrhea, dementia, and death

Toxicity and Medicinal uses

High doses used to treat high blood cholesterol

Side effects: skin flushing, liver damage

45

Vitamin B6

Functions

Coenzyme in protein and amino acid metabolism

Supports immune system

Helps to lower blood levels of homocysteine

46

Vitamin B6

Food sources

Meat, fish, poultry, potatoes, fortified meat substitutes, bananas, sunflower seeds

47

Vitamin B6

Deficiency

Microcytic hypochromic anemia

Toxicity and Medicinal Uses

Can cause subtle neurological damage, upset stomach, headache, sleepiness, and a tingling, prickling, or burning sensation

49

Folate

Functions

Coenzyme in DNA synthesis and cell division

Needed for normal red blood cell synthesis

Reduces neural tube defects

50

Folate

Food sources

Fortified cereals, enriched grains

Green leafy vegetables, orange juice, sunflower seeds, and legumes

51

Folate

Deficiency

Anemia and diarrhea

Megaloblastic anemia

Birth defects

Spina bifida

Heart disease

Toxicity

Can mask vitamin B12 deficiency

Hypersensitive people may suffer hives or respiratory distress

52

Vitamin B12

Functions

Needed for normal folate function

DNA and red blood cell synthesis

Metabolize homocysteine

Maintains myelin sheath around nerves

53

Vitamin B12

Food sources

Only animal foods: meats, liver, milk, eggs, some fortified foods

54

Vitamin B12

Absorption

Requires adequate stomach acid and intrinsic factor

Deficiency

Can lead to pernicious anemia, resulting in nerve damage

Toxicity

No UL set

Pantothenic Acid

Functions

Component of coenzyme A

Food sources

Widespread in foods

Reduced by freezing, canning, and refining

Deficiency and toxicity are rare

56

Biotin

Functions

Coenzyme

Amino acid metabolism

Fatty acid synthesis

Release of energy from fatty acids

DNA synthesis

Food sources

Cauliflower, liver, peanuts, cheese

Protein avidin (raw egg whites) binds biotin and prevents absorption

Deficiency and toxicity are rare

57

Choline: A Vitamin-Like Substance

Function

Helps metabolize homocysteine

Food sources

Milk, liver, egg yolk, and peanuts

Overall abundant in food

Deficiency

Unlikely in healthy people

Toxicity

Diarrhea, falling blood pressure, and fishy body odor

58

Vitamin C

Functions

Antioxidant

Needed for collagen synthesis

Other roles

Makes other essential compounds

Enhances the absorption of iron from plant foods

59

Vitamin C

Food sources

Fruits: citrus, strawberries, kiwi, fortified juice

Vegetables: broccoli, tomatoes, potatoes, cabbage, leafy green, peppers

60

Vitamin C

Deficiency

Scurvy

Toxicity

May cause GI distress in high doses

61

Conditional Nutrients

Body makes most substances needed for life

May need to get from diet due to illness or inherited metabolic errors—thus conditional

Examples

Inositol

Carnitine

Taurine

Lipoic acid

62

Bogus Vitamins

Unnecessary substances found in some supplements

May be marketed as “vitamins” and “health boosters”

Examples

Hesperidin

Pangamic acid

Rutin

63