CHAPTER 10 HUMAN NUT - Sheet1 Flashcards

1
Q

What are the potential hazards associated with supplement use, according to the passage?

A

Supplement users may face excessive intakes of certain nutrients, and the extent and severity of supplement toxicity remain unclear. Large doses may be toxic, as seen in the example of selenium supplements.

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2
Q

Why is chronic supplement toxicity often unrecognized and unreported?

A

Chronic supplement toxicity often goes unrecognized because the effects develop subtly and progress slowly. Only a few health-care professionals can recognize it.

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3
Q

What are the life-threatening consequences of overdoses of iron supplements in children?

A

Iron supplements (30 milligrams of iron or more per tablet) are especially toxic and can cause fatalities among children. Even mild overdoses cause GI distress, nausea, and black diarrhea, reflecting gastric bleeding.

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4
Q

According to the passage, why might people with illnesses turn to high doses of vitamins or minerals, and what risks are associated with this behavior?

A

People with illnesses might believe that high doses of vitamins or minerals can be therapeutic, potentially leading them to avoid seeking medical help. However, high doses can be toxic, and there are no guarantees that the supplements will be effective.

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5
Q

What are some arguments against the use of supplements mentioned in the passage?

A

Arguments against supplement use include the lack of standards for formulating the “ideal” supplement, a false sense of security leading to irresponsible eating, and the belief in invalid reasons such as inadequate nutrients in the food supply.

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6
Q

What is the role of antagonistic actions in the context of supplement use? Give examples mentioned in the passage.

A

Antagonistic actions involve factors that counteract the action of another factor. Examples include zinc hindering copper and calcium absorption, iron hindering zinc absorption, and vitamin A precursor beta-carotene interfering with vitamin E metabolism.

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7
Q

What criteria does the passage suggest for selecting a vitamin-mineral supplement?

A

The criteria for selecting a supplement include looking for a single, balanced vitamin-mineral supplement with a USP verification logo, indicating testing for ingredient accuracy, contaminant levels, and disintegration time.

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8
Q

What are some misleading claims and marketing tricks associated with supplement products, as discussed in the passage?

A

Misleading claims include high potency claims, the idea that natural supplements are more effective, and claims that supplements can relieve stress. Marketing tricks involve “green” pills and the use of nanotechnology.

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9
Q

How are dietary supplements regulated, and what limitations exist in their regulation according to the passage?

A

Dietary supplements are regulated by the FDA under the Dietary Supplement Health and Education Act of 1994. However, the act resulted in deregulation, as supplements do not need to be proved safe and effective before marketing.

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10
Q

Why does the passage argue that foods are a better source of nutrients than dietary supplements?

A

The passage argues that foods offer a variety of nutrients in complex combinations, along with water, fiber, and phytochemicals. Foods stimulate the GI tract, provide energy, and meet human health needs better than dietary supplements.

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11
Q

What are the three forms of Vitamin and how are they converted to the active coenzyme PLP?

A

Three forms of Vitamin : Pyridoxal, Pyridoxine, Pyridoxamine. They are converted to the coenzyme PLP (pyridoxal phosphate) by the body.

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12
Q

Describe the role of PLP in various metabolic reactions mentioned in the passage.

A

Role of PLP: PLP is active in more than 100 reactions, including carbohydrate, fatty acid, and amino acid metabolism.

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13
Q

Explain how PLP is involved in the synthesis of nonessential amino acids and the conversion of tryptophan to niacin or serotonin.

A

PLP’s Role in Amino Acids: PLP is used to transfer amino groups, enabling the body to make nonessential amino acids. It is crucial in the conversion of tryptophan to niacin or serotonin.

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14
Q

What are the early symptoms of Vitamin deficiency, and how does alcohol contribute to its destruction in the body?

A

Early Symptoms of Vitamin Deficiency: Depression, confusion. Alcohol contributes to Vitamin destruction by producing acetaldehyde, which dislodges PLP from its enzymes.

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15
Q

Discuss the major report on Vitamin toxicity in the early 1980s and the consequences of consuming large doses.

A

Vitamin Toxicity: Neurological damage reported with doses exceeding 2 grams daily for 2 months or more.

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16
Q

Identify the food sources of Vitamin , and explain the impact of heating on its bioavailability.

A

Vitamin Food Sources: Meats, fish, poultry, potatoes, fruits. Heat leads to the loss of Vitamin .

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17
Q

Define folate, its coenzyme forms, and its primary role in metabolism according to the passage.

A

Folate and Coenzyme Forms: Folate, also known as folic acid, has coenzyme forms DHF and THF, essential for amino acid conversions and DNA synthesis.

18
Q

Describe the process of folate absorption, activation, and its relationship with Vitamin .

A

Folate Absorption and Activation: Folate is absorbed, activated by removing a methyl group with Vitamin , and stored in the liver. GI tract injuries can lead to folate loss.

19
Q

Explain the vulnerability of the folate-handling system in the GI tract, especially in cases of alcohol abuse.

A

GI Tract Vulnerability: Folate deficiency develops in alcohol abuse, damaging the GI tract and affecting cell multiplication.

20
Q

Why is folate supplementation crucial for women of childbearing age, and what role does it play in preventing neural tube defects?

A

Folate in Pregnancy: Folate prevents neural tube defects. Pregnant women need higher folate intakes.

21
Q

Discuss the safety concerns related to folate fortification and its potential impact on masking vitamin deficiencies.

A

Folate Fortification Concerns: Safety concerns due to masking vitamin deficiencies. Debates on risks and benefits of folate fortification.

22
Q

Explore the connection between folate, heart disease, and cancer based on the information in the passage.

A

Folate and Heart Disease: Folate breaks down homocysteine, linked to heart disease. However, its impact on reducing heart attack risk is debated.

23
Q

What are the symptoms of folate deficiency, and how does it affect cell division and protein synthesis?

A

Symptoms of Folate Deficiency: Macrocytic or megaloblastic anemia, GI tract deterioration.

24
Q

Highlight the interactions between folate and certain drugs, and how they can lead to a secondary deficiency.

A

Folate-Drug Interactions: Certain medications, like anticancer drugs, can displace folate and interfere with normal metabolism.

25
Q

Examine the concept of folate toxicity, its UL, and the potential risks associated with high-dose folate supplements.

A

Folate Toxicity: UL established. Excess folate may mask vitamin deficiencies, delaying diagnosis of neurological damage.

26
Q

Identify the food sources of folate and factors that can affect its content in foods.

A

Folate Food Sources: Abundant in legumes, fruits, vegetables. Destroyed by heat and oxidation during cooking and storage.

27
Q

Briefly explain the role of Choline, its recommendations, and potential deficiency and toxicity issues.

A

Choline: Essential nutrient grouped with B vitamins. Used for neurotransmitter and lecithin synthesis. Recommendations and toxicity related to blood pressure.

28
Q

Discuss nonvitamins mentioned in the passage and their roles in the body.

A

Nonvitamins: Inositol, carnitine, PABA, bioflavonoids, pyrroloquinoline quinone, orotic acid, lipoic acid, ubiquinone. Not essential nutrients.

29
Q

Explain the interactions among the B vitamins, using examples like riboflavin and Vitamin .

A

Interactions among B Vitamins: Example of riboflavin assisting in converting Vitamin to its coenzyme form PLP.

30
Q

Summarize the key points related to B vitamin deficiencies and toxicities, emphasizing their importance and potential risks.

A

B Vitamin Deficiencies and Toxicities: Emphasize the far-reaching effects, coexistence of deficiencies, and potential risks of overusing supplements. Scurvy history highlights the importance of obtaining vitamins from foods.

31
Q

What is the primary difference between vitamins and energy nutrients?

A

Vitamins are micronutrients that do not yield energy when metabolized, while energy nutrients are macronutrients that provide energy to the body.

32
Q

What two factors differentiate the absorption, transport, storage, and excretion of water-soluble vitamins from fat-soluble vitamins?

A

Water-soluble vitamins are hydrophilic and readily absorbed into the blood, while fat-soluble vitamins are hydrophobic and require transport proteins for absorption. Additionally, water-soluble vitamins are readily excreted in urine, while fat-soluble vitamins tend to be stored in the body and eliminated more slowly.

33
Q

Which vitamins are precursors, and how are they converted into active forms?

A

Precursors are inactive forms of vitamins that are converted into active forms within the body. Examples include beta-carotene (precursor to vitamin A) and tryptophan (precursor to niacin). The conversion process can involve various enzymes and metabolic pathways.

34
Q

What are the potential consequences of taking excessive amounts of vitamins?

A

Excessive intake of vitamins can lead to toxicity, causing symptoms like nausea, vomiting, diarrhea, and liver damage. This is especially true for fat-soluble vitamins which accumulate in the body.

35
Q

Why is thiamin essential for energy metabolism?

A

Thiamin is essential for energy metabolism because it forms part of the coenzyme TPP (thiamin pyrophosphate). TPP plays a crucial role in the conversion of pyruvate to acetyl CoA, a key step in the TCA cycle for generating energy.

36
Q

What are the two forms of beriberi, and what are their distinguishing features?

A

The two forms of beriberi are “dry” beriberi and “wet” beriberi. Dry beriberi affects the nervous system, causing muscle weakness and paralysis, while wet beriberi affects the cardiovascular system, causing edema and heart failure.

37
Q

What coenzymes are formed from riboflavin, and what roles do they play in energy metabolism?

A

Riboflavin forms two coenzymes: FMN (flavin mononucleotide) and FAD (flavin adenine dinucleotide). These coenzymes accept and donate pairs of hydrogen atoms, playing important roles in energy metabolism, particularly in the TCA cycle and electron transport chain.

38
Q

How does niacin contribute to the prevention of pellagra?

A

Niacin helps prevent pellagra by supplying the body with the necessary building blocks to synthesize NAD and NADP. These coenzymes are essential for numerous metabolic reactions, including energy production, protein metabolism, and DNA repair.

39
Q

What are the primary functions of the biotin coenzyme?

A

The biotin coenzyme plays several important functions in metabolism. It carries activated carbon dioxide, which is crucial for various processes like the TCA cycle, gluconeogenesis, and fatty acid synthesis.

40
Q

What molecule is pantothenic acid a part of, and what metabolic roles does this molecule play?

A

Pantothenic acid is a component of coenzyme A (CoA). CoA is involved in over 100 metabolic pathways, including the TCA cycle, fatty acid synthesis, and steroid hormone production. It plays a vital role in energy production and other essential metabolic functions.