Unit 5 Vitamins Flashcards

(53 cards)

1
Q

What are the two classes of vitamins?

A
  1. Fat-soluble vitamins
  2. Water-soluble vitamins
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2
Q

What are the 4 Fat-soluble vitamins?

A

Vitamin A
Vitamin D
Vitamin E
Vitamin K

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3
Q

What are the 5 characteristics of Fat-soluble vitamins?

A
  1. Absorption - first into the lymph then into the blood. Require bile for absorption. Dissolve in lipid
  2. Transport and storage
    - must travel with a protein carrier in watery fluids
    - stored in liver or fatty tissue
  3. Excretion - not readily excreted, builds up in tissues
  4. Toxicity - TOXIC likely from supplements but rarely from food - dietary flexibility because body takes what it needs
  5. Requirement - need weekly or monthly depending on body stores
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4
Q

What are the 5 characteristics of Water-soluble vitamins?

A
  1. Absorption- directly into blood
  2. Transport and storage
    - travel freely in watery fluids
    - most not stored in body
  3. Excretion - readily excreted in urine
  4. Toxicity- unlikely. but CAN happen with high dose supplements
  5. Requirement- need frequently because body does not store most to any extent
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5
Q

What are the 9 Water-soluble vitamins?

A

Riboflavin
. Niacin
. Pantothenic acid
. Biotin
. Vitamin B6 (Pyridoxine)
. Thiamin
. Folate (folic acid)
. Vitamin C
. Vitamin B12

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6
Q

Are vitamins organic or inorganic?

A

Organic compounds vital to life

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7
Q

What are 3 characteristics of vitamins ?
- amounts
- caloric value
- essential/nonessential

A

minute amounts
non-caloric
essential nutrients

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8
Q

What is the function of vitamins ?

A

-They assist enzymes that help release energy from carbs, fat and proteins
-They do not yield energy when metabolized

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9
Q

What is a precursor?

A

a provitamin that is converted to active form when in the body

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10
Q

Vitamin A
-Functions
- Deficiency
- Toxicity
- Food

A

Functions
- gene expression
- vision - clear cornia, light, pigment
- cell differentiation - skin
- reproduction and growth
- immunity

Deficiency
- stores 1 year supply - takes a year to show up
- developing countries
- blindness in kids - “Xerophthalmia”

Toxicity
- supplements and fortified foods
- weakens bones- affects kids most
- contributes to hip fractures
- Teratogenic
- Beta carotene is not converted efficiently enough to retinal to cause toxicity

Food
Retinol: Dairy, eggs, liver - only animal
Beta Carotene- spinach, dark leafy greens, broccoli. Orange fruit and veggies

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11
Q

What 3 things is Vitamin A converted to?

A

Retinol - stored in liver and converts to:
- Retinal
- Retinoic acid (as needed)

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12
Q

b-carotene

A

converted to vitamin A
a precursor
12ug = 1ug retinol
*too much is bad for smokers

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13
Q

Vitamin D (cholecalciferol)
-Functions
- Deficiency
- Toxicity
- Food

A

Function
- hormone
- regulates blood calcium (helps absorb it) and phosphorus levels
- Bone integrity

Deficiency
- rickets
-osteomalacia (kids & adults) (softening of bones)

Toxicity
- increase blood calcium and cause kidney stones
- calcification of blood vessels

Foods
- Eggs, liver, some fatty fish
- fortified milk
- fortified margarine

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14
Q

Vitamin E (tocopherol)
- Functions
- Deficiency
- Toxicity
- Food

A

Function
- Alpha is the gold standard
- DRI is alpha-tocopherol
- main antioxidant for RBC and lungs b/c concentrated O2 there

Deficiency
- rare
- in lots of foods
- body stores it in fatty tissue
- cells recycle vit E
-erythrocyte hememolysis - RBC rupture

Toxicity
- rare
- could happen from suppliments/ fortified food

Food
- veggie oils
- veggies and fruit
- fortified cereals/grains
- meat & alt
- milk + products
- heat destroys vitamin E - fast food etc

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15
Q

What Vitamin is the most potentially toxic?

A

Vitamin D - from supplements

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16
Q

Which vitamin is the best antioxidant?

A

Vitamin E

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17
Q

Vitamin K
- Functions
- Deficiency
- Toxicity
- Food

A

Function
- important for blood clotting
- bone protein synthesis

Deficiency
-Newborns
- need vit K shot - prevent hemorrhage b/c they don’t have vitamin k producing bacteria yet

Toxicity
- rare
- Warfarin antidote

Food
- intestinal bacteria as a source
- Green veggies
- leafy veggies
- veggie oils

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18
Q

Thiamin (vitamin)
- Functions
- Deficiency
- Toxicity
- Food

A

Function
- critical role in energy metabolism of all cells
- muscles and nerves depend heavily on thiamin

Deficiency
- Beriberi (edema or muscle wasting )
- anorexia & weight loss
- neurological issues
- Wernicke-Korskaoff syndrome - those who abuse alcohol

Toxicity
none

Foods - fortified & enriched
-Whole grain
-pork

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19
Q

Riboflavin (Vitamin)
- Functions
- Deficiency
- Toxicity
- Food

A

Function
- part of coenzymes used in energy metabolism
- vision
- skin health

Deficiency
- inflammation of mouth, skin, eyelids
- ariboflavinosis

Toxic
none

Foods
- milk products
- enriched/fortified whole-grain

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20
Q

Niacin
- Functions
- Deficiency
- Toxicity
- Food

A

Function
- part of coenzyme used in energy metabolism
- Tryptophan amino acid can be converted to niacin in body

Deficiency
- Pellagra (diarrhea, dermatitis, dementia)

toxic
- niacin flush
-liver damage
-impaired glucose tolerance

Food
- Milk
-Eggs
-Meat/poultry/fish
- While grain & enriched breads
(not corn)

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21
Q

Biotin
- Functions
- Deficiency
- Toxicity
- Food

A

Function
- part of coenzyme used in energy metabolism

Deficiency
- Skin rash
- hair loss
- neuro issues

toxic
none

Foods
-in lots
-GI bacteria synthesis

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22
Q

Pantothenic acid
- Functions
- Deficiency
- Toxicity
- Food

A

function
- part of coenzyme used in energy metabolism

Deficiency
- Digestive issues
- neuro issues

toxic
none

Food
- in lots of food

23
Q

Vitamin B6 (pyridoxine)
- Functions
- Deficiency
- Toxicity
- Food

A

functions
-part of coenzymes used in amino acid & fatty acid metabolism
- over 100 reactions in body tissues

Deficiency
- Scaly dermatitis
- depression
- confusion
- convulsions
- anemia

Toxicity
-nerve degeneration
-skin lesions

foods
- meat/fish/poultry
- legumes
-non-citrus fruit
- fortified cereals
- liver
- soy

24
Q

Folate (Folic acid)
- F
- D
- T
- F

A

function
- cell division
- Cells that divide rapidly are most vulnerable to deficiency

deficiency
- anemia
- neural tube defects

Toxicity
- folate can mask Vitamin B12 deficiency by resolving the macrocytic anemia seen in both folate and B12 deficiency

Foods
- fortified grains
- leafy green veggies
-legumes
-seeds
- liver

25
Which cells are most vulnerable to deficiency?
Cells that divide rapidly
26
Which 2 vitamin deficiencies cause anemia?
Folate B12
27
Vitamin B12 (cobalamin) FDTF
Function -required to activate folate to allow it to play its role in cell division - helps to maintain the myelin sheath that surround and protect nerve fibres - coenzyme in energy and amino acid metabolism Deficiency -neuromuscular dysfunction, such as creeping paralysis and general malfunctioning of nerves and muscles - B12 deficiency looks like anemia from folate deficiency - pernicious anemia (lacks intrinsic factor) Toxicity none Foods -animals - milk products - fortified cereals
28
Which 2 water soluble vitamins are closely related due to dependency on each other?
Folate Vitamin B12
29
what does B12 require for absorption?
-requires an intrinsic factor (IF) for absorption, a compound that is made by the stomach
30
Vitamin C (ascorbic acid) FDTF
function - maintaining the connective tissues and as an antioxidant deficiency - Scurvy caused by the breakdown of collagen Toxicity -diarrhea - Gi distress Food -fruits & veggies - can be damaged by heat
31
What is Scurvy?
breakdown of collagen due to vitamin C deficiency - bleeding gums - pinpoint hemorrhages - abnormal bone growth - joint pain
32
What group of people need more Vitamin C?
Smokers
33
how is vitamin D made?
-UV light converts cholesterol compound in human skin to vitamin D precursor - it is absorbed into the blood - Liver and kidneys finish converting percursor to active Vitamin D
34
Beriberi
Thiamin deficiency - loss of feeling in hands, feet - muscle weakness - paralysis - abnormal heart action
35
Wernicke- Korsakoff syndrome
- in those who abuse alcohol - alcohol displaces food and impairs absorption of thiamin in digestive tract - speeds up excretion in the urine
36
What do physcians administer large doses of as a way to lower blood lipids?
Niacin
37
What 4 groups are at risk of folate deficiency and why
1. pregnant people - affects fetal development 2. elderly - meds interact 3. Alcoholics - less folate absorption and less eating 4. Smokers - folate inactivation in lungs means need more folate
38
What 3 foods have been fortified with folic acid in Canada?
White flour enriched pasta corn meal
39
Folate can mask which vitamin deficiency?
Vitamin B12
40
Older people may not be able to absorb vitamin B12 because of their inability to produce what ?
1. enough stomach acidity 2. intrinsic factor
41
What vitamin are vegans and vegetarians most at risk of developing deficiency for?
vitamin B12
42
what foods are fortified with B12?
- Soy beverages and meat alternatives - Red Star T6635 Yeast
43
What are phytochemicals
-compounds derived from plants -have biological activity in the body and may support health beyond traditional nutrients -help with tastes, aromas colours and other characteristics
44
What is the safest and most effective source of phytochemicals?
Food - not supplements
45
What are functional foods
- Whole or modified foods - demonstrate physiogical benefits - have the ability to reduce chronic disease risk b/c of phytochemicals they have
46
What are modified functional foods?
- They have these which have been added to them - phytochemicals - nutritens - other compounds
47
What is an example of a modified functional food?
foods that have plant sterols added for cholesterol reduction - margarines - juices - yogurt
48
What do flavinoids do?
- powerful antioxidants - protect against LDL oxidation - minimize inflammation - slow atheroscelorosis
49
What do Carotenoids do?
- red and yellow pigment - Vitamin A precursor (b-carotene) - could help lower risk of heart disease
50
What do lycopene do?
- red pigment in guava, pink grapefruit, tomatoes , watermelon - powerful antioxidant activity
51
These types of supplements are NOT recommended
phytochemical supplements
52
What meds can interact with plant sterol-enriched food?
Statins
53
Which precursor should smokers avoid getting too much of
beta- carotine