Transcript Chapter 10

Chapter 10
The Water Soluble Vitamins (WSV) –
B vitamins and Vitamin C
True/false
1. Taking vitamin supplements is never
harmful because your body
eliminates any excesses that you
don’t need
2. Taking vitamin C supplements can
help you ward off the common cold
Vitamins
False
1. Some vitamins are stored in the body
and can build up to toxic levels if taken in
excess
2. There is no clear evidence that vitamin c
supplements protect you from the
common cold
Overview
Vitamins differ from CHO, fat, and protein in 3
ways:
• Structure
– Single units
– Not linked together
• Function
– Do not yield energy
– They assist enzymes that release energy from CHO,
fat, and protein
• Measurement
– Micrograms (ug or mcg)
– Milligrams (mg)
Overview
• Bioavailability
– Amount absorbed and used by the body
• Precursors
– Inactive forms of some vitamins, also known as
provitamins
• Organic –
– Being organic, they can be destroyed
• Solubility
– Water soluble vitamins are hydrophilic
– Fat soluble vitamins are hydrophobic
• Toxicity
– Too much of some vitamin can be harmful to the body
What are Vitamins
• Needed for growth, reproduction and
overall good health
• They are essential nutrients
• Deficiency of one will cause physiological
symptoms
• There are 13 vitamins, can be water
soluble or fat soluble
• Vitamins D, K, niacin and biotin can also
be synthesized (made) by the body
Vitamins
• Water soluble vitamins can be destroyed
by air, water, or heat
• Vegetables and fruit begin to lose their
vitamins almost immediately after being
harvested
• Fat soluble vitamins tend to be more
stable
• Some preparation treatment can cause the
loss of vitamins
Fat-Soluble and Water-Soluble
Preserving your vitamins
• Don’t expose your produce to air, keep in air
tight container
• Cook with minimal liquid to prevent loss of
vitamin through leeching
• Washing rice before cooking will wash away
all the b vitamins that were sprayed on
during enrichment process
Preserving your vitamins
• Prolong heating will destroy water soluble
vitamins, especially vitamin C
• Vegetables cook in microwave or stir fry
can have 1 ½ times more vitamin C after
cooking than if they were boiled
• Keep your fruits and vegetables cool
Characteristics of WSV
• B vitamins share a common role as
coenzymes to help several enzymes
produce reactions in the body cells
• Deficiencies of WSV are rare in USA
• Deficiencies in the B complex and vitamin C
is associated with alcoholism and the
elderly, related to diets that are not balanced
• B vitamins are needed to use all
macronutrients efficiently
Thiamin (B1)
• The first to be discovered
• Chief Functions
– Part of coenzyme Thiamin pyrophoshotate (TPP)
needed for energy metabolism
– Helps to break down alcohol in the body
• Food sources
– Enriched and whole grains such as bread and
ready to eat cereal, pasta, and rice.
– Pork, is the biggest source of naturally occurring
thiamin
• Easily destroyed by heat
Thiamin (B1)
• Toxicity
– Nontoxic, so no upper limit has been set
• RDA :
– 1.1milligram (mg) women daily
– 1.2mg men daily
• Deficiency Diseases
– Beriberi
– Wernicke-Korsakoff found in alcoholics
Thiamin (B1)
• Deficiency symptoms
– Enlarged heart
– Cardiac failure
– Muscular weakness
– Poor short-term memory
– Confusion
– Anorexia
– Weight loss
Riboflavin (B2)
• Light sensitive B vitamin, easily destroyed by
ultraviolet light and irradiation
• Abundant in milk
• Functions
– Part of coenzymes that helps to turn carbohydrate,
proteins, and fats, into energy and to keep cells healthy
– Enhances the functions of niacin and B12
• Sources
– Milk, yogurt, enriched grains
• RDA:
– women - 1.1milligram (mg)/day
– Men – 1.3 mg
Riboflavin (B2)
• Deficiency Disease
– Ariboflavinosis
• Deficiency Symptoms
– Sore throat
– Swollen mouth
– Inflamed tongue
– Dry and scaly lips
– Skin lesions
• Toxicity - None
Niacin (B3)
Other names:
nicotinic acid, nicotinamide and niacinamide
Tryptophan is a precursor of niacin
• Functions
–
–
–
–
Needed to use the energy in food
Keep skin and digestive system healthy and functioning
Helps to lower LDL, raise HDL cholesterol
Nicotinic acid as a drug is 40 times the RDA prescribed
by doctors to lower LDL
• Deficiency Disease
– Pellagra (Four Ds) common among alcoholics and
people with poor diet
Niacin (B3)
• Deficiency Symptoms
– Dermatitis- inflammation or irritation of the
skin
– Dementia – loss of memory
– Diarrhea
– Death
Niacin (B3)
• Sources
– meat, fish, poultry, enriched whole grain
breads and fortified cereals,
• Toxicity
– No known danger from consuming too much
niacin from foods
– Over consuming niacin supplements may lead
to:
• painful flush, liver damage, high blood glucose,
nausea, vomiting
– Never consume high amounts of niacin unless
prescribed by a doctor
Niacin (B3)
• RDA :
– Women - 14 milligram/day
– Men – 16mg/day
• Upper level
– 35mg/day
Vitamin B6
• Other names:
– Pyridoxine, pyridoxal, prydoxamine
• Functions
– An active co-enzyme with over 100 enzymes
involved in the metabolism of proteins
– Needed to convert tryptophan into niacin and
serotonin
– Needed to make red blood cells
– Recently found that B6 along with folate and
B12 help reduce risk of heart disease
Vitamin B6
• Deficiency symptoms
– Sore tongue
– Scaly red skin
– Depression
– Confusion
– Possibly anemia
– convulsions
(B6)
• Sources
– Ready-to-eat cereal, meat, fish, poultry, shellfish, legumes, fruits,
green and leafy vegetables
– Easily destroyed by heat
• Toxicity
– Supplement abuse (500-6000mg/day) for two months may result in
• Difficulty walking
• Tingling sensations in legs and feet
• RDA:
– Women - 1.3 to 1.5 milligram/day
– Men – 1.3 to 1.7 mg/day
• Upper level
– 100 mg/day
Folate
• There are two forms:
– Folate – naturally occurring in food
– Folic acid or folacin – synthetic form, added to food or
found in supplements
• Functions
– Vital for synthesis of DNA
– Helps to maintain healthy red blood cell
– Helps red blood cells divide and increase in adequate
numbers
– Prevents birth defect (neural tube defects)
– Helps to fight cancer – colon Cancer
– Helps the body use amino acids
Folate
Deficiency
• Stops cell division (beneficial in cancer pt, by
stopping growth of tumor cell)
• Neural tube defects
– Spina bifida
• Spinal cord and backbone aren’t properly developed
• Learning and physical disabilities
• Inability to walk
– Anencephaly
• lack of complete brain ,
• Baby can’t move, think, or function
• death shortly after birth
Folate
Deficiency
• Megaloblastic anemia
– Abnormally large red blood cells
– Decreased oxygen carrying capacity
• Macrocytic anemia - result of megaloblasts
– Feel tired, weak and irritable
– Shortness of breath
• Because folate needs vit B12 to produce healthy
red blood cells, a deficiency of either vitamin can
lead to macrocytic anemia
Folate
deficiency
results in
macrocytic
anemia.
Recommendation for women
• Take folate 1 month before conception
and through the 1st trimester to prevent
neural tube defects.
• Synthetic folic acid has a stronger
protective effect than the food folate
• Since 1998, the FDA has mandated that
folic acid be added to all enriched grains
and cereal products
Folate
• Sources
– Enriched pasta, breads, rice and cereals, leafy green
vegetables, legumes, seeds, asparagus, broccoli
• Toxicity – from synthetic
– Masks vit B12 deficiency symptoms
– Sleep disturbances, irritability, GI problems
• RDA: The body absorbs synthetic folic acid
more easily than folate from foods. (1.7 times
more efficiently)
– 400 microgram for most adults
– Pregnant women - 600 microgram/day
– Upper limit – 1000 microgram/day from enriched and
fortified foods
Vit B12 (cobalamine)
• Needs intrinsic factor to be absorbed
• Functions
– Needed to use certain fatty acids and amino
acids
– Needed to make DNA
– Needed for healthy nerves
– Activates folate and folate can activate b12 to
coenzyme
– Part of the heart healthy B vitamins
Vit. B12
• Deficiency
– Pernicious (harmful) anemia
• Occurs in individual who are not able to absorb
B12 because of lack of intrinsic factor
• Gets regular shot of B12 directly into the blood
stream
• Can take years to develop because the liver stores
plenty of B12
– Can also cause macrocytic anemia because
B12 works closely with folate
Vit B12 (Cobalamine)
• Food Sources
– meats, fish, poultry, milk and milk products,
fortified foods
• Toxicity -None
• RDA: 2.4 microgram/day for most adults
Vitamin C
• Ascorbic acid
• Functions
– Act as coenzyme needed to make and use certain
amino acids
– Needed to make collagen –
• the most abundant protein in the body
• Collagen connects and supports all your body part like glue
• Needed for healthy bones, teeth, skin, and blood vessels
– Act as antioxidant
– Helps in iron absorption in plant foods
– Boost the immune function system by
• Helping the body to produce white blood cells to fight
infections
Vitamin C
• Deficiency – affects the entire body
– Scurvy
•
•
•
•
Bleeding gums
Rough rash on the skin
Wounds that won’t heal
Anemia
• Sources
– citrus fruits, Red and green sweet peppers,
strawberries, pineapple, kiwi fruit, cantaloupe,
mangoes,, tomatoes, potatoes, green vegetables,
fortified fruit juices.
Vitamin C
• Toxicity from supplements
– >1000mg or 1g may cause iron overload
(hemochromatosis)
– >3,000 mg has been shown to cause diarrhea, nausea
and stomach cramps
• RDA:
– Women - 75 milligram/day
– Men – 90 milligrams/day
– Smokers + 35 mg/day
• Upper level
– 2,000 milligrams
Supplement Smarts
How Should You Get Your
Vitamins?
• FDA approval not required for ingredients in
use prior to 1994; FDA cannot remove
supplement from marketplace until shown to
be harmful
• Consult health professional before taking
vitamin/mineral supplements
– Read supplement label carefully
• USP seal of approval tests supplement to ensure
quality and safety (but does not endorse or validate
health claims)