Vit and Minerals 1
Vit and Minerals 1
Vit and Minerals 1
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- Vitamins are essential organic
nutrients, required in small
amounts
• Antagonists of
vitamins.
• Cause vitamin
deficiency. ❖ Vit. K antagonists are used as anti
coagulants. Dicoumarol and
• Some anti vitamins warfarin are Vit. k antagonists
used as anticoagulants.
are used as drugs.
• Present in foods.
• Some drugs are anti
vitamins.
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❖ Isoniazid is used in treatment
of tuberculosis. It prevents
formation of pyridoxal
❖ Folic acid antagonists are phosphate. So pyridoxine
used as anti cancer drugs. deficiency is likely to occur in
They are aminopterin and isoniazid treatment.
amethopterin.
❖ Aminopterin and
amethopterin (Methotrexate)
– inhibit DNA synthesis
especially in cancer cells
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Vitamins do NOT provide energy. They do NOT build the body physically. They
do perform very specific functions by working in compounds called ‘enzymes’.
Enzymes have two parts: the protein molecule and its helper…the coenzyme made
out of a vitamin.
PROTEIN
VITAMIN
MOLECULE
COENZYME The two parts, the
vitamin and the
protein, create this
enzyme.
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The two types of vitamins are
classified by the materials in which
they will dissolve.
By contrast, water-soluble vitamins dissolve in water and are not stored; they are
eliminated in urine. We need a continuous supply of them in our diets. The water-
soluble vitamins are the B-complex group and vitamin C.
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VITAMINS A, D, E, & K.
Vitamins are organic substances
in food, that are needed in very
small amounts for growth and for
maintaining good health. There are
vitamins that dissolve in water, and
4 vitamins that dissolve in fat:
A, D, E, & K
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Carotenoids are less easily absorbed than retinol and must be converted
to retinol by the body. The most recent international standard of measure
for vitamin A is retinol activity equivalents (RAE).
Life Stage Age Males Females
Adolescents 14 years 900 mcg RAE /day 700 mcg RAE /day
and adults and older 3,000 IU/day 2,333 IU/day
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Excess Vitamin A is stored in
the liver. In a well-nourished
person, there may be a 2 - 12
month supply stored at any
given time. A large surplus will
accumulate in the liver and
may be harmful. Such
excessive intakes are less
likely to result from over-eating Side effects of vitamin A
than through the over-use of excess/overdose include nausea,
manmade vitamin pills or itchiness, irritability, vomiting,
headaches, menstrual problems,
dietary supplements. dizziness, pimples, and birth
Overdoses of manmade defects. Long term vitamin A
Vitamin A is called overdose can lead to liver
‘Hypervitaminosis A’ damage, pain in the muscles 22 and
bone, and headaches.
Xerophthalmia (zîr'əf-thăl'mē-ə) is a
major cause of preventable blindness in
children, especially in developing
countries. It is an inflammation of the
cornea (the clear covering of the eye).
Bitot's Spots (′bē·tōs ′späts) are
distinct elevated white patches on the
conjunctiva, the membrane that covers
most of the visible part of the eye.
Night Blindness or Nyctalopia
(nĭk'tə-lō'pē-ə) or is a condition making
it difficult or impossible to see in dim
Zinc deficiencies interfere with light.
Vitamin A metabolism. Vitamin A deficiency causes
Vitamin A deficiencies exacerbates hardening and roughening of the
iron-deficiency-anemia. Chronic skin, acne, birth defects, and
alcohol consumption depletes liver degeneration of mucous
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stores of vitamin A. membranes.
Normal (on the right) and vitamin A-deficient rat (on the
left). Deficiencies result in a dryness and soreness which
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causes the eye lid to cake and to stick together.
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Vitamin D is another fat-soluble
vitamin. It is essential for
maintaining normal calcium
metabolism. Vitamin D can be
synthesized by humans in the
epidermis of the skin upon
exposure to ultraviolet-B (UVB)
radiation from sunlight, or it can
be obtained from the diet.
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The issue of sunlight exposure confounds the existing data on vitamin D
requirements, making it impossible to accurately calculate daily needs. The
Recommended Dietary Allowances, therefore, have be set with the assumption
that no vitamin D is being synthesized in the skin through exposure to sunlight.
Life Stage Age Males Females
Adolescents 14-50 5 mcg /day 5 mcg /day
and adults years 200 IU/day 200 IU/day
Adults 51-70 10 mcg /day 10 mcg /day
years 400 IU/day 400 IU/day
Many surgeons
recommend the
discontinuation of
Vitamin E
supplements prior
to surgery, to avoid
the risk of
uncontrolled
hemorrhage. 41
Vitamin E deficiency has been
observed in individuals with severe
malnutrition, some genetic defects,
and fat malabsorption syndromes
such as cystic fibrosis or
cholestatic liver disease. Severe
vitamin E deficiency results mainly
in neurological symptoms,
including impaired balance and
coordination, injury to the sensory
nerves, muscle weakness, and
damage to the retina of the eye.
1 cup dark green or green leafy vegetables per day would provide
an adequate supply of vitamin K.
Food Serving Vitamin K (mcg)
50
Vitamin K deficiencies are rare for two reasons... 1. part of the body’s
needs of this vitamin are produced in the intestinal tract 2. Vitamin K
is “conserved” in the body. That means it is recycled… it can be used
over and over. The process is called the Vitamin K cycle.
Easy bruising
associated with
Vitamin K
deficiency.
Cell
cement
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Ascorbic Acid vs Sodium Ascorbate
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Thiamine
• Composed of a substituted thiazole ring joined to a
substituted pyrimidine by a methylene bridge.
• Robert Williams synthesized thiamine in 1936.
Riboflavin
• From the molecules parts, ribitol and flavin
• First isolated from whey in 1879 by Blyth
• The structure was determined by Kuhn and co-workers in
1933
Niacin (Nicotinic Acid)
• Derived from nicotine
• In the body, it is converted into nicotinamide
• Synthesized in 1867 by oxidation of nicotine and widely used in photography.
• In 1915, Goldberger , concluded that pellagra is caused by the absence of
some factor that was lacking in corn but present in meat and milk
• In 1937, the chemical structure of that factor was subsequently discovered65by
the American biochemist Conrad Arnold Elvehjem.
Choline
• A trimethyl-ethanol ammonium hydroxide
• A stable compound with strong alkaline properties
• In 1849, Adolph Strecker was the first to isolate choline from pig bile.
Pantothenic Acid
• An aliphatic, long chain hydroxyl acid with
nitrogen in the linkage of carbon
• Pantothenic acid is an integral part of coenzyme A and plays the important
role of decarboxylating pyruvate in the citric acid cycle.
• It was discovered in 1933 by Dr. R. J. Williams and was found to be a true
vitamin shortly thereafter.
Pyridoxine
• A heterocyclic compound
• Pyridoxine – form that is found in plant was isolated in 1938
• Pyridoxal and pyridoxamine – form that predominate in animals, were
identified in 1945 66
Biotin
• an organic heterobicyclic compound that consists of
2-oxohexahydro-1H-thieno[3,4-d]imidazole having a valeric acid
substituent attached to the tetrahydrothiophene ring.
• Early 1900s – certain strain of yeast required a material called bios.
• In 1927, Boas and in 1931, Szent-Gyorgyi found substances in liver that were
capable of curing and preventing dermatitis, loss of hair that occurred in rats
• In 1936, Kogl and Tonnis first isolated biotin from egg
• In 1940, the structure of biotin was determined by Kogl
Inositol
• also called Cyclohexanehexol
• It is considered a pseudo vitamin as it is a molecule
that does not qualify to be an essential vitamin because even
though its presence is vital in the body, a deficiency in this molecule does
not translate into disease conditions.
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Folic Acid
• Made up of yellow pigment,
paraamino-benzoic acid, and glutamic acid
which is a yellow solid slightly soluble in water.
• Folate and its role in human biochemical functioning was first identified by
researcher Lucy Wills in 1931.
• It was first extracted by Mitchell and others in 1941.
• Bob Stokstad isolated the pure crystalline form in 1943.
Cyanocobalamin
• Vitamin B12 occurs in several forms, called cobalamins;
cyanocobalamin is the principal one used in vitamin
supplements and pharmaceuticals.
• it contains a metallic ion, cobalt, has a complex chemical
structure
• In 1926, Minot and Murphy demonstrated that pernicious
anemia could be prevented by eating large quantities of
liver 68
• In 1948, Rickes and co-workers isolate vitamin B12
Thiamin (thī'ə-mĭn, -mēn') is
Functions: Necessary for normal
also spelled thiamine.
carbohydrate metabolism (releasing
energy from food); promotes normal
appetite; important in function of
nervous system by transmitting high-
speed impulses.
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Normal (left) and thiamine deficient rat (right). A very marked effect on growth as well
as a rough hair coat and weakness on the legs are apparent. 71
Functions: Important for growth; Necessary
for normal protein and carbohydrate
metabolism and tissue repair; promotes good
vision, healthy skin.
Choline is LIKELY SAFE for most adults when taken in appropriate amounts.
Taking high doses of choline is POSSIBLY UNSAFE for adults due to the increased
risk of side effects. Doses up to 3.5 grams for adults over 18 years of age are not
likely to cause unwanted side effects. Doses over 3.5 grams daily are more likely to
cause side effects such as sweating, a fishy body odor, diarrhea, and vomiting. 77
Pantothenic acid (păn'tə-thĕn'ĭk) is also known as Vitamin B5.
Sources: Liver, kidney, meats, egg yolk, whole grains, legumes; most
fruits and vegetables, and like biotin, it is also made by intestinal
bacteria. About half of pantothenic acid is lost in the milling of grains
and heavily refined foods. 78
No recommended daily allowance for pantothenic acid has been determined, but an
ADQUATE INTAKE (AI) level of 5 milligrams for both males and females is
acceptable.
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Normal vs. smooth tongue
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Minerals act as Cofactors - substance that binds
to an enzyme to help catalyze a reaction. They
serve as cofactors in:
• Antioxidant Systems
• Energy Production
• Muscle Contraction
• Nerve Transmission
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Bioavailability - Degree the nutrient from food is
absorbed and utilized in the body –
Nutritional Status and Competing Minerals in GI tract -
can affect absorption.
Chelators of:
magnesium, calcium, zinc and iron in your gut.
Found in Grains, Legumes, Nuts and Seeds:
Wheat has 720mg/100g phytic acid. Soybeans 1,433mg/100g;
Cashews 1,866mg/100g and Almonds 1,280mg/100g.
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Phosphorus Needs in the Body!
Formation of Bones and Teeth RDA Adult: 700 mg/day
Along with Ca2+ makes Calcium UL: 4,000 mg/day
Hydroxyapatite Americans consume 1,000 mg/day.
P Deficiency is rare.
Hypophosphatemia
Muscle weakness, bone pain, rickets, confusion,
and death in extreme cases!
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Potassium (K+)
• Major Cation in intracellular fluid (ICF)
• Absorbed in Small Intestine and Colon
• Kidneys regulate balance excreting excess.
• Muscle Contraction and Nerve Impulse.
• Rhythmic Heart Beats.
• Regulate Blood Pressure when excreted.
• Acts as a Buffer in Blood.
• Preserves Ca2+ and PO43- in bones.
Minor amounts are lost in sweat.
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Daily Needs
Adults: 4,700mg/day.
May Hypertension.
May bone losses and risk of kidney stones.
Absorption
– Is absorbed throughout the GI tract
– About 80% SO42- consumed is Absorbed.
– Kidneys excrete excess.
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Metabolic Functions of Sulfate
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Sulfur - Can be used as a Preservative
Sulfites prevents spoilage and discoloration in foods
e.g. Sulfites are found in wine - those sensitive may get:
Headaches, sneezing, swelling of the throat, hives
Food Sources of Sulfate
• Meat, poultry, fish, and eggs
• Legumes
• Dairy foods
• Fruits and vegetables
• Beverages: Beer, wine
No RDA, no UL! - No Toxicity or Deficiency symptoms 116
Sodium (Na)
• Major Mineral => Na+ Electrolyte
• Cation usually combined with chloride (NaCl)
• Primarily in Blood and extracellular fluid (ECF)
• Regulates Blood Volume
Na also Located:
• Within Hydroxyapatite crystals in bone;
• In Nervous Tissue;
• In Muscular Tissue.
Table salt – accounts for 90% of our Na - part
of our problem? Please, use Sea Salt!
40% wt table salt = Na; 60% wt table salt 117
= Cl
Absorption, Transport, and Excretion of Na
• 95-100% absorbed in Small Intestine!
• About 5% Excreted in Feces.
• Blood levels Maintained by Kidneys.
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Food Sources of Sodium Hypernatremia (excess Na in
blood) – when fluids not
Some Facts and Figures about Na replenished as water is lost (e.g.
use: vomiting or diarrhea)
•About 70% of Na is from processed * Or, from ingesting too much
foods.
Na+
Canned, processed meats, frozen or
pre-packaged meals Sodium deficiency is rare.
•Only 12% comes from natural food
sources Hyponatremia - from consuming
•About 5% added during cooking. too much water in a short time,
•About 6% added at the table. e.g. endurance athletes.
Symptoms: Headache, muscle
weakness, fatigue, seizures, as we
have seen, can cause death.
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Magnesium (Mg2+)
~60% in bones, 25% in Daily Needs for Mg
muscles, the rest in cells.
Adults: 300 to 400 mg/day
Bioavailability is about
50%.
Absorption
A high-fiber, whole-
grain, high phytates,
lowers absorption.
Intestinal absorption
and kidney excretion
adjusts based on diet
and need.
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Mg2+ Toxicity - Consuming excess supplements
can cause intestinal problems.
Diarrhea, cramps, nausea
Symptoms:
Muscle weakness, seizures, fatigue, depression, and
irregular heart beats.
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Micro/Trace Minerals
Iron Iron Absorption
• Ferrous (Fe2+)
– Reduced
• Ferric (Fe3+)
– Oxidized
• Chief functions in the body
– Part of the protein
hemoglobin, which carries
oxygen in the blood
– Part of the protein
myoglobin in muscles,
which makes oxygen
available for muscle
contraction
– Necessary for the
utilization of energy as part
of the cells’ metabolic
machinery 125
Iron Iron: Heme vs. Nonheme
Sources – two forms of iron in
food
1. Heme iron – meats, poultry,
fish; readily absorbed
2. Nonheme iron – plants
foods;
less absorbed
a. Absorption enhanced by
Vitamin C
b. Absorption diminished by
phytates, oxalates, and
tannic acid
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• 2001 RDA
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Iron • Deficiency symptoms
– Microcytic, hypochromic
• Iron deficiency is anemia (low Hgb & Hct):
the most common weakness, fatigue,
nutrient deficiency headaches
worldwide
– Impaired work performance
• Can occur if
inadequate intake
and cognitive function
or blood loss – Impaired immunity
• Females are prone – Pale skin, nailbeds, mucous
due to membranes, and palm
menstruation, lower creases
iron intake &
– Concave nails
pregnancy
• Preschoolers also at – Inability to regulate body
risk due to high temperature
milk diets – Pica (craving for ice, clay,
paste, and other non-food
substances) 128
• Both size and color
are normal in
these blood cells
131
Zinc • Toxicity – not likely,
unless supplement abuse
• Deficiency symptoms • Toxicity symptoms
– In children, growth – Loss of appetite,
retardation and impaired immunity,
delayed sexual low HDL, copper and
maturation iron deficiencies
– Impaired immune
function
– Hair loss
– Eye and skin lesions
– Loss of appetite and
abnormal taste
– Depressed immune
function and poor
wound healing
- Night blindness
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• Significant sources
Iodine – Iodized salt, seafood,
bread, dairy products,
plants grown in
• Chief functions in the
iodine-rich soil and
body
animals fed those
– A component of two plants (content of
thyroid hormones that iodine in soils affects
help to regulate food content)
growth, development,
and metabolic rate
• Deficiency symptoms
– Underactive thyroid gland, goiter
• Toxicity symptoms
– Underactive thyroid gland, elevated TSH, goiter (also
causes enlarged thyroid gland)
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• Deficiency symptoms
Selenium – Predisposition to heart
disease (cardiomyopathy)
Chief functions in the characterized by cardiac
body tissue becoming fibrous
• Defends against (Keshan disease)
oxidation • Toxicity symptoms
• Regulates thyroid -Highly toxic, esp. supplement
hormone abuse
– Loss and brittleness of hair
and nails
• 2000 RDA for adults:
– Skin rash, fatigue, irritability,
55 g/day
and nervous system disorders
• Upper level for adults:
– Garlic breath odor
400 g/day
• Significant sources
– Seafood, meat
– Whole grains, vegetables
(depending on soil content) 135
Copper
• Chief functions in the body
– Component of enzymes
involved in the
absorption and use of
iron in the formation of • Significant sources
hemoglobin – Seafood
– Part of several enzymes – Nuts, whole grains,
necessary for collagen, seeds, legumes
healing wounds, • Deficiency symptoms (rare)
maintaining nerve fiber’s
– Anemia, bone
myelin sheath
abnormalities
• Upper level for adults:
• Toxicity symptoms-only in
• 2001 RDA for adults: 900
supplement abuse &
g/day
abnormal
10,000 g/day (10
storage in Wilson’s disease
mg/day)
-Liver damage 136
Manganese
• Chief functions in the
body
– Cofactor for several
enzymes • Significant sources
– Component of bones – Nuts, whole grains, leafy
and glands vegetables, tea
• Deficiency symptoms
• 2001 AI – Rare; requirements are
– Men: 2.3 mg/day low
– Women: 1.8 mg/day • Toxicity symptoms
– Nervous system disorders
• Upper level for adults: 11
– Has occurred in miners
mg/day inhaling large quantities of
dust causes brain damage
137
Fluoride
• Chief functions in
the body
– Involved in the
formation of bones
and teeth • Significant sources
– Drinking water (if fluoride
– Helps to make containing or fluoridated)
teeth resistant to – Tea, seafood
decay • Deficiency symptoms
• 1997 AI – Susceptibility to tooth
decay
– Men: 3.8 mg/day – Higher incidence of dental
– Women: 3.1 caries
mg/day • Toxicity symptoms
– Fluorosis (pitting and
• Upper level for discoloration of tooth
adults: 10 mg/day enamel) 138
• Deficiency symptoms
Chromium – Diabetes-like
condition; mimics
• Chief functions in the symptoms of
body diabetes, especially
– Enhances insulin in elderly
action
– CHO & lipid • Toxicity symptoms
metabolism
– None reported
• 2001 AI
-Men: 35 g/day
– Women: 25 g/day
• Significant sources
– Meats (especially liver)
– Whole grains, brewer’s
yeast 139
• Deficiency symptoms
Molybdenum - Molybdenum cofactor
deficiency causes brain
• Acts as a cofactor for four abnormalities, developmental
enzymes(xanthine oxidase, delays and childhood death.
Fortunately, it’s extremely
sulfite oxidase, aldehyde
rare.
oxidase, mARC). These
• Toxicity symptoms
enzymes are involved in
– In rare cases, high intakes of
processing sulfites and molybdenum have been linked
breaking down waste products to seizures and brain damage.
and toxins in the body. Initial studies have also
suggested an association with
• Chief functions in the body gout, poor bone health and
– Helps in preventing anemia decreased fertility.
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