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Vitamins




Vitamins are special chemicals found in food.




                                                132
Vitamins


Vita   = Life

Amine = Containing Nitrogen

  The First Vitamin Discovered
  Contained Nitrogen
Vitamins


                          Organic
                          Essential Nutrients
                          Requirements Minute (Small)
                          Perform Specific Functions
                             Growth
                             Reproduction
                             Maintenance of Health and Life



Vitamins are organic substances which the body require in small amounts to
perform specific functions that promote growth, normal metabolism, reproduction
and normal maintenances of health and life.




                                                                                  134
Vitamins


          Vitamins Differ from Energy-Yielding Nutrients such as
                         Carbohydrate, Proteins and Fat

              Structure

              Function

              Food Contents




Vitamins do not supply energy but are essential to metabolic activities and help in
the utilization to the proximate principles.
They are also involved in the utilization of the major nutrients like proteins, CHO &
fats.




                                                                                        135
Vitamins

Vitamins Similar to Energy-Yielding Nutrients:
              Carbohydrate, Protein and Fat

   Vital to Life

   Organic
Vitamins

Available in Foods

Organic
  Destructible:
     Light:   Riboflavin (B2)
     Oxygen: Vitamin C
     Heat :   Thiamin (B1) and Vitamin C
Vitamins


Solubility:
  Hydrophilic: (Water-Soluble)
    Carbohydrate, Protein
    Vitamins B and C

  Hydrophobic: (Fat-Soluble)
    Fat
    Vitamins A, D, E, K
Precursors


                      Provitamins Inactive Vitamin
                      Form

                      Chemically Changed to Active
                      Form of Vitamins




Substances that occur in foods which are not themselves vitamins, but are capable
of conversion into vitamins in the body e.g; carotens are the pro-vitamin of vitamin
A.




                                                                                       139
Riboflavin-Vitamin B2


                      Functions
                         Coenzymes FMN and FAD
                         Energy Metabolism
                         Supports Normal Vision
                         Supports Skin Health

                      Food Sources



Vitamin is a precursor of two enzymes—Flavin-mononucleotide & Flavin adenine di-
nuleotied.
Release of energy from foods as it effects growth and cellular metabolism
Needs in normal vision and may help against cataract.
Sources– Milk, eggs, organ meat, mushrooms, shellfish, cereals and pulses.




                                                                                   149
Riboflavin-Vitamin B2


  Deficiency Disease
   Ariboflavinosis

  Deficiency Symptoms
   Skin Rash
   Cracks and Redness of
   Mouth
   Sensitivity to Light
Niacin-Vitamin B3


                         Functions
                            Coenzymes NAD
                            and NADP
                            Energy Metabolism
                            Nervous System
                            Digestive System

                         Food Sources


NAD & NADP- are the active form of niacin named as nicotinamide adenine
dinucleotide and nicotinamide adenine dinucleotide phosphate.
-These coenzymes are involved in more than 50 different metabolic reactions.
-Extracts energy from CHO and glucose.
-proper nervous system functioning.
Sources- Organ meats, liver, poultry, fish, milk, eggs, wheat germ, whole wheat,
yeast.




                                                                                   151
Niacin-Vitamin B3


                           Deficiency Disease
                              Pellegra

                           Deficiency Symptoms




-A clinical condition due to niacin deficiency, characterized as 3Ds.
-Weakness, irritability, burning tongue as the mucous membrane of the mouth is
inflamed.
-High doses results in irritation of the gastrointestinal tract.




                                                                                 152
Biotin


                               Food Sources




Originally called vitamin H.
Egg, liver, kidney, yeast, pulses, nuts, chocolates, cauliflower and green
vegetables.




                                                                             153
Biotin


                             Functions
                                Coenzyme
                                Energy Metabolism
                                Fat Synthesis
                                Amino Acid Metabolism
                                Glycogen Synthesis




--Biotin coenzyme participate in the metabolism of fat and CHO in the synthesis of
fatty acids and amino acids.
--Helps metabolize proteins, fats and CHO & thus helps to produce energy in body
cells.
--Assists in the synthesis of FA.
--Incorporate AA into proteins & help with the formation of DNA & RNA.




                                                                                     154
Biotin


Deficiency Symptoms
 Loss of Appetite and Nausea
 Abnormal Heart Action
 Depression
 Muscle Pain and Weakness
Pantothenic Acid-Vitamin B5




                              Food Sources




Sources– Whole grain cereals, vegetables, peanuts, cheese, eggs-yolk, organ
meats.




                                                                              156
Pantothenic Acid-Vitamin B5


                                Functions
                                   Coenzyme A
                                   Energy Metabolism




This vitamin is a constituent of co-enzyme A and is present in all living matter.
Important for cellular metabolism of CHO & fats to release energy.




                                                                                    157
Pantothenic Acid-Vitamin B5


        Deficiency Symptoms


          Insomnia
          Fatigue
Pyridoxine-Vitamin B6


                 Functions
                    Coenzymes PLP and
                    PMP
                    Amino Acid Metabolism
                    Fatty Acid Metabolism
                    Converts Tryptophan to
                    Niacin

                 Food Sources


Pyridoxine and its co-enzymes have a wide variety of metabolic functions
especially—
-AA metabolism and its transportation.
-Production of antibodies, RBC, synthesis and functioning of both DNA & RNA.
- Fish, poultry, egg yolk, soya- bean, bananna, potatoes, cauliflower.




                                                                               159
Pyridoxine-Vitamin B6


                        Deficiency Disease
                           Anemia (small-cell type)




Due to the deficiency of B6 , the RBCs are pale and small and the Anemia is said to
be Hypochromic and Microcytic.
Folate-Folic Acid-Folacin


                       Functions


                          DNA Synthesis
                           New Cell Formation

                       Food Sources




Sources– Spinach, liver, peas, sweet potato, bean sprout, wheat germ, soya flour,
milk, fruits.




                                                                                    161
Folate-Folic Acid-Folacin


                     Deficiency Disease
                         Anemia (large-cell type)

                     Deficiency Symptoms
                         Diarrhea
                         Depression/Mental Confusion




-Deficiency leads to impaired RBC production.
-Megaloblastic anaemia
If the maturation of the RBCs in the bone marrow is impaired by lack of Folic acid or
Vitamin B12, the cells which enter the blood stream are irregular in size and shape,
but usually on average larger than normal. Such anemia is orthochromic and
megalocytic. It is usually referred to as Megaloblastic Anemia.




                                                                                        162
Cobalamin-Vitamin B12


                         Functions
                            Coenzymes
                            New Cell Synthesis
                            Fatty Acids
                            Amino Acids
                            Maintain Nerve Cells




Bulk of body stores of vitamin B12 is in the form of coenzyme B12.




                                                                     163
Cobalamin-Vitamin B12



                       Food Sources




This vitamin has cyanide group and cobalt group.
From animal foods like goat liver, fish, eggs & milk.




                                                        164
Cobalamin-Vitamin B12


                       Deficiency Disease
                           Pernicious Anemia

                       Deficiency Symptoms
                           Fatigue
                           Degeneration of Peripheral
                           Nerves
                           Hypersensitivity



Variations in the size and shape of the blood cells.
Results in peripheral neuropathy. Loss of mental energy, depression, tingling,
numbness, diminished or absent sensation in extrimities.




                                                                                 165
Ascorbic Acid-Vitamin C


                      Functions
                         Collagen Synthesis
                         Antioxidant
                         Amino Acid Metabolism
                         Absorption of Iron
                         Resistance to Infection




Also helps to maintain healthy blood vessels.




                                                   166
Ascorbic Acid-Vitamin C



                      Food Sources




Amala, guava, oranges, all citrious fruits, dark green leafy vegetables, tomatoes,
etc.




                                                                                     167
Ascorbic Acid-Vitamin C


                          Deficiency Disease
                             Scurvy
                          Deficiency Symptoms




--General manifestation of scurvy are fever, rapid pulse, and susceptibility to
injection and wound healing is delayed.
--Bleeding gums, common cold, delayed wound healing.
--Gastrointestinal disturbances, dysuria, skin sensitivity.




                                                                                  168
Fat Soluble Vitamins



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

    *Differ From Water-Soluble Vitamins

    Found in Fat and Oily Parts of Foods
    Insoluble in Water
    Lymphatic System
Fat Soluble Vitamins: A, D, E, K

    *Differ From Water-Soluble Vitamins

     Greater Risks for Toxicity
     Stored in Liver and Adipose Tissue
     Not Readily Excreted




                                          171
Vitamin A and Beta-carotene


              First Fat-Soluble Vitamin Recognized
              Beta-Carotene, Precursor to Vitamin A
              Three Forms of Vitamin A (Retinoids)
                 Retinol (an Alcohol)
                 Retinal (an Aldehyde)
                 Retinoic Acid (an Acid)




Circulates in the plasma with the specific retinol binding protein. This combination is
called halo-RBP.




                                                                                          172
Beta Carotene as an Antioxidant



                 Protects the Body Against Disease
                    Free Radicals

                       Heart Disease
                       Cancer
                       Arthritis
                       Cataracts




-Encourages immune system to produce the cells you need to fight off infection and
promotes rapid recovery.
-As anti-oxidant and may aid in reducing the risk of cancer.
-Also promotes the growth of healthy bones.




                                                                                     173
Retinol-Vitamin A


                  Functions
                      Vision
                      Maintenance of Cornea
                      Mucous Membranes
                      Skin, Bone, and Tooth Growth
                  Food Sources



-It is a vision vitamin.
-Keeps skin and mucous membranes smooth and supple.
-Promotes the growth of bones and teeth.
-Sources- Eggs, liver, fish liver oil, milk and milk products & green leafy vegetables.




                                                                                          174
Retinol-Vitamin A in Vision


               Cornea
               Transportation of Light Energy
               Nerve Impulses       at Retina
               Supports Growth of Bones
                  Remodeling of Bone




-It may be affected in severe vitamin A deficiency. It becomes dull and then corneal
scar occurs.
-Takes part in the formation of bony matrix.




                                                                                       175
Retinol-Vitamin A


                            Deficiency Disease
                               Hypovitaminosis A
                            Deficiency Symptoms




Changes in the eyes like night blind ness, xeropthalmia, skin changes ,effects the
mucous membrane of the respiratory tract, alimentary tract and genito-urinary tract.
Toxicity– Fatigue, loss of appetite, nausea, vomiting, weight loss, irritability,
cracking lips, dry skin and hair loss, swelling over long bones.




                                                                                       176
Retinol-Vitamin A Deficiency


               Vitamin A Stores: 90% in Liver
               Adequate Protein
               Vitamin A Food Sources
             Global Nutrition Problem
               Night Blindness
               100 Million Children with Deficiency




In liver it is stored in the form of retinyl esters.




                                                       177
Calciferol-Vitamin D


                    Significant Sources
                       Food
                       Sunlight




Also called Sun shine vitamin. Skin prepares vitamin D in the presence of sunlight.




                                                                                      178
Calciferol-Vitamin D from the Sun



   Natural Exposure to Sunlight
     Sun Imposes No Risk of Toxicity
       Prolonged Exposure Degrades the
       Vitamin D Precursor
Calciferol-Vitamin D from the Sun



              Ultraviolet Rays of the Sun
                 Dark Skinned People Prone to Rickets
                 Deficiency More Likely in Elderly
                    Vitamin D Fortified Foods or Supplements




-as it reduces the production of vitamin D.
-Osteomalacia is more common in adults. The calcium deficiency results in de-
mineralization of bones.
-should be taken carefully.




                                                                                180
Calciferol-Vitamin D


                  Functions
                       Raises Blood Calcium and
                       Phosphorus
                       Hormone
                       Organs: Intestines, Kidneys, Bones
                       Stimulates Absorption from GI Tract
                       Bone Growth




Maintain the blood (plasma) Ca & P levels.
Acts like a hormone.
Vitamin D main site of action is in the small intestine where promotes Ca & P
absorption from the gut & also has direct action on the gut.
Raises concentration of plasma Ca & P to promote bone deposition.




                                                                                181
Calciferol-Vitamin D


                         Deficiency Disease
                            Rickets
                            Osteomalacia
                         Deficiency Symptoms




Deformity of the weight bearing bones, knock knees, bowing of legs.
Loss of bone mineral.
Pain in bones.


Excessive thirst, diarrhea, nausea, weakness & headach.




                                                                      182
Tocopherol-Vitamin E


                   1922, Discovery in Vegetable
                   Oils
                   Anti sterility Factor = Tocopherol
                   Compound Named Vitamin E
                        Alpha          Beta
                        Gamma          Delta




Alpha-Tocopherol is the most common and the most active of the seven mentioned
forms.




                                                                                 183
Tocopherol-Vitamin E


Food Sources
 20% = Vegetable Oils
 20% = Fruits and
 Vegetables
 15% = Grain Products
Animal Fats: Meat and Milk Fat
Contain Little or No Vitamin E
Tocopherol-Vitamin E


                 Functions
                     Antioxidant
                     Stabilization of Cell Membranes
                     Regulation of Oxidation Reactions
                     Protection of PUFA
                     Protection of Vitamin A




-Natural antioxident. It helps to reduce oxidation of lipid membranes, USFA &
breakdown of other nutrients by oxygen.
-Protect the cell membrane destruction.
-It reacts with free radicals & oxidizing agents.
-Found in cell membrane that contain PUFA. It inhibits the reaction involving
oxygen.
-It protects both vitamin A & carotene from oxidation.




                                                                                185
Vitamin E as an Antioxidant


               Oxidation
                  Transformation of Energy Fuels to ATP
                  Oxidation of Polyunsaturated Fatty Acids
                  Protection of Lungs
                    Air Pollutants (Nitrogen or Ozone)

                  Protects Red Blood Cells




-prevents the oxidation of USFA
-protects lungs from oxidative damage from environmental substances.
-protects RBC membrane from oxidative damage.




                                                                       186
Tocopherol-Vitamin E Deficiency



                  Rare in Humans
                     Fat Malapsorption
                     Cystic Fibrosis
                  Causes of Vitamin E Deficiency
                     Erythrocyte Hemolysis




Deficiency– low fat diet, malabsorption syndrome or after gastric surgery.
RBC hemolysis occur more easily in vitamin E deficiency.




                                                                             187
Vitamin K

                           Blood Clotting
                           “K” = Danish Word Koagulation
                           (Coagulation or Clotting)
                           13 Different Proteins and Calcium
                               Vitamin K Essential Synthesis of Protein

                                Blood-Clotting Process
                                                   Calcium and
                                                  thromboplastin                 Fibrinogen
                        Vitamin K                                                (a soluble
                                                 (a phospholipid)
                                                    from blood                    protein)
                                                     platelets


                                      Prothrombin                                              Fibrin
                                                                    Thrombin
            Precursor                 (an inactive                                            (a solid
                                                                    (an active
                                        protein)                                                clot)
                                                                     enzyme)




Originally called Koagulation vitamin.




                                                                                                         188
Vitamin K


                         Significant Sources
                            Food
                            Non-Food
                               Bacteria in GI
                               Bacterial Synthesis




K1 is the naturally occurring form of vitamin K.
Bacteria in GI synthesis vitamin K. Normal synthesis is inhibited by the intake of oral
antibiotics– K2 vitamin.




                                                                                          189
Vitamin K


Functions
 Blood-Clotting Synthesis
 Bone Growth
Vitamin K Deficiency


                              Deficiency is Rare
                                  Bile Production
                                  Diarrhea
                                  Malabsorption Diseases
                                  (Crohn’s)
                                  Sulfa Drugs
                                  Antibiotics




Bile production is impaired if there is sever damage to liver as secretion of bile salts
is necessary for normal absorption of vitamin K.
In steatrrhoea, ulcerative colitis fats are not absorbed effectively, bleeding due to
vitamin K deficiency may occur.
Sulfa drugs and antibiotics spoils the GI bacterial flora.




                                                                                           191
Vitamin K Deficiency


            Surgery: Blood Clotting Time Checked
            Newborn Babies: Sterile Digestive Tract
               Vitamin K-Producing Bacteria
               Plasma Prothrombin Concentrations
               Hemorrhagic Disease




New born babies has sterile GI tract for about a week & hence a low blood
prothrombin level.
Due to prolonged antibiotic therapy, prevents the growth of intestinal bacteria.
Deficiency of vitamin K produces a lowered prothrombin time.
Vitamin K deficiency involves abnormal bleeding as in nose bleeding and internal
hemorrhage which can be sever.




                                                                                   192

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Principles of Nutrition by NHI (Vitamins)

  • 1. Vitamins Vitamins are special chemicals found in food. 132
  • 2. Vitamins Vita = Life Amine = Containing Nitrogen The First Vitamin Discovered Contained Nitrogen
  • 3. Vitamins Organic Essential Nutrients Requirements Minute (Small) Perform Specific Functions Growth Reproduction Maintenance of Health and Life Vitamins are organic substances which the body require in small amounts to perform specific functions that promote growth, normal metabolism, reproduction and normal maintenances of health and life. 134
  • 4. Vitamins Vitamins Differ from Energy-Yielding Nutrients such as Carbohydrate, Proteins and Fat Structure Function Food Contents Vitamins do not supply energy but are essential to metabolic activities and help in the utilization to the proximate principles. They are also involved in the utilization of the major nutrients like proteins, CHO & fats. 135
  • 5. Vitamins Vitamins Similar to Energy-Yielding Nutrients: Carbohydrate, Protein and Fat Vital to Life Organic
  • 6. Vitamins Available in Foods Organic Destructible: Light: Riboflavin (B2) Oxygen: Vitamin C Heat : Thiamin (B1) and Vitamin C
  • 7. Vitamins Solubility: Hydrophilic: (Water-Soluble) Carbohydrate, Protein Vitamins B and C Hydrophobic: (Fat-Soluble) Fat Vitamins A, D, E, K
  • 8. Precursors Provitamins Inactive Vitamin Form Chemically Changed to Active Form of Vitamins Substances that occur in foods which are not themselves vitamins, but are capable of conversion into vitamins in the body e.g; carotens are the pro-vitamin of vitamin A. 139
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  • 18. Riboflavin-Vitamin B2 Functions Coenzymes FMN and FAD Energy Metabolism Supports Normal Vision Supports Skin Health Food Sources Vitamin is a precursor of two enzymes—Flavin-mononucleotide & Flavin adenine di- nuleotied. Release of energy from foods as it effects growth and cellular metabolism Needs in normal vision and may help against cataract. Sources– Milk, eggs, organ meat, mushrooms, shellfish, cereals and pulses. 149
  • 19. Riboflavin-Vitamin B2 Deficiency Disease Ariboflavinosis Deficiency Symptoms Skin Rash Cracks and Redness of Mouth Sensitivity to Light
  • 20. Niacin-Vitamin B3 Functions Coenzymes NAD and NADP Energy Metabolism Nervous System Digestive System Food Sources NAD & NADP- are the active form of niacin named as nicotinamide adenine dinucleotide and nicotinamide adenine dinucleotide phosphate. -These coenzymes are involved in more than 50 different metabolic reactions. -Extracts energy from CHO and glucose. -proper nervous system functioning. Sources- Organ meats, liver, poultry, fish, milk, eggs, wheat germ, whole wheat, yeast. 151
  • 21. Niacin-Vitamin B3 Deficiency Disease Pellegra Deficiency Symptoms -A clinical condition due to niacin deficiency, characterized as 3Ds. -Weakness, irritability, burning tongue as the mucous membrane of the mouth is inflamed. -High doses results in irritation of the gastrointestinal tract. 152
  • 22. Biotin Food Sources Originally called vitamin H. Egg, liver, kidney, yeast, pulses, nuts, chocolates, cauliflower and green vegetables. 153
  • 23. Biotin Functions Coenzyme Energy Metabolism Fat Synthesis Amino Acid Metabolism Glycogen Synthesis --Biotin coenzyme participate in the metabolism of fat and CHO in the synthesis of fatty acids and amino acids. --Helps metabolize proteins, fats and CHO & thus helps to produce energy in body cells. --Assists in the synthesis of FA. --Incorporate AA into proteins & help with the formation of DNA & RNA. 154
  • 24. Biotin Deficiency Symptoms Loss of Appetite and Nausea Abnormal Heart Action Depression Muscle Pain and Weakness
  • 25. Pantothenic Acid-Vitamin B5 Food Sources Sources– Whole grain cereals, vegetables, peanuts, cheese, eggs-yolk, organ meats. 156
  • 26. Pantothenic Acid-Vitamin B5 Functions Coenzyme A Energy Metabolism This vitamin is a constituent of co-enzyme A and is present in all living matter. Important for cellular metabolism of CHO & fats to release energy. 157
  • 27. Pantothenic Acid-Vitamin B5 Deficiency Symptoms Insomnia Fatigue
  • 28. Pyridoxine-Vitamin B6 Functions Coenzymes PLP and PMP Amino Acid Metabolism Fatty Acid Metabolism Converts Tryptophan to Niacin Food Sources Pyridoxine and its co-enzymes have a wide variety of metabolic functions especially— -AA metabolism and its transportation. -Production of antibodies, RBC, synthesis and functioning of both DNA & RNA. - Fish, poultry, egg yolk, soya- bean, bananna, potatoes, cauliflower. 159
  • 29. Pyridoxine-Vitamin B6 Deficiency Disease Anemia (small-cell type) Due to the deficiency of B6 , the RBCs are pale and small and the Anemia is said to be Hypochromic and Microcytic.
  • 30. Folate-Folic Acid-Folacin Functions DNA Synthesis New Cell Formation Food Sources Sources– Spinach, liver, peas, sweet potato, bean sprout, wheat germ, soya flour, milk, fruits. 161
  • 31. Folate-Folic Acid-Folacin Deficiency Disease Anemia (large-cell type) Deficiency Symptoms Diarrhea Depression/Mental Confusion -Deficiency leads to impaired RBC production. -Megaloblastic anaemia If the maturation of the RBCs in the bone marrow is impaired by lack of Folic acid or Vitamin B12, the cells which enter the blood stream are irregular in size and shape, but usually on average larger than normal. Such anemia is orthochromic and megalocytic. It is usually referred to as Megaloblastic Anemia. 162
  • 32. Cobalamin-Vitamin B12 Functions Coenzymes New Cell Synthesis Fatty Acids Amino Acids Maintain Nerve Cells Bulk of body stores of vitamin B12 is in the form of coenzyme B12. 163
  • 33. Cobalamin-Vitamin B12 Food Sources This vitamin has cyanide group and cobalt group. From animal foods like goat liver, fish, eggs & milk. 164
  • 34. Cobalamin-Vitamin B12 Deficiency Disease Pernicious Anemia Deficiency Symptoms Fatigue Degeneration of Peripheral Nerves Hypersensitivity Variations in the size and shape of the blood cells. Results in peripheral neuropathy. Loss of mental energy, depression, tingling, numbness, diminished or absent sensation in extrimities. 165
  • 35. Ascorbic Acid-Vitamin C Functions Collagen Synthesis Antioxidant Amino Acid Metabolism Absorption of Iron Resistance to Infection Also helps to maintain healthy blood vessels. 166
  • 36. Ascorbic Acid-Vitamin C Food Sources Amala, guava, oranges, all citrious fruits, dark green leafy vegetables, tomatoes, etc. 167
  • 37. Ascorbic Acid-Vitamin C Deficiency Disease Scurvy Deficiency Symptoms --General manifestation of scurvy are fever, rapid pulse, and susceptibility to injection and wound healing is delayed. --Bleeding gums, common cold, delayed wound healing. --Gastrointestinal disturbances, dysuria, skin sensitivity. 168
  • 38. Fat Soluble Vitamins Fat-Soluble Vitamins
  • 39. Fat Soluble Vitamins: A, D, E, K *Differ From Water-Soluble Vitamins Found in Fat and Oily Parts of Foods Insoluble in Water Lymphatic System
  • 40. Fat Soluble Vitamins: A, D, E, K *Differ From Water-Soluble Vitamins Greater Risks for Toxicity Stored in Liver and Adipose Tissue Not Readily Excreted 171
  • 41. Vitamin A and Beta-carotene First Fat-Soluble Vitamin Recognized Beta-Carotene, Precursor to Vitamin A Three Forms of Vitamin A (Retinoids) Retinol (an Alcohol) Retinal (an Aldehyde) Retinoic Acid (an Acid) Circulates in the plasma with the specific retinol binding protein. This combination is called halo-RBP. 172
  • 42. Beta Carotene as an Antioxidant Protects the Body Against Disease Free Radicals Heart Disease Cancer Arthritis Cataracts -Encourages immune system to produce the cells you need to fight off infection and promotes rapid recovery. -As anti-oxidant and may aid in reducing the risk of cancer. -Also promotes the growth of healthy bones. 173
  • 43. Retinol-Vitamin A Functions Vision Maintenance of Cornea Mucous Membranes Skin, Bone, and Tooth Growth Food Sources -It is a vision vitamin. -Keeps skin and mucous membranes smooth and supple. -Promotes the growth of bones and teeth. -Sources- Eggs, liver, fish liver oil, milk and milk products & green leafy vegetables. 174
  • 44. Retinol-Vitamin A in Vision Cornea Transportation of Light Energy Nerve Impulses at Retina Supports Growth of Bones Remodeling of Bone -It may be affected in severe vitamin A deficiency. It becomes dull and then corneal scar occurs. -Takes part in the formation of bony matrix. 175
  • 45. Retinol-Vitamin A Deficiency Disease Hypovitaminosis A Deficiency Symptoms Changes in the eyes like night blind ness, xeropthalmia, skin changes ,effects the mucous membrane of the respiratory tract, alimentary tract and genito-urinary tract. Toxicity– Fatigue, loss of appetite, nausea, vomiting, weight loss, irritability, cracking lips, dry skin and hair loss, swelling over long bones. 176
  • 46. Retinol-Vitamin A Deficiency Vitamin A Stores: 90% in Liver Adequate Protein Vitamin A Food Sources Global Nutrition Problem Night Blindness 100 Million Children with Deficiency In liver it is stored in the form of retinyl esters. 177
  • 47. Calciferol-Vitamin D Significant Sources Food Sunlight Also called Sun shine vitamin. Skin prepares vitamin D in the presence of sunlight. 178
  • 48. Calciferol-Vitamin D from the Sun Natural Exposure to Sunlight Sun Imposes No Risk of Toxicity Prolonged Exposure Degrades the Vitamin D Precursor
  • 49. Calciferol-Vitamin D from the Sun Ultraviolet Rays of the Sun Dark Skinned People Prone to Rickets Deficiency More Likely in Elderly Vitamin D Fortified Foods or Supplements -as it reduces the production of vitamin D. -Osteomalacia is more common in adults. The calcium deficiency results in de- mineralization of bones. -should be taken carefully. 180
  • 50. Calciferol-Vitamin D Functions Raises Blood Calcium and Phosphorus Hormone Organs: Intestines, Kidneys, Bones Stimulates Absorption from GI Tract Bone Growth Maintain the blood (plasma) Ca & P levels. Acts like a hormone. Vitamin D main site of action is in the small intestine where promotes Ca & P absorption from the gut & also has direct action on the gut. Raises concentration of plasma Ca & P to promote bone deposition. 181
  • 51. Calciferol-Vitamin D Deficiency Disease Rickets Osteomalacia Deficiency Symptoms Deformity of the weight bearing bones, knock knees, bowing of legs. Loss of bone mineral. Pain in bones. Excessive thirst, diarrhea, nausea, weakness & headach. 182
  • 52. Tocopherol-Vitamin E 1922, Discovery in Vegetable Oils Anti sterility Factor = Tocopherol Compound Named Vitamin E Alpha Beta Gamma Delta Alpha-Tocopherol is the most common and the most active of the seven mentioned forms. 183
  • 53. Tocopherol-Vitamin E Food Sources 20% = Vegetable Oils 20% = Fruits and Vegetables 15% = Grain Products Animal Fats: Meat and Milk Fat Contain Little or No Vitamin E
  • 54. Tocopherol-Vitamin E Functions Antioxidant Stabilization of Cell Membranes Regulation of Oxidation Reactions Protection of PUFA Protection of Vitamin A -Natural antioxident. It helps to reduce oxidation of lipid membranes, USFA & breakdown of other nutrients by oxygen. -Protect the cell membrane destruction. -It reacts with free radicals & oxidizing agents. -Found in cell membrane that contain PUFA. It inhibits the reaction involving oxygen. -It protects both vitamin A & carotene from oxidation. 185
  • 55. Vitamin E as an Antioxidant Oxidation Transformation of Energy Fuels to ATP Oxidation of Polyunsaturated Fatty Acids Protection of Lungs Air Pollutants (Nitrogen or Ozone) Protects Red Blood Cells -prevents the oxidation of USFA -protects lungs from oxidative damage from environmental substances. -protects RBC membrane from oxidative damage. 186
  • 56. Tocopherol-Vitamin E Deficiency Rare in Humans Fat Malapsorption Cystic Fibrosis Causes of Vitamin E Deficiency Erythrocyte Hemolysis Deficiency– low fat diet, malabsorption syndrome or after gastric surgery. RBC hemolysis occur more easily in vitamin E deficiency. 187
  • 57. Vitamin K Blood Clotting “K” = Danish Word Koagulation (Coagulation or Clotting) 13 Different Proteins and Calcium Vitamin K Essential Synthesis of Protein Blood-Clotting Process Calcium and thromboplastin Fibrinogen Vitamin K (a soluble (a phospholipid) from blood protein) platelets Prothrombin Fibrin Thrombin Precursor (an inactive (a solid (an active protein) clot) enzyme) Originally called Koagulation vitamin. 188
  • 58. Vitamin K Significant Sources Food Non-Food Bacteria in GI Bacterial Synthesis K1 is the naturally occurring form of vitamin K. Bacteria in GI synthesis vitamin K. Normal synthesis is inhibited by the intake of oral antibiotics– K2 vitamin. 189
  • 59. Vitamin K Functions Blood-Clotting Synthesis Bone Growth
  • 60. Vitamin K Deficiency Deficiency is Rare Bile Production Diarrhea Malabsorption Diseases (Crohn’s) Sulfa Drugs Antibiotics Bile production is impaired if there is sever damage to liver as secretion of bile salts is necessary for normal absorption of vitamin K. In steatrrhoea, ulcerative colitis fats are not absorbed effectively, bleeding due to vitamin K deficiency may occur. Sulfa drugs and antibiotics spoils the GI bacterial flora. 191
  • 61. Vitamin K Deficiency Surgery: Blood Clotting Time Checked Newborn Babies: Sterile Digestive Tract Vitamin K-Producing Bacteria Plasma Prothrombin Concentrations Hemorrhagic Disease New born babies has sterile GI tract for about a week & hence a low blood prothrombin level. Due to prolonged antibiotic therapy, prevents the growth of intestinal bacteria. Deficiency of vitamin K produces a lowered prothrombin time. Vitamin K deficiency involves abnormal bleeding as in nose bleeding and internal hemorrhage which can be sever. 192