Shared Flashcard Set

Details

Nutrition - Unit 20
Vitamins and Your Health
23
Nursing
Undergraduate 4
02/20/2012

Additional Nursing Flashcards

 


 

Cards

Term
Key Concepts and Facts
Definition
- Vitamins are chemicals in food required in small amounts for normal growth and health
- Adequate intakes protect people against deficiency diseases, prevent chronic diseases
- Every vitamin has range of intake where it functions best
- Intakes below and above range impair health
- 5 or more servings of fruits and vegetables is best strategy to boost vitamin intake
Term
Vitamin Facts
Definition
- Vitamins are chemical substances that have specific metabolic functions
- Primary functions include activating enzymes (serving as co-enzymes)
- Considered essential nutrients because are vital to health
o Cannot be produced by the body in sufficient amounts
- Failure to consume enough vitamins causes specific deficiency diseases
- 13 vitamins have been discovered so far
- Are classified as water-soluble or fat-soluble
Term
Vitamin Classification: Fat Soluble
Definition
- Vitamins A, D, E, and K
- Insoluble in water, bile required for digestion
- absorbed like fat into the lymph
- require chylomicrons for transport
- stored in fatty tissues and liver
- potential exists for toxicity
- serve structural and regulatory processes in the body
- deficiency takes longer to develop when dietary intake is low
Term
Vitamin Classification: Water Soluble
Definition
- B-vitamins and vitamin C
- primary functions are as co-enzymes
- travel freely in circulation and cells
- easy to absorb and excesses are usually excreted by the kidneys
- lower toxicity than fat-soluble
- small amount stored in body
- Increased need during pregnancy, lactation, growth, fevers, injury, surgery, and alcoholism
- deficiency state more likely
o symptoms may develop in a few weeks or months
Term
Vitamin A
Definition
Needed everywhere:
o Eyesight
o Promotes good night vision.
o Epithelial tissues need A to protect integrity.
o A is needed by immune system to fight infections.
o A is needed for bone growth

Sources:
o Animal foods are source of preformed vitamin A.
o ß-Carotene is a precursor of vitamin A
o Brightly colored orange, yellow, and green vegetables/fruits, fortified skim milk.
Term
Vitamin D
Definition
Synthesis from precursor sterols by sunlight

Functions:
o Bone growth
o Helps maintain blood calcium

Deficiency Diseases: rickets, osteomalacia (weak bones)

Sources: Fortified milk, sunlight
Term
Vitamin E
Definition
- Antioxidant
- Functions: May reduce risk of heart disease.
- Toxicity: Rarely seen.
- Sources: Widespread in plants.
- 60% in American diet comes from nut and seed oils.
Term
Vitamin K
Definition
- Involved with blood clotting
- Deficiency Diseases: Possibly uncontrolled bleeding (hemorrhage)

Sources:
o Dark green leafy vegetables (spinach) and liver
o Produced by bacteria in the intestines
Term
Thiamin
Definition
- Functions: Energy metabolism, appetite and nervous system function
- Deficiency Disease: Beriberi
Term
Riboflavin
Definition
- Functions: Energy metabolism.
- Toxicity: None reported
- Sources: Milk, Easily destroyed by ultraviolent light.
Term
Niacin
Definition
Functions:
o Energy metabolism
o Pharmacologic doses, 3-9 grams, may lower cholesterol, LDL cholesterol, increase HDL cholesterol.
- Deficiency Disease: Pellagra
- Sources: high protein foods.
Term
Folate
Definition
- Functions: New cell synthesis.
- Deficiency Disease: Megaloblastic anemia
- Sources: fortified grains
- folic acid before and in pregnancy prevents about 2/3 of cases of neural tube defects in newborns
- Neural tube defects are abnormalities of the spinal cord and brain
- Most common type of birth defect
- homocysteine, a risk factor for CVD
Term
Vitamin B12: Cobalamin
Definition
Functions: New cell synthesis

Deficiency Disease:
o Vegans need B12 supplement or use B12 fortified foods
o Others at risk that benefit from supplementation include:

- Sources: animal foods
Term
Vitamin B6: Pyridoxine
Definition
Functions: Amino acid synthesis and metabolism

Deficiency Diseases: Seen with chronic alcohol abuse
Term
Pantothenic acid
Definition
Functions: Energy metabolism
Term
Vitamin C
Definition
Functions: Collagen synthesis, antioxidant, enhances iron
absorption

Deficiency Disease: Scurvy.

Sources: Citrus fruits, vegetables and fruits
Term
Who should take multi-vitamin-mineral supplements?
Definition
-Pregnant and lactating women: increased need for some nutrients, of note iron & folate
- Women with heavy menstrual bleeding: iron (vitamin C)
- Women of childbearing age/premenopausal women: folate, iron, calcium
- Smokers: B vitamins, vitamin C
- Individuals who abuse alcohol: multivitamin-mineral supplement (Vitamin B1, folate, B6, C)
- Individuals with restricted or limited diets: multivitamin-mineral supplement
- Vegetarians: calcium, iron, zinc, vitamin B2 and B12, vitamin D
- Individuals with limited milk intake and/or sun exposure: calcium, vitamin D
- Older adults (> 70 years of age): calcium, vitamin D, vitamin B6 & B12, zinc
- Individuals with a health condition that affects nutrient utilization or absorption
- Individuals with compromised immune function
- Some infants: Vitamin D (breastfed infants), fluoride, iron
Term
For Vitamin-Mineral Supplements:
Definition
- Don’t view as replacements for healthful foods
- Choose a combination that contains < 100% DV for your age and gender
- Avoid “mega”-doses or high potency formulas
- For economy, consider the generic brand and skip the extra ingredients that add to the cost, but offer no proven nutritional benefits
- Check the expiration date
- Take only in recommended doses
Term
Vitamin Functions
Definition
- Vitamins do not provide energy or serve as components of body tissues
- Some vitamins are coenzymes in the conversion of proteins, carbohydrates, and fats into energy
- “Vague” symptoms can precede recognized physical signs of deficiency
- Vitamins are “vital” for health
Term
Antioxidant Vitamins
Definition
- Beta-carotene (a precursor to vitamin A), vitamin E, and vitamin C are antioxidants
- They can prevent or repair damage to cells caused by free radicals
- Antioxidants stabilize oxidized molecules or repair them

Antioxidants
o Chemical substances that prevent or repair damage to cells caused by exposure to free radicals
o Includes beta-carotene, vitamin E, vitamin C
o Found in fruits, vegetables, whole grains
Term
Key Terms
Definition
Beta-carotene is a precursor of vitamin A

Precursor (provitamin)
o In nutrition, a nutrient that can be converted into another nutrient
Term
Getting Enough Vitamins
Definition
- Adequate amounts of vitamins obtained from variety of foods in the Food Guide Pyramid
- Fruits and vegetables are good sources of vitamins
- Fortified foods can increase vitamin intake
- Fortified food consumption may increase intake too much
- Overdoses from fortified foods not currently reported
Term
Recommendations
Definition
- Recommendations for vitamin intakes are represented by Dietary Reference Intakes, or DRIs
- UL determined for most vitamins and indicate levels of intake from foods, fortified foods, and supplements that should not be exceeded
Supporting users have an ad free experience!