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The vitamins
Chpater 8
45
Health Care
Undergraduate 3
10/21/2010

Additional Health Care Flashcards

 


 

Cards

Term
Vitamins
Definition

yield no energy

assist enzymes to release energy

can only cure the disease caused by a deficiency 

of that vitamin

Term
Bioavaliabilty depends on
Definition

quantity provided by the food

Amount absorbed and used by the body

Term
Precursor aka provitamin
Definition

Inactive form of a vitamin

Must be converted to the active form

Term
Vitamins are organic
Definition
Can be destroyed
Term
Vitamin solubility
Definition
Determines how a vitamin is absorbed, transported, stored and excreted
Term
Fat soluble Vitamins
Definition

K,E,D,A

Occurs in fats and oils

absorbed the same as lipids

stored in liver & fatty tissues

Not readily excreted and can become toxic

Term

Vitamin A

Retinolic Acid

Definition

Act as a hormone

Role in gene expression

regulates cell differentiation

maintains integrity of epithelial cells

Term
Retinol
Definition

Supports reproduction

major transport and storage form 

Term
Retinal
Definition

Active in vision

Maintains clear cornea

Participates in light detection

Term
VITAMIN HAS A ROLE IN
Definition
IMMUNITY 
Term
Beta carotene
Definition

Plant derive precurosr

is in an extremely effective antioxidant

Term
Antioxidant
Definition

Protect other compounds from attack from oxygen

Free radicals can form from oxidation

 

Term
Oxidative damage and disease
Definition

age-related blindness

alzheimer's

Arthritis

calaracts

diabetes

kidney disease

Term
Vitamin A Storage
Definition

one year's supply can be stored in the body

90% in the liver

Term
Vitamin A Deficiency
Definition

Affects cell differentiation & maturation

Consequences: hardening of cornea, rough scaly, hard skin, drying and hardening of salivary glands, lumps of keratin around hair follicles, decreased immunity

Term
Vitamin A Toxicity
Definition

Comes only from animal derived vitamin A or supplements

children are very vulnerable

RDA 700 ug for women and 900 ug for men

Multivitamins = 750-1000ug

Poses a tetratogenic effect 

Supplements 

Acne treatments

May weaken bones and contribute to osteoporosis

Term
Beta-carotene conversion
Definition

Measured in retinol activity equivalents (RAE)

Body makes 1 unit of retinol from 12 units of beta-carotene

Term
Btea-carotene toxicity
Definition

Not converted to active form rapidly enough to be hazardous

can turn people bright yellow

builds up in fat beneath the skin

Term
Vitamin A in foods
Definition

preformed found only in animal foods

Richest sources: liver, fish oil

 

Other foods:

milk, cheese, fortified cereals, butter (some), eggs (some)

Margarine & low fat & fat free milk are fortified with Vitamin A

Term
Beta-Carotene in foods
Definition

bold dark orange color in fruits & vegeables 

dark green color in fruits and vegetables

 

white plant foods have none.

Term
Vitamin D
Definition

can be synthesized with help of sunlight.

liver manufactures a precursor that migrates to skin

sun's rays convert to second precursor

liver & kidneys produce active vitamin D

is a hormone.

Term

Vitamin D's action

 

Definition

Target organs

Intestine, kidneys, bones

brain pancreas, skin, reproductive organs, many cancer cells.

Term

Vitamin D's actions

 

Definition
regulates the immune system
Term
Vitamin D's Actions
Definition

Deficit implicated in

High bp

rheumatoid arthritis 

type 1diabetes

multiple sclerosis

Term

Vitamin D's role in bones

role

Definition

makes calcium & phosphorus available in the blood that bathes the bones

Calcium & phosphorus

stimulates absorption from GI tract

Releases from bones to blood

Stimulates retention by the kidneys

Deficiency rickets, osteomalacia, osteoporosis 

Term

Vitamin D Deficiency 

Symptoms

Definition

Same as those of calcium deficiency 

rickets in children

Adult rickets (Osteomalacia)

Risk factor for osteoporosis

Term

Vitamin D toxicity 

Excess vitamin D :

Definition

enhances calcium absorption

produces high blood calcium

promotes return of bone calcium into the blood

Term

Vitamin D toxicity

Excess calcium 

Definition

Can precipitate in soft tissues

*forms stones (kidney) 

*may harden blood vessels

 

In excess is most toxic of all vitamins

Term
Vitamin D & the sun
Definition

sun poses no toxicity risk

does cause premature wrinkling & risk of skin cancer

SPF 8 & above retard synthesis of vitamin D 

Need only about 10-20 mins of sun to make Vitamin D

Term

Vitamin D & the sun

Factors limiting exposure

Definition

geographic location

season of the year

time of day

air pollution

clothing 

tall building

indoor living 

sunscreens 

Term
Vitamin D in foods
Definition
animal products, fortified margaine & breakfast cereals, breast milk is low in vitamin D
Term
Vitamin E
Definition

Fat soluble antioxidant

Protects PUFA & other lipids from oxidation

Protects lungs

May offer protection from heart disease

Term

Vitamin E Deficiency

Consequences

Definition

Erthrocyte hemolysis

Loss of muscle coordination & reflexes

Term

Vitamin E

Associated with

Definition

Diseases causing fat malabsorption

Extremely low fat diets

Term
Vitamin E toxicity 
Definition

Extremely high doses

Interfere with blood clotting action of vitamin K

Enhances anticoagulant medications

Research results are conflicting as to supplement safety

Tolerable Upper Level = 1,000 mg

RDA = 15 mg

Term
Vitamin E in foods
Definition

Widespread in foods

Found in : margarine, salad dressings, shortening, wheat germ oil is rick in vitamin E.

Destroyed by heat processing & oxidation

Term
Vitamin K roles
Definition

Blood clotting

Synthesis of several bone proteins

can be synthesized by bacteria in intestine

deficiency is rare

Term
Vitamin K for newborns
Definition

Have a sterile digestive tract

single dose of vitamin K recommended at birth

Term
Vitamin K toxicity
Definition
is rare, high doses can interfere with anticoagulant medications. 
Term
vitamin k in foods
Definition
green leafy vegetables, collards, spinach, brussel sprouts, members of cabbage family, soybean and canola  oils. 
Term
Water soluble vitamins 
Definition

Other vitamins other than KEDA, Easily absorbed, easily excreted, supplements can reach toxic levels

 

Term
B Vitamins are 
Definition
coenzymes (combines with an enzyme to make it active)
Term
Coenzymes
Definition
Releases energy from fat, protein, and carbohydrates. 
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