2011lecture8_fat soluble vitamins

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    Vitamins - fat soluble

    Lecture 8

    February 14, 2011

    Dr. Wassef

    A D E K

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    Department of Food Science

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    Lecture 8

    Six Classes of Nutrients

    Carbohydrate

    Protein

    Fat

    MineralsWater

    Vitamins

    Substances obtained from food and

    used by body to promote growth,

    maintenance and repair

    Essential Nutrients

    Energy Yielding Nutrients

    Macro- or Micronutrients

    Inorganic or Organic nutrients

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    Vitamin Overview

    What are vitamins?

    What are the two types of vitamins?

    Where do I get my vitamins?

    How much do I need?

    Why are the vitamins important?

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    What are Vitamins?

    Vitamins primary role is providing energy.

    You cant overdose on vitamins

    All adults should take antioxidant supplements.

    Fruits and vegetables tend to be the richest sources

    of vitamins.

    In general, nutrients are absorbed equally well fromfoods as from supplements.

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    What are Vitamins?

    Vital promote growth and reproduction andmaintain health

    organic

    do NOT supply caloriesProvide energy from macro-nutrients

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    What are Vitamins?

    Majority are not synthesised in body

    Required in small amounts

    Micronutrients

    ARE THEY IMPORTANT ???

    YES!!!

    Both Toxicity and Deficiency can affect the

    functions of other vitamins and lead to disease

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    What are Vitamins?

    HOW ARE THEY DIFFERENT TO OTHER NUTRIENTS?

    CarbohydrateProtein

    Fat

    Minerals

    Water

    Required in larger amounts

    Inorganic

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    Good Sources of

    Vitamins in theUSDA

    MyPyramid

    Vitamins are

    EssentialNutrients whichmeans..

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    What are Vitamins?

    Scurvy: Vitamin C Deficiency DiseaseBleeding Gums; tooth loss; death

    Rickets: Vitamin D Deficiency DiseaseAbnormal bone growth

    Pellagra: Niacin Deficiency DiseaseDiarrhea; inflammation of skin; mental disorders and death

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    Bioavailability

    = amount available + amount absorbed

    EfficiencyofdigestionEnzymes, bacteria

    Nutritional StatusStorage; Elimination

    Otherfoods consumedatthe same timeFats

    FoodpreparationLoss with heat

    Source ofnutrientSynthetic, natural, fortified

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    Are you getting the right amount of

    Vitamins from your diet??

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    Understanding Dose

    Concentration(increasing)

    Response

    (gettingBETTER)

    1 32

    Dose response curves

    Concentration(increasing)

    Concentration(increasing)

    Vitamins

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    Try to prevent nutrient deficiency and reduce the risk ofdisease

    Reference Values

    Quantitative estimates of nutrient intakes

    Used for planning and assessing diets of HEALTHYindividuals

    Average daily nutrient intake of individuals over time

    Amount over chronic time that has the biggest effect.

    Dietary Reference Intakes (DRIs)

    Based on scientific evidence; body stores; consequence of

    deficiency; cause of depletion; association with chronic

    disease

    If have medical problem you have different

    nutritional needs

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    Estimated Average Requirement (EAR)

    estimated amount to meet the nutrient requirements of half thehealthy individuals of a specific age and gender

    Recommended Daily Allowances (RDAs)the average daily intake level that is sufficient to meet the nutrientrequirement of nearly all (97-98%) healthy individuals in aparticular life stage and gender group

    Tolerable Upper Limit (UL)highest level of a daily nutrient that is likely to pose no risk ofadverse health effects to almost all individuals

    Dietary Reference Intakes (DRIs)

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    Lecture 8 http://books.nap.edu/execsumm_pdf/6015.pdf

    Inadequate

    Appropriate Excess

    EAR 50%risk

    RDA 2-3%

    risk

    UL 0% risk

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    New RDA or AI

    Ages 19-50 Years

    UL

    Ages 19-70 Years

    Women Men Men & Women

    Vit A (g/d) 700 900 3,000

    Vit C (mg/d) 75 90 2,000Vit D (g/d) 5 5 50

    Vit E (mg/d) 15 15 1,000

    Vit K (g/d) 90 120 ND

    Thiamin (mg/d) 1.1 1.2 ND

    Riboflavin (mg/d) 1.1 1.3 ND

    Niacin (mg/d) 14 16 35

    B6 (mg/d) 1.3* 1.3* 100

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    Sources ofDRI

    http://www.iom.edu/Object.File/Master/21/372/0.pdf

    http://www.iom.edu/Object.File/Master/7/296/webtablevitamins.pdf

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    Are you getting the right amount of

    Vitamins from your diet??

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    Two Classes ofVitamins

    Water Soluble

    Vitamin C

    B VitaminsThiamin

    Riboflavin

    Niacin

    Pantothenic Acid

    Biotin

    Vitamin B6Folic Acid

    Vitamin B12

    Fat Soluble

    Vitamin A

    Vitamin D

    VitaminE

    Vitamin K

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    Vitamin Comparison

    Fat Soluble

    Vits A, D, E, K

    WaterSoluble

    Vits B & C

    Absorption Lymph then

    blood/protein carrier

    Directly into blood

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    Vitamin Comparison

    Fat Soluble

    Vits A, D, E, K

    WaterSoluble

    Vits B & C

    Absorption Lymph then

    blood/protein carrier

    Directly into blood

    Storage Long term Short term

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    Vitamin Comparison

    Fat Soluble

    Vits A, D, E, K

    WaterSoluble

    Vits B & C

    Absorption Lymph then

    blood/protein carrier

    Directly into blood

    Storage Long term Short term

    Excretion Less readily excreted

    remain in fat storage

    sites

    Kidneys detect and

    remove in urine

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    Vitamin Comparison

    Fat Soluble

    Vits A, D, E, K

    WaterSoluble

    Vits B & C

    Absorption Lymph then

    blood/protein carrier

    Directly into blood

    Storage Long term Short term

    Excretion Less readily excreted

    remain in fat storage

    sites

    Kidneys detect and

    remove in urine

    Toxicity Likely Possible

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    Vitamin Comparison

    Fat Soluble

    Vits A, D, E, K

    WaterSoluble

    Vits B & C

    Absorption Lymph then

    blood/protein carrier

    Directly into blood

    Storage Long term Short term

    Excretion Less readily excreted

    remain in fat storage

    sites

    Kidneys detect and

    remove in urine

    Toxicity Likely Possible

    Requirements Regular intake Daily intake

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    Fat soluble Vitamins the functions

    Vitamin A

    Vitamin D

    Vitamin E

    Vitamin K

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    Fat soluble Vitamins digestion

    Digestion and absorption follow a similar pathwayto dietary fats

    Insoluble in water packaged into chylomicrons

    Taken up by liver can be stored

    Transported to other tissues via proteins

    Condition which alters/hinders function of intestineor fat absorption will limit the absorption

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    Vitamin A identified in 1913 1stfat soluble vitamin

    Essential Nutrient

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    Vitamin A

    FUNCTION: Versatile

    Best known function is in vision.

    Retinal in pigment

    Night Blindness

    Helps to maintain healthy epithelial tissue.Reproduction & Development

    ImmunityGrowth

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    Vitamin A

    Pre-formed (Retinyl ester) Pro-vitamin (-carotene)

    Retinol

    Retinal

    Retinoic Acid

    RBP

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    Lecture 8

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    Vitamin A

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    Vitamin A

    From Lohnes et al., 1994From Abu-Abed et al., 2001

    VITAMIN A DEFICIENCY VITAMIN A EXCESS

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    Vitamin A

    Because the body uses both the preformed vitamin A and

    the beta-carotene in foods to make retinol, the amount of

    vitamin A in foods is expressed in retinol activity equivalents

    (RAE)a measure of the amount of retinol the body willderive from the food.

    1 RAE = 1 g Retinol

    12 g -carotene

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    Vitamin A

    Deficiency: Large storage in liver rare in western countries, butseen in pre-school children in poverty and in alcoholics

    Night Blindness

    Embryo Defects

    Toxicity: 3-4x RDA

    Embryo Defects

    Liver Disease; Double vision; Dry skin;

    From preformed Vitamin A

    RDA: 700 g/dl 900 g/dl (19-

    30 yrs)

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    Vitamin D 1925 Vitamin in Cod Liver

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    Vitamin D aka Calciferol

    FUNCTION:

    Bone making and maintenance

    Assists in the absorption of dietary calcium.

    Helps to make calcium and phosphorus available inthe blood. increasing absorption from GI tract

    The body can synthesize it with the help of sunlight.

    Acts as a hormone

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    L 8 F b 14 2011

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    5-15 min Sunlight/week

    L t 8 F b 14 2011

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    Vitamin DRisk ofDEFICIENCY

    Babies only have 6 months of storage

    Vegetarians cant get it from plants

    Dark skinned people have melanin

    Older people = older skin, liver, kidney

    and less activity outdoors

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    Vitamin D

    Deficiency: Children = Rickets Disease bow legs

    Adults = Osteomalacia soft bones

    Calcium absorption; Blood Calcium

    = bone deficiency skeletal system

    Toxicity: 10x RDA

    Calcium absorption; Blood Calcium

    = Calcium deposits on soft tissueeg kidney stones

    RDA: 5 g/dl 5 g/dl (19-30 yrs)

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    Vitamin D

    Vitamin D Deficiency

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    Vitamin E

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    Vitamin E tocopherol related to child birth

    FUNCTION:

    -tocopherol only one to have activity in human body

    Performs a key role as

    an antioxidant in the

    body. it gets oxidised

    Absorption requires

    dietary fats

    Stored in adipose tissuealso muscle and cell membrane of tissues

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    Vitamin E

    Deficiency: Rare

    Premature infants - reproductive failure in rats

    Those who cannot absorb fats - adults on a low

    fat diet

    Toxicity: Rareblood clotting mechanisms affects Vit K

    RDA: 15 mg/dl 15 mg/dl (19-30 yrs)

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    Vitamin K

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    Vitamin K family of quinones (phyllo and menaquinones)

    FUNCTION:

    Blood clotting

    Synthesis of 7 proteins involved in clotting

    Koagulation = Danish word = coagulation

    Bone health

    Works with vitamin D to regulate calcium

    Synthesized by intestinal flora- bacteria in GI tract

    Stored in liver

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    Vitamin K

    Food you eat can effect how your medication works;

    need to understand the drug-nutrient interaction

    Coumadin (warfarin)

    BLOOD CLOT

    Vitamin K

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    Vitamin K

    Deficiency: Rare

    Maybe if you take antibiotics

    Fractures because it works with Vit D

    Babies no bacteria in GI tract; within

    6hoursof birth get injection to prevent hemorrhaging

    Toxicity: Rare

    Affect anti-coagulation drug

    RDA: 90 g/dl 120 g/dl (19-30 yrs)

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    Summary

    Vit Source Deficiency Toxicity

    AVegetables;

    Dairy; liver

    Night Blindness

    Embryo Defects

    Embryo defects;

    Organ damage

    DSun; fortified

    milk, eggs, fish

    Rickets

    Osteomalacia

    Calcium

    deposits

    EWidespread;

    oils; nuts

    Rare Rare

    KGreen leafy

    vegetables

    Rare Rare

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    ,

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    Healthy children and adults should be able

    to get all the nutrients they need by eating avariety of food

    ENJOY A BALANCED DIET

    Still dont know why?

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    Each has its own function in regards to keeping

    body healthy

    Some supply energy

    Assist with the movement of other nutrients

    Too much or too little can have adverse effects

    Some protect other nutrients = Antioxidants

    We eed l eddiet ith riet f

    trient ecause:

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    Antioxidants

    A compound that protects other compounds

    from the damaging reactions of oxygen

    HOW?Reacting with oxygen

    WHO?

    Vitamin C; Vitamin E; beta-carotene

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    Antioxidants

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    ENJOYA

    BALANCEDDIET

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    What if I am not getting a balanced

    diet??

    Can I get the nutrients fromsupplements?

    X

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    Vitamin Supplements

    According to the 2005Dietary Guidelines for Americans,

    "Nutrient needs should be met primarilythroughconsumingfoods. Foods provide an array of nutrients andother compounds that may have beneficial effects on health.

    In certain cases, fortified foods and dietary supplements maybe useful sources of one or more nutrients that otherwisemight be consumed in less than recommended amounts.

    However, dietary supplements, while recommended in somecases, cannot replace a healthful diet."

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    Vitamin Supplements

    We should get all our nutrients from our diet but the question

    is; do we????

    Do you eat a nutritious, whole grain breakfast every day?

    Do you eat a natural healthy snack every 2-3 hours?Do you eat at least 2 piece of fruit every day?

    Do you eat at least 5 serves of vegetables every day?

    Do you eat at least 3 serves of deep sea fresh fish every

    week?

    Do you drink at least 2 litres of purified water every day?

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    Vitamin Supplements

    People following very low calorie diets

    Interference with appetite, absorption or excretion of

    nutrients

    Strict vegetarians

    Women excessive menstrual bleeding, pregnant,

    breastfeeding, planning pregnancy

    Lactose intolerant

    Recovery from surgery

    Heart disease or other chronic disease

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    Vitamin Supplements

    Be informed:

    Seek unbiased, scientific sources (see

    reference list in chapter 6).

    Inform your physician, especially if takingprescribed medications.

    Do not exceed recommended doses, oruse for prolonged periods.

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    Vitamin Supplements

    Supplements are presumed safe until the Food and DrugAdministration (FDA) receives well-documented reports ofadverse reactions.

    Supplements are not obliged to meet any standards of

    effectiveness or safety.

    Products cannot state on the label that they will prevent,treat, diagnose, mitigate, or cure disease.

    Product must carry a disclaimer on the label - This producthas not been evaluated by the Food and Drug

    Administration.

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    Vitamin Supplements

    Effects of a-Tocopherol and Mixed Tocopherol Supplementation

    on Markers of Oxidative Stress and Inflammation in Type 2

    Diabetes

    Clinical Effects of Vitamin D

    Repletion in Patients With

    Parkinson's Disease (VIDIP

    PILOT)

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    Vitamin Overview

    What are vitamins?

    What are the two types of vitamins?

    Where do I get my vitamins?

    How much do I need?

    Why are the vitamins important?

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    Food and Health