2. The Water-Soluble Vitamins B Vitamins and Vitamin C

3. The Vitamins Vitamins vs carbohydrates, fats, and proteins –Structure –Function –Food contents

4. The Vitamins Bioavailability Precursors Organic nature

5. The Vitamins Solubility Toxicity

6. The Vitamins

8. The B Vitamins Coenzymes

9. Thiamin Other names: Vitamin B 1 1998 RDA –men: 1.2 mg/day –women: 1.1 mg/day Chief functions in the body –Part of coenzyme TPP (thiamin pyrophosphate) used in energy metabolism

10. Thiamin Significant sources –Whole grain, fortified, or enriched grain products –Moderate amounts in all nutritious food –Pork Easily destroyed by heat

11. Thiamin Deficiency disease –Beriberi Wet, with edema Dry, with muscle wasting Deficiency symptoms –Enlarged heart, cardiac failure –Muscular weakness –Apathy, poor short-term memory, confusion, irritability –Anorexia, weight loss Toxicity symptoms: none reported

12. Thiamin Sources

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14. Riboflavin Copyright 2005 Wadsworth Group, a division of Thomson Learning

15. Riboflavin Other names: Vitamin B 2 1998 RDA –Men: 1.3 mg/day –Women: 1.1 mg/day Chief functions in the body –Part of coenzymes FMN (flavin mononucleotide) and FAD (flavin adenine dinucleotide) used in energy metabolism.

16. Riboflavin Significant sources –Milk products (yogurt, cheese) –Enriched or whole grains –Liver Easily destroyed by ultraviolet light and irradiation

17. Riboflavin Deficiency disease: ariboflavinosis Deficiency symptoms –Inflamed eyelids and sensitivity to light, reddening of cornea –Sore throat –Cracks and redness at corners of mouth –Painful, smooth, purplish red tongue –Inflammation characterized by skin lesions covered with greasy scales Toxicity symptoms: none reported

18. Riboflavin Sources

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20. Niacin Other names –Nicotinic acid –Nicotinamide –Niacinamide –Vitamin B 3 Precursor: dietary tryptophan 1998 RDA –Men: 16 mg NE/day –Women: 14 mg NE/day Upper level for adults: 35 mg/day

21. Niacin Chief functions in the body –Part of coenzymes NAD (nicotinamide adenine dinucleotide) and NADP (its phosphate form) used in energy metabolism Significant sources –Milk, eggs, meat, poultry, fish –Whole-grain and enriched breads and cereals –Nuts –All protein-containing foods

22. Niacin Deficiency disease: pellagra Deficiency symptoms –Diarrhea, abdominal pain, vomiting –Inflamed, swollen, smooth, bright red tongue –Depression, apathy, fatigue, loss of memory, headache –Bilateral symmetrical rash on areas exposed to sunlight

23. Niacin Toxicity symptoms –Painful flush, hives, and rash (“niacin flush”) –Excessive sweating –Blurred vision –Liver damage, impaired glucose tolerance

24. Niacin Sources

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26. Biotin 1998 adequate intake (AI) –Adults: 30 g/day Chief functions in the body –Part of a coenzyme used in energy metabolism, fat synthesis, amino acid metabolism, and glycogen synthesis Significant sources –Widespread in foods –Organ meats, egg yolks, soybeans, fish, whole grains –Also produced by GI bacteria

27. Biotin Deficiency symptoms –Depression, lethargy, hallucinations, numb or tingling sensation in the arms and legs –Red, scaly rash around the eyes, nose, and mouth –Hair loss Toxicity symptoms: none reported

28. Pantothenic Acid 1998 adequate intake (AI) –Adults: 5 mg/day Chief functions in the body –Part of coenzyme A, used in energy metabolism Significant sources –Widespread in foods –Organ meats, mushrooms, avocados, broccoli, whole grains Easily destroyed by food processing

29. Pantothenic Acid Deficiency symptoms –Vomiting, nausea, stomach cramps –Insomnia, fatigue, depression, irritability, restlessness, apathy –Hypoglycemia, increased sensitivity to insulin Toxicity symptoms: none reported

30. Vitamin B 6 Other names –Pyridoxine –Pyridoxal –Pyridoxamine 1998 RDA –Adults (19-50 years): 1.3 mg/day Upper level for adults: 100 mg/day

31. Vitamin B 6 Chief functions in the body –Part of coenzymes PLP (pyridoxal phosphate) and PMP (pyridoxamine phosphate) used in amino acid and fatty acid metabolism –Helps to convert tryptophan to niacin and to serotonin –Helps to make red blood cells

32. Vitamin B 6 Significant sources –Meats, fish, poultry –Potatoes, legumes, noncitrus fruits –Fortified cereals –Liver –Soy products Deficiency symptoms –Scaly dermatitis –Anemia (small-cell type) –Depression, confusion, abnormal brain wave pattern, convulsions

33. Vitamin B 6 Toxicity symptoms –Depression, fatigue, irritability, headaches –Nerve damage causing numbness and muscle weakness leading to an inability to walk and convulsions –Skin lesions

34. Vitamin B 6 Sources

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36. Folate

38. Absorption Activation –Vitamin B 12

39. Folate Recommendations –Dietary folate equivalents (DFE)

40. Folate Neural tube defects –Spina bifida

41. Folate Heart disease Cancer

42. Folate: In Summary Other names –Folic acid –Folacin –Pteroylglutamic acid (PGA) 1998 RDA –Adults: 400 g/day Upper level for adults: 1000 g/day

43. Folate: In Summary Chief functions in the body –Part of coenzymes THF (tetrahydrofolate) and DHF (dihydrofolate) used in DNA synthesis and therefore important in new cell formation Significant sources –Fortified grains –Leafy green vegetables, legumes, seeds –Liver

44. Folate: In Summary Deficiency symptoms –Anemia (large-cell type) –Smooth, red tongue –Mental confusion, weakness, fatigue, irritability, headache Toxicity symptoms –Masks vitamin B 12 -deficiency symptoms

45. Folate Sources

47. Vitamin B 12 Activation –Folate

48. Vitamin B 12 Absorption –HCl –Pepsin –Intrinsic factor

49. Vitamin B 12 Deficiency of folate or B 12 produces pernicious anemia Copyright 2005 Wadsworth Group, a division of Thomson Learning

50. Vitamin B 12 : In Summary Other names: cobalamin (and related forms) 1998 RDA –Adults: 2.4 g/day Chief functions in the body –Part of coenzymes methylcobalamin and deoxyadenosylcobalamin used in new cell synthesis –Helps to maintain nerve cells –Reforms folate coenzyme –Helps to break down some fatty acids and amino acids

51. Vitamin B 12 : In Summary Significant sources –Animal products (meat, fish, poultry, shellfish, milk, cheese, eggs) –Fortified cereals Easily destroyed by microwave cooking Deficiency disease: pernicious anemia

52. Vitamin B 12 : In Summary Deficiency symptoms –Anemia (large-cell type) –Fatigue, degeneration of peripheral nerves progressing to paralysis Toxicity symptoms: none reported

53. Non-B Vitamins Choline

54. Non-B Vitamins Inositol Carnitine Vitamin imposters

55. Copyright 2005 Wadsworth Group, a division of Thomson Learning Metabolic Pathways Involving B Vitamins

56. The B Vitamins B vitamin deficiencies –Glossitis –Cheilosis B vitamin toxicities B vitamin food sources

57. Vitamin C

58. Other name: ascorbic acid 2000 RDA –Men: 90 mg/day –Women: 75 mg/day –Smokers: + 35 mg/day Upper level for adults: 2000 mg/day

59. Vitamin C Chief functions in the body –Collagen synthesis Strengthens blood vessel walls, forms scar tissue, provides matrix for bone growth –Antioxidant –Thyroxin synthesis –Amino acid metabolism –Strengthens resistance to infection –Helps in absorption of iron

60. Vitamin C Significant sources –Citrus fruits –Cabbage-type vegetables, dark green vegetables (such as bell peppers and broccoli) –Cantaloupe, strawberries –Lettuce, tomatoes, potatoes –Papayas, mangoes Easily destroyed by heat and oxygen

61. Vitamin C Deficiency disease: scurvy Deficiency symptoms –Anemia (small-cell type) –Atherosclerotic plaques –Pinpoint hemorrhages, bone fragility, joint pain –Poor wound healing, frequent infections, bleeding gums, loosened teeth –Muscle degeneration and pain, hysteria, depression, rough skin, blotchy bruises

62. Vitamin C Toxicity symptoms –Nausea, abdominal cramps, diarrhea –Headache, fatigue, insomnia –Hot flashes, rashes –Interference with medical tests, aggravation of gout symptoms, urinary tract problems, kidney stones

63. Vitamin C Sources

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65. Vitamin And Mineral Supplements Arguments for supplements –Correct overt deficiencies –Improve nutrition status –Reduce disease risks –Support increased nutrient needs –Improve the body’s defenses

66. Vitamin And Mineral Supplements Who needs supplements?

67. Vitamin And Mineral Supplements Arguments against supplements –Toxicity –Life-threatening misinformation –Unknown needs –False sense of security –Other invalid reasons

70. Vitamin And Mineral Supplements Bioavailability Antagonistic actions

71. Vitamin And Mineral Supplements Selection of supplements –Form –Contents –Misleading claims –Cost

72. Vitamin And Mineral Supplements Regulation of supplements

73. An Example of a Supplement Label