vitamins chemistry vitamin nutrition vitamin

Growth: Animals deprived of vitamin A initially lose their appetites, possibly because of keratinization of the taste buds. Bone growth is slow and fails to keep pace with growth of the nervous system. leading to central nervous system damage.
3. Reproduction: and retinal are essential for normal reproduction, supporting spermatogenesis in the male and preventing fetal resorption in the female. Retinoic acid is inactive in maintaining reproduction and in the visual cycle, but promotes growth and differentiation of epithelial cells; thus, animals given vitamin A only as retinoic acid from birth are blind and sterile.
4. Maintenance of epithelial cells: Vitamin A is essential for normal differentiation of epithelial tissues and mucus secretion.
D. Distribution of vitamin A
Liver, kidney, cream, butter, and egg yolk are good sources of preformed vitamin A. Yellow and dark green vegetables and fruits are good dietary sources of the carotenes, which serve as precursors of vitamin A.
E. Requirement for vitamin A
The RDA for adults is 1000 retinol equivalents (RE) for males and 800 RE for females. One RE = 1 of retinol, of β-carotene, or of other carotenoids.
F. Clinical indications
Although chemically related, retinoic acid and retinol have distinctly different therapeutic applications. Retinol and its precursor are used as dietary supplements, whereas various forms of retinoic acid are useful in dermatology.
1. Dietary deficiency: Vitamin A, administered as retinol or retinyl esters, is used to treat patients deficient in the vitamin (Figure 28.21). Night blindness is one of the earliest signs of vitamin A deficiency. The visual threshold is increased, making it difficult to see in dim light. Prolonged deficiency leads to an irreversible loss in the number of visual cells. Severe vitamin A deficiency leads to xerophthalmia, a pathologic dryness of the conjunctiva and cornea. untreated, xerophthalmia results in corneal ulceration and, ultimately, in blindness because of the formation of opaque scar tissue. The condition is most frequently seen in children in developing tropical countries. Over 500,000 children worldwide are blinded each year by xerophthalmia caused by insufficient vitamin A in the diet.

1. كيمياء حيوية التغذية و الأنزيمات SCBC 242

2. What are Vitamins? Vitamins are the nutrients our bodies need in order to maintain functions such as immunity and metabolism. There is very little in our bodies that can be done without a vitamin being needed and it is important to know the types, fat soluble and water soluble .

3. Vitamins are a group of organic nutrients of various nature required in small quantities for multiple biochemical reactions for the growth, survival and reproduction of the organism. They cannot be synthesized by the body and must therefore, be supplied by the diet. The most prominent function of the vitamins is to serve as coenzymes (or prosthetic group) for enzymatic reactions.

4. The discovery of the vitamins began with experiments performed by Hopkins at the beginning of the twentieth century. He fed rats on a defined diet providing the then known nutrients: fats, proteins, carbohydrates, and mineral salts. The animals failed to grow, but the addition of a small amount of milk to the diet both allowed the animals to maintain normal growth and restored growth to the animals that had previously been fed the defined diet. He suggested that milk contained one or more “accessory growth factors” – essential nutrients present in small amounts because the addition of only a small amount of milk to the diet was sufficient to maintain normal growth and development.

5. The first of the accessory food factors to be isolated and identified was found to be chemically an amine; therefore, in 1912, Funk coined the term vitamine , from the Latin vita for “life” and amine, for the prominent chemical reactive group. Although subsequent accessory growth factors were not found to be amines, the name has been retained–with the loss of the final “-e” to avoid chemical confusion. During the first half of the twentieth century, vitamin deficiency diseases were common in developed and developing countries. At the beginning of the twenty-first century, they are generally rare, although vitamin A deficiency is a major public health problem throughout the developing world, and there is evidence of widespread subclinical deficiencies of vitamins B2 and B6. In addition, refugee and displaced populations are at risk of multiple B vitamin deficiencies, because the cereal foods used in emergency rations are not usually fortified with micronutrients.

6. Vitamins are grouped together according to the following general biological characteristics: Vitamins are not synthesized by the body and must come from food. An exception are vitamin B3 (PP), which active form NADH (NADPH), can be synthesized from tryptophan and vitamin D3 (cholecalciferol), synthesized from 7-dehydrocholesterol in the skin. Vitamins partially synthesized by intestinal microflora (В1, В2, В3, B5, В6, К, and others) is normally not sufficient to cover the body's need them. Vitamins are essential for all vital processes and biologically active already in small quantities.

7. They influence biochemical processes in all tissues and organs. Few vitamins can be stored (A, D, E, B12), a lack of vitamins quickly leads to deficiency diseases ( hypovitaminosis or avitaminosis ). These often affect the skin, blood cells, and nervous system. The causes of vitamin deficiencies can be treated by improving nutrition and by administration vitamins in tablet form. An overdose of vitamins leads to hypervitaminosis state only, with toxic symptoms, in the case of vitamins A and D. Normally, excess vitamins are rapidly excreted with the urine.

8. Avitaminosis is a disease that develops in the absence of a particular vitamin. Currently avitaminosis are not commonly found, but hypovitaminoses are observed with vitamin deficiency in the body. Hypovitaminosis is a pathological condition caused by partial deficiency of a vitamin. This is a lighter form of vitamin deficiency.

9. External causes for hypovitaminosis Lack of the vitamin in the diet or presence of food factors hindering the absorption of vitamin. For example, use of large amounts of raw eggs (they contain protein avidin binds biotin as a result may develop a state of hypovitaminosis biotin. Do not take into account the need for a particular vitamin. For example, in a protein-free diet is increasing demand for vitamin B3 (with normal diet it may be partially synthesized from tryptophan). If a person consumes much protein, it can increase the need for vitamin B6 and reduce the need for vitamin B3. Social reasons: urbanization, power and extremely high purity of canned food. People are not enough exposed to sunlight in large cities - so it can be hypovitaminosis D.

10. Internal causes of hypovitaminosis 1. Physiological increased need for vitamins, for example, during pregnancy, with heavy physical work. 2. Long-term severe infectious diseases, as well as during the recovery period. 3. Disturbance of vitamin absorption in some diseases of the digestive tract, for example impaired absorption of fat-soluble vitamins is observed at cholelithiasis . Another case if a person who hadn’t been consuming fats but had been getting enough carbohydrates and proteins for long time revealed dermatitis, poor wound healing, vision impairment. Lack of vitamins A, D, E, K, F (linoleic, linolenic , arachidonic acids) is probable cause of the metabolic disorder. 4. Intestinal dysbacteriosis . It has the meaning as some vitamins are synthesized by the intestinal microflora (these vitamins are B3, B6, B7 (H), B9, B12, and K).

11. 5. Cirrhosis, The liver is the major depot of many vitamins, particularly fat-soluble, but also certain water-soluble, such as B9, B12, etc. In case of vitamin consumption increase and reducing their dietary intake, which is usually the case, for example, in alcoholism, megaloblastic anemia is developed in a short time as a characteristic sign of hypovitaminosis B12. 6. Genetic defects of some enzymatic systems. For example, vitamin D-resistant rickets occurs in children lack the enzymes involved in the formation of the active form of vitamin D - calcitriol (1, 25-dihydroxycholecalciferol).

12. CLASSIFICATION AND NOMENCLATURE OF THE VITAMINS Based on solubility Vitamins are classified as either fat-soluble (lipid soluble) or water-soluble. Vitamins A, D, E and K are fat-soluble Vitamin C and B is water soluble.

13. The vitamins differ from carbohydrates, fats, and proteins in the following ways: • Structure: Vitamins are individual units; they are not linked together (as are molecules of glucose or amino acids ). • Function: Vitamins do not yield usable energy when broken down; they assist the enzymes that release energy from carbohydrates, fats, and proteins. • Food contents: The amounts of vitamins people ingest daily from foods and the amounts they require are measured in micrograms (µg) or milligrams (mg).

14. Bioavailability The amount of vitamins available from foods depends not only on the quantity provided by a food but also on the amount absorbed and used by the body-referred to as the vitamins' bioavailability. Precursors Some of the vitamins are available from foods in inactive forms known as precursors, or provitamins . Once inside the body, the precursor is converted to an active form of the vitamin. Thus, in measuring a person's vitamin intake, it is important to count both the amount of the active vitamin and the potential amount available from its precursors.

15. Organic Nature Being organic, vitamins can be destroyed and left unable to perform their functions. Therefore, they must be handled with care during storage and in cooking. Prolonged heating may destroy much of the thiamin in food. Because riboflavin can be destroyed by the ultraviolet rays of the sun or by fluorescent light, foods stored in transparent glass containers are most likely to lose riboflavin. Oxygen destroys vitamin C, so losses occur when foods are cut, processed, and stored; these losses may be enough to reduce its action in the body

16. Solubility As you may recall, carbohydrates and proteins are hydrophilic and lipids are hydrophobic. The vitamins divide along the same lines-the hydrophilic, water-soluble ones are the eight B vitamins and vitamin C; the hydrophobic, fat soluble ones are vitamins A, D, E, and K. Many of the water-soluble vitamins have multiple names, which has led to some confusion.

17. Solubility is apparent in the food sources of the different vitamins, and it affects their absorption, transport, storage, and excretion by the body. The water-soluble vitamins are found in the watery compartments of foods; the fat-soluble vitamins usually occur together in the fats and oils of foods. On being absorbed, the water soluble vitamins move directly into the blood. The fat-soluble vitamins must first enter the lymph, then the blood. Once in the blood, many of the water- soluble vitamins travel freely, whereas many of the fat-soluble vitamins require protein carriers for transport. Upon reaching the cells, water-soluble vitamins freely circulate in the water-filled compartments of the body, but fat-soluble vitamins are held in fatty tissues and the liver until needed.

18. The kidneys detect and remove small excesses of water-soluble vitamins (large excesses, however, may confound the system, creating adverse effects). Fat soluble vitamins tend to remain in fat-storage sites in the body rather than being excreted, and so are more likely to reach toxic levels when consumed in excess. Because the body stores fat-soluble vitamins, they can be eaten in large amounts once in a while and still meet the body's needs over time. Water-soluble vitamins are retained for varying periods in the body. Although a single day's omission from the diet does not bring on a deficiency, the water-soluble vitamins must still be eaten more regularly than the fat-soluble vitamins.

19. Toxicity Knowledge about some of the amazing roles of vitamins has prompted many people to assume that "more is better" and take vitamin supplements. But just as an small intake can cause harm, so can an excessive intake. Even some of the water-soluble vitamins have adverse effects when taken in large doses. That a vitamin can be both essential and harmful may seem surprising, but the same is true of most nutrients. The effects of every substance depend on its dose, and this is one reason consumers should not self-prescribe supplements for their diseases.

20. The Committee on Dietary Reference Intakes (DRI) discusses the possibility of adverse effects from high doses of nutrients by establishing Tolerable Upper Intake Levels. An Upper Level defines the highest amount of a nutrient that is likely not to cause harm for most healthy people when consumed daily. The risk of harm increases as intakes rise above the Upper Level.

21. WATER-SOLUBLE VITAMINS B Vitamins and Vitamin C B-COMPLEX VITAMINS Eight of the water-soluble vitamins are known as the vitamin B-complex group: - Thiamin (vitamin B1) - Riboflavin (vitamin B2) - Niacin (vitamin B3) - Vitamin B6 (pyridoxine) - Folate (folic acid) - Vitamin B12 - Biotin. - Pantothenic acid. The B vitamins are widely distributed in foods and their influence is felt in many parts of the body. They function as coenzymes that help the body obtain energy from food. The B vitamins are also important for normal appetite, good vision, and healthy skin, nervous system, and red blood cell formation.

22. Thiamin: Vitamin B1 Thiamin, or vitamin B1, helps to release energy from foods, promotes normal appetite. Thiamin is the vitamin part of the coenzyme TPP (thiamin pyrophosphate), which assists in energy metabolism. The TPP coenzyme participates in the conversion of pyruvate to acetyl CoA Besides playing these pivotal roles in the energy metabolism of all cells, thiamin occupies a special site on the membranes of nerve cells. Consequently, processes in nerves and in their responding tissues, the muscles, depend heavily on thiamin.

23. Food Sources for Thiamin Sources include peas, liver, and legumes. Most commonly, thiamin is found in whole grains and fortified grain products such as cereal, and enriched products like bread, pasta, rice, and tortillas. The process of enrichment adds back nutrients that are lost when grains are processed. Among the nutrients added during the enrichment process are thiamin (B1), niacin (B3), riboflavin (B2), folate and iron. RDA (Required Daily allowance) Males: 1.2 mg/day; Females : 1.1 mg/day

24. prolonged cooking can destroy thiamine. Also, like other water-soluble vitamins, thiamin leaches into water when foods are boiled or blanched. Cooking methods that require little or no water such as steaming and microwave heating conserve thiamin and other water-soluble vitamins.

25. Thiamin Deficiency Under-consumption of thiamin is rare due to wide availability of enriched grain products. people who derive most of their energy from empty- kcalorie items risk thiamin deficiency. Alcohol is a good example. It contributes energy but provides few, if any, nutrients and often displaces food . In addition, alcohol impairs thiamin absorption and enhances thiamin excretion in the urine, doubling the risk of deficiency. Symptoms of thiamin deficiency include: mental confusion, muscle weakness, water retention (edema), impaired growth, and the disease known as beriberi. The symptoms of beriberi include damage to the nervous system as well as to the heart and other muscles. Thiamin toxicity No problem with overconsumption are known for thiamin.

26. Riboflavin: Vitamin B2 (riboflavin (RYE- boh -flay-vin): a B vitamin. The coenzyme forms are FMN ( flavin mononucleotide) and FAD ( flavin adenine dinucleotide)). Riboflavin, or vitamin B2, helps to release energy from foods, promotes good vision, and healthy skin. It also helps to convert the amino acid tryptophan into niacin. Riboflavin serves as a coenzyme in many reactions, most notably in the release of energy from nutrients in all body cells. .

27. Riboflavin, vitamin B2

28. Food Sources Sources include liver, eggs, dark green vegetables, legumes, whole and enriched grain products, and milk. Ultraviolet light is known to destroy riboflavin, which is why most milk is packaged in opaque containers instead of clear. In contrast, riboflavin is stable to heat , so cooking does not destroy it. RDA Males: 1.3 mg/day; Females: 1.1 mg/day

29. Deficiency Under consumption of riboflavin is rare. However, it has been known to occur with alcoholism, malignancy, hyperthyroidism, and in the elderly. Symptoms of deficiency include cracks at the corners of the mouth, dermatitis on nose and lips, light sensitivity, red tongue and inflammation of the membranes of skin, eyes (cataracts), and GI tract. Riboflavin toxicity No problems with overconsumption are known for riboflavin.

30. Niacin: Vitamin B3, Nicotinamide , Nicotinic Acid Niacin, or vitamin B3, is involved in energy production, normal enzyme function, digestion, promoting normal appetite, healthy skin, and nerves. The name niacin describes two chemical structures: nicotinic acid and nicotinamide (also known as niacinamide ). The body can easily convert nicotinic acid to nicotinamide , which is the major form of niacin in the blood. The two coenzyme forms of niacin, NAD ( nicotinamide a denine dinucleotide) and NADP (the phosphate form), participate in numerous metabolic reactions. They are central in energy-transfer reactions, especially the metabolism of glucose, fat, and alcohol.

31. Food Sources for Niacin Sources include liver, fish, poultry, meat, peanuts, whole and enriched grain products. RDA Males: 16 mg/day; Females: 14 mg/day NAD is similar to the riboflavin coenzymes in that it carries hydrogens (and their electrons) during metabolic reactions, including the pathway from the TCA cycle to the electron transport chain.

32. Niacin Deficiency Niacin deficiency is known to occur with alcoholism, protein malnourishment, low calorie diets, and diets high in refined carbohydrates. Pellagra is the disease state that occurs as a result of severe niacin deficiency. Symptoms include cramps, nausea, mental confusion, and skin problems. Niacin toxicity Consuming large doses of niacin supplements may cause flushed skin, rashes, or liver damage. Over consumption of niacin is not a problem if it is obtained through food.

33. Large doses of nicotinic acid have been used to help lower blood cholesterol and prevent heart disease. Such therapy must be closely monitored. People with the following conditions may be particularly susceptible to the toxic effects of niacin: liver disease, diabetes, peptic ulcers, gout, irregular heartbeats, inflammatory bowel disease, migraine headaches, and alcoholism.

34. Biotin Biotin helps release energy from carbohydrates and aids in the metabolism of fats, proteins and carbohydrates from food. Biotin plays an important role in metabolism as a coenzyme that carries activated carbon dioxide . This role is critical in the TCA cycle: biotin delivers a carbon to 3-carbon pyruvate, thus replenishing oxaloacetate, the 4-carbon compound needed to combine with acetyl CoA to keep the TCA cycle turning. The biotin coenzyme also participates in gluconeogenesis, fatty acid synthesis, and the breakdown of certain fatty acids and amino acids. Recent research has uncovered roles for biotin in gene expression."

35. Biotin

36. Food Sources for Biotin Sources of Biotin include liver, kidney, egg yolk, milk, most fresh vegetables, yeast breads and cereals. Biotin is also made by intestinal bacteria. RDA The Adequate Intake (AI) for Biotin is 30 µg/day for adult males and females Biotin Deficiency Biotin deficiency is uncommon under normal circumstances, but symptoms include fatigue, loss of appetite, nausea, vomiting, depression, muscle pains, heart abnormalities and anemia. Biotin toxicity No problems with overconsumption are known for Biotin.

37. : Pyridoxine, Pyridoxal , Pyridoxamine Vitamin B6, otherwise known as pyridoxine, pyridoxal or pyridoxamine , aids in protein metabolism and red blood cell formation. It is also involved in the body’s production of chemicals such as insulin and hemoglobin.

38. Food Sources for Vitamin B6 Sources include meats, whole grains and cereals, legumes, and green, leafy vegetables. The RDA for vitamin B6 is 1.3 mg/day for adult males and females through age fifty. Vitamin B6 Deficiency Deficiency symptoms include skin disorders, dermatitis, cracks at corners of mouth, anemia, kidney stones, and nausea. A vitamin B6 deficiency in infants can cause mental confusion. Too much Vitamin B6 Over consumption is rare, but excess doses of vitamin B6 over time have been known to result in nerve damage.

39. Folate : Folic Acid, Folacin Folate , also known as folic acid or folacin , aids in protein metabolism, promoting red blood cell formation, and lowering the risk for neural tube birth defects. Folate may also play a role in controlling homocysteine levels, thus reducing the risk for coronary heart disease. Its primary coenzyme form, THF ( tetrahydrofolate ), serves as part of an enzyme complex that transfers one carbon compounds that arise during metabolism. This action helps convert vitamin B12 to one of its coenzyme forms and helps synthesize the DNA required for all rapidly growing cells.

40. The small intestine prefers to absorb the "free" folate form- folate with only one glutamate attached. Enzymes on the intestinal cell surfaces hydrolyze the polyglutamate to monoglutamate and several glutamates. Then the monoglutamate is attached to a methyl group (CH3). Special transport systems deliver the monoglutamate with its methyl group to the liver and other body cells. For the folate coenzyme to function, the methyl group must be removed by an enzyme that requires the help of vitamin B12. Without that help, folate becomes trapped inside cells in its methyl form, unavailable to support DNA synthesis and cell growth. Figure 10-9 summarizes the process of folate's absorption and activation.

41. To dispose of excess folate , the liver secretes most of it into bile and ships it to the gallbladder. Thus folate returns to the intestine in an enterohepatic circulation route like that of bile itself. This complicated system for handling folate is vulnerable to GI tract injuries. Because folate is actively secreted back into the GI tract with bile, it has to be reabsorbed repeatedly. If the GI tract cells are damaged, then folate is rapidly lost from the body. Such is the case in alcohol abuse; folate deficiency rapidly develops and, ironically, further damages the GI tract. The folate coenzymes, remember, are active in cell multiplication and the cells lining the GI tract are among the most rapidly renewed cells in the body. When unable to make new cells, the GI tract deteriorates and not only loses folate , but also fails to absorb other nutrients

42. Folate and Neural Tube Defects Folate has proven to be critical in reducing the risks of neural tube defects." • The brain and spinal cord develop from the neural tube, and defects in its orderly formation during the early weeks of pregnancy may result in various central nervous system disorders and death. Folate supplements taken one month before conception and continued throughout the first trimester of pregnancy can help prevent neural tube defects. For this reason, all women of childbearing age who are capable of becoming pregnant should consume 0.4 milligram (400 micrograms) of folate daily. A neural tube defect is a malformation of the brain, spinal cord, or both during embryonic development. The two main types of neural tube defects are spina bifida (literally, "split spine") and anencephaly ("no brain").

43. Food Sources for Folate Sources of folate include liver, kidney, dark green leafy vegetables, meats, fish, whole grains, fortified grains and cereals, legumes, and citrus fruits. Not all whole grain products are fortified with folate .. RDA The RDA for folate is 400 mcg/day for adult males and females. Pregnancy will increase the RDA for folate to 600 mcg/day.

44. Folate Deficiency Folate deficiency affects cell growth and protein production, which can lead to overall impaired growth. Deficiency symptoms also include anemia and diarrhea. A folate deficiency in women who are pregnant or of child bearing age may result in the delivery of a baby with neural tube defects such as spina bifida. Folate toxicity Over consumption of folate offers no known benefits, and may mask B12 deficiency as well as interfere with some medications.

45. Vitamin B12: Cobalamin Vitamin B12, also known as cobalamin, aids in the building of genetic material, production of normal red blood cells, and maintenance of the nervous system. Vitamin B12 and folate are closely related: each depends on the other for activation. Recall that vitamin B12 removes a methyl group to activate the folate coenzyme. When folate gives up its methyl group, the vitamin B12 coenzyme becomes activated.

46. The regeneration of the amino acid methionine and the synthesis of DNA and RNA depend on both folate and vitamin B12. In addition, without any help from folate, vitamin B12 maintains the sheath that surrounds and protects nerve fibers and promotes their normal growth. Bone cell activity and metabolism also depend on vitamin B12.

47. Food Sources for Vitamin B12 Vitamin B12 can only be found only in foods of animal origin such as meats, liver, kidney, fish, eggs, milk and milk products, shellfish. Some fortified foods may contain vitamin B12. RDA The Recommended Dietary Allowance (RDA) for vitamin B12 is 2.4 mcg/day for adult males and females

48. Vitamin B12 Deficiency Vitamin B12 deficiency most commonly affects strict vegetarians (those who eat no animal products), infants of vegan mothers, and the elderly. Symptoms of deficiency include anemia, fatigue, neurological disorders, and degeneration of nerves resulting in numbness and tingling. In order to prevent vitamin B12 deficiency, a dietary supplement should be taken. Some people develop a B12 deficiency because they cannot absorb the vitamin through their stomach lining. This can be treated through vitamin B12 injections. Vitamin B12 toxicity No problems with overconsumption of vitamin B12 are known.

49. Pantothenic Acid Pantothenic Acid is involved in energy production, and aids in the formation of hormones and the metabolism of fats, proteins, and carbohydrates from food. Food Sources for Pantothenic Acid Sources include liver, kidney, meats, egg yolk, whole grains, and legumes. Pantothenic Acid is also made by intestinal bacteria. RDA The Adequate Intake (AI) for Pantothenic Acid is 5 mg/day for both adult males and females. Pantothenic Acid Deficiency Pantothenic Acid deficiency is uncommon due to its wide availability in most foods. Its symptoms involve a general failure of all the body's systems and include fatigue, GI distress, and neurological disturbances. Pantothenic Acid toxicity No problems with overconsumption are known for Pantothenic Acid. Rarely, diarrhea and water retention will occur with excessive amounts.

50. Non-B Vitamins Choline The body can make choline from the amino acid methionine. choline is commonly found in many foods as part of the lecithin molecule. choline deficiencies are rare. Without any dietary choline, however, synthesis alone appears to be insufficient to meet the body's needs, making choline a conditionally essential nutrient. The body uses choline to make the neurotransmitter acetylcholine and the phospholipid lecithin. During fetal development, choline supports the structure and function of the brain and spinal chord

51. Inositol and Carnitine Inositol is a part of cell membrane structures, and carnitine transports long-chain fatty acids from the cytosol to the mitochondria for oxidation. Like choline, these two substances can be made by the body, but unlike choline, no recommendations have been established. Researchers continue to explore the possibility that these substances may be essential. Even if they are essential, though, supplements are unnecessary because these compounds are widespread in foods. inositol (in-OSS- ih -tall): a nonessential nutrient that can be made in the body from glucose. Inositol is a part of cell membrane structures. carnitine (CAR- neh -teen): a nonessential, nonprotein amino acid made in the body from lysine that helps transport fatty acids.

52. VITAMIN C: ASCORBIC ACID, ASCORBATE The body needs vitamin C, also known as ascorbic acid or ascorbate. Vitamin C benefits the body by holding cells together through collagen synthesis; collagen is a connective tissue that holds muscles, bones, and other tissues together. Vitamin C also aids in wound healing, bone and tooth formation, strengthening blood vessel walls, improving immune system function, increasing absorption and utilization of iron, and acting as an antioxidant. Since our bodies cannot produce or store vitamin C, an adequate daily intake of this nutrient is essential for optimum health. Vitamin C works with vitamin E as an antioxidant, and plays a crucial role in neutralizing free radicals throughout the body. An antioxidant can be a vitamin, mineral, or a carotenoid, present in foods, that slows the oxidation process and acts to repair damage to cells of the body. Studies suggest that vitamin C may reduce the risk of certain cancers, heart disease, and cataracts. Research continues to document the degree of these effects.

53. Vitamin C Roles As an Antioxidant Vitamin C loses electrons easily, a characteristic that allows it to perform as an antioxidant. In the body, antioxidants defend against free radicals. A free radical is a molecule with one or more unpaired electrons, which makes it unstable and highly reactive. In the cells and body fluids, vitamin C protects tissues from oxidative stress and thus may play an important role in preventing diseases. In the intestines, vitamin C enhances iron absorption by protecting iron from oxidation.

54. Vitamin C helps to form the fibrous structural protein of connective tissues known as collagen. Collagen serves as the matrix on which bones and teeth are formed. During the synthesis of collagen, each time a proline or lysine is added to the growing protein chain, an enzyme hydroxylates it (adds an OH group to it), making the amino acid hydroxyproline or hydroxylysine , respectively. These two special amino acids facilitate the binding together of collagen fibres to make strong, ropelike structures. The conversion of proline to hydroxyproline requires both vitamin C and iron. Iron works as a cofactor in the reaction, and vitamin C protects iron from oxidation, thereby allowing iron to perform its duty. Without vitamin C and iron, the hydroxylation step does not occur. As a Cofactor in Collagen Formation

55. As a Cofactor in Other Reactions vitamin C helps in the hydroxylation of carnitine, a compound that transports long-chain fatty acids into the mitochondria of a cell for energy metabolism. It participates in the conversions of the amino acids tryptophan and tyrosine to the neurotransmitters serotonin and norepinephrine, respectively. Vitamin C also assists in the making of hormones, including thyroxin, which regulates the metabolic rate. In Stress The adrenal glands contain more vitamin C than any other organ in the body, and during stress, these glands release the vitamin, together with hormones, into the blood. The vitamin 's exact role in the stress reaction remains unclear, but physical stresses raise vitamin C needs. Among the stresses known to increase vitamin C needs are infections; burns; extremely high or low temperatures; intakes of toxic heavy metals such as lead, mercury, and cadmium; the chronic use of certain medications, including aspirin, barbiturates, and oral contraceptives; and cigarette smoking.

56. Food Sources for Vitamin C Consuming vitamin C-rich foods is the best method to ensure an adequate intake of this vitamin. While many common plant foods contain vitamin C, the best sources are citrus fruits (orange, kiwi fruit, grape etc ,) RDA The Recommended Dietary Allowance (RDA) for Vitamin C is 90 mg/day for adult males and 75 mg/day for adult females For those who smoke cigarettes, the RDA for vitamin C increases by 35 mg/day, in order to counteract the oxidative effects of nicotine.

57. Vitamin C Deficiency Severe vitamin C deficiency result in the disease known as scurvy, causing a loss of collagen strength throughout the body. Loss of collagen results in loose teeth, bleeding and swollen gums, and improper wound healing. More commonly, vitamin C deficiency presents as a secondary deficiency in alcoholics, the elderly, and in smokers. Vitamin C toxicity Despite being a water-soluble vitamin that the body excretes when in excess, vitamin C overdoses have been shown to cause kidney stones, gout, diarrhea.

58. The Fat Solube Vitamins: A, D, E, and K The fat-soluble vitamins, A, D, E, and K. are stored in the body for long periods of time. has a risk for toxicity when consumed in excess than water-soluble vitamins. Eating a normal, well-balanced diet will not lead to toxicity. taking vitamin supplements that contain megadoses of vitamins A, D, E and K may lead to toxicity. The body only needs small amounts of any vitamin.

59. Diseases caused by a lack of fat soluble vitamins are rare symptoms of mild deficiency can develop without adequate amounts of vitamins in the diet. some health problems may decrease the absorption of fat, and in turn, decrease the absorption of vitamins A, D, E and K. The fat-soluble vitamins require bile for their absorption. Fat-soluble vitamins travel through the lymphatic system within chylomicrons before entering the bloodstream, where many of them require protein carriers for transport. The fat-soluble vitamins participate in numerous activities throughout the body, but excesses are stored primarily in the liver and adipose tissue.

60. Vitamin A and Beta-Carotene Three different forms of vitamin A are active in the body: retinol, retinal, and retinoic acid , these compounds are known as retinoids . Foods derived from animals provide compounds ( retinyl esters ) that are readily digested and absorbed as retinol in the intestine. Foods derived from plants provide carotenoids. vitamin A: all naturally occurring compounds with the biological activity of retinol (RET- ihnol ), the alcohol form of vitamin A. beta-carotene (BAY- tah KARE-oh-teen): one of the carotenoids; an orange pigment and vitamin A precursor found in plants. retinoids (RET- ih - noyds ): chemically related compounds with biological activity similar to that of retinol; metabolites of retinol. carotenoids ( kah -ROT-eh- noyds ): pigments commonly found in plants and animals, some of which have vitamin A activity. The carotenoid with the greatest vitamin A activity is beta-carotene.

61. Retinol Retinal Retinoic acid carotene

62. Vitamin A, also called retinol, has many functions in the body. In addition to helping the eyes adjust to light changes, vitamin A plays an important role in bone growth, tooth development, reproduction, cell division, gene expression, and regulation of the immune system. The skin, eyes, and mucous membranes of the mouth, nose, throat and lungs depend on vitamin A to remain moist. Vitamin A is also an important antioxidant that may play a role in the prevention of certain cancers.

63. Food Sources for Vitamin A Eating a wide variety of foods is the best way to ensure that the body gets enough A. The retinol, retinal, and retinoic acid forms of vitamin A are supplied primarily by foods of animal origin such as dairy products, fish and liver. Some foods of plant origin contain the antioxidant, beta carotene, which the body converts to vitamin A. Beta-carotene, comes from fruits and vegetables, especially those that are orange or dark green in color. Vitamin A sources also include carrots, pumpkin, winter squash, dark green leafy vegetables and apricots, all of which are rich in beta-carotene.

64. How much Vitamin A The recommendation for vitamin A intake is expressed as micrograms (mcg) of retinol activity equivalents (RAE). Retinol activity equivalents account for the fact that the body converts only a portion of beta carotene to retinol. One RAE equals 1 mcg of retinol or 12 mcg of beta-carotene. The Recommended Dietary Allowance (RDA) for vitamin A is 900 mcg/ day for adult males and 700 mcg/ day for adult females. Compared to vitamin A, it takes twice the amount of carotene rich foods to meet the body’s vitamin A requirements, so one may need to increase consumption of carotene containing plant foods. Recent studies indicate that vitamin A requirements may be increased due to hyperthyroidism, fever, infection, cold, and exposure to excessive amounts of sunlight. Those that consume excess alcohol or have renal disease should also increase intake of vitamin A.

65. Vitamin A Deficiency Vitamin A deficiency is rare, but the disease that results is known as xerophthalmia . It most commonly occurs in developing nations usually due to malnutrition. Since vitamin A is stored in the liver, it may take up to 2 years for signs of deficiency to appear. Night blindness and very dry, rough skin may indicate a lack of vitamin A. Other signs of possible vitamin A deficiency include decreased resistance to infections, faulty tooth development, and slower bone growth. Vitamin A toxicity The Tolerable Upper Intake Level (UL) for adults is 3,000 mcg RAE. It would be difficult to reach this level consuming food alone, but some multivitamin supplements contain high doses of vitamin A.

66. If you take a multivitamin, check the label to be sure the majority of vitamin A provided is in the form of betacarotene , which appears to be safe. Symptoms of vitamin A toxicity include dry, itchy skin, headache, nausea, and loss of appetite. Signs of severe overuse over a short period of time include dizziness, blurred vision and slowed growth. Vitamin A toxicity also can cause severe birth defects and may increase the risk for hip fractures.

67. Vitamin D Vitamin D plays a critical role in the body’s use of calcium and phosphorous. It works by increasing the amount of calcium absorbed from the small intestine, helping to form and maintain bones. Vitamin D benefits the body by playing a role in immunity and controlling cell growth. Children especially need adequate amounts of vitamin D to develop strong bones and healthy teeth. Food Sources for Vitamin D The primary food sources of vitamin D are milk and other dairy products fortified with vitamin D. Vitamin D is also found in oily fish (e.g., herring, salmon and sardines) as well as in cod liver oil. In addition to the vitamin D provided by food, we obtain vitamin D through our skin which produces vitamin D in response to sunlight.

68. RDA The Recommended Dietary Allowance (RDA) for vitamin D appears as micrograms (mcg) of cholecalciferol (vitamin D3). From 12 months to age fifty, the RDA is set at 15 mcg. Twenty mcg of cholecalciferol equals 800 International Units (IU), which is the recommendation for maintenance of healthy bone for adults over fifty. Exposure to ultraviolet light is necessary for the body to produce the active form of vitamin D. Ten to fifteen minutes of sunlight without sunscreen on the hands, arms and face, twice a week is sufficient to receive enough vitamin D. This can easily be obtained in the time spent riding a bike to work or taking a short walk.

69. Vitamin D Deficiency Symptoms of vitamin D deficiency in growing children include rickets (long, soft bowed legs) and flattening of the back of the skull. Vitamin D deficiency in adults may result in osteomalacia (muscle and bone weakness), and osteoporosis (loss of bone mass). Vitamin D deficiency has been associated with increased risk of common cancers, autoimmune diseases, hypertension, and infectious disease.

70. Vitamin D toxicity The Tolerable Upper Intake Level (UL) for vitamin D is set at 100 mcg for people 9 years of age and older. High doses of vitamin D supplements coupled with large amounts of fortified foods may cause accumulations in the liver and produce signs of poisoning. Signs of vitamin D toxicity include excess calcium in the blood, slowed mental and physical growth, decreased appetite, nausea and vomiting. It is especially important that infants and young children do not consume excess amounts of vitamin D regularly, due to their small body size.

71. Vitamin E, tocopherol Vitamin E benefits the body by acting as an antioxidant, and protecting vitamins A and C, red blood cells, and essential fatty acids from destruction. Taking antioxidant supplements, vitamin E, might help prevent heart disease and cancer. However, newer findings indicate that people who take antioxidant and vitamin E supplements are not better protected against heart disease and cancer than non-supplement users.

72. Many studies show a link between regularly eating an antioxidant rich diet full of fruits and vegetables, and a lower risk for heart disease, cancer, and several other diseases. Essentially, recent research indicates that to receive the full benefits of antioxidants and phytonutrients in the diet, one should consume these compounds in the form of fruits and vegetables, not as supplements.

73. Food Sources for Vitamin E About 60% of vitamin E in the diet comes from vegetable oil (soybean, corn, cottonseed, and safflower). This also includes products made with vegetable oil (margarine and salad dressing). Vitamin E sources also include fruits and vegetables, grains, nuts (almonds and hazelnuts), seeds (sunflower) and fortified cereals.

74. RDA The Recommended Dietary Allowance (RDA) for vitamin E is based on the most active and usable form called alpha-tocopherol. Food and supplement labels list alpha-tocopherol as the unit International units (IU) not in milligrams (mg). One milligram of alpha-tocopherol equals to 1.5 International Units (IU). RDA guidelines state that males and females over the age of 14 should receive 15 mcg of alpha-tocopherol per day. Consuming vitamin E in excess of the RDA does not result in any added benefits.

75. Vitamin E Deficiency Vitamin E deficiency is rare. Cases of vitamin E deficiency usually only occur in premature infants and in those unable to absorb fats. Since vegetable oils are good sources of vitamin E, people who excessively reduce their total dietary fat may not get enough vitamin E.

76. Vitamin E toxicity Vitamin E obtained from food usually does not pose a risk for toxicity. Supplemental vitamin E is not recommended due to lack of evidence supporting any added health benefits. Megadoses of supplemental vitamin E may pose a hazard to people taking blood-thinning medications such as Coumadin (also known as warfarin) and those on statin drugs.

77. Vitamin K Vitamin K is naturally produced by the bacteria in the intestines, and plays an essential role in normal blood clotting, promoting bone health, and helping to produce proteins for blood, bones, and kidneys. Food Sources for Vitamin K Good food sources of vitamin K are green, leafy-vegetables such as turnip greens, spinach, cauliflower, cabbage and broccoli, and certain vegetables oils including soybean oil, cottonseed oil, canola oil and olive oil. Animal foods, in general, contain limited amounts of vitamin K. RDA Males and females age 14 - 18: 75 mcg/day; Males and females age 19 and older: 90 mcg/day

78. Vitamin K Deficiency Haemorrhage can occur due to sufficient amounts of vitamin K. Vitamin K deficiency may appear in infants or in people who take anticoagulants, such as Coumadin (warfarin), or antibiotic drugs. Newborn babies lack the intestinal bacteria to produce vitamin K and need a supplement for the first week. People taking antibiotics may lack vitamin K temporarily because intestinal bacteria are sometimes killed as a result of long-term use of antibiotics. Also, people with chronic diarrhea may have problems absorbing sufficient amounts of vitamin K through the intestine and should consult their physician to determine if supplementation is necessary.

79. Vitamin K toxicity Although no Tolerable Upper Intake Level (UL) has been established for vitamin K, excessive amounts can cause the breakdown of red blood cells and liver damage. People taking blood-thinning drugs or anticoagulants should moderate their intake of foods with vitamin K, because excess vitamin K can alter blood clotting times. Large doses of vitamin K are not advised.