vitamins
fortification
the addition of nutrients to food
do vitamins provide your body with energy?
NO
bioavailability
the rate and extend to which a nutient is absorbed and used
- efficiency of digestion
- nutrition status
- other foods
- raw vs. cooked
- natural, synthetic or fortified
precursors
compounds that can be converted into other compounds
ex:
- pro-vitamins
> beta-carotene + Vit A
fat soluble
A,D,E,K
- absorbed w/ fat into the lymph before entering the blood and must travel w/ protein carriers
- stored in liver and fatty tissues
- rarely leave the body = buildup
- periodically taken
water soluble
B complex, C
- absorbed directly into the blood and can travel freely
- most not stored in the body
- leave the body in urine
- Vit B12 is the exception»_space; stored in liver
who needs to take more fat soluble vits?
those w/ fat malabsorption:
- celiac, crohns, pancreatitis, cystic fibrosis
water soluble vitamins ex.
B vitamins
- thaimin
- riboflavin
- niacin
- pantothenic acid
- vit B6
- folate
- vit B12
vitamin C
primary deficiency
secondary deficiency
toxicities
infancy and childhood
pregnancy and lactation
elderly clients
vit A
– name + main function
retinol, retinal, retonoic acid
- main precursor beta-carotene
vit A
– deficiency sx
infectious diseases
night blindness
blindness (xeropthalmia)
keratinization
vit A
– toxicity sx
chronic:
- reduced bone mineral density
- liver abnormalities
- birth defects
acute:
(single large dose or short term)
- blurred vision
- NV, vertigo
- increased ICP
> headache, muscle incoordination
vit A
– significant sources
retinol:
- milk and milk products; eggs; liver
beta-carotene:
- spinach and other dark leafy greens; broccoli, deep orange fruits (apricots, cantaloupe) and veggies (carrots, winter squash, sweet potatoes, pumpkin)
vit D
– name + functions
calciferol, cholecalciferol, dihydroxy
precursor: cholesterol
mineralization of bones
> raises blood Ca and P by increasing absorption from digestive tract, withdrawing Ca from bones, stimulating retention by kidneys
vit D
– deficiency sx
rickets
osteomalacia
vit D
– toxicity sx
calcium imbalance
> calcification of soft tissues and formation of stones
vit D
– significant sources
synthesized in the body w/ the help of sunshine, fortified milk, margarine, butter, and cereals
- eggs, liver, fatty fish (salmon/sardines)
vit E
– name + function
alpha-tocopherol, tocopherol
antioxidant
> stabilization of cell membranes, regulation of oxidation reactions, protection of polyunsaturated fatty acids [PUFA] and vit A