The Water-Soluble Vitamins B Vitamins and Vitamin C The Vitamins • Vitamins vs carbohydrates, fats, and proteins –Structure –Function –Food contents The Vitamins • Bioavailability • Precursors • Organic nature The Vitamins • Solubility • Toxicity The Vitamins The Vitamins The B Vitamins • Coenzymes Thiamin • Other names: Vitamin B1 • 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 Thiamin • Significant sources – Whole grain, fortified, or enriched grain products – Moderate amounts in all nutritious food – Pork • Easily destroyed by heat 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 © 2008 Thomson - Wadsworth Thiamin Sources Copyright 2005 Wadsworth Group, a division of Thomson Learning Riboflavin • Other names: Vitamin B2 • 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. Riboflavin Copyright 2005 Wadsworth Group, a division of Thomson Learning Riboflavin • Significant sources – Milk products (yogurt, cheese) – Enriched or whole grains – Liver • Easily destroyed by ultraviolet light and irradiation 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 Riboflavin Sources Copyright 2005 Wadsworth Group, a division of Thomson Learning Niacin • Other names – Nicotinic acid – Nicotinamide – Niacinamide – Vitamin B3 • Precursor: dietary tryptophan • 1998 RDA – Men: 16 mg NE/day – Women: 14 mg NE/day • Upper level for adults: 35 mg/day 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 Niacin • Deficiency disease: pellagra • Deficiency symptoms – Diarrhea, abdominal pain, vomiting – Inflamed, swollen, smooth, bright red tongue – Depression, apathy, fatigue, loss of memory, headache…similar to raising some children, or attending college! Bilateral symmetrical rash (sunlight exposure) of pellagra can be disturbing! Niacin • Toxicity symptoms – Painful flush, hives, and rash (“niacin flush”) – Excessive sweating – Blurred vision – Liver damage, – impaired glucose tolerance Niacin Sources Copyright 2005 Wadsworth Group, a division of Thomson Learning 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! 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 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 Pantothenic Acid • Deficiency symptoms – Vomiting, nausea, stomach cramps – Insomnia, fatigue, depression, irritability, restlessness, apathy – Hypoglycemia, increased sensitivity to insulin • Toxicity symptoms: none reported Vitamin B6 • Other names – Pyridoxine – Pyridoxal – Pyridoxamine • 1998 RDA – Adults (19-50 years): 1.3 mg/day • Upper level for adults: 100 mg/day Vitamin B6 • 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 (a brain hormone) – Helps to make red blood cells! Vitamin B6 • Significant sources – Meats, fish, poultry – Potatoes, legumes, non-citrus fruits – Fortified cereals – Liver – Soy products • Deficiency symptoms – Scaly dermatitis – Anemia (small-cell type) – Depression, confusion, abnormal brain wave pattern, convulsions Vitamin B6 • Toxicity symptoms – Depression, fatigue, irritability, headaches – Nerve damage causing numbness and muscle weakness leading to an inability to walk and convulsions – Skin lesions Vitamin B6 Sources Copyright 2005 Wadsworth Group, a division of Thomson Learning Folate: In Summary • Other names – Folic acid – Folacin – Pteroylglutamic acid (PGA) • 1998 RDA – Adults: 400 g/day • Upper level for adults: 1000 g/day Folate • Recommendations –Dietary folate equivalents (DFE) –Synthetic is 1.7 fold more powerful than the natural! • Also, folate activation needs vitamin B12 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 Folate: In Summary • Deficiency symptoms – Anemia (large-cell type) – Smooth, red tongue – Mental confusion, weakness, fatigue, irritability, headache • Toxicity symptoms – Masks vitamin B12-deficiency symptoms Folate • Neural tube defects –Spina bifida Folate • Heart disease • Cancer Folate Sources Vitamin B12: 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 Vitamin B12: In Summary • Significant sources – Animal products (meat, fish, poultry, shellfish, milk, cheese, eggs) – Fortified cereals • Easily destroyed by microwave cooking • Deficiency disease: pernicious anemia Vitamin B12 • Deficiency of folate or B12 produces pernicious anemia Vitamin B12: In Summary • Deficiency symptoms – Anemia (large-cell type) – Fatigue, degeneration of peripheral nerves progressing to paralysis • Toxicity symptoms: none reported Non-B Vitamins • Choline Non-B Vitamins • Inositol • Carnitine • Vitamin imposters Metabolic Pathways Involving B Vitamins The B Vitamins • B vitamin deficiencies –Glossitis-swollen tongue! –Cheilosis-ulceration near mouth • B vitamin toxicities from common food sources??? • Let’s see… How much to eat to be toxic?? • A vitamin supplement or… • 3000 bananas!! How about 6000 cups of rice!! Or 3600 chicken breasts! >10,000 hot wings!! Vitamin C Vitamin C Vitamin C • 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 Vitamin C • Chief functions in the body – Collagen synthesis • Strengthens blood vessel walls, forms scar tissue, provides matrix for bone growth – Antioxidant – Thyroxin synthesis-helps prevent goiter – Amino acid metabolism – Strengthens resistance to infection – Helps in absorption of iron 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 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 © 2008 Thomson - Wadsworth 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 Vitamin C Sources Copyright 2005 Wadsworth Group, a division of Thomson Learning 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 Vitamin And Mineral Supplements • Who needs supplements? Arguments for Supplements • Who Needs Supplements? – People with nutritional deficiencies – People with low energy intake – less than 1600 kcalories per day – Vegans and those with atrophic gastritis need vitamin B12 – People with lactose intolerance, milk allergies, or inadequate intake of dairy foods © 2008 Thomson - Wadsworth Arguments for Supplements • Who Needs Supplements? – People in certain stages of the life cycle • • • • Infants need iron and fluoride Women of childbearing age need folate Pregnant women need folate and iron Elderly need vitamins B12 and D – People with diseases, infections, or injuries, and those who have had surgery that affects nutrient digestion, absorption or metabolism – People taking medications that interfere with the body’s use of specific nutrients © 2008 Thomson - Wadsworth Vitamin And Mineral Supplements • Arguments against supplements –Toxicity –Life-threatening misinformation –Unknown needs –False sense of security –Other invalid reasons Arguments against Supplements • Other Invalid Reasons: – Belief that food supply and soil contain inadequate nutrients – Belief that supplements provide energy – Belief that supplements enhance athletic performance or lean body mass without physical work or faster than work alone – Belief that supplements will help a person cope with stress – Belief that supplements can prevent, treat or cure conditions • Bioavailability and Antagonistic Actions © 2008 Thomson - Wadsworth Selection of Supplements • What form do you want? • What vitamins and minerals do you need? – Do not exceed Tolerable Upper Intake Levels. – Be careful about greater that 10 mg of iron. © 2008 Thomson - Wadsworth Selection of Supplements • Are there misleading claims? – – – – – – – Ignore organic or natural claims. Avoid products that make high potency claims. Watch fake preparations. Be aware of marketing ploys. Be aware of preparations that contain alcohol. Be aware of the latest nutrition buzzwords. Internet information is not closely regulated. • What about the cost? – Local or store brands may be just as good as nationally advertised brands. © 2008 Thomson - Wadsworth Regulation of Supplements • Nutritional labeling for supplements is required. • Labels may make nutrient claims according to specified criteria. • Labels may claim that lack of a nutrient can cause a deficiency disease and include the prevalence of that disease. • Labels may make health claims that are supported by significant scientific agreement. © 2008 Thomson - Wadsworth Vitamin And Mineral Supplements • Bioavailability • Antagonistic actions Vitamin And Mineral Supplements • Selection of supplements –Form –Contents –Misleading claims –Cost Vitamin And Mineral Supplements • Regulation of supplements An Example of a Supplement Label