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Questions and Answers
What is the Recommended Dietary Allowance (RDA) of vitamin A for males?
What is the Recommended Dietary Allowance (RDA) of vitamin A for males?
- 800 μg RAE
- 900 μg RAE (correct)
- 1000 μg RAE
- 700 μg RAE
Which of the following foods is NOT a good source of vitamin A?
Which of the following foods is NOT a good source of vitamin A?
- Pumpkin, canned
- Carrots, cooked
- Broccoli, cooked
- White rice, cooked (correct)
What is the upper limit (UL) for vitamin A intake in μg RAE?
What is the upper limit (UL) for vitamin A intake in μg RAE?
- 3000 μg RAE
- 6000 μg RAE
- 4000 μg RAE
- 5000 μg RAE (correct)
Which food provides the highest carotenoid content among the listed options?
Which food provides the highest carotenoid content among the listed options?
How should one consider their total vitamin A intake?
How should one consider their total vitamin A intake?
What is a potential effect of high Vitamin A intake on bone health?
What is a potential effect of high Vitamin A intake on bone health?
Which of the following symptoms is NOT associated with excessive Vitamin A intake?
Which of the following symptoms is NOT associated with excessive Vitamin A intake?
What is a known teratogenic effect of high Vitamin A intake during pregnancy?
What is a known teratogenic effect of high Vitamin A intake during pregnancy?
What daily intake level of Vitamin A defines the upper limit (UL) for adults?
What daily intake level of Vitamin A defines the upper limit (UL) for adults?
In the study by Dudas in 1992, what was the daily Vitamin A dose compared among subjects?
In the study by Dudas in 1992, what was the daily Vitamin A dose compared among subjects?
What is the primary acute sign of vitamin A poisoning in dogs?
What is the primary acute sign of vitamin A poisoning in dogs?
Which of the following is a chronic sign of vitamin A poisoning in dogs?
Which of the following is a chronic sign of vitamin A poisoning in dogs?
What bioavailability can be expected when consuming cooked forms of carotenoids?
What bioavailability can be expected when consuming cooked forms of carotenoids?
Which carotenoid converts to vitamin A at the highest efficiency?
Which carotenoid converts to vitamin A at the highest efficiency?
How many servings of fruits and vegetables are recommended per day for optimal carotenoid intake?
How many servings of fruits and vegetables are recommended per day for optimal carotenoid intake?
What do β-apocarotenoids derive from during the synthesis of vitamin A?
What do β-apocarotenoids derive from during the synthesis of vitamin A?
What is the ratio of β-carotene to retinol equivalency?
What is the ratio of β-carotene to retinol equivalency?
Which sign is NOT typically associated with vitamin A poisoning in dogs?
Which sign is NOT typically associated with vitamin A poisoning in dogs?
What was the primary endpoint of the clinical trials evaluating β-carotene supplementation?
What was the primary endpoint of the clinical trials evaluating β-carotene supplementation?
What was the average age of participants in the CARET study?
What was the average age of participants in the CARET study?
What was the increase in lung cancer risk observed in the β-carotene group of the CARET study?
What was the increase in lung cancer risk observed in the β-carotene group of the CARET study?
How many participants were enrolled in the ATBC study?
How many participants were enrolled in the ATBC study?
What was the treatment dose of β-carotene in the CARET study?
What was the treatment dose of β-carotene in the CARET study?
Which group showed an 18% increase in lung cancer risk according to the ATBC study?
Which group showed an 18% increase in lung cancer risk according to the ATBC study?
What was the treatment compliance assessed by in both studies?
What was the treatment compliance assessed by in both studies?
What was the primary population at risk in these β-carotene trials?
What was the primary population at risk in these β-carotene trials?
What effect does β-apo-14′-carotenal have on RXR?
What effect does β-apo-14′-carotenal have on RXR?
What is a potential consequence of high intakes of β-carotene?
What is a potential consequence of high intakes of β-carotene?
What was the finding related to intakes of Vitamin A over 3,000 μg/d in the studies mentioned?
What was the finding related to intakes of Vitamin A over 3,000 μg/d in the studies mentioned?
Which transcription factors are repressed by β-apo-13-carotenone?
Which transcription factors are repressed by β-apo-13-carotenone?
Which case report demonstrated severe hepatotoxicity from a Vitamin A dose of 7,600 μg/d?
Which case report demonstrated severe hepatotoxicity from a Vitamin A dose of 7,600 μg/d?
Among the studies listed, which reported no increased risk of CNC defects?
Among the studies listed, which reported no increased risk of CNC defects?
Which of the following is true regarding the function of β-carotene?
Which of the following is true regarding the function of β-carotene?
What relationship exists between retinol levels and CYP expression?
What relationship exists between retinol levels and CYP expression?
What is the established tolerable upper intake level (UL) of Vitamin A for adults?
What is the established tolerable upper intake level (UL) of Vitamin A for adults?
What is implied by the modest inhibition of nuclear receptors by various β-apocarotenoids?
What is implied by the modest inhibition of nuclear receptors by various β-apocarotenoids?
What condition was observed in multiple cases where the Vitamin A intake was notably high?
What condition was observed in multiple cases where the Vitamin A intake was notably high?
In observational studies, higher carotenoid intakes are associated with what outcome?
In observational studies, higher carotenoid intakes are associated with what outcome?
At what intake level did the study by Mills, 1997, identify cranial neural crest defects?
At what intake level did the study by Mills, 1997, identify cranial neural crest defects?
How does β-carotene circulate in the blood?
How does β-carotene circulate in the blood?
What was the lowest intake range examined in the cohort studies related to cranial neural crest defects?
What was the lowest intake range examined in the cohort studies related to cranial neural crest defects?
What condition was reported to occur from Vitamin A ingestion through fish liver curry?
What condition was reported to occur from Vitamin A ingestion through fish liver curry?
Which study reported the highest dose with adverse outcomes of 30,000 μg/d?
Which study reported the highest dose with adverse outcomes of 30,000 μg/d?
For what population was the tolerable upper intake level of 600-900 μg/d established?
For what population was the tolerable upper intake level of 600-900 μg/d established?
Flashcards
Vitamin A RDA
Vitamin A RDA
The Recommended Dietary Allowance (RDA) for vitamin A varies based on gender. Females require 700 mcg Retinol Activity Equivalents (RAE) daily, while males need 900 mcg RAE.
What is RAE?
What is RAE?
Retinol Activity Equivalents (RAE) is a measurement used to standardize the amount of vitamin A activity from different sources, which might be preformed (retinol) or provitamin A (beta-carotene).
Dietary Sources of Vitamin A
Dietary Sources of Vitamin A
Foods like beef liver, pumpkin, carrots, sweet potatoes, and fortified cereals are excellent sources of vitamin A, particularly preformed retinol and provitamin A carotenoids.
Vitamin A UL
Vitamin A UL
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EAR (Estimated Average Requirement)
EAR (Estimated Average Requirement)
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RDA (Recommended Dietary Allowance)
RDA (Recommended Dietary Allowance)
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UL (Tolerable Upper Intake Level)
UL (Tolerable Upper Intake Level)
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Adverse effects of high Vitamin A intake
Adverse effects of high Vitamin A intake
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Risk of Vitamin A Inadequacy
Risk of Vitamin A Inadequacy
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Vitamin A poisoning in dogs
Vitamin A poisoning in dogs
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Dehydrated liver and vitamin A storage
Dehydrated liver and vitamin A storage
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What are carotenoids?
What are carotenoids?
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β-carotene to vitamin A conversion
β-carotene to vitamin A conversion
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How is β-carotene converted?
How is β-carotene converted?
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Products of central and non-central cleavage
Products of central and non-central cleavage
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β-apocarotenals and β-apocarotenones: unknown mechanisms
β-apocarotenals and β-apocarotenones: unknown mechanisms
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Bioavailability of vitamin A from food
Bioavailability of vitamin A from food
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What is the UL for vitamin A?
What is the UL for vitamin A?
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Are there different ULs for vitamin A based on age?
Are there different ULs for vitamin A based on age?
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How does excessive vitamin A intake affect pregnancy?
How does excessive vitamin A intake affect pregnancy?
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Is there scientific evidence for the link between high vitamin A and birth defects ?
Is there scientific evidence for the link between high vitamin A and birth defects ?
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What are Cranial Neural Crest (CNC) defects?
What are Cranial Neural Crest (CNC) defects?
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What are the effects of excessive vitamin A on the liver?
What are the effects of excessive vitamin A on the liver?
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Is there evidence showing the link between high vitamin A and liver damage?
Is there evidence showing the link between high vitamin A and liver damage?
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Why is there a UL for vitamin A?
Why is there a UL for vitamin A?
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Why are children's ULs for vitamin A lower than adults?
Why are children's ULs for vitamin A lower than adults?
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What is the significance of the UL for vitamin A in terms of nutrition?
What is the significance of the UL for vitamin A in terms of nutrition?
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What are β-apocarotenoids?
What are β-apocarotenoids?
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How does β-apo-14′-carotenal function?
How does β-apo-14′-carotenal function?
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What are the roles of β-apo-13-carotenone?
What are the roles of β-apo-13-carotenone?
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How is β-carotene transported and stored?
How is β-carotene transported and stored?
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What are the functions of β-carotene?
What are the functions of β-carotene?
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What evidence supports the potential cancer-protective effects of carotenoids?
What evidence supports the potential cancer-protective effects of carotenoids?
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What is the relationship between retinol levels and CYP expression?
What is the relationship between retinol levels and CYP expression?
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How does β-carotene affect CYP1A1 and CYP1A2?
How does β-carotene affect CYP1A1 and CYP1A2?
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Randomized, Double-Blind, Placebo Controlled Trial
Randomized, Double-Blind, Placebo Controlled Trial
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Primary Intervention Trial
Primary Intervention Trial
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Relative Risk (RR)
Relative Risk (RR)
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Incidence Study
Incidence Study
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High-Risk Cohort Study
High-Risk Cohort Study
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CARET and ATBC Studies
CARET and ATBC Studies
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Beta-Carotene Supplementation and Lung Cancer Risk
Beta-Carotene Supplementation and Lung Cancer Risk
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Importance of Evidence-Based Research
Importance of Evidence-Based Research
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Study Notes
Vitamin A Adverse Effects
- Vitamin A's Tolerable Upper Intake Level (UL) is not a recommended intake level, but rather the highest daily intake likely causing no adverse effects in most.
- Risk of adverse effects increases with intakes above the UL.
- UL is based on total intake from foods, fortified foods and supplements.
- The Therapeutic Index (TI) is the margin of safety between the Recommended Dietary Allowance (RDA) and the UL.
- Vitamin A has a narrow TI compared to other nutrients.
- High Vitamin A intakes can easily lead to adverse effects.
- High intakes may lead to bone mineral density loss, progressive liver toxicity, skin disorders, alopecia (hair loss), nausea, vomiting, and teratogenesis (birth defects).
Vitamin A DRI Table
- The DRI table provides Recommended Dietary Allowances (RDA/AI) and Tolerable Upper Intake Levels (UL) for various age groups (infants, children, adult males, adult females, pregnancy, lactation).
- Retinol Activity Equivalents (RAE) are used to measure Vitamin A intake.
- Values vary according to age and sex.
- The table presents Daily Allowances for Vitamin A in µg/day (RAE) for different age groups categorized as infants, children, adult males, adult females, pregnancy and lactation.
Dietary Sources of Vitamin A
- Dietary sources of vitamin A include beef liver, pumpkin, carrots, sweet potatoes, raisins bran cereal, oatmeal, cheese, ricotta, whole milk, broccoli, asparagus.
- High in carotenoids (provitamin A) such as pumpkin, sweet potato, carrots, and cantaloupe.
Birth Defect Data for Vitamin A UL
- Studies examined the relationship between vitamin A intake and birth defects.
- Several studies analyzed cases of birth defects in relation to vitamin A intake levels.
- Birth defects, especially craniofacial malformations (cleft palate and cleft lip), are linked to high vitamin A intake during pregnancy.
- Increased risk of birth defects with intakes over 3000 µg/day for women of childbearing age
Liver Abnormalities and Vitamin A UL
- High intake of Vitamin A can cause liver abnormalities such as fibrosis, marked cirrhosis, and liver cell hypertrophy.
- Several case reports indicated liver abnormalities in subjects with unusually high vitamin A intake levels.
- The case studies show a dose-response relationship.
- The values reflect the relationship between intake of Vitamin A and liver abnormalities.
Adverse Effects: Hypervitaminosis A
- Ingesting large amounts of fish liver curry can lead to acute vitamin A toxicity.
- Symptoms include nausea, vomiting, blurred vision, superficial peeling of skin, and symptoms lasting several days.
- Chronic intake of high amounts of Vitamin A can cause damage to the liver, skin, and other organ systems.
- Liver fibrosis and lipid accumulation in stellate cells are frequent side effects of excessive vitamin A intake over many years.
Canine Hypervitaminosis A
- All dietary sources of vitamin A should be carefully considered for dogs.
- Dehydrated Liver is a common source of Vitamin A.
- Acute symptoms include vomiting, drowsiness, irritability, and skin peeling.
- Chronic signs include poor hair coat, skin issues, weakness, weight loss, constipation, excessive bone growth, and impaired movement.
- Other signs include appetite loss, lethargy, joint and bone pain, jaundice, excessive thirst and urination, and eye irritation.
Carotenoids (Provitamin A)
- Carotenoids are red, orange, and yellow pigments found in plants that can be converted into vitamin A.
- 5 or more servings of fruits and vegetables are recommended for obtaining 3–6 mg of β-carotene daily.
- Cooked and heat processed forms of carotenoids are more bioavailable than raw versions.
- Supplements of carotenoids are typically more bioavailable than dietary sources.
- β-carotene plays an important role as an antioxidant.
β-carotene
- β-carotene circulates in blood within VLDL/LDL particles.
- High intakes can lead to hypercarotenemia (orange/yellowing of the skin).
- Evidence suggests protective, antioxidant functions.
- β-carotene can inhibit cell proliferation, showing potential anti-cancer effects.
β-Carotene and Cancer
- Observational studies suggest a lower risk of lung cancer with higher β-carotene intake.
- However, randomized controlled trials showed an increased risk of lung cancer and mortality among participants taking supplemental β-carotene.
- Timing of β-carotene intake might play a role in its effect on lung cancer development.
- β-carotene metabolites can have cytotoxic and genotoxic effects in animal models.
- Supplemental β-carotene can induce lung CYP1A1 and CYP1A2, leading to increased activation of carcinogens from cigarette smoke.
The Research Pyramid for B-Carotene in Lung Cancer
- The Research Pyramid illustrates the hierarchy of scientific evidence regarding health topics.
- Randomized controlled trials are the gold standard for determining cause-and-effect relationships, as opposed to observational studies.
Adverse Effects of Beta-Carotene: CARET & ATBC studies detailed
- CARET and ATBC trials examined the effect of beta-carotene supplementation on lung cancer risk.
- Significant findings in both RCTs showed an unexpected increase in lung cancer risk and mortality in beta-carotene supplementation groups compared to placebo.
- The increased risk was more significant than risk reduction found in previous observational studies.
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Test your knowledge of vitamin A dietary recommendations and food sources with this quiz. Explore questions on the Recommended Dietary Allowance (RDA), upper intake limits, and effects of vitamin A on health. Ideal for students and nutrition enthusiasts alike.