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Vitamins and Deficiencies

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97 Questions

What is the main function of Vitamin C?

Acts as an antioxidant

Which vitamin is important for red blood cell formation?

Vitamin B12

Which vitamin is commonly found in foods like nuts, eggs, and dairy products?

Riboflavin (B2)

Which water-soluble vitamin is associated with skin health?

Biotin (B7)

Which vitamin among the B Vitamins is essential for energy metabolism?

Thiamin (B1)

How does the body handle excess fat-soluble vitamins compared to water-soluble vitamins?

Fat-soluble vitamins are stored in the liver and fatty tissues, while water-soluble vitamins are excreted by the kidneys.

What happens when cells are saturated with a vitamin?

The cells cannot accept additional amounts and may lead to toxicity disorders.

Why are water-soluble vitamins needed regularly from the diet?

Because they are excreted by the kidneys and not stored in the body.

What can happen as a result of taking toxic levels of certain vitamins?

Damage to cells and potential liver damage.

Which method can help protect against deficiency diseases associated with lack of thiamin, riboflavin, niacin, folate, and iron?

Enrichment by adding back the missing vitamins after refinement.

Why are water-soluble vitamins less likely to cause toxicity compared to fat-soluble vitamins?

Excess water-soluble vitamins can be easily excreted by the kidneys.

Which vitamin is an antioxidant that works with vitamin E to stabilize free radicals?

Vitamin C

Which water-soluble vitamin is necessary for the breakdown of carbohydrates to release energy?

Niacin (B3)

Which water-soluble vitamin is part of the coenzyme TPP and participates in chemical reactions to remove CO2 from larger compounds?

Thiamin (B1)

Which water-soluble vitamin is needed for the synthesis of neurotransmitters like acetylcholine, important for muscle contraction?

Thiamin (B1)

Among the B-Complex vitamins, which one is classified as an antioxidant that works with vitamin E?

Pantothenic acid (B5)

Which water-soluble vitamin has needs related to energy requirements and carbohydrate intake, making them slightly higher for men compared to women?

Thiamin (B1)

What is a potential consequence of vitamin A excess?

Calcium deposition in soft tissues

Which source is rich in alpha-tocopherol, the most active form of Vitamin E?

Plant oils

What condition can result from a deficiency of Vitamin D in adults?

Osteomalacia

Which of the following describes Vitamin K1's primary function?

Blood clotting

What is a key characteristic of vitamin E regarding its function?

Acts as an antioxidant

Which statement accurately describes the role of Vitamin D?

Involved in healthy bone formation and rickets prevention

What is the main storage site for Vitamin A in the body?

Liver

Which active form of Vitamin A is responsible for cell differentiation, growth, and reproduction?

Retinoic Acid

How is Vitamin A transported from the intestine to body tissues?

In chylomicrons

Which form of Vitamin A is essential for vision?

Retinal

Why are fat-soluble vitamins more likely to cause toxicity compared to water-soluble vitamins?

They are stored in the body for longer periods

What is the main function of Retinol Binding Protein (RBP) in relation to Vitamin A?

Transports retinol to body tissues

What are symptoms of acute vitamin A toxicity?

Nausea, vomiting, headache, blurred vision

Which organ is the main site of storage for vitamin A in the body?

Liver

How is Vitamin D primarily produced in the body?

In the skin from sun exposure

Which vitamin is known as 'the sunshine vitamin'?

Vitamin D

What is the active form of Vitamin D that regulates calcium and phosphorus levels?

1,25 dihydroxycholecalciferol

Blood levels of which form of Vitamin D are used to determine vitamin D status in the body?

25-OH vitamin D

What is the approximate percentage of water in muscle tissues?

75-77%

Which of the following is NOT a common electrolyte in the body?

Magnesium (Mg+)

What process involves the movement of water through a selectively permeable membrane?

Osmosis

'Everywhere salt goes, water flows' refers to the relationship between salt and:

Water

What is the primary function of electrolytes like sodium, potassium, and chloride in the body?

Maintaining fluid balance

Where is the majority of water found in the human body?

Intracellular

What is a factor that can substantially increase water loss through sweating?

Physical activity & heat strain

Which condition is associated with dehydration and worsening control of diabetes mellitus?

Diuretics use

What is a source of water intake based on NHANES III data from 1988-1994?

Juice and milk

Which factor does NOT contribute to an increase in respiratory water loss?

Normal hydration status

What can cause excessive water loss according to the text?

Diuretics

How can an athlete determine if they are well hydrated based on the body mass change?

+1 to -1 kg change

What is a sign of significant dehydration based on body mass change?

5 or 6 kg change

What is a potential effect of significant dehydration according to the chart?

>50% decrement in exercise performance

How does dehydration affect heart rate?

Increases heart rate

What happens to core temperature as a result of dehydration?

Increases core temperature

Can excessive water consumption lead to hypernatremia?

Yes, it can lead to hypernatremia

What are the general signs of hypohydration, also known as dehydration?

Excessive thirst, dark urine, dry mouth, and headache

Which indicator is mentioned as not a very accurate measure of water needs according to the text?

Thirst

What is the hydration level indicator that kidneys produce less urine when fluid intake is inadequate?

Urine Volume

What is a key feature of major minerals like sodium, potassium, and chloride mentioned in the text?

They function as electrolytes in the body

What is the major function of electrolytes like sodium, potassium, and chloride highlighted in the text?

Maintain fluid balance and nerve function

What are some indicators of hydration levels according to the provided text?

Urine color and volume

What is the primary cause of increased plasma Na+ in Sodium Toxicity (hypernatremia)?

Water loss

What triggers the kidney to release renin in response to low blood pressure?

Decreased blood volume

How does Angiotensin II contribute to increased blood pressure?

By constricting blood vessel walls

Which symptom is associated with Sodium Deficiency (hyponatremia)?

Muscle weakness

What is a common consequence of a high-sodium diet for a sodium-sensitive individual?

Development of hypertension

Which system is activated when Renin converts angiotensinogen into angiotensin I?

ReninAngiotensinAldosterone System

What are the major physiological functions of calcium, phosphorus, magnesium, and fluoride?

Supporting bone growth, maintenance, and remodeling

What is the negative effect of excess vitamin A on bones?

Resulting in bone loss and increased risk of fracture

Which nutrient deficiency may have a negative impact on bone quality?

Omega-3 fatty acids

What is the role of vitamin K in bone health?

Supports blood clotting and bone metabolism

How does fluoride contribute to bone health?

Promoting tooth and bone strength

What is the inorganic component that makes up 2/3 of bone mass?

Hydroxyapatite

What are the two main functions of spongy bone as described in the text?

Support marrow and resemble a latticework

Which bone tissue cell type is responsible for forming new bone and is mainly found in the growing portions of the bone?

Osteoblasts

During which life stage does bone formation exceed bone resorption according to the text?

Childhood and teenage years

What is the primary organic component of bone mass?

Collagen fibers

Which mineral interacts with calcium phosphate to form hydroxyapatite crystals in bones?

Phosphorus

What factor is responsible for up to 25% of peak bone mass according to the text?

Diet and physical activity

When is peak bone mass usually reached according to the Saskatchewan Pediatric Bone Mineral Accrual Study?

Between 20 and 30 years

Which bone tissue cell type is known for resorption and developing into osteoblasts?

Osteogenic cells

What usually happens to cortical and trabecular bone after achieving peak bone mass?

Bone remodeling leads to bone loss over time

What is the main physiological function of fluoride in bone building?

Development of hydroxyapatite crystals

What is the main goal highlighted in the text regarding bone health?

Accrue as much bone as possible for high peak bone mass

Discuss the major symptoms and diseases associated with phosphorus toxicity and deficiency.

Phosphorus toxicity can lead to calcification of soft tissues, whereas phosphorus deficiency can result in weak bones, numbness, muscle weakness, and joint pain.

Explain the pros and cons of fluoridated water systems.

Pros of fluoridated water systems include increased resistance of tooth enamel to cavities and stimulation of bone formation. However, cons may include potential risks of excessive fluoride consumption.

What are the important functions of magnesium in the body, especially in relation to bone health?

Magnesium serves as an enzyme co-factor, aids in the metabolism of macronutrients, supports the activity of Na-K ATPase, and is essential for genetic material. It also plays a vital role in maintaining bone health.

How does fluoride impact tooth enamel and bone health?

Fluoride increases the resistance of tooth enamel to cavity formation and stimulates bone formation.

What is the primary mineral responsible for bone hardness?

Calcium

Which nutrient plays a role in reducing calcium absorption and utilization, potentially impacting bone health?

Magnesium

In bone health, what is the role of phosphorus compared to calcium?

Essential for bone formation and mineralization

What is the effect of excessive fluoride intake on bone health?

Leads to dental fluorosis

Which nutrient interaction affects calcium metabolism by potentially reducing its absorption?

Magnesium and phosphorus

How does fluoride contribute to bones during the mineralization process?

Strengthens bone structure

What is the primary regulatory factor for calcium absorption in the body?

Calcitriol

Which mineral combines with calcium to form hydroxyapatite, providing strength and structure to bones?

Phosphorus

In bone, what mineral is combined with calcium to create hydroxyapatite crystals?

Fluoride

Which nutrient is essential for maintaining bone density and strength as it assists in moving calcium and phosphorus into and out of bones?

Magnesium

What is the primary mineral involved in various biological processes such as energy production, protein building, and DNA synthesis alongside its role in bone formation?

Phosphorus

Which vitamin plays a vital role in calcium absorption by working alongside parathyroid hormone and calcitriol?

Vitamin D

Study Notes

Here are the study notes:

Vitamins

  • Vitamins are organic compounds that play numerous roles in the body
  • Each vitamin usually has more than one function
  • Vitamins are classified into two categories: fat-soluble and water-soluble

Fat-Soluble Vitamins

  • Include vitamins A, D, E, and K
  • Can be stored in the liver and fatty tissues for weeks or months
  • Can accumulate and cause toxicity over time
  • Require bile and chylomicrons for absorption
  • Examples:
    • Vitamin A: involved in vision, cell differentiation, and immune function
    • Vitamin D: important for bone health and immune function
    • Vitamin E: acts as an antioxidant
    • Vitamin K: necessary for blood clotting

Water-Soluble Vitamins

  • Include B vitamins (eight of them) and vitamin C
  • Not stored in appreciable amounts, so they need to be consumed regularly
  • Excess amounts are excreted in the urine
  • Examples:
    • Thiamin (B1): necessary for breakdown of carbohydrates to release energy
    • Riboflavin (B2): important for energy production and nerve function
    • Niacin (B3): involved in energy production and maintaining healthy skin, hair, and nails
    • Vitamin C: acts as an antioxidant and is important for immune function

Vitamin Deficiencies and Toxicity

  • Vitamin deficiencies usually result from inadequate diets or conditions that increase the body's requirement for vitamins
  • Symptoms of deficiency vary depending on the specific vitamin
  • Vitamin toxicity can occur from taking megadoses of vitamins, especially fat-soluble vitamins
  • Symptoms of toxicity also vary depending on the specific vitamin

Vitamin Absorption and Regulation

  • Vitamin absorption can be affected by various factors, including the presence of other nutrients, health status, and age
  • The body has mechanisms to regulate vitamin levels and prevent toxicity

Hydration and Electrolytes

  • Water is an essential nutrient that makes up approximately 45-70% of body mass
  • Water is distributed between intracellular and extracellular spaces
  • Osmosis is the movement of water through a selectively permeable membrane
  • Electrolytes, such as sodium, potassium, and chloride, play a crucial role in maintaining fluid balance and nerve function
  • Hydration status can be assessed through various indicators, including thirst, urine volume, urine color, and change in body mass
  • Dehydration can impair physical performance and cognitive function, while hyperhydration can lead to hyponatremia and other complications### Water-Soluble Vitamins
  • B-complex vitamins act as coenzymes:
    • Thiamin (B1) [TPP]
    • Riboflavin (B2) [FAD]
    • Niacin (B3) [NAD]
    • Pantothenic acid [CoA] (essential for citric acid cycle and gluconeogenesis)
  • Three B-complex vitamins:
    • Vitamin B6 (lowers blood homocysteine, ensures proper O2 carrying capacity of red blood cells)
    • Folate (prevents megaloblastic anemia)
    • Vitamin B12 (prevents pernicious anemia)
  • Vitamin C:
    • Antioxidant
    • Essential for collagen synthesis
    • Other functions

Fat-Soluble Vitamins

  • Vitamin A:
    • Vision
    • Cell differentiation
    • Reproduction
    • Growth
    • Immunity
    • Bone health
  • Vitamin D:
    • Hormone or vitamin
    • Made in the skin upon sunlight exposure
    • Regulates blood calcium levels
    • Maintains bone health
  • Vitamin E:
    • Antioxidant
    • Works with vitamin C
  • Vitamin K:
    • Blood clotting (K1)
    • Bone health (K2)

Water and Electrolytes

  • Water's roles in the body:
    • Solvent
    • Transport (osmosis)
    • Lubrication
    • Thermoregulation
    • Chemical reactions
    • Acid-base balance
  • Factors affecting water requirements:
    • Physical activity
    • Altitude and cold temperature
  • Water balance:
    • Intake: water, beverages, food, metabolic water
    • Loss: respiratory, skin (sweat), renal (urine), GI tract (feces)
  • Hydration and dehydration:
    • Hydration level indicators: thirst, urine volume, urine color, change in body mass
    • Effects of hypo-hydration (dehydration): health and performance
    • Effects of hyper-hydration (hyponatremia): health and performance

Minerals

  • Major minerals:
    • Sodium (Na+): extracellular cation, regulates body fluids, vital for muscle contraction and neural impulses
    • Chloride (Cl-): extracellular anion, regulates body fluids
    • Potassium (K+): intracellular cation, regulates body fluids, vital for muscle contraction and neural impulses
  • Bone building nutrients:
    • Vitamins A, D, K, C
    • Minerals: calcium (Ca), phosphorus (P), magnesium (Mg), fluoride (F)
  • Bone physiology:
    • Bone matrix: inorganic hydroxyapatite and organic collagen framework
    • Bone cells: osteoblasts, osteocytes, osteogenic cells, osteoclasts
    • Bone types: cortical and trabecular
    • Bone remodeling
    • Peak bone mass

Bone Building Nutrients

  • Calcium:
    • Most abundant mineral in body
    • Blood levels tightly controlled
    • Necessary for healthy bones and teeth
    • Hormonal control of calcium (PTH, calcitriol)
    • Bioavailability and factors affecting absorption (vitamin D status, intestinal transit time, life cycle stage, Ca-nutrient interactions)
  • Phosphorus:
    • Second most abundant mineral in body
    • Functions: component of water-soluble head of phospholipids, major constituent of genetic material, essential for energy metabolism, bone health
    • Hormonal control of phosphorus (PTH, calcitriol)
  • Magnesium:
    • Functions: enzyme co-factor, metabolism of macronutrients, activity of Na-K ATPase, important for genetic material, bone health
  • Fluoride:
    • Increases resistance of tooth enamel to cavity formation
    • Stimulates bone formation
    • Fluoridated water systems: pros and cons

Explore the world of fat-soluble vitamins (A,D,E,K) and vulnerable populations at risk for deficiencies. Understand the importance of water-soluble vitamins, specifically the eight B vitamins and their original misconception as a single compound.

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