Vitamins C, A, D, E, and K Quiz
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Questions and Answers

What is the primary transport protein for Vitamin A in the blood?

  • Vitamin D Binding Protein
  • Lipid Transport Protein
  • Retinol Binding Protein (RBP) (correct)
  • Chylomicron Transporter

Which form of Vitamin A is considered the active form?

  • Beta-carotene
  • Carotenes
  • Retinal (correct)
  • Carotenoids

What condition is primarily associated with Vitamin A deficiency and involves dryness and cloudiness of the cornea?

  • Glaucoma
  • Keratomalacia
  • Night Blindness
  • Xerophthalmia (correct)

Vitamin A can prevent which specific vision-related issue in low light conditions?

<p>Night Blindness (B)</p> Signup and view all the answers

What is a consequence of Vitamin A deficiency on cellular behavior?

<p>Transformation of cells into keratin-producing cells (B)</p> Signup and view all the answers

Which of the following is NOT a function of retinoic acid, one of the active forms of Vitamin A?

<p>Maintains vision (D)</p> Signup and view all the answers

What can increase the risk of toxicity regarding fat-soluble vitamins like Vitamin A?

<p>Storage in body fat (A)</p> Signup and view all the answers

Which form of Vitamin A is derived from animal sources and supports reproductive functions?

<p>Retinol (D)</p> Signup and view all the answers

What is the primary function of Vitamin D in the body?

<p>Mineralization of bones (C)</p> Signup and view all the answers

Which vitamin has its RDA stated in micrograms of Retinol Activity Equivalent (RAE)?

<p>Vitamin A (B)</p> Signup and view all the answers

How is Vitamin D2 primarily obtained?

<p>From plant sources (A)</p> Signup and view all the answers

Which of the following foods provides the highest amount of Vitamin A?

<p>4 oz liver (D)</p> Signup and view all the answers

What form of Vitamin D is synthesized in the skin upon exposure to sunlight?

<p>Cholecalciferol (C)</p> Signup and view all the answers

Which carbohydrate is a precursor for the synthesis of Vitamin D?

<p>Cholesterol (D)</p> Signup and view all the answers

What is the active form of Vitamin D called?

<p>Calcitriol (B)</p> Signup and view all the answers

What would be the RDA of Vitamin A for a female?

<p>700 ug (A)</p> Signup and view all the answers

What is the recommended approach to determining the correct dose of Vitamin C for stopping a cold?

<p>Increase the dose until bowel tolerance is reached. (A)</p> Signup and view all the answers

Which vegetable has the highest Vitamin A content per cup?

<p>Carrots (A)</p> Signup and view all the answers

Based on the studies, which finding is consistent across the research regarding Vitamin C and colds?

<p>Vitamin C may reduce the severity but does not affect the number of colds. (C)</p> Signup and view all the answers

In which organ is Vitamin D converted to its active form?

<p>Kidneys (A)</p> Signup and view all the answers

What negative effect can overdosing Vitamin C have on immune defense?

<p>It inhibits oxidative processes needed for immune defense. (D)</p> Signup and view all the answers

What cooking method is least advisable to preserve Vitamin C content in vegetables?

<p>Long exposure of cut vegetables to air. (D)</p> Signup and view all the answers

What mineral should be avoided in cookware to prevent Vitamin C degradation during cooking?

<p>Iron (C)</p> Signup and view all the answers

Which product is not subject to mandatory addition of Vitamin C according to Canadian regulations?

<p>Fresh vegetables (D)</p> Signup and view all the answers

Which factor contributes to the instability of Vitamin C in a solution?

<p>Exposure to light and air (B)</p> Signup and view all the answers

How does the dosage of Vitamin C that might reduce the duration of cold symptoms vary?

<p>It is typically suggested to take at least 1 gram or more per day. (A)</p> Signup and view all the answers

What is a primary reason for prothrombin deficiency in newborn infants?

<p>Poor placental transfer of Vitamin K (A)</p> Signup and view all the answers

Which of the following could lead to a secondary deficiency of Vitamin K?

<p>Intestinal surgeries (A)</p> Signup and view all the answers

Which food is considered the best dietary source of Vitamin K?

<p>Broccoli (A)</p> Signup and view all the answers

How does the metabolism of Vitamin K get affected by anticonvulsants?

<p>They increase the rate at which Vitamin K is metabolized (C)</p> Signup and view all the answers

What is the maximum allowable dose of vitamins and minerals in supplements regulated by Health Canada typically based on?

<p>Tolerable Upper Intake Levels (ULs) (D)</p> Signup and view all the answers

What percentage of the required Vitamin K does bacterial synthesis in the digestive tract provide?

<p>40 to 70% (D)</p> Signup and view all the answers

What is a significant action recommended regarding vitamin and mineral supplements?

<p>They are beneficial for individuals who require them but not a dietary substitute. (B)</p> Signup and view all the answers

What is the typical recommended daily intake of Vitamin K for males?

<p>120 ug/day (C)</p> Signup and view all the answers

Which condition in children is characterized by delayed closing of the fontanel due to Vitamin D deficiency?

<p>Rickets (A)</p> Signup and view all the answers

What is the primary symptom of resistance to Vitamin D absorption?

<p>Brittle bones (B)</p> Signup and view all the answers

What is a possible consequence of excessive Vitamin D supplementation?

<p>Kidney stones (C)</p> Signup and view all the answers

How does skin pigmentation affect Vitamin D synthesis from sunlight?

<p>Darker skin produces less Vitamin D. (B)</p> Signup and view all the answers

What is the main function of Vitamin E in the body?

<p>Antioxidant protection (A)</p> Signup and view all the answers

Which environmental factors can destroy Vitamin E?

<p>Oxygen and heat (C)</p> Signup and view all the answers

What role does Vitamin E play in relation to free radicals?

<p>It protects cells from free radical damage. (D)</p> Signup and view all the answers

What is a common presentation of rickets observed in the skeletal structure?

<p>Bowing of the femur (A)</p> Signup and view all the answers

During winter, which geographical factor can limit Vitamin D synthesis?

<p>Latitude (D)</p> Signup and view all the answers

Which vitamin neutralizes free radicals by donating an electron?

<p>Vitamin E (A)</p> Signup and view all the answers

What is a consequence of Vitamin E toxicity?

<p>Interference with Vitamin K (D)</p> Signup and view all the answers

What condition can result from the deficiency of Vitamin E?

<p>Red blood cell breakage (C)</p> Signup and view all the answers

Which vitamin is noted for potentially increasing the risk of heart disease when supplemented?

<p>Vitamin E (D)</p> Signup and view all the answers

What is the DRI for Vitamin E?

<p>15 mg/day (A)</p> Signup and view all the answers

Which of the following is a natural form of Vitamin K?

<p>K1 (phylloquinone) (D)</p> Signup and view all the answers

Vitamin K is essential for the synthesis of which protein necessary for blood clotting?

<p>Prothrombin (A)</p> Signup and view all the answers

What is a primary dietary source of Vitamin E?

<p>Green leafy vegetables (C)</p> Signup and view all the answers

What can a deficiency of Vitamin K lead to?

<p>Hemorrhaging (B)</p> Signup and view all the answers

Studies have shown that excess Vitamin E supplementation increases the risk of what?

<p>Heart failure (A)</p> Signup and view all the answers

What is the form of Vitamin K that is formed as a result of bacterial action in the intestinal tract?

<p>K2 (menaquinone) (A)</p> Signup and view all the answers

Which of the following foods is highest in Vitamin E content?

<p>Sunflower oil (A)</p> Signup and view all the answers

What mechanism do antioxidants like vitamin E use to protect cells?

<p>Neutralizing free radicals (D)</p> Signup and view all the answers

What may Vitamin C do in relation to Vitamin E's activity?

<p>Restore Vitamin E to its active form (C)</p> Signup and view all the answers

Flashcards

Bowel-Tolerance Limit

The maximum amount of Vitamin C an individual can take before experiencing loose stools.

Vitamin C and Cold Duration

Studies suggest that taking Vitamin C may reduce the duration of a cold, particularly severe symptoms.

Vitamin C Overdosing

Excessive Vitamin C intake can inhibit oxidative processes, potentially negatively impacting immune function.

Vitamin C Stability

Vitamin C is highly unstable and easily oxidized, especially in the presence of light, air, heat, iron, and copper.

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Vitamin C in Food Regulations

Canada mandates Vitamin C fortification in certain foods like fruit-flavored drinks, infant formula, and meal replacement products.

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Vitamin C Cooking Tips

Minimizing Vitamin C loss during cooking involves limiting exposure to air, boiling vegetables quickly, and using non-reactive pots.

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Vitamin C Function: Collagen Formation

Vitamin C is crucial for the synthesis of collagen, a protein vital for skin, tendons, ligaments, and blood vessels.

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Vitamin C Function: Antioxidant

Vitamin C acts as an antioxidant, protecting cells from damage caused by free radicals.

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What is a Chylomicron?

A type of lipoprotein that carries absorbed fat-soluble vitamins and dietary fats from the small intestine through the lymphatic system and into the bloodstream.

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How are Fat-Soluble Vitamins Absorbed?

Fat-soluble vitamins are absorbed with dietary fats in the small intestine and then packaged into chylomicrons for transport through the lymphatic system.

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Where are Fat-Soluble Vitamins Stored?

Fat-soluble vitamins are stored in the body's fat tissues, allowing for intake variations without immediate deficiency.

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What is the Risk Associated with Fat-Soluble Vitamins?

Because they can be stored in body fat, high intakes of fat-soluble vitamins can lead to toxicity over time.

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What is Retinol Binding Protein?

A protein in the blood that transports Vitamin A from the liver to other parts of the body.

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What are Retinoids?

The active form of Vitamin A found in animal-derived foods, consisting of retinol, retinal, and retinoic acid.

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What are Carotenoids?

The precursor form of Vitamin A found in plant-derived foods, with beta-carotene being the most common form.

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What is Night Blindness?

A condition where the eyes take longer to adjust from bright light to dim light, often caused by Vitamin A deficiency.

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Vitamin A Units

Vitamin A is measured in Retinol Activity Equivalents (RAE). RAE is the amount of vitamin A activity provided by 1 microgram of retinol.

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Vitamin A Sources: Animal

Animal products like liver, eggs, and fortified milk provide preformed vitamin A, specifically retinol.

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Vitamin A Sources: Plant

Plant sources like yellow/orange vegetables and dark green leafy vegetables contain beta-carotene, which the body converts into vitamin A.

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Vitamin D Forms

Vitamin D exists in two main forms: Vitamin D3 (cholecalciferol) from animal sources and Vitamin D2 (ergocalciferol) from plant sources.

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Vitamin D Activation

Vitamin D requires two steps of activation: first in the liver and then in the kidneys. This turns it into its active form, calcitriol.

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Vitamin D Precursor

The precursor to vitamin D is 7-dehydrocholesterol, which is made in the liver from cholesterol.

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Vitamin D and Sunlight

Sunlight exposure allows your skin to produce Vitamin D3 (cholecalciferol).

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Vitamin D Function

Vitamin D plays a crucial role in the absorption of calcium, which is essential for bone health.

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Vitamin D Deficiency

A lack of Vitamin D can lead to bone problems, including rickets in children and osteomalacia in adults.

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Vitamin D Sources

You can obtain Vitamin D through sunlight exposure, fortified foods, and certain foods like fatty fish.

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Vitamin K Deficiency in Newborns

Newborn infants often have a temporary Vitamin K deficiency due to limited placental transfer. This is addressed by giving Vitamin K injections soon after birth.

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Secondary Vitamin K Deficiency

Causes of secondary Vitamin K deficiency include antibiotics (reducing bacterial synthesis), anticoagulants (antagonizing Vitamin K), anticonvulsants (increasing Vitamin K metabolism), and intestinal surgery (decreasing absorption and synthesis).

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Vitamin K Toxicity

There is typically no risk of Vitamin K toxicity.

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Best Dietary Sources of Vitamin K

Green leafy vegetables are the best source, with broccoli being particularly high. Other sources include milk, eggs, kiwi, and soybean oil.

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Bacterial Synthesis of Vitamin K

The digestive tract produces roughly 40-70% of the body's Vitamin K needs through bacterial synthesis.

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Vitamin and Mineral Supplements

About 40% of Canadians use supplements. It's crucial to understand label information and choose supplements that meet individual needs, but never substitute for a healthy diet or medical therapy.

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Maximum Allowable Dose (UL)

Health Canada regulates the maximum allowed dose of vitamins and minerals in supplements, usually the UL (Upper Limit).

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Rickets

A bone disease primarily affecting children due to Vitamin D deficiency, characterized by weak, brittle bones, malformation of bones, and delayed closure of the fontanel.

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Osteomalacia

A condition in adults caused by Vitamin D deficiency, leading to soft and weak bones similar to rickets.

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Rachitic Rosary

A characteristic symptom of rickets where the ribs appear beaded due to poorly formed attachments of the bones to the cartilage.

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Hypervitaminosis D

Vitamin D toxicity, not commonly caused by diet or sunlight but rather by excessive supplementation. It leads to excess calcium in the blood (hypercalcemia) and deposition of calcium in soft tissues leading to calcification.

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Vitamin D Deficiency and Sunlight

Sunlight is essential for Vitamin D production in the skin. Insufficient exposure to sunlight, particularly during winter months, can lead to Vitamin D deficiency.

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Vitamin E: Antioxidant

Vitamin E primarily acts as an antioxidant, protecting cells from damage caused by free radicals. It stabilizes cell membranes and protects essential molecules from oxidative damage.

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Free Radicals

Highly reactive molecules with unpaired electrons causing damaging effects to cells. Vitamin E helps neutralize them.

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Vitamin E and LDL Cholesterol

Vitamin E plays a role in protecting low-density lipoprotein (LDL) cholesterol from oxidation. Oxidized LDL contributes to the development of heart disease.

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Vitamin E and Cell Membranes

Vitamin E helps maintain the integrity and stability of cell membranes by preventing oxidative damage.

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Antioxidants

Molecules that protect against damage caused by free radicals by donating an electron to stabilize them.

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Vitamin E's Antioxidant Role

Vitamin E acts as an antioxidant, donating an electron to neutralize free radicals, thus preventing cell damage.

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Vitamin C's Role in Antioxidant Protection

Vitamin C also acts as an antioxidant, but it can restore Vitamin E back to its active form, allowing it to neutralize more free radicals.

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Vitamin E and Heart Disease

Research suggests that high doses of Vitamin E supplements may increase the risk of heart disease, possibly acting as a pro-oxidant.

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Vitamin K's Function: Blood Clotting

Vitamin K is essential for the synthesis of prothrombin, a protein crucial for blood clotting.

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Vitamin K1 (Phylloquinone)

The naturally occurring form of Vitamin K found in green plants.

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Vitamin K2 (Menaquinone)

Produced in the gut by bacterial action, this form plays a role in bone health.

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Vitamin K3 (Menadione)

A synthetic form of Vitamin K, twice as potent as K2.

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Vitamin K Dietary Sources

Good sources include leafy green vegetables, some oils, and fermented foods containing beneficial bacteria.

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Vitamin K's Role in Bone Health

While primarily known for blood clotting, Vitamin K2 also contributes to bone health by activating proteins that help build strong bones.

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Study Notes

Vitamins C, A, D, E, and K

  • Vitamin C (Chapter 8)
  • Vitamins A, D, E, K (Chapter 9)

Vitamin C: History

  • Scurvy is the oldest vitamin deficiency known, described as early as 1500 BC.
  • In 1535, Jacques Cartier's voyages suffered high rates of scurvy, a deadly disease affecting sailors. Symptoms included swollen limbs, bleeding gums and skin, tooth loss, and severe weakness.
  • In 1747, James Lind, a British physician, conducted one of the first scientific experiments on scurvy. He divided 12 scurvy-stricken sailors into six groups, assigning each a different diet. The group given oranges and lemons recovered, leading Lind to conclude that something in citrus fruits prevents scurvy.
  • In the 1970s, Linus Pauling promoted high doses of vitamin C to prevent and cure the common cold. He theorized the high doses of vitamin C stop colds by consuming 18 grams daily (with 75-90 mg being the Recommended Dietary Allowance). Despite the claims, large-scale studies later proved his theory incorrect.
  • More research followed the 1970s, with randomized control trials generally showing no effect of Vitamin C on the severity or length of colds, though some studies show a slight reduction in symptoms. High doses of vitamin C are not recommended.

Vitamin C: Properties

  • Water-soluble, making it unstable
  • Easily oxidized by light, air, heat, and iron/copper
  • Added to various food products, such as infant formula and fruit-flavored drinks (mandated in some places)

Vitamin C: Cooking Implications

  • Minimize air exposure to prevent oxidation
  • Boil vegetables in already boiling water for faster cooking and reduced nutrient loss
  • Cook vegetables until tender, but not overcooked
  • Chop vegetables before cooking
  • Store cut foods in airtight containers in the refrigerator
  • Avoid using iron or copper cookware

Vitamin C: Functions

  • Collagen formation: crucial for healthy tissue, including skin, joints and blood vessels.
  • Antioxidant: protects cells from damage caused by free radicals.
  • Aids in iron absorption: increases the body's ability to use iron.

Vitamin C: Deficiency

  • Scurvy: results from severe vitamin C deficiency; characterized by bleeding, swollen gums, wounds that do not heal, dry skin, muscle cramps, skeletal changes in children, and joint pain.

Vitamin C: Toxicity

  • Large quantities of vitamin C (greater than 2000mg/day) can cause adverse effects (diarrhea, nausea, abdominal cramps, kidney stones, acidic urine, etc).

Vitamin C: Dietary Sources

  • Fruits like oranges, kiwi, and berries, tomatoes, and broccoli are rich sources of Vitamin C.

Vitamin A: Properties and Functions

  • The first vitamin to be discovered
  • Fat-soluble, stored in the liver
  • Destroyed by light and oxygen
  • Retinol Binding Protein: a transport protein that picks up Vitamin A from the liver
  • Occurs in two forms:
    • Retinoids: the active form found in animal products.
      • Retinol: involved in reproduction
      • Retinal: participates in vision
      • Retinoic acid: regulates growth, tooth and bone development, and maintaining skin
    • Carotenoids (precursors): found in plants.
      • Beta-carotene: converted to vitamin A; functions as an antioxidant
  • Important to maintain vision and various cellular functions.

Vitamin A: Deficiency

  • Xerophthalmia: eye disorder associated with vitamin A deficiency; begins with night blindness, then progressing to dryness in the eye, wrinkling, cloudiness, and softening of the cornea (keratomalacia). Without treatment, it can cause rupture and infection leading to persistent blindness.
  • Damage to epithelial tissues leads to keratinization (hardened skin).

Vitamin A: Toxicity

  • Hypervitaminosis A (Vitamin A poisoning); characterized by nausea, vomiting, headaches, dizziness, blurred vision, lack of muscle coordination, weak bones, birth defects, increased tumor size in lung cancer patients, dry skin resulting from medications created from Vitamin A.
  • Beta-carotene toxicity: does not cause the same problems as the intake of Vitamin A; instead, excess beta-carotene is stored in fat tissue, and the skin may turn yellow.

Vitamin A: Dietary Sources

  • Best sources are milk and milk products, liver, eggs, butter. Yellow and orange vegetables (like carrots), and dark green leafy vegetables contain beta-carotene, a Vitamin A precursor.

Vitamin D: Properties and Functions

  • Vitamin D can be synthesized by the body through exposure to sunlight.
  • Vitamin D can be acquired from animal products.
  • Essential for bone mineralization, calcium absorption. Active form: calcitriol.

Vitamin D: Deficiency

  • Rickets (in children): characterized by beaded ribs and a delayed closing of the fontanels (soft spots in the skull), leading to bone malformation and weak, brittle bones.
  • Osteomalacia (in adults): adult form of rickets with similar symptoms.

Vitamin D: Toxicity (Hypervitaminosis D)

  • Excessive Vitamin D intake can lead to hypercalcemia, characterized by excess calcium in the body.
  • Excess calcium can accumulate in soft tissues, causing calcification and potentially damaging blood vessels, leading to kidney stones.

Vitamin D: Dietary Sources

  • Fortified milk (a great source)
  • Egg yolks
  • Liver
  • Fatty fish (salmon, sardines)

Vitamin E: Properties and Functions

  • Also called tocopherol; this compound was initially discovered as an essential chemical for reproduction in rats.
  • Fat-soluble (stored in body fat)
  • Sensitive to oxygen, light, heat, and metals.
  • Functions as a powerful antioxidant; protect cell membranes from damage caused by free radicals.

Vitamin E: Deficiency

  • Red blood cell breakdown. Can lead to anemia.
  • May interfere with vitamin K's role in blood clotting.

Vitamin E: Toxicity

  • High intake may interfere with vitamin K absorption. Research suggests it can increase the risk for heart disease.

Vitamin E: Dietary Sources

  • Vegetable oils (e.g., wheat germ oil, sunflower oil)
  • Nuts
  • Seeds
  • Green leafy vegetables
  • Some fish such as salmon and sardines

Vitamin K: Properties and Functions

  • The compound was first discovered when attempting to treat hemorrhagic disease in chickens.
  • Involved in blood clotting (synthesis of clotting factors); prothrombin plays a key role.

Vitamin K: Deficiency

  • Inability/Inadequate absorption from the small intestine
  • Liver impairment
  • Infants are susceptible to prothrombin deficiency; given an injection shortly after birth due to difficulties in placental transfer
  • Secondary deficiencies can result from antibiotics that disrupt synthesis, and anticoagulant/anticonvulsant medications.

Vitamin K: Dietary Sources

  • Key to the diet; found in green leafy vegetables (e.g., broccoli, kale, spinach), other vegetables, and some fruits. Milk, eggs, and certain oils may contain modest amounts.

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