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© 2007 Thomson - Wadsworth
Chapter 6
The Vitamins
© 2007 Thomson - Wadsworth
Ask Yourself1. The most important role that vitamins play is
providing energy.2. You can’t overdose on vitamins, because the
body excretes them in the urine.3. Several major public health associations
recommendthat all adults take antioxidant supplements.
4. Serving for serving, fruits and vegetables tend to be the richest sources of vitamins.
5. In general, nutrients are absorbed equally well from foods as from supplements.
© 2007 Thomson - Wadsworth
Ask Yourself
6. Vitamin C supplements prevent colds.7. Oatmeal is an example of a functional
food.8. Fresh vegetables contain more
vitamins than frozen vegetables.9. Phytochemicals are beneficial
nonnutrient substances found in fruits, vegetables, and whole grains.
10. Large doses of niacin can cause flushing, rash, and fatigue.
© 2007 Thomson - Wadsworth
Turning Back the Clock
• Scurvy: the vitamin C deficiency disease characterized by bleeding gums, tooth loss, and even death in severe cases.
• Rickets: a disease that occurs in children as a result of vitamin D deficiency and that is characterized by abnormal growth of bone, which in turn leads to bowed legs and an outward-bowed chest.
• Pellagra (pell-AY-gra): niacin deficiency characterized by diarrhea, inflammation of the skin, and, in severe cases, mental disorders and death.
Many vitamin deficiency diseases have been eliminated today with the discovery ofvitamins.
© 2007 Thomson - Wadsworth
The Vitamins
• Vitamin: a potent, indispensable compound that performs various bodily functions that promote growth and reproduction and maintain health. Vitamins are organic, meaning that they contain or
are related to carbon compounds. Contrary to popular belief, vitamins do not supply
calories. They are essential to helping the body make use of
the calories consumed via foods.
• Organic: of, related to, or containing carbon compounds.
© 2007 Thomson - Wadsworth
The Vitamins
• Recommended intakes and tolerable upper intake levels for vitamins can be found in the Dietary Reference Intakes (DRI) tables (see table inside front cover).
• Megadose a dose of ten or more times the amount normally recommended. An overdose is an amount high enough to
cause toxicity symptoms. Megadoses taken over a long period often
result in an overdose.
© 2007 Thomson - Wadsworth
Two Classifications of Vitamins
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Good Sources of Vitamins in the USDA MyPyramid
© 2007 Thomson - Wadsworth
The Two Classifications of Vitamins
Coenzymes: enzyme helpers; small molecules thatinteract with enzymes and enable them to do their work. Many coenzymes are made from water-soluble vitamins.
© 2007 Thomson - Wadsworth
Water-Soluble VitaminsThiamin• One of the B vitamins.• Acts primarily as a coenzyme in
reactions that release energy from carbohydrate.
• It also plays a crucial role in processes involving the nerves.
• Beriberi: the thiamin deficiency disease, characterized by irregular heartbeat, paralysis, and extreme wasting of muscle tissue.
© 2007 Thomson - Wadsworth
Water-Soluble Vitamins
© 2007 Thomson - Wadsworth
Water-Soluble VitaminsRiboflavin• Also one of the B vitamins.• Acts as a coenzyme in energy-
releasing reactions in the body. • Helps to prepare fatty acids
and amino acids for breakdown.
• Deficiencies of the vitamin, (rare) are characterized by severe skin problems, including painful cracks at the corners of the mouth; a red, swollen tongue; and teary or bloodshot eyes.
© 2007 Thomson - Wadsworth
Water-Soluble Vitamins
© 2007 Thomson - Wadsworth
Water-Soluble VitaminsNiacin• Also one of the B vitamins.• Also part of a coenzyme vital
to obtaining energy. • Recall that pellagra is the
deficiency disease.• Can be made from the amino
acid tryptophan in the body. 60 milligrams of tryptophan yield
1 milligram of niacin. Thus, the DRI for niacin is
expressed in niacin equivalents (NE).
© 2007 Thomson - Wadsworth
Water-Soluble Vitamins
© 2007 Thomson - Wadsworth
Water-Soluble VitaminsVitamin B6
• Functions as a coenzyme• Indispensable cog in the
body’s machinery• It is proportional to
protein intakes• Deficiency causes a
multitude of symptoms: weakness irritability insomnia
© 2007 Thomson - Wadsworth
Water-Soluble Vitamins
© 2007 Thomson - Wadsworth
Water-Soluble VitaminsFolate (also called folic acid
or folacin)• Coenzyme with many functions
in the body.• Important in the synthesis of
DNA and the formation of red blood cells.
• A deficiency makes the red blood cells misshapen and unable to carry sufficient oxygen. Causing a certain kind of anemia.Anemia: any condition in which
the blood is unable to deliver oxygen to the cells of the body.
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Water-Soluble Vitamins
Folate• It plays a crucial role in a healthy
pregnancy.It reduces the risk of bearing a
baby with a type of birth defect called a neural tube defect.•Like spina bifida
© 2007 Thomson - Wadsworth
Water-Soluble Vitamins
The Food and Drug Administration has mandated that all enriched grain products be fortified with folic acid toimprove intakes in the United States population.
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Water-Soluble VitaminsVitamin B12• Maintains the sheaths that
surround and protect nerve fibers.• Works closely with folate,
enabling it to manufacture red blood cells.
• Deficiencies are not likely to occur. Some groups are at risk: Strict vegetarians Those with a genetic defect
that leaves the body unable to make a compound known as intrinsic factor
And those elderly who may develop atrophic gastritis
© 2007 Thomson - Wadsworth
Water-Soluble Vitamins
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Water-Soluble Vitamins
Pantothenic acid and biotin
• Biotin is also required for cell growth, synthesis of DNA and maintenance of blood glucose levels.
• Both are needed for the synthesis of coenzymes that are active in a multitude of body systems.
• Both are widespread in foods, so people who eat a varied diet are not at risk for deficiencies.
© 2007 Thomson - Wadsworth
Water-Soluble Vitamins
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Water-Soluble VitaminsVitamin C• Required for the production
and maintenance of collagen.• Boosts the body’s ability to
fight infections.• Potential role as a chronic-
disease fighter stems from its workings as an antioxidant.Antioxidant: a substance, such as a
vitamin, that is “anti-oxygen” – that is, it helps to prevent damage done to the body as a result of chemical reactions that involve the use of oxygen.
© 2007 Thomson - Wadsworth
Water-Soluble Vitamins
Vitamin C is widespread in the food supply. Deficiencies arise both in infants not given a source of vitamin C and in children and the elderly.
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Fat-Soluble VitaminsVitamin A• One of the most versatile
vitamins; plays roles in several important body processes.
• Best known function is in vision.• Helps to maintain healthy
epithelial tissue.• Up to a year’s supply can be
stored in the body, 90% of it in the liver.
• Deficiency symptoms will not begin to appear until after your stores are depleted. Consequences include blindness and
reduced resistance to infection.
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Fat-Soluble VitaminsVitamin A• The body uses both the preformed vitamin A
and the beta-carotene in foods to make retinol.Preformed vitamin A: active form of vitamin A.Beta-carotene: an orange pigment found in
plants that is converted into vitamin A inside the body. Beta-carotene is also an antioxidant.
Precursor: a compound that can be converted into another compound. For example, beta-carotene is a precursor of vitamin A.
• Pre = before• Cursor = runner, forerunner
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Fat-Soluble Vitamins
Because the body uses both the preformed vitamin A andthe beta-carotene in foods to make retinol, the amount of vitamin A in foods is expressed in retinol activity equivalents(RAE)—a measure of the amount of retinol the body willderive from the food.
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Figure 6-4 A The Antioxidants Versus Free RadicalsIn The Body- Free Radicals – unstable oxygen molecules
can be formed from sunlight, smoking, and pollution.
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Figure 6-4 B (cont.) The Antioxidants Versus Free RadicalsIn The Body – Antioxidants prevent free-radicals from attackingcells and causing damage by neutralizing free radicals and converting them back into stable oxygen molecules.
© 2007 Thomson - Wadsworth
Fat-Soluble VitaminsVitamin D• Is a member of a large bone-
making and maintenance team.• Assists in the absorption of
dietary calcium. • Helps to make calcium and
phosphorus available in the blood.
• The body can synthesize it with the help of sunlight.
• Deficiency diseases In children, rickets In adults, osteomalacia
© 2007 Thomson - Wadsworth
This child has the bowed legs characteristic of rickets
The sunshine vitamin
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Fat-Soluble Vitamins
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Fat-Soluble Vitamins
Vitamin E• Known as a vitamin in search of
a disease.• Performs a key role as an
antioxidant in the body.• Widespread in the food supply,
and deficiencies of the nutrient are rare. People who run the risk of
deficiency:• Premature infants who are born
before vitamin E is transferred to them from their mothers.
• Those who cannot absorb fats as a result of diseases.
• Those with certain blood disorders.
© 2007 Thomson - Wadsworth
Fat-Soluble Vitamins
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Fat-Soluble VitaminsVitamin K• Key function: its role in the
blood-clotting system of the body.
• Works with vitamin D to help regulate the calcium levels in the blood.
• Is obtained both in the diet and via the intestinal bacteria, making deficiencies rare. Newborn babies are the one group
that is commonly susceptible to a vitamin K deficiency.
• A baby’s digestive tract is free of bacteria until birth.
© 2007 Thomson - Wadsworth
Fat-Soluble Vitamins
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Nonvitamins
• Choline A nonessential nutrient used by the body to
synthesize various compounds including: • the phospholipid lecithin
The body can make it from the amino acid methionine.
It can be found in milk, eggs, peanuts, and many other foods.
Deficiencies are rare.
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Nonvitamins
• Other nonessential nutrients that may be added to dietary supplements:PABA or para-aminobenzoic acidBioflavenoids or “vitamin P” or hesperidinCoenzyme Q or ubiquinoneVitamin B15
Vitamin B17 or laetrile, a falsely touted cancer “cure”
© 2007 Thomson - Wadsworth
• Plan• Shop• Store• Cook• Eat
© 2007 Thomson - Wadsworth
Phytonutrients in Foods
• Phytochemicals (FIGH-toe-CHEM-icals): physiologically active compounds found in plants that are not essential nutrients but that appear to help promote health and reduce risk for cancer, heart disease, and other conditions.
• Also called phytonutrients. phyto = plant
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Mechanisms of Actions of Phytochemicals
• Many foods contain numerous phytochemicals, each one acting on one or several mechanisms.Antioxidant properties - protect
against harmful cell damage.Anticancer properties - preventing
initiation and promotion of cancer.Antiestrogen properties - blocking
action of estrogen and lowering risk of some cancers.
© 2007 Thomson - Wadsworth
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A Daily Eating Plan for Phytochemicals
• Research indicates that whole foods containing phytochemicals are more effective than extracts of phytochemicals in supplements.
• Until more is known, it is best to follow the recommendations of the MyPyramid food guide and consume recommended amounts of fruits and vegetables each day along with a variety of whole grains, soyfoods, other legumes, nuts, and seeds.
© 2007 Thomson - Wadsworth
• Functional food: a general term for foods that provide an additional physiological or psychological benefit beyond that of meeting basic nutritional needs. Also called medical foods.
• Designer foods: foods “fortified” with phytochemicals or plants bred to contain high levels of phytochemicals; also known as “future foods.” Genetic engineering of foods—also called
biotechnology—is discussed in your text, Chapter 12.
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Functional Food Pyramid
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Research is currently under way in the U.S. to test the safety and efficacy of a few of the most popular herbs on the market today.
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Laws & Dietary Supplements
• In 1994, Congress passed the Dietary Supplement Health Education Act (DSHEA), which severely restricted the FDA’s authority over dietary supplements so long as the product makes no claim to affect a disease.
• Supplements are presumed safe until the FDA receives well-documented reports of adverse reactions.
• Supplements are not obliged to meet any standards of effectiveness or safety.
© 2007 Thomson - Wadsworth
Laws & Dietary Supplements
• Products cannot state on the label that they will “prevent,” “treat,” “diagnose,” ”mitigate,” or “cure” disease.
• Product must carry a disclaimer on the label - “This product has not been evaluated by the Food and Drug Administration.”
• FDA can require that supplements follow “good manufacturing practices.” This specifies sanitation standards, not efficacy or purity.
© 2007 Thomson - Wadsworth
Consumers and Dietary Supplements
• Be informed:Seek unbiased, scientific sources (see
reference list in chapter 6).Inform your physician, especially if
taking prescribed medications.
• Do not exceed recommended doses, or use for prolonged periods.
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Cancer initiation: Carcinogens cause cancerous alterationin previously healthy body cells.
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Cancer Promotion: Cancer promoters enhance the growthOf abnormal cancerous cells.
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Cellular Repair: Cancer antipromoters squelch free radicalDamage and enhance the body’s ability to repair damagedDNA strands.
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Impact of Risk Factors on Cancer
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Nutrition and Cancer Prevention
Cruciferous vegetables protect against cancer
The 5 a Day for Better Health program recommends 5 or more fruit & vegetable servings per day
© 2007 Thomson - Wadsworth
Nutrition and Cancer Prevention
American Institute for Cancer Research released recommendations for cancer prevention:
1. Eat a variety of healthful foods, with an emphasis on plant sources.
2. Adopt a physically active lifestyle.3. Maintain a healthful weight throughout life.4. If you drink alcoholic beverages, limit
consumption.5. Prepare and store food safely.6. Do not use tobacco in any form.