NUTRI Reviewer

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    Fat-Soluble Vitamins Functions Deficiency Toxicity Sources

    Vitamin A Retinol

    1 ug Maintenance of vision in dim Growth of hair, nails, bones and

    glands, and epithelium

    Prevents infection

    Night blindness Xerophthalmia Bitots Spots Retarded growth Toad skin (phrynederma)

    Respiratory infection

    Fetal malformation Alopecia (hair loss) Skin changes Bone pain

    o Liver, dilis, tahongo Dairy products, Fish liver oilo Dark green and yellow-orange

    fruits and vegetables (carrots,

    squash, cantaloupe, sweet

    potatoes)Vitamin D Calciferol

    5 ug Calcium and phosphorus

    absorption

    Bone mineralization an Prevention of tetany

    Rickets(children) Osteomalacia (adult) Hypocalcemia Osteoporosis

    Growth retardation Kidney damage and

    stones

    Deposits to soft tissue Hypercalcemia

    o Dairy productso Egg yolko Fish lilver oil

    Vitamin E Tocopherol Antioxidant Prevents cell damage, RBCs RBC and nerve destruction(hemolysis) NONE o Vegetable oil, whole grainso Nuts and seeds

    Vitamin K Menadione

    - 120ug (Men)- 90ug (women)

    Blood clotting Hemorrhage (newborn) Prolonged blood clotting

    (adults)

    Hemolytic anemia Kernicterus o Liver and milko Green leafy vegetables (broccoli

    and cabbage)

    Water-Soluble VitaminsVitamin B1 Thiamine Muscle nerve function

    CHO metabolism Maintains good appetite

    Early Stage- Loss of appetite

    - Constipation secondary to

    gastric atony

    Later Stage- Beri-beri

    -WET= edema on lower

    extremities, CHF, ascites

    - DRY= peripheral nerves are

    in pins and needles.

    - Paresthesia= toe and wrist

    drop- Wernickes-korsokoff

    Syndrome

    NONE o Lean porko Organ meats (liver)o Whole grainso Legumes

    Vitamin B2 Riboflavin Essential for CHO, CHON, COOHmetabolism

    Ariboflavinosis Cheilosis, glossitis Seborrheic dermatitis

    When given byinjection

    o Meat, fish, grainso Greenleafy vegetables

    Vitamin B3 Niacin

    - 14 mg (female)- 16 mg (male)

    Co-enzyme in energy metabolism Pellagra-Dermatitis

    - Diarrhea

    - Death

    - Dementia

    Angular stomatitis

    Vasodilation andliver damage

    Hyper motility andacidity of stomach

    Paralysis ofrespiratory system

    o Fisho Meato Eggso Whole grain

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    Vitamin B6 Pyridoxine

    - 1.3-1.5 mg (males)- 1.3-1.7 mg (females)

    Amino acid metabolism It catalyzes urea production Neurotransmitter synthesis Supplemented in anti-TB therapy

    as drugs complete with absorption

    of B6

    Headache Anemia Convulsion HEADACHE Nausea Peripheral Neuritis

    NERVEDESTRUCTION if

    given 3 gms/kg

    weight

    o Pork, fish, poultryo Liver, kidneyo Whole graino Spinach, broccolio High-protein foods

    Pathothenic acid

    - from everywhere orfrom all sides

    - Vitamin B5- 4-7 mg

    Co-enzyme of energy metabolism Fatigue Headache Nausea and vomiting

    Occasionally causesdiarrhea

    o Liver

    Vitamin C Ascorbic Acid

    - also known as anti-

    scorbutic vitamin

    - 75mg (female)- 90 mg (male)

    Required for absorption ANTIOXIDANT- prevents cell

    damage; causes collagen

    formation; affects health of teeth

    and gums

    Conversion of folic acid to folinicacid

    Healing of wounds Resistance against infection Prevents hemorrhages Prevents MEGALOBLASTIC

    ANEMIA

    Scurvy Poor wound healing Weakness Impaired immune response Pinpoint hemorrhage-

    petechial rashes

    Bleeding gums

    RARE- easilyexcreted

    >2g/Kg of weight cancause diarrhea,

    kidney stone

    formation and GI

    upsets

    o Citrus foodso Kamatsileo Kasoyo Guavao Orangeo Silio Mustasao Repolyoo COOKED: malunggay, gabi

    leaves, ampalaya leaves

    Folic Acid

    - Pteroylglutamic acid- Folate- Folacin- 400ug

    Important in the synthesis of DNA,protein metabolism and formation

    of hemoglobin

    Neural tube defect Spina bifida Mental confusion Anencephaly Glossitis, heartbun

    Masks Vit B12deficiency

    Uremiao Livero Glandular organso Legumeso Cereals

    Vtamin B 12 Cobalamin Folate metabolism Erythrocyte metabolism factor

    (EMF) - prevents pernicious

    anemia more appropriately called

    microcytic hyper chromic

    anemia

    - NERVE FUNCTION bec. Itmaintains the myelin sheath

    Pernicious Anemia Poor nerve function

    NONE o

    BIOTIN Co-enzyme in the synthesis of fattyacids and amino acids

    Nausea, anorexia, pallor Depression, dermatitis Increase serum cholesterol

    NOT DOCUMENTED o Liver, meat, milko Egg yolk, whole grain

    Major Minerals

    Calcium

    Bone and teeth formation Blood coagulation Rickets Osteomalacia Renal caculi o Dairy products, kesong putio Green-leafy vegtables, broccol

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    Nerve transmission Catalyst of biological reactions BP regulation

    Hypocalcemia - tetany Osteoporosis Stunting

    o Malunggay, saluyoto Kuhol, hipon, milko Talangka, sea weeds, Salmono Sardines w/ bones

    Sulfur

    - Water goes to wheresodium is

    - Major cationextracellular

    Co-factor of protein Energy metabolism NOT DOCUMENTED NOT DOCUMENTED All foods rich in protein

    Sodium Maintain fluid balance Acid-base balance Nerve impulse transmission

    Hyponatremia Vein collapse Hypotension, tachycardia Confusion (Lethargy)

    Hypernatremia Edema, hypertension Excitability &

    restleness

    Carrots Spinach Celery

    Chloride

    - Major anion extracellular Acid-base balance (Na/K) Formation of gastric juice Muscle cramps Poor appetite

    Poor growth in children Vomiting o Table salts

    Phosphorus BONES AND TEETHFORMATION

    Acid- base balance Component of coenzymes

    HYPOPHOSPHATEMIA Weakness Demineralization of bone

    HYPERPHOSPHATEMIA

    DOWAGERS

    HUMP depressed absorption

    of calcium

    Milk products Poultry, meat , eggs, nuts Legumes cheese

    Potassium (KALIUM) -

    major intracellular cation Maintains fluid and electrolyte

    balance

    Important for CHO and COOHmetabolism

    Muscle and nerve function

    HYPOKALE-MIA Muscle weakness Fatigue, confusion Cardiac irregularities Poor respiration

    HYPERKALEMIA Cardiac arrest Nerve damage

    o BANANAo FRUIT JUICEo Nuts, milko Legumes, PAPAYA

    Magnesium Component of co-enzyme Cellular metabolism Muscular contraction Increase the stability of calcium in

    tooth enamel

    HYPOMAGNESEMIA Weakness Growth failure Confusion

    HYPERMAG-NESEMIA

    Hypotension Arrhythmia Decrease tendonreflex Coma, diarrhea Renal insufficiency

    o Nuts, milk, meato Soybeans, cocoa, peaso Seafoodo Whole grainso Dried beanso Green- leafy vegetables

    Trace Minerals

    Iron

    - The most abundant trace

    element in the body.

    *60-75%-hemoglobin

    *5%- myoglobin

    *25%- liver, spleen, bone

    marrow (ferritin or

    hemosiderin)*5%- enzymes

    Carrier of oxygen needed forcellular respiration

    Necessary for hemoglobinformation

    Component of tissue enzymes*beta- carotene to Vit. A

    *oxidation of glucose to energy

    NUTRITIONAL ANEMIAOF MICROCYTIC TYPE

    HEMORRHAGIC ANEMIA PERNICIOUS ANEMIA MALABSORPTION

    ANEMIA

    Pallor, dizziness Easily fatigue, insomniaLack of appetite

    Hemosiderosis Hemochromatosis GI Upset

    HEMEo PORK LIVER (14mg/100gm.)o Enriched riceo Seafoodso Red meato Egg yolko Legumeso Green- leafy vegetables

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    Zinc Essential component of metallo-enzymes

    Growth factor Making of sperm Acceleration of wound healing and

    sense of taste

    Production of insulin Immune defense Blood health

    Growth failure Scaly dermatitis Reproductive failure Impaired immune function Taste and smell deficits

    ACUTE

    Nausea & vomiting DiarrheaCHRONIC Adversely affects

    copper metabolism

    Anemia Affects immune

    function

    o Meato Fisho Poultryo Whole grainso Cerealso breads

    Selenium

    *Selenium component of

    plant depends on the

    selenium level present in

    the soil

    Component of glutathioneperoxidase

    Antioxidant properties Works with Vitamin E

    NONE NONE - Organ and muscle meats- Dairy products- Whole grains- Garlic

    Manganese Helps regulate bone and mineralstatuscofactor

    Decrease growth rate of hair,bones and nails

    Muscle control loss Confusion

    Respiratory failure Arrhythmia Hypotension

    o NUTSo WHOLE GRAINSo Green- leafy vegetables

    Copper Works w/ iron and vitamin C Component of RBC -

    erythromycin

    HYPOCUPRE-MIAassociated with anemia,neutropenia, and leukopenia

    MENKEs disease

    HYPERCUPRE-MIA Wilsons disease

    o Organ meatso Oysterso Whole grainso Nuts, cherries

    Iodine Component of thyroid hormone-thyroxin

    Enlarged thyroid Weight gain CRETINISM (infant) MYXEDEMA (adult)

    THROTOXICOSIS- iodide goiter

    o SEAFOODS and iodized salt

    Molybdenum Integral part ofXanthine oxidase, Liver aldehyde

    oxidase, and Sulfur oxidase

    NONE GOUT likesymptoms

    o Legumes, Lean meatso Milk products, Whole grainso Dark-green leafy vegetables

    Cobalt Constituent of Vitamin B12 Normal functioning of all cells of

    bone marrow, nervous and

    gastrointestinal system

    Pernicious anemia POLYCYTHEMIA Goitrogenic effect o Liver, kidneyo Oyster, clams

    o Lean beefo Veal, poultry

    Chromium Metabolism of complexcarbohydrates

    Glucose intolerance Bronchial caner Corn oil, clams Whole grains, vegetables

    Fluoride Reduces dental carries andminimizing bone loss

    Dental fluorosis Crippling skeletalfluorosis

    Water, coffee, ordinary tea Soybeans, seafoods