Lecture 7c 21 October 2016

ABSORPTION AND TRANSPORT ADEK   ABSORPTION AND TRANSPORT carriers for both absorption and transport transport-lipoproteins in the blood

Vitamins do not fit into functional foods as per definition of functional foods since vitamins have “basic nutritional functions” “A functional food is similar in appearance to, or may be, a conventional food, is consumed as part of a usual diet, and is demonstrated to have physiological benefits and/or reduce the risk of chronic disease beyond basic nutritional functions” Health Canada Is the first statement correct?

VITAMINS AS NUTRACEUTICALS   supplementation only if diet does not supply enough or have secondary nutrient deficiencies that diet will not overcome e.g. -Vitamin K Elderly-low dietary intake of vitamin K, green leafy veggies deficit Elderly-antibiotic therapy often depletes Vitamin K producing bacteria

VITAMINS AS NUTRACEUTICALS CONTINUED   required if supplements apparently help with a particular disease however!-toxicity- especially with fat soluble vitamins

LDL’s content of beta-carotene and vitamin E dictate oxidation of LDL VITAMINS AS NUTRACEUTICALS CONTINUED HEART DISEASE   beta-carotene, vitamin E are antioxidants LDL’s content of beta-carotene and vitamin E dictate oxidation of LDL vitamin E - high (non-toxic) doses give decreased platelet function

VITAMINS AS NUTRACEUTICALS CONTINUED DIABETES   Beta-carotene, vitamin E are depleted in diabetes and this is believed to enhance low density lipoprotein oxidation which encourages atherosclerosis

VITAMINS AS NUTRACEUTICALS CONTINUED CANCER   Oxidation of e.g. DNA contributes to cancer and beta-carotene, vitamin E combats this oxidation

VITAMINS AS NUTRACEUTICALS CONTINUED OSTEOPOROSIS   Vitamin D and calcium supplements often given to elderly to overcome hormonally induced bone loss

VITAMINS AS NUTRACEUTICALS CONTINUED Coeliac disease   irritation of small intestine with gluten (a protein part of some grains) –immune response-inflammation-malabsorption Solutions a)eliminate –wheat, oats, barley and rye all of which contain gluten b) ADEK- supplement until heal(via gluten free and/or drugs)

Vitamins as nutraceuticals continued Burn patients   regular diet a problem vitamin A-important for skin and immune function

VITAMINS AS NUTRACEUTICALS CONTINUED SMOKERS   antioxidants –beta carotene and vitamin E -hypothesized to combat oxidising agents found in smoke

VITAMINS AS NUTRACEUTICALS CONTINUED PULMONARY DISEASE   Anti-oxidant vitamins-Beta-carotene and E if not sufficient in diet cause increased oxidation due to their antioxidant role

VITAMINS AS NUTRACEUTICALS CONTINUED CYSTIC FIBROSIS   fat soluble vitamins inadequately absorbed Vitamins ADEK supplementation via intravenous if necessary (pancreatic function is not able to work in this disease)

WHAT IS NEW IN FAT SOLUBLE VITAMIN RESEARCH ? Veronica Mocanu and Reinhold Vieth Three-year follow-up of serum 25-hydroxyvitamin D, parathyroid hormone, and bone mineral density in nursing home residents who had received 12 months of daily bread fortification with 125 mg of vitamin D3 Nutrition Journal 2013 12:137   “Once the need for vitamin D has been established, based on a low baseline serum 25(OH)D concentrations, the appropriate action is to maintain corrective vitamin D supplementation over the long term”