2. Fat soluble vitamins FACS 113 Susan Algert

3. Fat Soluble Vitamins Dissolve in organic solvents Not readily excreted and can cause toxicity Fat malabsorption can cause deficiency Transported like fat in chylomicrons, VLDL, LDL and other protein carriers

4. Vitamins Essential organic substances Yield no energy, but facilitate energy yielding reactions Will produce deficiency signs and symptoms if absent from the diet Fat soluble and water soluble

5. Forms of Vitamin A Preformed are retinyl esters retinoids (retinal retinol, retinoic acid) found in animal products

6. Provitamin A Carotenoids (beta carotene, alpha carotene, lutein, lycopene, zeaxanthin) Must be converted to retinoid form Found in plant products Most biologically active provitamin is beta carotene

7. Transport and Storage Liver stores 90% of vitamin A in the body Reserve is adequate for several months Transported from the liver as retinol via retinol binding protein to target tissue Caroteinoids can be transported via CM and VLDL Target cells contain intracellular retinol binding proteins

8. Vitamin A roles in the body Promotes vision (retinol) Supports protein synthesis and cell differentiation (retinoic acid) Night and color vision (retinal)

9. Cartenoids roles in the body Antioxidant Vision Cancer Heart disease

10. The visual cycle Cones in the retina Are responsible for vision under bright light Translate objects to color vision Rods in the retina responsible for vision in dim light translate objects in black and white vision

11. Cell health and maintenance Retinoic acid influences how the epithelial cells differentiate and mature Without vitamin A cells will not differentiate Leads to follicular hyperkeratosis

12. Growth and development Retinoic acid is necessary for cellular differentiation Retinoic acid triggers specific nuclear receptors in the DNA for differentiation Important

13. Food Sources Preformed Liver, fish oils, fortified milk, eggs half of vitamin A intake Proformed Dark leafy green, yellow, orange veggies; also half of vitamin A intake

14. Retinol Activity Equivalents 1 RAE = 1 ug retinol 12 ug beta corotene 24 ug of other vitamin A Precursor carotenoids

15. IU of vitamin A 0.3 ug retinol 3.6 ug beta carotene 7.2 ug of other vitamin A precursors

16. RDA for vitamin A 1000 RE for men 800 RE for women Average intake meets RDA No separate RDA for caroteniods

17. Vitamin A deficiency Less than 500 ugms per day Growth failure Infectious disease (diarrhea, measels) Night blindness Xeropthalmia keratinization

18. Toxicity Results from long term supplement use (3-10 X RDA or 15,000 ug RE) Large intake of vitamin A over long period of time bone./muscle pain, loss of appetite, skin disorders, headache, dry skin, hair loss Discontinue supplementation, possible permanent damage Hypercarotenemia from caroteinoids

19. Vitamin D Prohormone Derived from cholesterol Synthesis from sun exposure Insufficient sun exposure makes this an essential nutrient Activated by enzymes in the liver Deficiency can cause disease; rickets or osteomalacia

20. Functions of Vitamin D Calcitrol influences differentiation of cells Increased protein synthesis Stimulates calcium binding protein in the intestine Enhances calcium absorption in the intestine

21. Vitamin D role in bone formation Decreases calcium excretion in the kidney Causes Ca and Phos to deposit in the bones Strengthens bones Mobilizes calcium from bones depending on blood calcium level

22. Food sources Fatty fish such as salmon and herring Fortified milk Other fortified foods

23. Adequate intake of vitamin D 5 ug/day (200 IU) for adults 10-15 ug/day (400-500 IU) for over age 51 Casual sun exposure usually produces enough vitamin D Infants are born with sufficient D to last 9 months

24. Toxicity of vitamin D Regular intake of 5-10 x the AI can be toxic Results from excessive supplementation and not from sun exposure or milk consumption Overabsorption of calcium (hypercalcemia) and increased calcium excretion

25. Vitamin E Tocopherols and tocotrienols Tansported via chylomicrons Found concentrated in areas where fat is found

26. Antioxidant or redux agent Vitamin E is able to donate electron to oxidizing agent Protects the cells from attack by free radicals production is normal result of cell metabolism destructive to cell membrane

27. Functions of vitamin E Protects the double bonds in fat Role in iron metabolism Maintenance of nervous tissue and immune function

28. Food sources of vitamin E Plant oils and margarines Wheat germ Asparagus Dark green leafy vegetables Nuts and seeds

29. RDA for vitamin E 8 mg/day for women 10 mg/day for men Average intake meets RDA 1 mg vitamin E = 1.5 IU (from food source) = 1.0 IU (from synthetic source)

30. Deficiency Red blood cell fragility Neurological disorders affecting the spinal cord Anti aging vitamin?

31. Toxicity of vitamin E Supplements up to 800 IU is probably harmless TUL is 1 gm/day Inhibits vitamin K metabolism and anticoagulants

32. Vitamin K Phylloquinones and menaquinones are active forms Role in the coagulation process Calcium binding potential Formation of osteocalcin

33. ood sources of vitamin K Liver Green leafy vegetables Broccoli Peas Green beans Resistant to cooking losses Limited vitamin K stores in the body

34. Drug Interactions Anticoagluant Lessen blood clotting process Need to monitor vitamin K intake Antibiotics destroy intestinal bacteria inhibits vitamin K synthesis and absorption potential for excessive bleeding

35. RDA for vitamin K 60-65 mg/day for women 65-80 mg/day for men RDA is met by most people Excess vitamin A and E interfere with K Newborns are injected with vitamin K Toxicity unlikely; readily excreted Deficiency leads to bleeding/ hemmorhage