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139 Cards in this Set

  • Front
  • Back
What is bioavailability?
The rate and the extent to which a nutrient is absorbed.
What is a precursor?
Compounds that can be converted into active vitamins. AKA: previtamins; Substances that precede others.
What are the differences between water and fat soluble vitamins?
Water soluble vitamins go to the kidneys; fat soluble vitamins are long chain fatty acids that go through the lymph system to the heart and liver.
What is Beriberi and where was it first observed?
It is a deficiency in Thiamin and was observed in Indonesia.
Which deficiency disease caused widespread misery and caused some 87,000 deaths in the US South?
Pellagra; a niacin deficiency disease. Symptoms include diarrhea, dermititis, dementia and eventually death. (symptoms are often called the 4 D's).
What kind of diet caused this to happen?
Low protein diet centered around corn.
Which water soluble vitamins can be produced in the body?
Biotin is made from the bacteria in the GI tract; Niacin by way of the tryptophan-niacin conversion.
Which water soluble vitamin prevents neural tube defects?
Folate; folic acid.
Which vitamin requires an intrinsic factor for absorption in the small intestine?
B-12
What is atrophic gastritis?
B-12 deficiency.
What is pernicious anemia?
B-12 deficiency.
What is scurvy?
Vitamin C deficiency; 10 mg of vitamin C daily will prevent this from happening.
What is the vitamin related cause of night-blindness?
Vitamin A deficiency.
What is xeropthamalia?
Total blindness; corneal deteriation.
Which fat soluble vitamins and precursors serve as anti-oxidants?
Vitamin E and beta carotene, the precurser to Vitamin A.
What is rickets?
Vitamin D deficiency in children.
What is osteomalacia?
Vitamin D deficiency in adults.
Which fat soluble vitamins can be produced by the body?
Vitamin D from body cholesterol or 10 minutes in sunlight each day. Vitamin K by bacteria in GI tract. Vitamin A is rich in the pre cursor beta carotene which transfers in to Vitamin A.
How is hemorrhagic disease prevented in newborns?
Dose of vitamin K in foot for clotting.
Blood volume regulation:
1) ADH causes water retention

2) Renin causes sodium retention.

3) Angiotensin constricts blood vessels.

4) Aldosterone causes sodium retention.
Water constitutes what portion of an adults weight?
60%
Name the functions of water in the body?
Maintains blood volume, carries nutrients and waste products throughout the body.
Should you wait until you are thirsty to drink water? Why or why not?
No, if so, you are already dehydrated.
What is dehydration?
When the body's water output exceeds water intake. Symptoms are: thirst, dry skin and mucous membranes, rapid heartbeat, low blood pressure and weakness.
What are some ways water is lost from the body?
Sweat, feces, urine, lungs (talking, you lose vapor).
How does the body regulate blood volume?
Kidneys reabsorb water and excrete waste and water. Kidneys adjust volume and concentration, to accomodate changes in the body.
What is antidiuretic hormone?
ADH; a hormone produced by the pituitary gland in response to dehydration (or a high sodium concentration in the blood). It stimulates the kidneys to reabsorb more water and prevents water loss in urine (vasopressis).
What is angiotensin?
A hormone involved in blood pressure regulation; constricts blood volume. It's precursor protein is called antiotensinogen. It's activated by renin, an enzyme from the kidneys.
What is a vassoconstrictor?
A substance that constricts or narrows the blood vessels.
What is aldosterone?
A hormone secreted by the adrenal glands that regulates blood pressure by increasing the reabsorption of sodium by the kidneys. Also regulates chloride and potassium concentration.
What are major minerals?
Essential mineral nutrients found in the human body in amounts larger than 5g. Also called macrominerals.
What is osteoporosis?
A disease in which the bones become porous and fragile due to a loss of minerals; also called adult bone loss. Osteo-bone, porosis-porous. This is termed "the disease of the young", not the old. Calcium goes to your blood first, then your bones.
What are trace minerals?
Essential minerals are nutrients found in the human body in amounts smaller than 5g. AKA as microminerals.
How much trace minerals do we need?
Hardly enough to fill a teaspoon.
Body's iron is found in what two proteins?
Hemoglobin-red blood cells and myoglobin-in muslces.
How is iron absorbed into the body?
Mucosal transferrin.
What is pica?
A craving for a non food substance. Geophagia is the specific craving of clay/dirt. Pagophagia refers to an ice craving.
Can a cast iron skillet absorb into the blood?
Yes, it leaches into the food.
Iron depends on what vitamins to keep its active form?
Vitamin C.
Zinc is needed to activate and transport what vitamin?
Vitamin A
Thyroid hormone synthesis relies on what two minerals?
Selenium & Iodine.
What are the heavy metals?
Mineral ions such as mercury, lead and cadmium are called heavy metals because they are of relatively high atomic weight. Many of them are poisonous.
Can heavy metals enter the body?
Yes. Through food supplied from contaminated soil, fish or paint.
What is/are the symptoms of lead toxicity?
Brain damage; it competes with iron and calcium. Interacts with white blood cells which makes it unable to fight infection and disease.
Water soluble vitamins:
1) Absorb directly into the blood.
2) Travel freely.
3) Kidneys detect excess and remove in urine.
4) Possible toxicity.
5) Need these every 1-3 days.

Function: *coenzymes in energy metabolism and some structural roles (i.e. red blood cell production).
Fat soluble vitamins:
1) Absorb into lymph.
2) May require protein carriers.
3) Stored in fate cells.
4) Less readily excreted.
5) Less likely to reach toxic levels.
6) Need less of them.

Function: *involved in structure only (i.e. vision, bones, blood clotting).
Fat soluble vitamins: DEAK
Vitamin A
AKA: retinol, retinoic acid (precursor to beta carotene).
-antioxidant
-90% of vitamin A is stored in the liver
-vision/skin/bone/teeth reproduction
-protein synthesis of cell
-milk, cheese, butter, eggs dark leafy veggies
-xerophthalmia (total blindness), night blindness,
-toxicity: hypovitaminosis A, slowed clotting, joint pain, stunted growth, weight loss, diarrhea, loss of appetite
Vitamin D:
Precurser to the bodys choleserol
-mineralization of bones
-made in the liver, from your bodys own cholesterol
-sunlight (10 minutes)
-fortified milk, liver, meats
-deficiency; ricketss in kids; osteomalacia in adults
-toxicity: calcium imbalance and calcification of soft tissue.
Vitamin E:
AKA: Alpha tocopherol
-easily destroyed by oxygen
-antioxidant
protection of PUFA and vitamin A
-veg oils, leafy green veggies and seeds
-deficiency: red blood cell breakage-erythrocyte hemolysis/nerve damage.
-toxicity: augments the effects of anticlotting medication.
Vitamin K:
AKA: phylloquinine
-blood clotting proteins and bone proteins
-body makes this from bacteria in GI tract
-measured in mg's, you need so little
-dark leafy vegetables, milk, liver
-deficiency: hemorrage.
Water soluble vitamins:
Vitamin C
AKA ascorbic acid
RDA: 75-90 mg + 35 extra if you are a smoker (you need 10mg to prevent scurvy).
-helps to absorb ironde
-destroyed in heat and by oxygen
-antioxidant (helps in amino acid metabolism absorption or iron and collagen production.
-Helps build resistance to infection.
-deficiency, scurvy (10mg to prevent)
-small cell anemia
Vitamin B12:
AKA cobalamin
-easily destroyed in microwave cooking
-coenzymes and new cell synthesis
-helps maintain nerve cells
-animals, fish, soft shell seafood, fortified milk
-activates folate
-deficiency: prenicious anemia, fatigue.
-atrophic gastritious if you lack intrinsic factor
-no toxicity
Vitamin B6:
AKA pridoxal
-coenzyme in amino fatty acid
-helps make red blood cells
convert tryptophan in body to seratonin and niacin
-meat, fish, poultry
-hypochroinc anemia (micro), scaly dermititis
-toxicity: nerve damage
Folate:
AKA folic acid
-easily destroyed by heat and oxygen
-DNA synthesis and new cell formation
-fortified foods (cereals, breads) dark leafy veggies, seeds, legumes
-prenious anemia (macro)
-smooth red tongue; glossitis
-in pregnant women, deficiency: neural tube defect
-toxicity: it masks B12
Niacin:
AKA: B3
-tryptophan is a precursor to niacin
-NE stands for niacin equivilant
-heat resistant
-all protein foods
-you make tryptophan from glucose, fat and alcohol in your body
-pallegra is deficiency caused by a high corn diet
-toxicity is "niacin blush"
Thiamin:
AKA: B1
-destroyed by heat
-coenzyme in energy metabolism
-almost all foods
-severe deficiency is called Beriberi
-no toxicity
-no symptom of deficiency necessary
Riboflavin:
-mostly in milk products
-easily destroyed by ultraviolet light
-coenzymes in energy metabolism
-riboflavinosis is deficiency
-no toxicity
Pantothenic Acid:
AKA: B5
-destroyed by food processing, freezing and refining
-coenzyme A in energy metabolism
-organ meats
-hypoglycemic sensitivity to insulin
-restlessness, irritability, depression
-numbness, muscle cramps, vomitting, nausea, stomach cramps, apathy, fatigue
-burning feet syndrome
-no toxicity
Biotin:
-coenzyme metabolism from TCA cycle
-organ meat, egg yolk, soy beans
-depression, lethargy, red scaly rash near eyes
-no toxicity
Choline:


*Also Insotol and Carnatine*
-function needed to synthesize acetyl choline and lecithin
-milk, liver, eggs, peanuts
-deficiency: liver damage
-toxicity: low blood pressure and liver damage

Insotol and Carnatine: from glucose it's a non essential nutrient made in the body from the amino acid lycene.
Major minerals: CCPPSSM
Charlie can't play pool Saturday Sunday Monday:

Calcium
Chloride
Phosphorous
Potassium
Sodium
Sulfate
Magnesium
Calcium:
-mineralization of bones and teeth
-muscle contraction and relaxation
-nerve functioning
-blood clotting
-blood pressure
-it goes to blood first and blood second
-milk and milk products, small fish w/ bones, legumes, greens and calcium set tofu
-deficiency: stunted growth in children, bone loss in adults (osteoporosis)
-toxicity: constipation, kidney stones and dysfunction, interference with absorption of iron.
Chloride:
-maintain normal fluid and electrolyte balance
-part of hydrochloric acid found in the stomach
-necessary for proper digestion (w/ sodium and potassium)
-table salt, soy sauce, meats, milks, eggs, processed foods
-deficiency: none
-toxicity: vomitting
Phosphorus:
-mineralization of bones and teeth
-part of every cell
-important in RNA and DNA
-part of phospholipids
-used in energy transfer and buffer systems that maintain acid base balance
-2nd in bones and teeth after DNA calcium
-all animal tissue,
-deficiency: muscular weakness, bone pain
-toxicity: calcification of non skeletal tissues, particularly kidneys (low blood calcium levels)
Potassium:
-maintains normal fluid and electrolyte balance
-facilitates many reactions
-supports cell integrity
-assists in nerve impulse transmission and muscle contractions
-all whole foods, meats, milks, fruits and veggies, grains and legumes
-deficiency: irregular heart beat, muscle weakness, glucose intolerance (low potassium=high blood pressure), high potassium corrects hypertension
-toxicity: muscle weakness, vomitting, if given in a vein it can stop the heart
Sodium:
-maintains normal fluid and electrolyte balance
-assists in nerve impulse transmission and muscle contraction
-maintains acid base balance
-table salt, soy sauce, meats, milk, bread, vegetables and processed foods
-deficiency: muscle cramps, mental apathy, loss of appetite (this is rare, it's caused by dehydration. Too little sodium in the blood. hyponatremia-water toxicity.
-edema, acute hypertension (high blood pressure). Good blood pressure is 120/80.
Sulfate:
AKA Sulfur
-functions as parts of proteins
-stabilizes their shape by forming disulfide bridges
-part of vitamin biotin and thiamin and hormone insulin
-all protein containing foods
-no deficiency or toxicity
Magnesium:
-bone mineralization
-bldg of protein
-enzyme action
-normal muscle contraction
-maintenance of teeth
-nerve impulse transmission
-functioning of immune system
-ATP; energy metabolism
-nuts, legumes, whole grain, dark leafy vegetables, seafood, chocolate, cocoa, tofu
-deficiency: weakness, confusion, convulsions, bizarre muscle movement, hallucinations, difficulty swallowing (in a child, growth failure)
-toxicity: diarrhea, dehydration, alkalosis (rare: from none food souces)
Trace Minerals: ICCMMSZIF
I can't meet Suzie in Zimbabwae for many centuries.

Iron
Copper
Manganese
Selenium
Iodine
Zinc
Fluoride
Molybdeum
Chromium
Iron:
-part of protein hemoglobin; myoglobin
-necessary for the utilization of energy as a part of cells metabolic machinery
-red meats, fish, poultry, shellfish, eggs, legumes, dried fruits
-deficiency: anemia, impaired immunity, pale skin, concave nails, inability to regulate body temp, pica
-toxicity: GI distress, iron overload, infections, joint pain, fatigue, skin pigmentation, organ damage
Copper:
-necessary for absorption and use of iron in the formation of hemoglobin. Part of several enzymes.
-seafood, nuts, whole grains, seeds and legumes
-deficiency: anemia, bone abnormalities
-toxicity: liver damage
Chromium:
-enhances insulin action and may improve glucose tolerance
-meats, whole grains, brewers yeast
-deficiency: a diabetes-like condition
-no toxicity
Manganese:
-co factor for several enzymes
-bone formation
-nuts, whole grains, leafy veggies, tea
-deficiencies are rare
-toxicity: nervous system disorders
Molybdenum:
-co factor for several enzymes
-legumes, cerals, nuts
-deficiencies are unknown
-no toxicities
Selenium:
-defends against oxidation
-regulates thyroid hormone
-seafood, meat, whole grains, fruits and veggies
-deficiency: predisposition to heart disease
-toxicity: loss and brittleness of hair and nails, skin rash, fatigue, irritability, nervous system disorders, garlic breath odor
Zinc:
-part of many enzymes
-assoc. with the hormone insulin
-involved in making genetic materials and proteins (DNA)
-making immune reactions
-transport of vitamin A
-taste perception
-wound healing
-sperm
-normal development of the fetus
-protein containing food
-deficiency: growth retardation, delayed sexual maturation, impaired immune function, hair loss, eye and skin lesions, loss of apetite, low HDL, copper and iron deficiency
Fluoride:
-maintains health of bones and teeth, helps to make teeth resistant to decay
-drinking water, tea, seafood (oysters)
-deficiency: susceptibility to tooth decay
-toxicity: fluorosis
Water:
-carries nutrients & waste products
-maintains structure of large molecules
-acts as a lubricant
-aids in temperature regulation
-maintains blood volume

sources: liquids, foods, metabolic reactions

losses: kidneys, skin, lungs, GI tract
Some odd facts:
Hemostasis is balance.

Hard water is best for drinking, it has more calcium and magnesium.

Soft water has too much potassium and sodium.

Bone health: vitamins A, D and K.

Fat soluble vitamin excesses are stored in the liver and adipose (fat) tissue.

Vitamin A is needed for bones to grow in length.

Vitamin E needs vary with a persons intake of polyunsaturated fats (this is put in cooking oils).

Vitamin K is necessary for normal blood clotting.

Vitamin D can be made in the body (along with K and A).

B vitamins function as co-enzymes.

B12 can be lacking in strict vegetarians (B12 is found in meat).

Riboflavin in found in milk.
What is ferritin?
Iron storage protein
What is tranferrin?
Iron transport protein
What factors enhance nonheme iron absorption?
Vitamin C (ascorbic acid), MFP factor (meat, fish, poultry)

*anywhere that's not in your blood*
What factors inhibit nonheme iron absorption?
Legumes, grains, rice, phytates, vegetable proteins, calcium and tannic acid (tea and coffee).

*anywhere that's not in your blood*
The most common result of trace mineral deficiencies in children are:
Failure to grow and thrive
What is iron overload?
Hemochromatosis (toxicity excess of iron in blood).
Large doses of iron supplements could cause:
Vomitting, diarrhea, constipation, nausea; also a side effect of GI stress.
Growth retardation and sexual maturation are deficiencies of:
Zinc
What is an essential component of the thyroid hormone?
Iodine
What are the key antioxidant nutrients?
Vitamin E, beta carotene, Vitamin C, selenium
What are the key bone nutrients?
Calcium, phosphorus, fluoride, magnesium, A, D & K.
The chief function in the body is it enhances insulin action and may improve glucose tolerance. Who am I?
Chromium
What are the five other trace minerals?
Nickel, silicon, cobalt, vandeum, boron.
Containment minerals include the heavy metals, which are:
Lead, mercury and cadmium. These are found in the water, ground and in air pollution.
What depends on Vitamin C to keep its active form and copper to incorporate it into hemoglobin?
Iron
What is needed to activate and transport Vitamin A?
Zinc (a-zinc)
What is needed for the synthesis of thyroid hormone?
Iodine and selenium
Who is high risk for iron deficiency?
Pregnant women, children, women in reproductive years, teenagers.
To maintain water balance, intake from liquids, foods and metabolism must equal losses from the:
Skin, GI tract, lungs, kidneys.
In response to low blood volume, low blood pressure, or highly concentrated body fluids, these actions combine to effectively restore hemostasis (balance):
ADH retains water

Renin retains sodium

Angitensin constricts blood vessels

Aldosterone causes sodium retention
The most studied carotinoids are:
Beta carotene
What are the key fluid balance nutrients?
Potassium, sodium and chloride
What do most buffers do?
Maintain acid/base balance in body.
My food sources include milk and milk products, small fish (with bones), tofu and bok choy.
Calcium
My food sources include animal tissue, tofu, sunflower seeds, cottage cheese and milk.
Phosphorus
Aldosterone secretion stimulates:
Sodium retention
When calcium intake is inadequete, blood calcium remains normal, but at the expense of bone loss, which can lead to:
Osteroporosis
What is the RDA for Iron?
Men 8mg, women 18mg; after 51, women only need 8.
What are the key members of nutrients that direct nerve impulse transmission, muscle contraction and regulatin blood pressure? (5)
Calcium, sodium, potassium, chloride, magnesium.
What nutrients are involved in glucose, fatty acids, amino acids and the vitamins?
Phosphorous and magnesium.
Why are the fat soluble vitamins at a greater risk for toxicity than that of the water soluble vitamins.
They are not readily excreted.
Fat soluble vitamins travel through the:
Lymph system/blood stream.
Excesses of fat soluble vitamins are primarily stored in the:
Liver and adipose tissue.
My food sources include fortified milk and margarine, deep orange fruits and vegetables.
Vitamin A (beta carotene).
My precursor is the body's own cholesterol.
Vitamin D
I am made in the body, 1/2 from bacterial synthesis in the digestive tract and 1/2 in the liver. I am a good source of green leafy vegetables as well.
Vitamin K
What vitamins are easily destroyed by heat?
Thiamin, B6.
What vitamins are easily destroyed by ultraviolet light and radiation?
Riboflavin (milk in plastic container).
What vitamins leach into cooking water?
Niacin.
What vitamins are easily destroyed by food processing?
Pantothenic acid.
Non B vitamins:
Choline, Insodol, Carnatine.
If you have over 3500mg of this vitamin, you can have adverse effects?
Vitamin C
What vitamins are easily destroyed by microwave cooking?
B12
What vitamins are easily destroyed by heat and oxygen?
E, folate, Vitamin C.
What two vitamins are closely related?
B12, folate.
What two vitamins are required for the conversion of tryptophan to niacin?
B6, riboflavin.
What vitamin enhances iron absorption?
Vitamin C
What vitamin deficiency causes a calcium deficiency?
Vitamin D
What vitamin protects polyunsaturated fatty acids and Vitamin A?
Vitamin E
Zinc is required for the synthesis of what vitamins transport protein?
Vitamin A (a-zinc)
Toxicity for Niacin?
Niacin flush: hives, flush, rash on arms and chest.
Neuro tube defect:
Folate deficiency.
Small cell anemia symptom?

Large cell anemia sympton?
B6

B12
Vitamin A is needed to grow?
Long bones.
Water input:
1450-2800 (liquids, food, metabolic water, condensation).
The only way minerals can be destroyed is by?
Leaching in the water.
Intrinsic factor:
A glycoprotein (short polysacchride chains attached) secreted by the stomach cells than binds with vitamin B12 in small intestine to aid absorption of B12.
Nickel, silicon, boron, cobalt and vandeum:
Nickel may serve as a cofactor for certain enzymes.

Silicon is involved in the formation of bones and collagen.

Boron plays a key role in brain activities in animals; strengthens bones.

Vandeum is necesssay for growth and bone development; for normal reproduction.
Adequate intake (AI) water is:
3.7 liters per day for men &
2.7 liters per day for women.
You lose water (water output) from:
Skin, GI tract, lungs and kidneys.