Vitamin: Difference between revisions
Line 346: | Line 346: | ||
[[Dietary supplement]]s, often containing vitamins, are used to ensure that adequate amounts of nutrients are obtained on a daily basis, if optimal amounts of the nutrients cannot be obtained through a varied diet. Scientific evidence supporting the benefits of some vitamin supplements is well established for certain health conditions, but others need further study.<ref name= Sup>[http://dietary-supplements.info.nih.gov/Health_Information/ODS_Frequently_Asked_Questions.aspx Use and Safety of Dietary Supplements] NIH office of Dietary Supplements.</ref> In some cases, vitamin supplements may have unwanted effects, especially if taken before surgery, with other dietary supplements or medicines, or if the person taking them has certain health conditions.<ref name= Sup/> Dietary supplements may also contain levels of vitamins many times higher, and in different forms, than one may ingest through food.<ref name="Higdon">Higdon, Jane [http://lpi.oregonstate.edu/infocenter/vitamins/vitaminE/ Vitamin E recommendations at Linus Pauling Institute's Micronutrient Information Center]</ref> |
[[Dietary supplement]]s, often containing vitamins, are used to ensure that adequate amounts of nutrients are obtained on a daily basis, if optimal amounts of the nutrients cannot be obtained through a varied diet. Scientific evidence supporting the benefits of some vitamin supplements is well established for certain health conditions, but others need further study.<ref name= Sup>[http://dietary-supplements.info.nih.gov/Health_Information/ODS_Frequently_Asked_Questions.aspx Use and Safety of Dietary Supplements] NIH office of Dietary Supplements.</ref> In some cases, vitamin supplements may have unwanted effects, especially if taken before surgery, with other dietary supplements or medicines, or if the person taking them has certain health conditions.<ref name= Sup/> Dietary supplements may also contain levels of vitamins many times higher, and in different forms, than one may ingest through food.<ref name="Higdon">Higdon, Jane [http://lpi.oregonstate.edu/infocenter/vitamins/vitaminE/ Vitamin E recommendations at Linus Pauling Institute's Micronutrient Information Center]</ref> |
||
There have been mixed studies on the importance and safety of dietary supplementation. A [[meta-analysis]] published in 2006 suggested that Vitamin A and E supplements not only provide no tangible health benefits for generally healthy individuals but may actually increase mortality, although two large studies included in the analysis involved [[tobacco smoking|smokers]], for whom it was already known that [[beta-carotene]] supplements can be harmful.<ref>{{cite journal |doi=10.1001/jama.297.8.842 |title=Mortality in Randomized Trials of Antioxidant Supplements for Primary and Secondary Prevention: Systematic Review and Meta-analysis |year=2007 |last1=Bjelakovic |first1=Goran |journal=JAMA |volume=297 |issue=8 |pmid=17327526 |pages=842–57 |last2=Nikolova |first2=D |last3=Gluud |first3=LL |last4=Simonetti |first4=RG |last5=Gluud |first5=C}}</ref><ref>{{cite journal |doi=10.1001/jama.298.4.401-a |title=Antioxidant Supplements and Mortality |year=2007 |journal=JAMA |volume=298 |issue=4 |pages=400}}</ref><ref>{{cite journal |doi=10.1001/jama.298.4.402 |title=Antioxidant Supplements and Mortality—Reply |year=2007 |journal=JAMA |volume=298 |issue=4 |pages=400}}</ref> Another study published in May 2009 found that antioxidants such as vitamins C and E may actually curb some benefits of exercise.<ref>{{cite news| url=http://www.nytimes.com/2009/05/12/health/research/12exer.html?em=&pagewanted=print|work=The New York Times|title=Vitamins Found to Curb Exercise Benefits|first=Nicholas|last=Wade|date=12 May 2009|accessdate=9 April 2010}}</ref> While other findings suggest that evidence of Vitamin E toxicity is limited to specific form taken in excess.<ref name="Tocotrienols: Vitamin E beyond tocopherols.">{{cite journal |doi=10.1016/j.lfs.2005.12.001 |title=Tocotrienols: Vitamin E beyond tocopherols |year=2006 |last1=Sen |first1=Chandan K. |last2=Khanna |first2=Savita |last3=Roy |first3=Sashwati |journal=Life Sciences |volume=78 |issue=18 |pages=2088–98 |pmid=16458936 |pmc=1790869}}</ref> A double-blind trial published in 2011 found that vitamin E increases the risk of prostate cancer in healthy men.<ref>{{cite journal |doi=10.1001/jama.2011.1437 |title=Vitamin E and the Risk of Prostate Cancer: The Selenium and Vitamin E Cancer Prevention Trial (SELECT) |year=2011 |last1=Klein |first1=Eric A. |journal=JAMA |volume=306 |issue=14 |pages=1549–56 |pmid=21990298 |last2=Thompson Jr |first2=IM |last3=Tangen |first3=CM |last4=Crowley |first4=JJ |last5=Lucia |first5=MS |last6=Goodman |first6=PJ |last7=Minasian |first7=LM |last8=Ford |first8=LG |last9=Parnes |first9=HL}}</ref> |
There have been mixed studies on the importance and safety of dietary supplementation. A [[meta-analysis]] published in 2006 suggested that Vitamin A and E supplements not only provide no tangible health benefits for generally healthy individuals but may actually increase mortality, although two large studies included in the analysis involved [[tobacco smoking|smokers]], for whom it was already known that [[beta-carotene]] supplements can be harmful.<ref>{{cite journal |doi=10.1001/jama.297.8.842 |title=Mortality in Randomized Trials of Antioxidant Supplements for Primary and Secondary Prevention: Systematic Review and Meta-analysis |year=2007 |last1=Bjelakovic |first1=Goran |journal=JAMA |volume=297 |issue=8 |pmid=17327526 |pages=842–57 |last2=Nikolova |first2=D |last3=Gluud |first3=LL |last4=Simonetti |first4=RG |last5=Gluud |first5=C}}</ref><ref>{{cite journal |doi=10.1001/jama.298.4.401-a |title=Antioxidant Supplements and Mortality |year=2007 |journal=JAMA |volume=298 |issue=4 |pages=400}}</ref><ref>{{cite journal |doi=10.1001/jama.298.4.402 |title=Antioxidant Supplements and Mortality—Reply |year=2007 |journal=JAMA |volume=298 |issue=4 |pages=400}}</ref> Another study published in May 2009 found that antioxidants such as vitamins C and E may actually curb some benefits of exercise.<ref>{{cite news| url=http://www.nytimes.com/2009/05/12/health/research/12exer.html?em=&pagewanted=print|work=The New York Times|title=Vitamins Found to Curb Exercise Benefits|first=Nicholas|last=Wade|date=12 May 2009|accessdate=9 April 2010}}</ref> While other findings suggest that evidence of Vitamin E toxicity is limited to specific form taken in excess.<ref name="Tocotrienols: Vitamin E beyond tocopherols.">{{cite journal |doi=10.1016/j.lfs.2005.12.001 |title=Tocotrienols: Vitamin E beyond tocopherols |year=2006 |last1=Sen |first1=Chandan K. |last2=Khanna |first2=Savita |last3=Roy |first3=Sashwati |journal=Life Sciences |volume=78 |issue=18 |pages=2088–98 |pmid=16458936 |pmc=1790869}}</ref> A double-blind trial published in 2011 found that vitamin E increases the risk of prostate cancer in healthy men.<ref>{{cite journal |doi=10.1001/jama.2011.1437 |title=Vitamin E and the Risk of Prostate Cancer: The Selenium and Vitamin E Cancer Prevention Trial (SELECT) |year=2011 |last1=Klein |first1=Eric A. |journal=JAMA |volume=306 |issue=14 |pages=1549–56 |pmid=21990298 |last2=Thompson Jr |first2=IM |last3=Tangen |first3=CM |last4=Crowley |first4=JJ |last5=Lucia |first5=MS |last6=Goodman |first6=PJ |last7=Minasian |first7=LM |last8=Ford |first8=LG |last9=Parnes |first9=HL}}</ref> The conflict of interest section reveals that this study has ties to the ambitions of the pharmaceutical companies Merck, Pfizer, Sanofi-Aventis, AstraZeneca, Abbott, GlaxoSmithKline, Janssen, Amgen, Firmagon, and Novartis. |
||
===Governmental regulation of vitamin supplements=== |
===Governmental regulation of vitamin supplements=== |
Revision as of 05:28, 16 December 2012
![](http://upload.wikimedia.org/wikipedia/commons/thumb/6/66/B_vitamin_supplement_tablets.jpg/300px-B_vitamin_supplement_tablets.jpg)
A vitamin (US: /ˈvaɪtəmɪn/ or UK: /ˈvɪtəmɪn/) is an organic compound required by an organism as a vital nutrient in limited amounts.[1] An organic chemical compound (or related set of compounds) is called a vitamin when it cannot be synthesized in sufficient quantities by an organism, and must be obtained from the diet. Thus, the term is conditional both on the circumstances and on the particular organism. For example, ascorbic acid (vitamin C) is a vitamin for humans, but not for most other animals, and biotin and vitamin D are required in the human diet only in certain circumstances. By convention, the term vitamin does not include other essential nutrients such as dietary minerals, essential fatty acids, or essential amino acids (which are needed in larger amounts than vitamins), nor does it encompass the large number of other nutrients that promote health but are otherwise required less often.[2] Thirteen vitamins are universally recognized at present.
Vitamins are classified by their biological and chemical activity, not their structure. Thus, each "vitamin" refers to a number of vitamer compounds that all show the biological activity associated with a particular vitamin. Such a set of chemicals is grouped under an alphabetized vitamin "generic descriptor" title, such as "vitamin A", which includes the compounds retinal, retinol, and four known carotenoids. Vitamers by definition are convertible to the active form of the vitamin in the body, and are sometimes inter-convertible to one another, as well.
Vitamins have diverse biochemical functions. Some have hormone-like functions as regulators of mineral metabolism (e.g., vitamin D), or regulators of cell and tissue growth and differentiation (e.g., some forms of vitamin A). Others function as antioxidants (e.g., vitamin E and sometimes vitamin C).[3] The largest number of vitamins (e.g., B complex vitamins) function as precursors for enzyme cofactors, that help enzymes in their work as catalysts in metabolism. In this role, vitamins may be tightly bound to enzymes as part of prosthetic groups: For example, biotin is part of enzymes involved in making fatty acids. Vitamins may also be less tightly bound to enzyme catalysts as coenzymes, detachable molecules that function to carry chemical groups or electrons between molecules. For example, folic acid carries various forms of carbon group – methyl, formyl, and methylene – in the cell. Although these roles in assisting enzyme-substrate reactions are vitamins' best-known function, the other vitamin functions are equally important.[4]
Until the mid-1930s, when the first commercial yeast-extract vitamin B complex and semi-synthetic vitamin C supplement tablets were sold, vitamins were obtained solely through food intake, and changes in diet (which, for example, could occur during a particular growing season) usually greatly altered the types and amounts of vitamins ingested. However, vitamins have been produced as commodity chemicals and made widely available as inexpensive semisynthetic and synthetic-source multivitamin dietary and food supplements and additives, since the middle of the 20th century.
The term vitamin was derived from "vitamine," a compound word coined in 1912 by the Polish biochemist Kazimierz Funk[5] when working at the Lister Institute of Preventive Medicine. The name is from vital and amine, meaning amine of life, because it was suggested in 1912 that the organic micronutrient food factors that prevent beriberi and perhaps other similar dietary-deficiency diseases might be chemical amines. This proved incorrect for the micronutrient class, and the word was shortened to vitamin.
History
Year of discovery | Vitamin | Food source |
---|---|---|
1913 | Vitamin A (Retinol) | Cod liver oil |
1910 | Vitamin B1 (Thiamine) | Rice bran |
1920 | Vitamin C (Ascorbic acid) | Citrus, most fresh foods |
1920 | Vitamin D (Calciferol) | Cod liver oil |
1920 | Vitamin B2 (Riboflavin) | Meat, eggs |
1922 | (Vitamin E) (Tocopherol) | Wheat germ oil, unrefined vegetable oils |
1926 | Vitamin B12 (Cobalamins) | liver, eggs, animal products |
1929 | Vitamin K1 (Phylloquinone) | Leafy green vegetables |
1931 | Vitamin B5 (Pantothenic acid) | Meat, whole grains, in many foods |
1931 | Vitamin B7 (Biotin) | Meat, dairy products, eggs |
1934 | Vitamin B6 (Pyridoxine) | Meat, dairy products |
1936 | Vitamin B3 (Niacin) | Meat, eggs, grains |
1941 | Vitamin B9 (Folic acid) | Leafy green vegetables |
The value of eating a certain food to maintain health was recognized long before vitamins were identified. The ancient Egyptians knew that feeding liver to a person would help cure night blindness, an illness now known to be caused by a vitamin A deficiency.[6] The advancement of ocean voyages during the Renaissance resulted in prolonged periods without access to fresh fruits and vegetables, and made illnesses from vitamin deficiency common among ships' crews.[7]
In 1747, the Scottish surgeon James Lind discovered that citrus foods helped prevent scurvy, a particularly deadly disease in which collagen is not properly formed, causing poor wound healing, bleeding of the gums, severe pain, and death.[6] In 1753, Lind published his Treatise on the Scurvy, which recommended using lemons and limes to avoid scurvy, which was adopted by the British Royal Navy. This led to the nickname Limey for sailors of that organization. Lind's discovery, however, was not widely accepted by individuals in the Royal Navy's Arctic expeditions in the 19th century, where it was widely believed that scurvy could be prevented by practicing good hygiene, regular exercise, and maintaining the morale of the crew while on board, rather than by a diet of fresh food.[6] As a result, Arctic expeditions continued to be plagued by scurvy and other deficiency diseases. In the early 20th century, when Robert Falcon Scott made his two expeditions to the Antarctic, the prevailing medical theory was that scurvy was caused by "tainted" canned food.[6]
During the late 18th and early 19th centuries, the use of deprivation studies allowed scientists to isolate and identify a number of vitamins. Lipid from fish oil was used to cure rickets in rats, and the fat-soluble nutrient was called "antirachitic A". Thus, the first "vitamin" bioactivity ever isolated, which cured rickets, was initially called "vitamin A"; however, the bioactivity of this compound is now called vitamin D.[8] In 1881, Russian surgeon Nikolai Lunin studied the effects of scurvy while at the University of Tartu in present-day Estonia.[9] He fed mice an artificial mixture of all the separate constituents of milk known at that time, namely the proteins, fats, carbohydrates, and salts. The mice that received only the individual constituents died, while the mice fed by milk itself developed normally. He made a conclusion that "a natural food such as milk must therefore contain, besides these known principal ingredients, small quantities of unknown substances essential to life."[9] However, his conclusions were rejected by other researchers when they were unable to reproduce his results. One difference was that he had used table sugar (sucrose), while other researchers had used milk sugar (lactose) that still contained small amounts of vitamin B.[citation needed]
![Image illustrating rich and good nutritional sources of copper including: oysters, beef or lamb liver, Brazil nuts, blackstrap molasses, cocoa, and black pepper, lobster, nuts and sunflower seeds, green olives, and wheat bran.](http://upload.wikimedia.org/wikipedia/commons/thumb/e/e1/ARS_copper_rich_foods.jpg/350px-ARS_copper_rich_foods.jpg)
In east Asia, where polished white rice was the common staple food of the middle class, beriberi resulting from lack of vitamin B1 was endemic. In 1884, Takaki Kanehiro, a British trained medical doctor of the Imperial Japanese Navy, observed that beriberi was endemic among low-ranking crew who often ate nothing but rice, but not among officers who consumed a Western-style diet. With the support of the Japanese navy, he experimented using crews of two battleships; one crew was fed only white rice, while the other was fed a diet of meat, fish, barley, rice, and beans. The group that ate only white rice documented 161 crew members with beriberi and 25 deaths, while the latter group had only 14 cases of beriberi and no deaths. This convinced Takaki and the Japanese Navy that diet was the cause of beriberi, but mistakenly believed that sufficient amounts of protein prevented it.[10] That diseases could result from some dietary deficiencies was further investigated by Christiaan Eijkman, who in 1897 discovered that feeding unpolished rice instead of the polished variety to chickens helped to prevent beriberi in the chickens. The following year, Frederick Hopkins postulated that some foods contained "accessory factors" — in addition to proteins, carbohydrates, fats etc. — that are necessary for the functions of the human body.[6] Hopkins and Eijkman were awarded the Nobel Prize for Physiology or Medicine in 1929 for their discovery of several vitamins.[11]
In 1910, the first vitamin complex was isolated by Japanese scientist Umetaro Suzuki, who succeeded in extracting a water-soluble complex of micronutrients from rice bran and named it aberic acid (later Orizanin). He published this discovery in a Japanese scientific journal.[12] When the article was translated into German, the translation failed to state that it was a newly discovered nutrient, a claim made in the original Japanese article, and hence his discovery failed to gain publicity. In 1912 Polish biochemist Casimir Funk isolated the same complex of micronutrients and proposed the complex be named "vitamine" (a portmanteau of "vital amine" reportedly suggested by Max Nierenstein a friend and reader of Biochemistry at Bristol University[13]).[14] The name soon became synonymous with Hopkins' "accessory factors", and, by the time it was shown that not all vitamins are amines, the word was already ubiquitous. In 1920, Jack Cecil Drummond proposed that the final "e" be dropped to deemphasize the "amine" reference, after researchers began to suspect that not all "vitamines" (in particular, vitamin A) have an amine component.[10]
In 1931, Albert Szent-Györgyi and a fellow researcher Joseph Svirbely suspected that "hexuronic acid" was actually vitamin C, and gave a sample to Charles Glen King, who proved its anti-scorbutic activity in his long-established guinea pig scorbutic assay. In 1937, Szent-Györgyi was awarded the Nobel Prize in Physiology or Medicine for his discovery. In 1943, Edward Adelbert Doisy and Henrik Dam were awarded the Nobel Prize in Physiology or Medicine for their discovery of vitamin K and its chemical structure. In 1967, George Wald was awarded the Nobel Prize (along with Ragnar Granit and Haldan Keffer Hartline) for his discovery that vitamin A could participate directly in a physiological process.[11]
In humans
Vitamins are classified as either water-soluble or fat-soluble. In humans there are 13 vitamins: 4 fat-soluble (A, D, E, and K) and 9 water-soluble (8 B vitamins and vitamin C). Water-soluble vitamins dissolve easily in water and, in general, are readily excreted from the body, to the degree that urinary output is a strong predictor of vitamin consumption.[15] Because they are not as readily stored, more consistent intake is important.[16] Many types of water-soluble vitamins are synthesized by bacteria.[17] Fat-soluble vitamins are absorbed through the intestinal tract with the help of lipids (fats). Because they are more likely to accumulate in the body, they are more likely to lead to hypervitaminosis than are water-soluble vitamins. Fat-soluble vitamin regulation is of particular significance in cystic fibrosis.[18]
List of vitamins
Each vitamin is typically used in multiple reactions, and, therefore, most have multiple functions.[19]
Vitamin generic descriptor name |
Vitamer chemical name(s) (list not complete) | Solubility | Recommended dietary allowances (male, age 19–70)[20] |
Deficiency disease | Upper Intake Level (UL/day)[20] |
Overdose disease | Food sources |
---|---|---|---|---|---|---|---|
Vitamin A | Retinol, retinal, and four carotenoids including beta carotene |
Fat | 900 µg | Night-blindness, Hyperkeratosis, and Keratomalacia[21] | 3,000 µg | Hypervitaminosis A | Orange, ripe yellow fruits, leafy vegetables, carrots, pumpkin, squash, spinach, liver |
Vitamin B1 | Thiamine | Water | 1.2 mg | Beriberi, Wernicke-Korsakoff syndrome | N/D[22] | Drowsiness or muscle relaxation with large doses.[23] | Pork, oatmeal, brown rice, vegetables, potatoes, liver, eggs |
Vitamin B2 | Riboflavin | Water | 1.3 mg | Ariboflavinosis | N/D | Dairy products, bananas, popcorn, green beans, asparagus | |
Vitamin B3 | Niacin, niacinamide | Water | 16.0 mg | Pellagra | 35.0 mg | Liver damage (doses > 2g/day)[24] and other problems | Meat, fish, eggs, many vegetables, mushrooms, tree nuts |
Vitamin B5 | Pantothenic acid | Water | 5.0 mg[25] | Paresthesia | N/D | Diarrhea; possibly nausea and heartburn.[26] | Meat, broccoli, avocados |
Vitamin B6 | Pyridoxine, pyridoxamine, pyridoxal | Water | 1.3–1.7 mg | Anemia[27] peripheral neuropathy. | 100 mg | Impairment of proprioception, nerve damage (doses > 100 mg/day) | Meat, vegetables, tree nuts, bananas |
Vitamin B7 | Biotin | Water | 30.0 µg | Dermatitis, enteritis | N/D | Raw egg yolk, liver, peanuts, certain vegetables | |
Vitamin B9 | Folic acid, folinic acid | Water | 400 µg | Megaloblast and Deficiency during pregnancy is associated with birth defects, such as neural tube defects | 1,000 µg | May mask symptoms of vitamin B12 deficiency; other effects. | Leafy vegetables, pasta, bread, cereal, liver |
Vitamin B12 | Cyanocobalamin, hydroxycobalamin, methylcobalamin | Water | 2.4 µg | Megaloblastic anemia[28] | N/D | Acne-like rash [causality is not conclusively established]. | Meat and other animal products |
Vitamin C | Ascorbic acid | Water | 90.0 mg | Scurvy | 2,000 mg | Vitamin C megadosage | Many fruits and vegetables, liver |
Vitamin D | Cholecalciferol | Fat | 10 µg[29] | Rickets and Osteomalacia | 50 µg | Hypervitaminosis D | Fish, eggs, liver, mushrooms |
Vitamin E | Tocopherols, tocotrienols | Fat | 15.0 mg | Deficiency is very rare; mild hemolytic anemia in newborn infants.[30] | 1,000 mg | Increased congestive heart failure seen in one large randomized study.[31] | Many fruits and vegetables, nuts and seeds |
Vitamin K | phylloquinone, menaquinones | Fat | 120 µg | Bleeding diathesis | N/D | Increases coagulation in patients taking warfarin.[32] | Leafy green vegetables such as spinach, egg yolks, liver |
In nutrition and diseases
Vitamins are essential for the normal growth and development of a multicellular organism. Using the genetic blueprint inherited from its parents, a fetus begins to develop, at the moment of conception, from the nutrients it absorbs. It requires certain vitamins and minerals to be present at certain times. These nutrients facilitate the chemical reactions that produce among other things, skin, bone, and muscle. If there is serious deficiency in one or more of these nutrients, a child may develop a deficiency disease. Even minor deficiencies may cause permanent damage.[33]
For the most part, vitamins are obtained with food, but a few are obtained by other means. For example, microorganisms in the intestine — commonly known as "gut flora" — produce vitamin K and biotin, while one form of vitamin D is synthesized in the skin with the help of the natural ultraviolet wavelength of sunlight. Humans can produce some vitamins from precursors they consume. Examples include vitamin A, produced from beta carotene, and niacin, from the amino acid tryptophan.[20]
Once growth and development are completed, vitamins remain essential nutrients for the healthy maintenance of the cells, tissues, and organs that make up a multicellular organism; they also enable a multicellular life form to efficiently use chemical energy provided by food it eats, and to help process the proteins, carbohydrates, and fats required for respiration.[3]
Effect of cooking on vitamin content
Shown below is percentage loss of vitamins after cooking averaged for commonl foods such as vegetables, meat, fish.
Vitamin | C | B1 | B2 | B3 | B5 | B6 | Folate | B12 | A | E |
---|---|---|---|---|---|---|---|---|---|---|
Average %loss | 16 | 26 | -3 | 18 | 17 | 3 | 20 | ? | 11 | 11 |
Table below shows effects of heat such as heat from boiling, steaming, cooking etc and other agents on various vitamins. Effect of cutting vegetables can be seen from exposure to air and light. Water soluble vitamins sych as B and C seep into the water when boiling a vegetable.
Vitamin | Soluble in Water | Exposure to Air | Exposure to Light | Exposure to Heat |
---|---|---|---|---|
Vitamin A | no | partially | partially | relatively stable |
Vitamin C | very unstable | yes | yes | yes |
Vitamin D | no | no | no | no |
Vitamin E | no | yes | yes | no |
Vitamin K | no | no | yes | no |
Thiamine (B1) | highly | no | ? | > 100°C |
Riboflavin (B2) | slightly | no | in solution | no |
Niacin (B3) | yes | no | no | no |
Pantothenic Acid (B5) | quite stable | ? | ? | yes |
Vitamin B6 | yes | ? | yes | ? |
Biotin (B7) | somewhat | ? | ? | no |
Folic Acid B-9 | yes | ? | when dry | at high temp |
Vitamin B-12 | yes | ? | yes | no |
Deficiencies
Humans must consume vitamins periodically but with differing schedules, to avoid deficiency. The human body's stores for different vitamins vary widely; vitamins A, D, and B12 are stored in significant amounts in the human body, mainly in the liver,[30] and an adult human's diet may be deficient in vitamins A and D for many months and B12 in some cases for years, before developing a deficiency condition. However, vitamin B3 (niacin and niacinamide) is not stored in the human body in significant amounts, so stores may last only a couple of weeks.[21][30] For vitamin C, the first symptoms of scurvy in experimental studies of complete vitamin C deprivation in humans have varied widely, from a month to more than six months, depending on previous dietary history that determined body stores.[36]
Deficiencies of vitamins are classified as either primary or secondary. A primary deficiency occurs when an organism does not get enough of the vitamin in its food. A secondary deficiency may be due to an underlying disorder that prevents or limits the absorption or use of the vitamin, due to a "lifestyle factor", such as smoking, excessive alcohol consumption, or the use of medications that interfere with the absorption or use of the vitamin.[30] People who eat a varied diet are unlikely to develop a severe primary vitamin deficiency. In contrast, restrictive diets have the potential to cause prolonged vitamin deficits, which may result in often painful and potentially deadly diseases.
Well-known human vitamin deficiencies involve thiamine (beriberi), niacin (pellagra), vitamin C (scurvy), and vitamin D (rickets). In much of the developed world, such deficiencies are rare; this is due to (1) an adequate supply of food and (2) the addition of vitamins and minerals to common foods, often called fortification.[20][30] In addition to these classical vitamin deficiency diseases, some evidence has also suggested links between vitamin deficiency and a number of different disorders.[37][38]
Side-effects and overdose
In large doses, some vitamins have documented side-effects that tend to be more severe with a larger dosage. The likelihood of consuming too much of any vitamin from food is remote, but overdosing (vitamin poisoning) from vitamin supplementation does occur. At high enough dosages, some vitamins cause side-effects such as nausea, diarrhea, and vomiting.[21][39] When side-effects emerge, recovery is often accomplished by reducing the dosage. The doses of vitamins differ because individual tolerances can vary widely and appear to be related to age and state of health.[40]
In 2008, overdose exposure to all formulations of vitamins and multivitamin-mineral formulations was reported by 68,911 individuals to the American Association of Poison Control Centers (nearly 80% of these exposures were in children under the age of 6), leading to 8 "major" life-threatening outcomes and 0 deaths.[41]
Supplements
Dietary supplements, often containing vitamins, are used to ensure that adequate amounts of nutrients are obtained on a daily basis, if optimal amounts of the nutrients cannot be obtained through a varied diet. Scientific evidence supporting the benefits of some vitamin supplements is well established for certain health conditions, but others need further study.[42] In some cases, vitamin supplements may have unwanted effects, especially if taken before surgery, with other dietary supplements or medicines, or if the person taking them has certain health conditions.[42] Dietary supplements may also contain levels of vitamins many times higher, and in different forms, than one may ingest through food.[43]
There have been mixed studies on the importance and safety of dietary supplementation. A meta-analysis published in 2006 suggested that Vitamin A and E supplements not only provide no tangible health benefits for generally healthy individuals but may actually increase mortality, although two large studies included in the analysis involved smokers, for whom it was already known that beta-carotene supplements can be harmful.[44][45][46] Another study published in May 2009 found that antioxidants such as vitamins C and E may actually curb some benefits of exercise.[47] While other findings suggest that evidence of Vitamin E toxicity is limited to specific form taken in excess.[48] A double-blind trial published in 2011 found that vitamin E increases the risk of prostate cancer in healthy men.[49] The conflict of interest section reveals that this study has ties to the ambitions of the pharmaceutical companies Merck, Pfizer, Sanofi-Aventis, AstraZeneca, Abbott, GlaxoSmithKline, Janssen, Amgen, Firmagon, and Novartis.
Governmental regulation of vitamin supplements
Most countries place dietary supplements in a special category under the general umbrella of foods, not drugs. This necessitates that the manufacturer, and not the government, be responsible for ensuring that its dietary supplement products are safe before they are marketed. Regulation of supplements varies widely by country. In the United States, a dietary supplement is defined under the Dietary Supplement Health and Education Act of 1994.[50] In addition, the Food and Drug Administration uses the Adverse Event Reporting System to monitor adverse events that occur with supplements.[51] In the European Union, the Food Supplements Directive requires that only those supplements that have been proven safe can be sold without a prescription.[52]
Names in current and previous nomenclatures
Previous name | Chemical name | Reason for name change[53] |
---|---|---|
Vitamin B4 | Adenine | DNA metabolite; synthesized in body |
Vitamin B8 | Adenylic acid | DNA metabolite; synthesized in body |
Vitamin F | Essential fatty acids | Needed in large quantities (does not fit the definition of a vitamin). |
Vitamin G | Riboflavin | Reclassified as Vitamin B2 |
Vitamin H | Biotin | Reclassified as Vitamin B7 |
Vitamin J | Catechol, Flavin | Catechol nonessential; flavin reclassified as B2 |
Vitamin L1[54] | Anthranilic acid | Non essential |
Vitamin L2[54] | Adenylthiomethylpentose | RNA metabolite; synthesized in body |
Vitamin M | Folic acid | Reclassified as Vitamin B9 |
Vitamin O | Carnitine | Synthesized in body |
Vitamin P | Flavonoids | No longer classified as a vitamin |
Vitamin PP | Niacin | Reclassified as Vitamin B3 |
Vitamin S | Salicylic acid | Proposed inclusion[55] of salicylate as an essential micronutrient |
Vitamin U | S-Methylmethionine | Protein metabolite; synthesized in body |
The reason that the set of vitamins skips directly from E to K is that the vitamins corresponding to letters F-J were either reclassified over time, discarded as false leads, or renamed because of their relationship to vitamin B, which became a complex of vitamins.
The German-speaking scientists who isolated and described vitamin K (in addition to naming it as such) did so because the vitamin is intimately involved in the Koagulation of blood following wounding. At the time, most (but not all) of the letters from F through to J were already designated, so the use of the letter K was considered quite reasonable.[53][56] The table on the right lists chemicals that had previously been classified as vitamins, as well as the earlier names of vitamins that later became part of the B-complex.
Anti-vitamins
Anti-vitamins are chemical compounds that inhibit the absorption or actions of vitamins. For example, avidin is a protein in egg whites that inhibits the absorption of biotin.[57] Pyrithiamine is similar to thiamine, vitamin B1, and inhibits the enzymes that use thiamine.[58]
See also
References
- ^ Lieberman, S, Bruning, N (1990). The Real Vitamin & Mineral Book. NY: Avery Group, 3, ISBN 0-89529-769-8
- ^ Maton, Anthea (1993). Human Biology and Health. Englewood Cliffs, New Jersey, USA: Prentice Hall. ISBN 0-13-981176-1. OCLC 32308337.
{{cite book}}
: Unknown parameter|coauthors=
ignored (|author=
suggested) (help) - ^ a b Bender, David A. (2003). Nutritional biochemistry of the vitamins. Cambridge, U.K.: Cambridge University Press. ISBN 978-0-521-80388-5.
- ^ Bolander FF (2006). "Vitamins: not just for enzymes". Curr Opin Investig Drugs. 7 (10): 912–5. PMID 17086936.
- ^ Iłowiecki, Maciej (1981). Dzieje nauki polskiej. Warszawa: Wydawnictwo Interpress. p. 177. ISBN 83-223-1876-6.
- ^ a b c d e Jack Challem (1997). "The Past, Present and Future of Vitamins"
- ^ Jacob, RA. (1996). "Three eras of vitamin C discovery". Subcell Biochem. 25: 1–16. PMID 8821966.
- ^ Bellis, Mary. Vitamins – Production Methods The History of the Vitamins. Retrieved 1 February 2005.
- ^ a b 1929 Nobel lecture
- ^ a b Rosenfeld, L. (1997). "Vitamine—vitamin. The early years of discovery". Clin Chem. 43 (4): 680–5. PMID 9105273.
- ^ a b Carpenter, Kenneth (22 June 2004). "The Nobel Prize and the Discovery of Vitamins". Nobelprize.org. Retrieved 5 October 2009.
- ^ Tokyo Kagaku Kaishi: (1911)
- ^ Combs, Gerald (2008). The vitamins: fundamental aspects in nutrition and health. ISBN 9780121834937.
- ^ Funk, C. and H. E. Dubin. The Vitamines. Baltimore: Williams and Wilkins Company, 1922.
- ^ Fukuwatari T, Shibata K (2008). "Urinary water-soluble vitamins and their metabolite contents as nutritional markers for evaluating vitamin intakes in young Japanese women". J. Nutr. Sci. Vitaminol. 54 (3): 223–9. doi:10.3177/jnsv.54.223. PMID 18635909.
- ^ "Water-Soluble Vitamins". Retrieved 2008-12-07.
- ^ Said HM, Mohammed ZM (2006). "Intestinal absorption of water-soluble vitamins: an update". Curr. Opin. Gastroenterol. 22 (2): 140–6. doi:10.1097/01.mog.0000203870.22706.52. PMID 16462170.
- ^ Maqbool A, Stallings VA (2008). "Update on fat-soluble vitamins in cystic fibrosis". Curr Opin Pulm Med. 14 (6): 574–81. doi:10.1097/MCP.0b013e3283136787. PMID 18812835.
- ^ Kutsky, R.J. (1973). Handbook of Vitamins and Hormones. New York: Van Nostrand Reinhold, ISBN 0-442-24549-1
- ^ a b c d Dietary Reference Intakes: Vitamins The National Academies, 2001.
- ^ a b c Vitamin and Mineral Supplement Fact Sheets Vitamin A
- ^ N/D= "Amount not determinable due to lack of data of adverse effects. Source of intake should be from food only to prevent high levels of intake"(see Dietary Reference Intakes: Vitamins).
- ^ "Thiamin, vitamin B1: MedlinePlus Supplements". Retrieved 5 October 2009.
- ^ Hardman, J.G.; et al. (eds.). Goodman and Gilman's Pharmacological Basis of Therapeutics (10th ed.). p. 992.
{{cite book}}
: Explicit use of et al. in:|editor=
(help) - ^ Plain type indicates Adequate Intakes (A/I). "The AI is believed to cover the needs of all individuals, but a lack of data prevent being able to specify with confidence the percentage of individuals covered by this intake" (see Dietary Reference Intakes: Vitamins).
- ^ "Pantothenic acid, dexpanthenol: MedlinePlus Supplements". MedlinePlus. Retrieved 5 October 2009.
- ^ Vitamin and Mineral Supplement Fact Sheets Vitamin B6
- ^ Vitamin and Mineral Supplement Fact Sheets Vitamin B12
- ^ Value represents suggested intake without adequate sunlight exposure (see Dietary Reference Intakes: Vitamins).
- ^ a b c d e The Merck Manual: Nutritional Disorders: Vitamin Introduction Please select specific vitamins from the list at the top of the page.
- ^ Gaby, Alan R. (2005). "Does vitamin E cause congestive heart failure?". Townsend Letter for Doctors and Patients.
- ^ Rohde LE, de Assis MC, Rabelo ER (2007). "Dietary vitamin K intake and anticoagulation in elderly patients". Curr Opin Clin Nutr Metab Care. 10 (1): 1–5. doi:10.1097/MCO.0b013e328011c46c. PMID 17143047.
{{cite journal}}
: CS1 maint: multiple names: authors list (link) - ^ Gavrilov, Leonid A. Pieces of the Puzzle: Aging Research Today and Tomorrow
- ^ http://www.beyondveg.com/tu-j-l/raw-cooked/raw-cooked-2f.shtml
- ^ http://www.beyondveg.com/tu-j-l/raw-cooked/raw-cooked-2e.shtml
- ^ Pemberton, J. (2006). "Medical experiments carried out in Sheffield on conscientious objectors to military service during the 1939–45 war". International Journal of Epidemiology. 35 (3): 556–8. doi:10.1093/ije/dyl020. PMID 16510534.
- ^ Lakhan, SE; Vieira, KF (2008). "Nutritional therapies for mental disorders". Nutrition journal. 7: 2. doi:10.1186/1475-2891-7-2. PMC 2248201. PMID 18208598.
{{cite journal}}
: CS1 maint: unflagged free DOI (link) - ^ Boy, E.; Mannar, V.; Pandav, C.; de Benoist, B.; Viteri, F.; Fontaine, O.; Hotz, C. (2009). "Achievements, challenges, and promising new approaches in vitamin and mineral deficiency control". Nutr Rev. 67 (Suppl 1): S24–30. doi:10.1111/j.1753-4887.2009.00155.x. PMID 19453674.
- ^ Institute of Medicine. Food and Nutrition Board. Dietary Reference Intakes for Vitamin A, Vitamin K, Arsenic, Boron, Chromium, Copper, Iodine, Iron, Manganese, Molybdenum, Nickel, Silicon, Vanadium, and Zinc. National Academy Press, Washington, DC, 2001.
- ^ Healthier Kids Section: What to take and how to take it.
- ^ Bronstein, AC (2009). "2008 Annual Report of the American Association of Poison Control Centers' National Poison Data System (NPDS): 26th Annual Report" (PDF). Clinical Toxicology. 47 (10): 911–1084. doi:10.3109/15563650903438566. PMID 20028214.
{{cite journal}}
: Unknown parameter|coauthors=
ignored (|author=
suggested) (help) - ^ a b Use and Safety of Dietary Supplements NIH office of Dietary Supplements.
- ^ Higdon, Jane Vitamin E recommendations at Linus Pauling Institute's Micronutrient Information Center
- ^ Bjelakovic, Goran; Nikolova, D; Gluud, LL; Simonetti, RG; Gluud, C (2007). "Mortality in Randomized Trials of Antioxidant Supplements for Primary and Secondary Prevention: Systematic Review and Meta-analysis". JAMA. 297 (8): 842–57. doi:10.1001/jama.297.8.842. PMID 17327526.
- ^ "Antioxidant Supplements and Mortality". JAMA. 298 (4): 400. 2007. doi:10.1001/jama.298.4.401-a.
- ^ "Antioxidant Supplements and Mortality—Reply". JAMA. 298 (4): 400. 2007. doi:10.1001/jama.298.4.402.
- ^ Wade, Nicholas (12 May 2009). "Vitamins Found to Curb Exercise Benefits". The New York Times. Retrieved 9 April 2010.
- ^ Sen, Chandan K.; Khanna, Savita; Roy, Sashwati (2006). "Tocotrienols: Vitamin E beyond tocopherols". Life Sciences. 78 (18): 2088–98. doi:10.1016/j.lfs.2005.12.001. PMC 1790869. PMID 16458936.
- ^ Klein, Eric A.; Thompson Jr, IM; Tangen, CM; Crowley, JJ; Lucia, MS; Goodman, PJ; Minasian, LM; Ford, LG; Parnes, HL (2011). "Vitamin E and the Risk of Prostate Cancer: The Selenium and Vitamin E Cancer Prevention Trial (SELECT)". JAMA. 306 (14): 1549–56. doi:10.1001/jama.2011.1437. PMID 21990298.
- ^ Legislation. Fda.gov (2009-09-15). Retrieved on 2010-11-12.
- ^ Adverse Event Reporting System (AERS). Fda.gov (2009-08-20). Retrieved on 2010-11-12.
- ^ not EUR-Lex – 32002L0046 – EN. Eur-lex.europa.eu. Retrieved on 2010-11-12.
- ^ a b Every Vitamin Page All Vitamins and Pseudo-Vitamins. Compiled by David Bennett.
- ^ a b Davidson, Michael W. (2004) Anthranilic Acid (Vitamin L) Florida State University. Retrieved 20-02-07.
- ^ Kamran Abbasi (2003). "Rapid Responses to: Aspirin protects women at risk of pre-eclampsia without causing bleeding". British Medical Journal. 327 (7424): 7424. doi:10.1136/bmj.327.7424.0-h.
- ^ Vitamins and minerals – names and facts
- ^ Roth KS (1981). "Biotin in clinical medicine—a review". Am. J. Clin. Nutr. 34 (9): 1967–74. PMID 6116428.
- ^ Rindi G, Perri V (1961). "Uptake of pyrithiamine by tissue of rats". Biochem. J. 80 (1): 214–6. PMC 1243973. PMID 13741739.
External links
![](http://upload.wikimedia.org/wikipedia/commons/thumb/4/4c/Wikisource-logo.svg/38px-Wikisource-logo.svg.png)
- USDA RDA chart in PDF format
- Health Canada Dietary Reference Intakes Reference Chart for Vitamins
- NIH Office of Dietary Supplements: Fact Sheets
- NIH Office of Dietary Supplements. Dietary Supplements: Background Information
- Interactive table based on United States Department of Agriculture Database