-
Most common/ best supplement taken
multivitamin with minerals
-
percentage of the population taking supplements
75
-
Five common single dose supplements
- Vitamin C
- Vitamin E
- beta carotene
- iron
- calcium
-
causes the body to go into a false deficiency state when missed
megadoses
-
Three symptoms of false deficiency
internal bleeding, scurvy, fragile vessels
-
Five arguments for taking supplements
- -correct overt (obvious) deficiencies
- -support increased nutrient needs
- -imporve nutritional status
- -improve body's defense
- -reduce risk of disease
-
Number one reason people take supplements
improve body's defense
-
Three situations in which there would be an increased nutrient need
pregnancy, postsurgery, post illness
-
Main supplement needed by people who do not eat meat
B6
-
Main supplement needed by people who do not eat dairy
calcium
-
Main supplements needed by infants
iron and fluoride
-
Main supplements needed by pregnant women
folate, iron, calcium
-
Main supplements needed by women of child bearing age
folic acid and iron
-
main supplements needed by the elderly
B12 and D
-
Main supplement needed by lactose intolerant
D
-
What may increase supplement need?
medication
-
Six arguements against supplements
- -toxicity
- -life threatening misinformation
- -unknown needs
- -false sense of security
- -bioavailability
- -invalid reasoning
-
Toxicity of which vitamin in prenatal supplements caused birth defects and miscarriages?
A
-
time period vitamins and minerals should be consumed
course of a day
-
Aside from liquids, best form of supplement to take
chewables
-
percentage of nutrients and nonreactives in pill supplements
1; 99
-
How to test the dissolving time of pill form supplements?
mimmick stomach pH by mixing equal parts water and vinegar
-
Maximum time acceptable for pill supplements to dissolve
30-45 minutes
-
What may gummies and gelcaps not contain?
Calcium
-
Three misleading claims of supplements
- more is better
- name brands are better
- preparation methods
-
Recommended forms of folic acid
synthetic
-
Recommended forms of vitamin E
natural
-
Supplements are ____, so should be kept out of reach of children and not abused
medicine
-
percentage of key nutrient needs from supplements
50-150
-
Most important nutrient to analyze
calcium
-
Three ways vitamins differ from macronutrients
function, structure, food content
-
rate and extent that a nutrient is absorbed and used
bioavailability
-
provitamins consumed in an inactive form and become active in the body
precursors
-
Vitamins can be easily destroyed because of their ___ nature.
organic
-
Four ways vitamins are destroyed
- exposure to light
- oxidation
- cooking
- storage
-
Six ways to minimize nutrient loss from fruits and vegetables
- -refrigerate
- -store cut in airtight wrappers or closed containers
- -clean before cutting
- -save cooking water for other uses
- -cook in little water, low temps, and short times
- -eat a variety
-
Best methods of cooking
microwave, steam, simmer
-
Water soluble vitamins
B and C
-
fat soluble vitamins
A, D, E, K
-
Where are water soluble vitamins absorbed?
blood
-
Where are fat soluble vitamins absorbed?
lympth then blood
-
How often are water soluble vitamins necessary?
every day or so
-
How often are fat soluble vitamins needed?
less than 1-2 times per week
-
Storage, excretion of water soluble vitamins
move freely, excreted in urine
-
storage, excretion of fat soluble vitamins
stored in fat cells, not readily excreted
-
Are water soluble or fat soluble vitamins more likely to reach toxicity?
fat soluble
-
nutrients DRI has establised a UL for
niacin, B6, folate, choline, C
-
Three functions of B vitamins
- -coenzymes
- -metabolism
- -cell multiplication
-
Where B vitamin recommendations come from
RDA, AI, UL
-
-
-
-
B vitamins are ___ on one another, meaning one may affect the absorption, metabolism, and exretion of another.
interdependent
-
B vitamins do not produce energy, but rather...?
facilitate energy releasing from macronutrients
-
Two B vitamins that have significant cases of deficiency
- beriberi (B1)
- pellagra (B3)
-
Two cymptoms of B vitamin deficiencies
glossitis and cheilosis
-
B vitamins from grain groups
thiamin, riboflavin, niacin, folate
-
B vitamin from fruits and vegetables
folate
-
B vitamins from meat group
thiamin, niacin, B6, B12
-
B vitamins from milk group
riboflavin and B12
-
Five invalid beliefs for taking supplements
- -food supply and soil contain inadequate nutrients
- -supplements provide energy
- -supplements enhace athletic performance or lean body mass
- -supplements help cope with stress
- -supplements prevent or cure
-
Max amount of iron generally safe
10 mg
-
Structure function claims from FDA on labels
- -roles
- -how nutrient performs
- -how consuming causes general well being
-
how many calories typically needed of healthy foods per day for adequate vitamin and minerals?
1500-1600 kcals
-
bioavailabilty is effected by
- -efficiency of digestion
- -nutrition status
- -how food is prepared
- -source of nutrients
- -other foods consumed
-
precursor of vit A
betacarotene
-
minerals are ____, so cannot be destroyed easily.
inorganic
-
moved by special carriers
fat soluble vitamins
-
primary role of B vitamins
energy metabolism
-
Two B vitamins that perform metabolism and cell multiplication
B12 and folic acid
-
Functions of Vitamin C
- collagen synthesis
- Antioxidant
AA metabolism - hormon production
- incread immune system
- increased absorption of calcium and iron
-
-
Vitamin C aids absorption of ___ and ___
calcium; iron
-
increases Vitamin C needs by 10 times
cigarette smoking
-
Increases needs of vitamin C
- body temp
- heavy metal intake
- trauma
- meds
-
defiency of vitamin C
scurvy
-
C deficiency symptoms
- -atherosclerosis
- -bleeding gums
- -broken capillaries
- -hemorrhaging
- -degenerative heart and muscles
- -decreased wound healing
- -loose teeth
- -anemia
- -hysteria
- -death
-
Toxicity Vitamin C symptoms
- nausea
- abdominal cramps
- diarrhea
- obscured blood sugar
- kidney stones
-
Good sources of C
- citus
- DGLs
- tomatoes
- cantaloupe
- enriched products
- kiwi and red bellpepper
-
British sent ___ to soldiers with vit C deficiency
limes
-
collectively known as retinoids
vitamin A
-
functions of vit A
vision, cell differentiation, immune, bone growth
-
Vitamin A deficienc y symptoms
- stunted growth
- tooth problems
- blindness
- GI tract changes caausing diarrhea
- brain and spinal cord grows faster than skull or spine
- respiratory infection
- kidney stone
- UTI
-
toxicity attacks body cells like the liver
vit A
-
Sources of preformed vit A
- animal products
- fortified margarine
-
beta carotene sources
DGLs, deep orange and yellow foods
-
Surprise sources of Vit A
-
hormone that the body can synthesize
vitamin D
-
-
function of vitamin D
- mineralization of bones
- cell differentiatieon
-
vitamin D aids in the absorption of __ and __
calcium and phosphorus
-
Vit D deficiency in children
rickets
-
vit D deficiency in adults
osteomalacia
-
Toxicity of vita D comes from ___
supplements
-
Toxicity of vit D causes
kidney stones
-
Vit D main sources
- animal foods
- fatty fish
- egg yolk
- fortified milk
-
adequate sunlight for vit D synthesizing
10-15 min several times a week
-
-
primary function of vit E
antioxidant
-
vit E deficiency is associated with diseases of
fat malabsorption
-
caused by liver or kidney malfunction
fast malabsorption
-
sources of vit E
1 tablespoon vegetable oil
-
percentage of RDA of Vit E from oil
50-100
-
can serve as both a moisturizer for skin of drying agent for blemishes
vit E
-
functions of vit K
- blood clotting
- synthesis of bone protein
-
Vit K deficiency symptoms
-
vit K toxicity symptoms
- interference with blood thinngers
- hemolysis
- jaundice
- brain damage
-
Sources of vit K
liver, DGLs, cabbage, milk, meat, eggs, cereal, fruit and veggies
-
50% of vit K needs can be synthesized from?
bacteria in GI tract
-
temporarily reduces vit K production
antibiotics
-
genetic disorder where blood is too thin and is not cured by vit K
hemophilia
-
Taking folic acid when in need of B12 causes
neurological damage
-
-
functions of thiamin
- energy metabolism
- appetite
- nerve function
-
thiamin deficiency
beriberi
-
thiamin deficiency symptoms
- heart p roblems
- wasting
- drunkeness
- confusion
-
-
moderate sources of thiamin
- grains
- enriched breads and cereal
- dried beans
- DGLs
-
Three things that destroy thiamin
- heat
- baking soda
- large amounts of water
-
-
functions of riboflavin
- energy metabolism
- vision
- skin health
-
B2 deficiency symptoms
- skin rash
- purplish tongue
- cheilosis (cracked skin)
- light sensitive
-
half need of riboflavin from
milk
-
fourth source of riboflavin from ___ and ___ each
meats; veggies, enriched grains
-
Two excellent sources of B2
Brewer's yeast and liver
-
stable to heat
riboflavin
-
riboflavin is easily destroyed by
light, irradation, large water
-
-
functions of niacin
- energy metabolism
- digestive tract
- skin
- nervous system
-
niacin is converted from the amino acid ___
tryptophan
-
niacin deficiency
pellegra
-
pellegra means "___"
rough skin
-
niacin deficiency symptoms
3D's: diarrhea, dermatitis, dementia
-
niacin sources
all protein
-
best source of niacin
chicken
-
symptoms of niacin toxicity
dilated calillaries, pain, liver damage, ulcers, false positive diabetes test
-
niacin toxicity
niacin flush
-
why take 10x the RDA of niacin?
avoid cholesterol drugs or pass a drug test
-
claimed as B4 by the cosmetic industry
biotin
-
functions of biotin
- energy metabolism
- fat synthesis
- amino acid metabolism
- glycogen synthesis
-
biotin deficiency occurs in the cases of
malnutrition or consuming more than two dozen raw egg white daily
-
biotin deficiency symptoms
- abnormal heart
- anorexia
- nausea
- depression
- muscle pain
- weakness/fatigue
- dry skin
- hair loss
-
last vitamin discovered
biotin
-
functions of B5
100 plus steps in synthesis processes
-
pahtothenic acid deficiency results in
general failure of the body and death
-
sources of B5
meat, fish, poultry, grains
-
B5 is easily destroyed by
heat
-
-
function of pyridoxine is based on
protein intake
-
pyridoxine deficiency symptoms
- anemia
- bloatin
- weakness
- irritability
- insomnia
- smoothtongue
- kidney stones
- dermatitis
-
advanced deficiency of pyridoxine causes
growth failure, impaired motor function, convulsions
-
PMS like symptoms
pyridoxine deficiency
-
B6 toxicity occures when trying to treat PMS incorrectly and causes irreversible ___ ___.
nerve damage
-
A women must have adequate amounts of folic acid when?
one month prior to conception and throughout pregnancy
-
What year did the committee decide to enrich grain products with folic acid
1996
-
what two vitamins work most closesly together
B12 and folic acid
-
functions of folic acid
new cell formation
-
folic acid deficiency
- impaired metabolic need
- spina bifida
-
folic acid deficiency symptoms
- anemia
- GI tract deterioration
- heart disease
-
sources of folic acid
blackeyed peas, yeast, DGLs, liver, legumes, pinto beans and asparagus
-
Folic acid destroyed by
aspirin, drugs, antacids, oral contraceptives, smoking
-
-
function of B12
- new cell synthesis
- nerve cells
-
cobalamin deficiency related to
- poor absorption
- lack of intrinsic factor
- stomach injury
-
body recycles what vitamin
B12
-
cobalamin deficiency symptoms
anemia, glossitis, fatigue, nerve degeneration, sensitvie skin
-
B12 deficiencies may develop with or after..
- aging
- alcohol
- trauma
- surgery
- cancer/chemo
-
Normal recycling of B12 lasts __ years, but with chemo lasts only __ years.
120; 2-3
-
sources of B12
animal products
-
Who needs B12 supplements?
true vegans
-
who needs B12 injections
people who lack intrinsic factor
-
percentage of calcium found in bones
99
-
Where is the remaining 1% of calcium found
blood and other cell tissues
-
What pulls calcium from bones to maintain levels?
blood
-
process whereby minerals crystallize on the collagen matrix of a growing bone to harden it
mineralization
-
Bone remodeling is
constant
-
DASH diet is rich in what three nutrients?
- calcium
- magnesium
- potassium
-
Calcium has protective qualities against
- hypertension
- cholesterol
- diabetes
- colon cancer
- obesity
-
Studies say to tone abdominal muscles, one should ad ___ to their diet.
three servings skim milk per day
-
best source of calcium
dairy foods
-
Three things calcium works with for absorption
- vit D
- parathyroid hormone
- calcitonin
-
develops when there are high blood calcium levels and causes muscles to contract
calcium rigor
-
develops when there are low blood calcium levels and causes uncontrolled muscle contraction
calcium tetany
-
Absorption rate of calcium for adults
25%
-
pregnant women need how much more calcium absorption rate
50%
-
What nutrient can the fetus literally rob from a mother
calcium
-
Factors that enhance calcium absorption
- stomach acid
- vit D
- lactose
- growth hormones
-
Factors that inhibit calcium absorption
- high phosphorus intake
- lack of stomach acid
- lack of vit D
- high fiber
- phyates in seeds, nuts, grains
- oxalates in greens, rhubarb, spinach
-
Recommended intake of calcium for adults 19-50 years
1000mg/day
-
bone's fullest potential in size and density
peak bone mass
-
peak bone mass is developed in
the first three decades of life
-
Calcium fortified products
- DGLs
- legumes
- oysters and small fish with bones
- mineral water
-
disease where bones become porous and fragile due to mineral loss
osteoporosis
-
Calcium deficiency in children can result in
stunted growth
-
most prevalent disease in the United States
osteoporosis
-
diagnosis of osteoporosis is done with a
bone density test
-
number one predictor of osteoporosis
age
-
number two predictor of osteoporosis
gender- female
-
minimize bone losss with adequate intakes of
vitamin D and calcium controlled hormones
-
maximize bone mass by consuming
calcium and vit D
-
What offers some protection from osteoporosis
soy
-
___ strength and __ strength go together.
muscle; bone
-
Things that play a role in the prevalence of osteoporosis in the category of ethnicity
- genes
- environment
- physical activity
- body weight
- alcohol
- smoking
-
Five risks of alcholo abuse and osteoporosis
- enhances fluid excretion
- upsets hormonal balance
- slows bone formation
- stimulates bone breakdown
- increased risk of falling
-
key to prevention of osteoporosis
dietary calcium
-
nutrients that protect against hip fractures
-
nutrients that help maintain bone mineral density
magnesium and potassium
-
Vit A, Omega 3, fruits, vegetables, and reduction of salt can help to prevent
low calcium levels
-
contain calcium carbonate
antacids
-
three calcium supplements
- bone meal
- oyster shell
- dolomite
-
___ doses of calcium are better absorbed.
small
-
Three nutrients to normalize blood pressure
- calcium
- potassium
- magnesium
-
Nutrients integral to bone health
- calcium
- phosphorus
- magnesium
- fluoride
- Vit A
- vit D
-
electrolyte associated with fluid balance and hypertension
potassium
-
Sources of potassium
fresh fruits, veggies, whole grains, dairy
-
Five roles of potassium
- maintain normal fluid and electrolyte balance
- facilitate reactions
- supports cell integrity
- assist in nerve impulse transmission and muscle contraction
- maintain heartbeat
-
One should intake at least as much potassium as
sodium
-
Adequate intake for adults in potassiium
4700 mg per day
-
potassium and hypertension are ___ related.
indirectly
-
potassium deficiency symptoms
- muscular weakness
- paralysis
- confusion
- high BP
- salt sensitivity
- kidney stones
- irreg heartbeat
- glucose intolerance
-
potassium toxicity results from
supplements or potassium salts
-
potassium toxicity symptoms
muscular weakness and vomiting
-
Potassium given into a vein causes
the heart to stop
-
___ greatly affects food content
soil content
-
supplements of trace minerals should be no more than what percentage of DRI
100
-
very easy to have imbalance of
trace minerals
-
most important trace mineral
iron
-
percentage of iron found in hemoglobin
80
-
carries oxygen in the blood
hemoglobin
-
holds oxygen for use by muscles
myoglobin
-
Iron absorption depends on what four things
- body stores
- food sources
- enhancing factors
- inhibiting factors
-
iron from animal sources
heme
-
iron from plant sources
non-heme
-
Ways to lose iron through natural body losses
- GI tract
- bleeding
- urine
- sweat
- skin shedding
- feces
-
most common nutrient deficiency
iron
-
low blood counts caused by low iron
anemia
-
anemia symtptoms
apathy, fatigue
-
appetite for ice, clay, paste, and other nonfood substances
PICA
-
when follow through with PICA, causes
additional deficiency
-
iron overload
hemochromatosis
-
caused by a genetic disorder or multiple transfusion or excessive iron supplements
hemochromatosis
-
Treatment of hemochromatosis
low iron diet and forced bleeding
-
leading cause of death among children
iron poisoning from supplements
-
Iron needs ____ during pregnancy
double
-
typical adult diet should contain how much iron
6-7 g per 1000 kcals
-
Best food sources of iron
meat, fish, poultry, eggs, legumes
-
fair sources of iron
- whole grains
- DGL
- vegetables
- enriched and fortified graisn
-
Poor sources of iron
milk and dairy
-
iron from cast iron cookware getting into food
contamination iron
-
Things to do to relieve side effects of iron supplements
water, fiver, exercise
-
surprise sources of iron
- blackstrap molasses
- red wine
-
most abundant mineral in the body
calcium
-
how much calcium is typically in a body of a 130 lb person?
2.2 lb
-
roles of calcium in early life
healthy skeleton growth
-
calcium forms ___ for strength and ridgity for bones to support weight
crystals
-
how often do bone cells get replaced
5 years
-
helps bone and teeth structure and formation but is at risk in diets
fluoride
-
calcium involved in blood clotting
extracellular
-
calcium involved in muscle contraction
intracellular
-
Statistics of breaking bones
- 1/2 people over 50
- 1/4 will die, 1/4 will lose independence
-
DEXA scan
bone density test
-
Risk factors of osteoporosis
- age
- gender
- low BMI
- Caucasian, Asian, Hispanic
- smoking and alcohol
- sedentary
- maternal history
- drugs
- estrogen/testosterone deficiency
- inadequate diet
-
Protection from osteoporosis
- use of dieuretics
- low phosphorus
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