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VITAMINS
Monica Adhikari,
Sr Dietician, Great Ormond Street Hospital, London


Vitamins are essential for life and contribute to good health by regulating metabolism and assisting the biochemical processes that release energy from digested foods. Therefore vitamin is required in small amounts (micronutrient), to protect health and for proper growth in humans.

Vitamins are divided into two groups: Fat Soluble vitamins and Water Soluble vitamins

Fat Soluble Vitamins: Vitamin A, D, E and K. They are generally consumed along with fat containing foods. Because they can store in body's fat and they need not be consumed everyday.

Water Soluble Vitamins: B vitamins and Vitamin C. These cannot be stored by the body and must be consumed frequently, preferably everyday.


-
Health benefits
Deficiency
Best sources
Excess
 
Vitamin A
Antioxidant
Essential for growth and development.
Maintains healthy vision, skin and mucous membranes
Early deficiency symptoms are night blindness (difficulty adapting to darkness)
Excessive dryness of skin.
Lack of mucous membrane secretion.
Dryness of eyes due to malfunctioning of tear glands.
Carrots
Spinach
Sweet potato
Milk
Cheese
Egg yolk
Liver
Fish
Fish liver oil
Paneer(cottage cheese)
Excess of vitamin A can interfere with growth, damage red blood corpuscles causes skin rash, headaches and nausea
Vitamin D
Essential for formation of bones and teeth. Helps the body absorbs and uses calcium.
In infancy and childhood deficiency of Vitamin D causes deformed bones characteristic of rickets
This is a unique vitamin - your body can manufacture it when you get sunlight on your skin.
Egg yolk
Fish oil
Fortified milk and butter
Excess vitamin D can cause loss of appetite , weight loss, nausea headache depression Deposits of calcium in kidneys
 
Vitamin E
Is an antioxidant and helps protect cells from damage.
Important for health of red blood cells.
Boost immune system.
Vitamin E deficiency is rare in humans.
Premature, very low birth infants (birth weight less 1500 gms or 3 pounds 4 ounce) are risk of vitamin E deficiency
Vegetable oil
Nuts
Green leafy vegetables
Whole grains
Wheat germ
Although vitamin E is stored in the body- overdoses appear to have lower toxic effects than do overdoses of other fat soluble vitamins
Vitamin K
Essential for blood clotting
In new born babies result in hemorrhagic disease as well as pre operative bleeding and hematuria or muscle hematomas
Leafy vegetables
Egg yolk
Soya bean oil
Liver
cheese
Toxicity cannot easily happen with normal dietary intake but can happen if synthetic vitamin k3 is taken-can cause flushing and sweating. Jaundice and anemia

Water Soluble Vitamins: B complex and Vitamin C
B Vitamins
Health benefits
Deficiency
 
Best sources
Excess
Vitamin B1
(Thiamine)
Helps body convert carbohydrates into energy and is necessary for heart muscles and synthesis of nerve - regulating substances
Causes Beriberi
( characterized by muscular weakness, swelling of heart and leg cramps)
May be seen in babies who are formula fed and not supplemented with vitamin B1
Whole grain cereals
Wheat germ (dahlia)
Nuts (peanuts)
Legumes (kidney beans)
Green leafy vegetables
Eggs
Organ meats (liver and kidney)
Toxicity is uncommon, as excess is readily excreted in the urine.
Vitamin B2 (Riboflavin)
Essential for turning carbohydrates into energy and producing red blood cells.
Maintain mucous membrane.
Important for vision.
Cracks and sore at the corners of the mouth, eye disorder, inflammation of mouth and tongue
Sensitivity of light.
Liver
Milk
Meat
Dark green leafy vegetables
Whole grain
Peas
Lentils
Mushrooms
Toxicity is uncommon
 
Vitamin B3 (Niacin)
Helps in release of energy and metabolism of carbohydrates, fat and protein.
Cell respiration.
Aids in digestion and functioning of nervous system.
Causes pellagra
( first symptom is sunburn like eruption that breaks out when skin is exposed to sunlight).
Diarrhea
Mental confusion
Irritability
Indigestion
Muscular weakness
Liver
Chicken
Red meat
Whole grain
Peanuts
Fish
Legumes/dried beans
Milk
Green leafy vegetables
Large doses over long periods cause liver damage and itching and peptic ulcer
 
Vitamin B6 (Pyridoxine)
Absorption and metabolism of amino acids.
Formation of red blood cells.
For the brain and nerves to function.
Skin disorders- dermatitis
Irritability
Insomnia
The deficiency symptoms are very much like B2 and B3
Cereals
Bread
Liver
Spinach
Green beans
Bananas
Eggs
Carrots
Walnuts
No toxicity
Vitamin B12 (cobalamin)
Helps build DNA. Make red blood cells and important for nerve cell function.
Is often due to inability of stomach to produce glycoprotein which aids in absorption of this vitamin.
Pernicious anemia results: (characteristic symptoms of ineffective production of red blood cells and faulty myelin synthesis.)
Liver
Red meat
Milk
Cheese
Eggs
Vegetarians are advised to take B12 supplements
No danger as excess is excreted in the urine
Folate (vitamin B9)
Helps the body make red blood cells, break down protein, keeps heart healthy.
Makes DNA
May be responsible for neural birth defects- a type of birth defect that results in severe brain or neurological disorder.
Signs of deficiency- anemia, red tongue
Carrots
Nuts
Liver
Egg yolk
Melon
Apricots
Pumpkin
Beans
Green leafy vegetables
No danger as excess is excreted in the urine
 
Vitamin C
Formation and maintenance of collagen-a tissue that helps to hold cells together.
Essential for healthy bones, teeth, gums and blood vessels.
Helps to absorb iron and calcium.
Aids in wound healing.
Scurvy-loss of cementing action of collagen and include hemorrhages.
Loosening of teeth.
Cellular changes in the long bones of children.
Oranges
Guava
Fresh strawberries
Lemon
Pineapple
Tomatoes
Spinach
Green peppers
Cabbage
Turnips
Excreted in the urine but prolongs dose can result in formation of bladder and kidney stones.

Last Updated On 1/8/2006

 


 
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