释义 |
vitamins
vitamins1. A group of substances that are essential in small amounts in the diet.2. Essential nutrients needed in tiny amounts to prevent deficiency diseases.Vitamins
Vitamins (from Latin vita, life), a group of organic com-pounds of varied chemical nature, necessary for nutrition in humans, animals, and other organisms in insignificant quantities compared with the primary nutritional substances (proteins, fats, carbohydrates, and salts) but having enormous significance for normal metabolism and vital functions. For the most part, plants serve as the primary source of vitamins. Humans and animals obtain vitamins directly from plant food or indirectly through animal products. Microorganisms also play an important role in the formation of vitamins. For example, microflora that inhabit the digestive tract of ruminants supply them with B vitamins. Vitamins enter bodies of animals and humans with food through the wall of the gastrointestinal tract and form numerous derivatives (for example, esters, amides, nucleotides, and so forth), which as a rule, unite with specific proteins to form many enzymes that take part in metabolism. Along with assimilation, uninterrupted dissimiliation of vitamins also occurs in the organism, during which the products of their decomposition (and sometimes also slightly changed molecules of vitamins) are discharged. An insufficient supply of vitamins to the organism results in debility; severe vitamin deficiency causes metabolic disturbances and diseases—avitaminoses—which can lead to the organism’s destruction. Avitaminoses may arise not only from an insufficient intake of vitamins but also from disturbances in the processes of their assimilation and use in the organism. The founder of vitamin study, the Russian physician N. I. Lunin, established in 1880 that when white mice were fed only an artificial milk consisting of casein, fat, lactose, and salts, the animals died. Consequently, natural milk contains other substances indispensable for nutrition. In 1912 the Polish physician C. Funk, who proposed the name “vitamin” itself, generalized the experimental and clinical data accumulated up to that time and concluded that such diseases as scurvy, rickets, pellagra, and beriberi are diseases of nutritional deficiency, or avitaminoses. From that time, the science of vitamins (vitaminology) began to develop intensively, which may be explained by the importance of vitamins not only in controlling many diseases but also in learning the essence of a number of life phenomena. The method of detecting the presence of vitamins used by Lunin (keeping animals on a special diet, inducing experimental avitaminoses) became the basis of research. It became clear that not all animals need the whole complex of vitamins; that certain species of animals can independently synthesize some vitamins. At the same time, many mold and yeast fungi and various bacteria develop on artificial culture media only when vitamin-containing extracts of plant or animal tissue have been added to them. The study of vitamins is not limited to discovering them in natural products by means of biological tests and other methods. Active vitamin preparations are obtained from these products, their structures are studied, and finally the individual vitamins are synthesized. The chemical nature of all known vitamins has been investigated. It has turned out that many of them are found in groups of three-five or more related compounds that differ in details of structure and degree of physiological activity. A large number of artificial analogs of vitamins have been synthesized for the purpose of ascertaining the roles of functional groups. This has promoted understanding of the action of vitamins. Thus, some derivatives of vitamins with replaced functional groups have an effect on the organism contrary to that of original vitamins competing with them in bond formation with specific proteins during the formation of enzymes or in bonding with the substrates undergoing enzyme action. Vitamins have letter designations, chemical names, or names characterizing them by physiological activity. In 1956 a single classification for vitamins was adopted, which has become generally used (see Table 1). The presence of chemically pure vitamins has made it possible to proceed to ascertaining their role in metabolism. Vitamins either enter into the composition of enzymes or are components of enzyme reactions. In the absence of vitamins in the organism, the activity of the enzyme systems, in which vitamins participate, is disrupted, consequently leading to metabolic disturbances. Several hundred enzymes are known which are composed of vitamins and a very large number of reactions which the enzymes catalyze. Many vitamins predominantly function in processes of decomposition of nutritive substances and of freeing the energy locked in them (vitamins B1, B2, PP, and so forth). The following vitamins also function in processes of synthesis: B6 and B12 participate in the synthesis of amino acids and in protein metabolism, B3 (pantothenic acid) in the synthesis of fatty acids and in fat metabolism, Bc (folic acid) in the synthesis of purine, pyrimidine bases, and mariy physiologically important compounds—acetylcholine, glutathione, steroids, and others. The action of fat-soluble vitamins has been less studied;..however, they undoubtedly function in the formation of body structures, for example, in bone formation (vitamin D), in the development of integumentary tissues (vita-min A), and in the normal development of the embryo (vita-min E and others). Thus, vitamins have immense physiological significance. Clarification of their physiological role has made it possible to use them for introduction into food products, in medical practice, and in animal husbandry. Vitamins began to be used especially widely after mastery of their commercial synthesis. REFERENCESKudriashov, B. A. Biologicheskie osnovy ucheniia o vitaminakh. Moscow, 1948. (Contains a bibliography.) Valdman, A. P Znachenie vitaminov v pitanii sel’skokhoziaistvennykh zhivotnykh i ptitsy. Riga, 1957.Table 1. Classification and short description of vitamins |
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New nomenclature | Earlier designations | Physiological role | Principal food sources | Daily adult requirement (In mg) |
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Fat-soluble vitamins | Retinol | Vitamin A,, axerophthol, antixerophthalmic vitamin | Component of visual purple, intensifies keenness of vision in poor light, reinforces epithelial tissue necessary for normal growth | Butter, milk, cheese, egg yolk, liver, roe, fish oils, and carotene plants from which the body manufactures vitamin A | 1.5-2.5 | Dehydroretinol | Vitamin A2 | Same as vitamin A,; 40 per-cent of activity of vitamin A, | Liver oil of freshwater fish | Not established | Ergocalciferol | Vtiamin D2, calciferol, anti-rachitic vitamin | Increases assimilation of dietary calcium, increases re-absorption of phosphorus in kidneys, necessary for bone growth | Synthetic product obtained by ultraviolet irradiation of yeast ergosterol | 0.02-0.04 (children) | Cholecalciferol | Vitamin D3 | Same as ergocalciferol; activity in humans and most animals identical with that of vitamin D2, 30 times higher for birds | Milk (little), butter, egg yolk, significantly more in fish-liver oils; forms in the skin under the action of ultra-violet rays | Same as ergocalciferol | alpha-, beta-, and gamma-tocopherols | Vitamin E, antisterility vitamin | Protects lipoid substances in cells against oxidation; muscular dystrophy and sterility observed in animals with prolonged deficiency | Vegetable oils; green leafy vegetables; little found in animal products | Not established Not established | Phylloquinone | Vitamin K,, 2-methyl-3-phytyl-1,4-naphthoquinone, antihemorrhagic vitamin | Participates in formation of prothrombin in liver, increases blood coagulability | Vegetable products, especially green leaves; little found in animal products | 2 | Farnoquinone | Vitamin K2, 2-methyl-3-difarnesyl-1,4-naphtholquinone | Same as phylloquinone | Secreted by bacteria | Not established | Vikasol | Vitamin K3, bisulfite derivative of 2-methyl-1,4-naphthoquinone | Same as phylloquinone; twice as active as vitamin K, | Synthetic product | 1 | Water-soluble vitamins | Ascorbic acid | Vitamin C, antiscorbutic vitamin | Participates in formation of collagen, in reduction of folic acid to coenzyme, and in other oxidation-reduction processes | Fresh vegetables, fruits, berries | 70-100 | Bioflavonoids | P vitamins, capillary-strengthening vitamins | Complex of substances — rutin, hesperidin, catechines — that strengthen walls of capillary vessels; active in presence of ascorbic acid | Citrus fruits, black currants, rose hips, black-fruited mountain ash, tea (especially green) | 50-100 | Thiamine | Vitamin B,, aneurin, antineuritic vitamin | Component of pyruvate decarboxylases that decompose pyruvic acid; B, avitaminosis (beriberi) develops in its absence | Yeast, liver, whole-grained bread, buckwheat groats, oats | 1.5-2 | Lipoic acid | Thioctic acid | Participates with thiamine in oxidative decarboxylation of pyruvate with formation of acetic acid and C02 | Vegetable products | Not established | Nicotinamide | Vitamin PP, niacinamide, antipellagra vitamin | Component of oxidation-reduction enzymes—dehydrogenases | Liver, kidney, meat, yeast, milk, peas, beans | 15-25 | Riboflavin | Vitamin B2, lactoflavin | Component of enzymes that effect transport of hydrogen from dehydrogenases to oxygen | Milk and meat products, leafy green vegetables | 2-2.5 | Pyridoxine | Vitamin B6 | Component of enzymes that catalyze transamination and decarboxylation of amino acids | Meat, fish, milk, beef liver, yeast, many vegetable products | 2-3 | Pantothenic acid | Vitamin B3 | Component of coenzyme A, essential for synthesis of fatty acids, steroids, acetylcholine, and many other compounds | Widely distributed in all plants, animal tissues, and microorganisms | 5-10 | Folic acid | Group designation of mono-, tri-, and heptaglutamic acids, vitamin Bc, folacin | Component of enzymes that function in synthesis of purine and pyrimidine com-pounds of certain amino acids (serine, methionine); with vitamin B12 participates in hematogenesis | Liver, kidneys, yeast, green leafy vegetables | 0.1-0.5 | Cyanocobalamin | Vitamin B,2, hematogenic factor | Component of many enzymes that function in syn-thesis of choline, creatine, nucleic acids, and others; most active antianemia preparation | Liver, kidneys; less in meat and milk | 0.005-0.01 | p-aminobenzoic acid | p-aminobenzoic acid, PABA (para-aminobenzoic acid) | Growth factor in many microorganisms, stimulates production of vitamins by intestinal microflora; component of folic acid | Yeast, liver, seeds of wheat and rice | Not established | Biotin | Vitamin H | Component of enzymes that catalyze carboxylation (addition of CO2 with lengthening of the chain) of fatty acids, and others | Liver, kidneys, yeast, egg yolk, vegetable products | 0.01 | Meso-inositol | Inositol | Growth factor in yeasts; deficiency causes cessation of growth in young animals | Widespread in plants in the form of salts of inositol phosphoric acid—phytin | Not established | Choline chloride | Choline chloride | Source of methyl groups for synthesis of many compounds; participates in syn-thesis of phospholipids | Seeds of cereal grasses, legumes, sugar beet, and other vegetable products; yeast, liver | 500-1,000 | Orotic acid | Vitamin B13 | Precursor of pyrimidine bases; used in processes of synthesis | Vegetable products and milk | Therapeutic doses, 1,000-1,500 | Pangamic acid | Vitamin B15 | Increases oxidative metabolism, has lipotropic and detoxifying effect | Seeds of cereal grasses, liver, yeast | Therapeutic doses, 200-300 | S-methylmethionine sulfonium chloride | Antiulcer factor, vitamin U (from Latin ulcus, ulcer) | Promotes healing of peptic ulcers of stomach and duodenum | Juices of fresh vegetables— cabbage, spinach, celery, and so forth | Therapeutic doses, 200-250 | Berezovskii, V. M. Khimiia vitaminov. Moscow, 1959. Trufanov, A. V. Biokhimiia i fiziologiia vitaminov i antivitaminov. Moscow, 1959. Shilov, P. I., and T. N. Iakovlev. Osnovy klinicheskoi vitaminologii. Leningrad, 1964. (Contains a bibliography.) Bukin, V. N. Pangamat kal’tsiia (vitamin B15). Moscow, 1968. Vitamine. Chemie und Biochemi, vols. 1-2. Edited by J. Fragner. Jena, 1964-65. (Contains a bibliography.) Wagner A. F., and K. Folkers. Vitamins and Coenzymes. New York [1964]. The Vitamins: Chemistry, Physiology, Pathology, Methods, 2nd ed., vol. 1. Edited by W. H. Sebrell and R. S. Harris. New York-London, 1967.V. N. BUKIN Production of vitamins. Vitamins are obtained primarily synthetically; only in a few cases are certain isolated stages in the chain of synthesis accomplished by biological means. The production of vitamin concentrates from products of plant or animal origin has almost completely lost its significance. Production of vitamins is a delicate, multistage type of organic synthesis. The following vitamins are synthesized by chemical methods: A, Bl B2, B3, B6, Bc, C, D2, D3, E, K, and PP. B12 is obtained by fermentative methods of microbiological synthesis. Fermentation is also used in one of the stages of vitamin C synthesis. This vitamin, in the form of individual crystals of a high degree of purity, is formed by the reduction of D-glucose to D-sorbitol. The latter is fermentatively oxidized to L-sorbose, which after a number of operations, is converted to Vitamin C (I). Vitamin A (retinol) is synthe-sized, starting with pseudoionone (II), which is cyclized to beta-ionone and then, through a number of complex operations, is converted to retinol (III). Pseudoionone is also used as the starting material in the multistage synthesis of isophytol, used in obtaining pure vitamin E (alpha-tocopheryl acetate, IV). Vitamin K3 (2-methyl-l, 4-naphthoquinone) is obtained by the oxidation of 2-methylnaphthalene. Vitamin K3 is used in medical practice in the form of an aqueous solution of the sodium salt of a bisulfite derivative (V). The production of vitamin Bj (thiamine, VI) is based on the condensation of 2-methyl-4-amino-5-chlor(brom)methylpyrimidine with 4-methyl-5-beta-oxyethylthiazolium. The coenzyme of Vitamin BI, cocarboxylase (VII), or diphosphoric ester of thiamine, which is used for treating heart diseases, is obtained by the phosphorylation of thiamine, with the subsequent purification on ion-exchange resins, and by crystallization. Vitamin B2 (riboflavin, VIII) forms when culturing Eremothecium ashbyii and other microorganisms without isolation in the form of a dry biomass (used only for feeding agricultural animals). Synthetic riboflavin (used in medicine) is obtained in the form of a crystalline product by the destructive oxidation of D-glucose (from cornstarch) to D-arabonic acid and then converted by a number of other operations into the end product—yellow-orange crystals of a high degree of 
purity. An important derivative of riboflavin is its coenzyme riboflavin-5′-phosphate of sodium (IX, R=Na), which is used for injection. It h obtained by the phosphorylation of riboflavin. Another coenzyme, flavin adenine nucleotide (IX, R is a radical of adenosine-5′-phosphate), is obtained by the condensation of riboflavin-5′-phosphate and adenosine-5′-phosphate. Vitamin B6 (pyridoxine, X,a) is synthesized by condensing methoxyacetyl acetone with cyanoacetic ester in the presence of ammonia to 2-methyl-4-methoxymethyl-5-cyan-6-oxypyridine, which undergoes nitration and is then converted by a number of operations to pyridoxine. Another method of obtaining pyridoxine involves 4-methyl-5-prop-oxyoxazole diene synthesis with the formal of butene-2-diol-l ,4. Other forms of B6 are pyridoxal (X,b) and pyridoxamine (X,c). Vitamin Bc (folic acid, XI) is synthesized by a one-stage condensation of 2,4,5-triamino-6-oxypyrimidine, 1.1.3-trichloracetone, and p-aminobenzoyl-L-glutamic acid. Vitamin PP (nicotinic acid, XII) is obtained by the oxidation of beta-picoline (isolated from coal tar), resources of which are limited, and also by the oxidation of quinoline or 2-methyl-5-ethylpyridine. For medical purposes, nicotinamide (XIII) is also used in addition to nicotinic acid. Vitamin B3, optically active D-pantothenic acid
HOCH2C(CH3)2CH(OH)CONH(CH2)2COOH is used for medical purposes in the form of a calcium salt. For purposes of animal husbandry, there is no need to divide the racemate of pantolactone into its optical antipodes at intermediate stages of the synthesis. Synthesis of the racemic pantothenate of calcium involves aldol condensation of isobutyral and formaldehyde, with subsequent conversion to pantolactone, followed by condensation with beta-alanine, which leads to the formation of the end product. Vitamin B12 (cyanocobalamin), a substance of extremely complex structure, is obtained by means of the microbiological synthesis with Propionbacterium Shermanii in carbohydrate-protein media—byproducts of beet-sugar production (molasses). Fermentation is carried out in the presence of 5,6-dimethylbenzimidazole. The vitamin is isolated in crystalline form. Also important is the technique involving the fermentation of residues from acetone and alcohol plants processing molasses by thermophile, methane-forming bacteria at 55-57° C. Vitamin D2 (ergocalciferol), which also has an extremely complex structure, is isolated from baker’s yeast in the form of ergosterol, which then undergoes photoisomerization. For medical purposes, ergocalciferol is freed of foreign substances that form during photoisomerization. Vitamin D3 (cholecalciferol) is obtained from cholesterol, a product of the meat industry. It is benzoylated, then undergoes bromination and other operations. V. M. BEREZOVSKII Vitamins and animal husbandry. The significance of vitamins in the feeding of agricultural animals is very great. When vitamins are lacking or absent, growth and development of the young is retarded, resistance to various diseases is lowered, and productivity is decreased. Sterility, abortions, and low productivity are often associated with a vitamin-deficient diet in agricultural animals. Vitamin requirements depend on the species of animal and the animal’s age, physiological condition, productivity, feeding conditions, and maintenance as well as on the organism’s reserves of vitamins. These requirements are especially great in the young, in pregnant and lactating females, and in highly productive and purebred animals. The daily carotene requirements (per 100 kg live weight) are 60-80 mg for pregnant cows, 50-60 mg for lactating cows, 70-100 mg for bulls, 20-40 mg for pregnant and lactating ewes, 40-60 mg for rams, 20-30 mg for pregnant and lactating sows, 50-60 mg for boars, 20-25 mg for workhorses, and 40-50 mg for purebred horses. The daily vitamin D2 or D3 requirements (per 100 kg live weight) are 1,000-1,500 international units (IU) for cattle, 1,000 IU for sheep, and 1,000 IU for swine. Vitamins of the B group are not allotted to ruminants, since they almost completely meet their own requirements for this group owing to the ability of the bacteria of the rumen to synthesize them. Swine are allotted (per 100 kg live weight) 10 mg of Vitamin B2, 40 /xg of vitamin B12, and 50-75 mg of vitamin PP. Vitamin requirements for fowl are calculated per 1 ton of concentrated feed, which totals 4.5 g 
of vitamin A, 30 million IU of vitamin D2, 1 million IU of vitamin D3, 12 mg of vitamin B12, 15 mg of vitamin PP, 4 mg of vitamin B2, 10 g of pantothenic acid, and 1,000 g of choline chloride. The principal source of vitamins for animals is feed. For proper organization of feeding, it is therefore necessary, in addition to vitamin requirements, to know their content in the feed. Allowances of vitamins for animals are made by the proper selection of feed and the enrichment of rations with vitamin feed or vitamin concentrates produced by industry. Mixed feeds produced by industry contain all the necessary vitamins. REFERENCESKouts, M. E. [et al.]. “Vitaminy v pitanii zhivotnykh.” In the book Novoe v kormlenii sel’skokhoziaistvennykh zhivotnykh, vol. 2. Moscow, 1958. (Anthology of translations.) Bukin, V. N. “Problema vitaminov v zhivotnovodstve i puti ee resheniia.” In the book Voprosy khimizatsii zhivotnovodstva. Moscow, 1963. Bukin, V. N. Vitaminy v zhivotnovodstve. Moscow, 1966.vitamins
Vitamins DefinitionVitamins are organic components in food that are needed in very small amounts for growth and for maintaining good health. The vitamins include vitamin D, vitamin E, vitamin A, and vitamin K, or the fat-soluble vitamins, and folate (folic acid), vitamin B12, biotin, vitamin B6, niacin, thiamin, riboflavin, pantothenic acid, and vitamin C (ascorbic acid), or the water-soluble vitamins. Vitamins are required in the diet in only tiny amounts, in contrast to the energy components of the diet. The energy components of the diet are sugars, starches, fats, and oils, and these occur in relatively large amounts in the diet.Most of the vitamins are closely associated with a corresponding vitamin deficiency disease. Vitamin D deficiency leads to diseases of the bones such as osteoporosis and rickets. Vitamin E deficiency occurs only rarely, and causes nerve damage. Vitamin A deficiency is common throughout the poorer parts of the world, and causes night blindness. Severe vitamin A deficiency can result in xerophthalamia, a disease which, if left untreated, results in total blindness. Vitamin K deficiency results in spontaneous bleeding. Mild or moderate folate deficiency is common throughout the world, and can result from the failure to eat green, leafy vegetables or fruits and fruit juices. Folate deficiency causes megaloblastic anemia, which is characterized by the presence of large abnormal cells called megaloblasts in the circulating blood. The symptoms of megaloblastic anemia are tiredness and weakness. Vitamin B12 deficiency occurs with the failure to consume meat, milk or other dairy products. Vitamin B12 deficiency causes megaloblastic anemia and, if severe enough, can result in irreversible nerve damage. Niacin deficiency results in pellagra. Pellagra involves skin rashes and scabs, diarrhea, and mental depression. Thiamin deficiency results in beriberi, a disease that can cause atrophy, weakness of the legs, nerve damage, and heart failure. Vitamin C deficiency results in scurvy, a disease that involves bleeding. Specific diseases uniquely associated with deficiencies in vitamin B6, riboflavin, or pantothenic acid have not been found in humans, though persons who have been starving, or consuming poor diets for several months, might be expected to be deficient in most of the nutrients, including vitamin B6, riboflavin, and pantothenic acid.Some of the vitamins serve only one function in the body, while other vitamins serve a variety of unrelated functions. Therefore, some vitamin deficiencies tend to result in one type of defect, while other deficiencies result in a variety of problems.PurposePeople are treated with vitamins for three reasons. The primary reason is to relieve a vitamin deficiency, when one has been detected. Chemical tests suitable for the detection of all vitamin deficiencies are available. The diagnosis of vitamin deficiency often is aided by visual tests, such as the examination of blood cells with a microscope, the x-ray examination of bones, or a visual examination of the eyes or skin.Essential Vitamins |
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Vitamin | What It Does For The Body |
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Vitamin A (Beta Carotene) | Promotes growth and repair of body tissues; reduces susceptibility to infections; aids in bone and teeth formation; maintains smooth skin |
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Vitamin B-1 (Thiamin) | Promotes growth and muscle tone; aids in the proper functioning of the muscles, heart, and nervous system; assists in digestion of carbohydrates |
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Vitamin B-2 (Riboflavin) | Maintains good vision and healthy skin, hair, and nails; assists in formation of antibodies and red blood cells; aids in carbohydrate, fat, and protein metabolism |
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Vitamin B-3 (Niacinamide) | Reduces cholesterol levels in the blood; maintains healthy skin, tongue, and digestive system; improves blood circulation; increases energy |
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Vitamin B-5 | Fortifies white blood cells; helps the body's resistance to stress; builds cells |
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Vitamin B-6 (Pyridoxine) | Aids in the synthesis and breakdown of amino acids and the metabolism of fats and carbohydrates; supports the central nervous system; maintains healthy skin |
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Vitamin B-12 (Cobalamin) | Promotes growth in children; prevents anemia by regenerating red blood cells; aids in the metabolism of carbohydrates, fats, and proteins; maintains healthy nervous system |
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Biotin | Aids in the metabolism of proteins and fats; promotes healthy skin |
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Choline Folic Acid (Folate, Folacin) | Helps the liver eliminate toxins Promotes the growth and reproduction of body cells; aids in the formation of red blood cells and bone marrow |
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Vitamin C (Ascorbic Acid) | One of the major antioxidants; essential for healthy teeth, gums, and bones; helps to heal wounds, fractures, and scar tissue; builds resistance to infections; assists in the prevention and treatment of the common cold; prevents scurvy |
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Vitamin D | Improves the absorption of calcium and phosphorous (essential in the formation of healthy bones and teeth) maintains nervous system |
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Vitamin E | A major antioxidant; supplies oxygen to blood; provides nourishment to cells; prevents blood clots; slows cellular aging |
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Vitamin K (Menadione) | Prevents internal bleeding; reduces heavy menstrual flow |
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A second reason for vitamin treatment is to prevent the development of an expected deficiency. Here, vitamins are administered even with no test for possible deficiency. One example is vitamin K treatment of newborn infants to prevent bleeding. Food supplementation is another form of vitamin treatment. The vitamin D added to foods serves the purpose of preventing the deficiency from occurring in persons who may not be exposed much to sunlight and who fail to consume foods that are fortified with vitamin D, such as milk. Niacin supplementation prevents pellagra, a disease that occurs in people who rely heavily on corn as the main source of food, and who do not eat much meat or milk. In general, the American food supply is fortified with niacin.A third reason for vitamin treatment is to reduce the risk for diseases that may occur even when vitamin deficiency cannot be detected by chemical tests. One example is folate deficiency. The risk for cardiovascular disease can be slightly reduced for a large fraction of the population by folic acid supplements. And the risk for certain birth defects can be sharply reduced if certain pregnant women use folic acid supplements.Vitamin treatment is important during specific diseases where the body's normal processing of a vitamin is impaired. In these cases, high doses of the needed vitamin can force the body to process or utilize it in the normal manner. One example is pernicious anemia, a disease that tends to occur in middle age or old age, and impairs the absorption of vitamin B12. Surveys have revealed that about 0.1% of the general population, and 2-3% of the elderly, may have the disease. If left untreated, pernicous anemia leads to nervous system damage. The disease can easily be treated with large oral daily doses of vitamin B12 (hydroxocobalamin) or with monthly injections of the vitamin.Vitamin supplements are widely available as over-the-counter products. But whether they work to prevent or curtail certain illnesses, particularly in people with a balanced diet, is a matter of debate and ongoing research. For example, vitamin C is not proven to prevent the common cold. Yet, millions of people take it for that reason. A physician or pharmacist can provide more information on the appropriate use of multivitamin supplements. Likewise, though vitamin supplements have been touted as a prevention for cancer, a 2004 report by the U.S. Preventive Services Task Force concluded that the evidence is inadequate to recommend supplementation of vitamins A, C, or E, multivitamins with folic acid, or antioxidant combinations to decrease the risk of cancer.PrecautionsVitamin A and vitamin D can be toxic in high doses. Side effects range from dizziness to kidney failure. A physician or pharmacist can help with the correct use of a multivitamin supplement that contains these vitamins.DescriptionVitamin treatment usually is done in three ways: by replacing a poor diet with one that supplies the recommended dietary allowance, by consuming oral supplements, or by injections. Injections are useful for people with diseases that prevent absorption of fat-soluble vitamins. Oral vitamin supplements are especially useful for people who otherwise cannot or will not consume food that is a good vitamin source, such as meat, milk, or other dairy products. For example, a vegetarian who will not consume meat may be encouraged to consume oral supplements of vitamin B12.Treatment of genetic diseases that impair the absorption or utilization of specific vitamins may require megadoses of the vitamin throughout one's lifetime. Megadose means a level of about 10-1,000 times greater than the recommended daily allowance (RDA). Pernicious anemia, homocystinuria, and biotinidase deficiency are three examples of genetic diseases that are treated with megadoses of vitamins.PreparationThe diagnosis of a vitamin deficiency usually involves a blood test. An overnight fast usually is recommended as preparation prior to withdrawal of the blood test so that vitamin-fortified foods do not affect the test results.AftercareResponse to vitamin treatment can be monitored by chemical tests, by an examination of red blood cells or white blood cells, or by physiological tests, depending on the exact vitamin deficiency.RisksFew risks are associated with supervised vitamin treatment. Risks depend on the vitamin and the reason why it was prescribed. Ask a physician or pharmacist about how and when to take vitamin supplements, particularly those that have not been prescribed by a physician.ResourcesPeriodicals"The Next Big Deficiency." Chain Drug Review February 16, 2004: 26.Sadovsky, Richard. "Can Vitamins Prevent Cancer and Heart Disease?" American Family Physician February 1, 2004: 631.Key termsGenetic disease — A genetic disease is a disease that is passed from one generation to the next, but does not necessarily appear in each generation. An example of genetic disease is Down's syndrome.Plasma — Blood consists of red and white cells, as well as other components, that float in a liquid. This liquid is called plasma.Recommended dietary allowance (RDA) — The Recommended Dietary Allowances (RDAs) are quantities of nutrients of the diet that are required to maintain human health. RDAs are established by the Food and Nutrition Board of the National Academy of Sciences and may be revised every few years. A separate RDA value exists for each nutrient. The RDA values refer to the amount of nutrient expected to maintain health in the greatest number of people.Serum — Serum is blood plasma with the blood clotting proteins removed. Serum is prepared by removing blood from the subject, allowing the blood naturally to form a blood clot, and then using a centrifuge to remove the red blood cells and the blood clot. The blood clot takes the form of an indistinct clump.Vitamin status — Vitamin status refers to the state of vitamin sufficiency or deficiency of any person. For example, a test may reveal that a patient's folate status is sufficient, borderline, or severely inadequate.vitamins Chemical compounds necessary for normal body function. Vitamins are needed for the proper synthesis of body building material, HORMONES and other chemical regulators; for the biochemical processes involved in energy production and nerve and muscle function; and for the breakdown of waste products and toxic substances. The B group of vitamins are COENZYMES without which many body ENZYMES cannot function normally. The amounts of vitamins needed for health are very small and are almost always present in adequate amounts in normal, well-balanced diets. Excess intake of vitamins A and D is dangerous. Vitamins C and E are antioxidants and may be valuable, in doses many times the minimum requirement, in combatting the damaging effect of FREE RADICALS. Folic acid supplements are valuable in preventing NEURAL TUBE DEFECTS. Vitamins are conventionally divided into the fat-soluble group A, D, E and K, and the water-soluble group, vitamin C (ascorbic acid) and the B vitamins-B1 (thiamine), B2 (riboflavine, riboflavin), nicotinic acid, B6 (pyridoxine), pantothenic acid, biotin, folic acid and B12. The term was derived from the belief that vitamins were ‘vital amines’.Patient discussion about vitaminsQ. Should I take vitamins? I try to eat a healthy balanced diet everyday. Do I still need to take vitamins additionally?A. Unless your Doctor told you that you suffer from a vitamin deficiency, then eating a healthy balanced diet is enough in order to get all the necessary vitamins. Make sure to eat fresh fruits and vegetables, which are rich with them. Also People who eat a vegetarian diet may need to take a vitamin B12 supplement. Q. Are Vitamins really helpful? I realize that there's an entire industry around it but I was wondering how helpful vitamins really are. Is there a difference between vitamins from fruits and vegetables and vitamins that you buy off the shelve? Is there such a thing as taking too much vitamins?A. Yes, vitamins are helpful. I recently stopped taking my supplement to see if I felt a difference. Once I stopped taking it my anxiety attacks returned and my energy level went down. Nutrition that we get from food is the best, but the truth is that we don't get the amount of nutrition that we need daily. Yes, it is a such thing as taking too many vitamins. This is why it is still good consult with your doctor when taking any kind of vitamin or supplement. When chosing a vitamin for myself price is not a concern when it comes to health. This is why I prefer more expensive vitamins rather than over the counter. Q. what vitamins are recommended for treating cold? and what is the right amount of it ? A. Actually, although studied in trials, vitamins C, E and zinc wasn't found to have a substantial effect either preventing or relieving the symptoms of common cold, so currently these vitamins can't be recommended for the treatment of common cold. You may read more here: http://www.nlm.nih.gov/medlineplus/commoncold.html
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