Vitamin, individual

Riboflavin deficiencies are very rarely seen in the United States because the vast majority of people consume a diet that contains adequate amounts of the vitamin. Individuals... 

Established methods for the determination of B vitamins require the analysis of each vitamin individually by a wide number of different methods including colorimetric, fluorimetric, spectrophotometric and titrimetric techniques. These methods tend to be time-consuming and are based on older technology. The most sensitive are the high-performance liquid chromatography (HPLQ assays that are yielding excellent results. They have the advantages of sensitivity and reliability. 

The amount of each element required in daily dietary intake varies with the individual bioavailabihty of the mineral nutrient. BioavailabiUty depends both on body need as deterrnined by absorption and excretion patterns of the element and by general solubiUty, and on the absence of substances that may cause formation of iasoluble products, eg, calcium phosphate, Ca2(P0 2- some cases, additional requirements exist either for transport of substances or for uptake or binding. For example, calcium-binding proteias are iavolved ia calcium transport an intrinsic factor is needed for vitamin cobalt,... 

More than one process is available for some of the vitamins. Further, manufacturers have developed variants of the classical syntheses during Optimization. Whereas some of this information is available, as described in the individual sections on vitamins, much is closely held as trade secrets. Judging from the more recent patent Hterature, the assessment can be made that vitamin production technologies are in general mature. However, the economic value of these products drives continuing research aimed at breakthrough processes. Annual production of vitamins varies gready, from ca 10 metric tons of vitamin B 2 to ca 50,000 metric tons of vitamin C. 

It can be estimated that approximately 3,000,000,000 of vitamins were sold in 1996. Market growth is slightly higher than population growth, but varies widely by individual vitamin, geographical area, and/or appHcation. The largest vitamin manufacturer is Hoffmann-La Roche. Other significant producers include BASE, Takeda, Eisai, and Rhc ne-Poulenc. Additional vitamins are produced in China, Russia and India. 

The most recent RDA has included a vitamin C recommendation of 100 mg/day for cigarette smokers. An increasing number of investigators have concluded that the current RDA for vitamin C may not be adequate for elderly individuals. Plasma vitamin C level is generally accepted as an indicator of vitamin C status. 

Clinical manifestation of vitamin B 2 deficiency is usually a result of absence of the gastric absorptive (intrinsic) factor. Dietary deficiency of vitamin B 2 is uncommon and may take 20 to 30 years to develop, even in healthy adults who foUow a strict vegetarian regimen. An effective enterohepatic recycling of the vitamin plus small amounts from bacterial sources and other contaminants greatly minimizes the risk of a complete dietary deficiency. Individuals who have a defect in vitamin B 2 absorption, however, may develop a deficiency within three to seven years. 

Requirement. A daily intake of 1 pg should cover the daily loss of vitamin and maintain an adequate body pool. The RDA (34), however, has been estabHshed at 2 pg/day to cover metaboHc variation among individuals and to ensure normal semm concentrations and adequate pool sizes (Table 2). 

In milk approximately 90% of the yellow color is because of the presence of -carotene, a fat-soluble carotenoid extracted from feed by cows. Summer milk is more yellow than winter milk because cows grazing on lush green pastures in the spring and summer months consume much higher levels of carotenoids than do cows ham-fed on hay and grain in the fall and winter. Various breeds of cows and even individual animals differ in the efficiency with which they extract -carotene from feed and in the degree to which they convert it into colorless vitamin A. The differences in the color of milk are more obvious in products made from milk fat, since here the yellow color is concentrated. Thus, unless standardized through the addition of colorant, products like butter and cheese show a wide variation in shade and in many cases appear unsatisfactory to the consumer. 

Due to bleeding risk, individuals on anticoagulant therapy or individuals who are vitamin K-deficient should not take vitamin E supplementation without close medical supervision. Absent of that, vitamin E is a well-tolerated relatively non-toxic nutrient. A tolerable upper intake level of 1,000 mg daily of a-tocopherol of any form (equivalent to 1,500 IU of RRR a-tocopherol or 1,100 IU of all-rac-a-tocopherol) would be, according to the Food and Nutrition Board of the Institute of Medicine, the highest dose unlikely to result in haemorrhage in almost all adults. 

Natural products, such as enzymes and vitamins, are almost invariably extracted from mixtures. To analyze the composition of any sample that we suspect is a mixture, we first separate its components by physical means and then identify each individual substance present (Fig. G.5). Common physical separation techniques include decanting, filtration, chromatography, and distillation. 

In bacteria and plants, the individual enzymes of the fatty acid synthase system are separate, and the acyl radicals are found in combination with a protein called the acyl carrier protein (ACP). However, in yeast, mammals, and birds, the synthase system is a multienzyme polypeptide complex that incorporates ACP, which takes over the role of CoA. It contains the vitamin pantothenic acid in the form of 4 -phosphopan-tetheine (Figure 45-18). The use of one multienzyme functional unit has the advantages of achieving the effect of compartmentalization of the process within the cell without the erection of permeability barriers, and synthesis of all enzymes in the complex is coordinated since it is encoded by a single gene. 

Camitine deficiency can occur particularly in the newborn—and especially in preterm infants—owing to inadequate biosynthesis or renal leakage. Losses can also occur in hemodialysis. This suggests a vitamin-fike dietary requirement for carnitine in some individuals. Symptoms of deficiency include hypoglycemia, which is a consequence of impaired fatty acid oxidation and hpid accumulation with muscular weakness. Treatment is by oral supplementation with carnitine. 

The water-soluble vitamins comprise the B complex and vitamin C and function as enzyme cofactors. Fofic acid acts as a carrier of one-carbon units. Deficiency of a single vitamin of the B complex is rare, since poor diets are most often associated with multiple deficiency states. Nevertheless, specific syndromes are characteristic of deficiencies of individual vitamins, eg, beriberi (thiamin) cheilosis, glossitis, seborrhea (riboflavin) pellagra (niacin) peripheral neuritis (pyridoxine) megaloblastic anemia, methyhnalonic aciduria, and pernicious anemia (vitamin Bjj) and megaloblastic anemia (folic acid). Vitamin C deficiency leads to scurvy. 

Heart Protection Study Collaborative Group, MRC/BHF Heart Protection Smdy of antioxidant vitamin supplementation in 20,536 high-risk individuals a randomised placebo-controlled trial. Lancet, 360, 23, 2002. 

Prevention of vascular disease is one of the goals of a study in progress in Sweden, in which newly diagnosed diabetic children have been randomized in a doubleblind study where one group receives placebo and the other a preparation containing ascorbic acid, )3-carotene, nicotinamide, selenium and vitamin E (Ludvigsson, 1992). Future research with antioxidants may attempt to prevent the onset of pancreatic beta-cell destruction in the prediabetic phase of susceptible individuals. 

The stability of individual analytes within a matrix material is often quite variable. A good example is shown by NIST SRM 968b fat soluble vitamins and cholesterol in serum. The material must be shipped and stored at -8o°C. The SRM is certified for a range of vitamins, most of which are quite stable at -20°C, or even +4°C, but the beta-carotene and other components are not. It is therefore essential to ensure the material, if the carotene components are of interest, is shipped and stored correctly. 

For example, elderly patients living in musing homes will not be able to meet vitamin D requirements and will need supplementation. Vitamin D deficiency is common in elderly patients owing to decreased exposure to sunlight and subsequent decreased vitamin D synthesis in the skin, decreased gastrointestinal absorption of vitamin D, and reduction in vitamin D3 synthesis. Individuals living in northern climates also have decreased exposure to sunlight and are less likely to achieve vitamin D requirements. 

The synergistic effect observed in the presence of all three antioxidants implies that there is an interaction between the individual antioxidant components. The direct interaction of the a-tocopherol radical and ascorbic acid is already well established (Bisby and Parker 1995) and a study by Mayne and Parker (1989) on chicks deficient in vitamin E and selenium showed that the... 

Intrinsic factor is produced by the parietal cells. Within the stomach, it combines with vitamin Bu to form a complex necessary for absorption of this vitamin in the ileum of the small intestine. Vitamin B12 is an essential factor in the formation of red blood cells. Individuals unable to produce intrinsic factor cannot absorb vitamin B12 and red blood cell production is impaired. This condition, referred to as Pernicious anemia, occurs as a result of an autoimmune disorder involving destruction of parietal cells. 

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