Vitamins and Supplements

Vitamin Information

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Vitamins are special organic compounds that are essential for the body's metabolism. Only small amounts are required, and most of them are obtained from the food that we eat.

The lack of vitamins can cause serious medical conditions and excessive intake can also have health consequences.

This article discusses what vitamins are, their function in our bodies, their types, sources, a summary of each of the 13 known vitamins and the health concerns regarding exessive intake of multivitamin and mineral supplements.

Get your vitamins from a variety of food.

Let's summarize the basic information about vitamins:

Vitamin: definition

A vitamin is a nutrient that the body needs in extremely small amounts to sustain life and stay healthy.

Vitamins are organic molecules meaning that they contain carbon atoms.

By "extremely small amounts" we mean quantities that range from 2.4 μg (one ten-millionth of an ounce) for vitamin B12 to 425 mg (0.15 oz) per day for choline.

Vitamin: Meaning

The name "vitamin" comes from the word "vitamine" which was coined by Casimir Funk, in 1912.

Funk, a Polish biochemist was working on essential nutrients and he believed that they were "amines" so he came up with a word that combined the Latin word "Vita" = "life" and "amine".

An amine is an organic compound in which a nitrogen atom is bound to other radicals or hydrogen atoms.

The final "e" was dropped from the name after it was shown that these compounds were not amines. So they became "Vitamins" instead of "Vitamines".

Vitamins: function

Vitamins can function as coenzymes, antioxidants or body mineral regulators.

Enzymes are complex organic molecules that "catalyze" or speed up chemical reactions. They are present in very small amounts inside our cells.

Our body chemical reactions keep us alive and these must take place quickly and here is where enzymes kick in.

One molecule of an enzyme can mediate between 10 to 100 chemical reactions each second.

Vitamin-derived molecules known as coenzymes help enzymes bind to certain molecules so that they can react quickly.

Coenzymes can either be vitamins or compounds manufactured by the body from vitamins. The vitamin B complex act as coenzymes.

It is clear that vitamins have an enormous role in our metabolism helping to keep us alive by acting as enzymes.

Other vitamins (Vitamin D) for instance have a hormone-like function acting upon the metabolization of minerals such as calcium and phosphorus and regulating their levels in the body.

Vitamins C and E are antioxidants that scavenge free radicals.

If we do not ingest enough vitamins "deficency" diseases will appear. Illness can also appear in the case of excess intake of vitamins.

Some diseases such as Coeliac Disease impede the correct absorption of vitamins from the digestive tract leading to vitamin deficiencies.

Quick Vitamin Facts

  • Vitamins are essential nutrients
  • There are 13 recognized vitamins
  • Our body can synthesize some of them, but we need to get most of them from our diet.
  • Some are water-soluble and excess vitamins are eliminated in the urine (The 8 B vitamins and vitamin C).
  • Others are fat-soluble and are stored in your fatty tissues (Vitamins A, D, E and K). Overdosing these can be harmful
  • Supplements and multivitamins are not risk free.

Sources of Vitamins

Most of the vitamins we need to come from food. Human beings cannot syntesize all of them (unlike dogs, who can produce their own vitamin C, we have to consume it from external sources).

We get them from dietary sources as part of vegetables, fruits, grains and animal origin foods (that is why it is so important to eat a Balanced Diet.

Check our webpage on "Balanced Diet":

A Balanced Diet

A balanced diet is made up of the right proportions of the each one of the different nutrients your body needs. Learn how much of each food group you should include in your diet.

More...

Our bodies produce vitamin D when we expose our skin to sunlight (that is why vitamin D deficiency can affect people living in northern latitudes during dull overcast winters).

Bacteria living in our intestines produce vitamin K and biotin which we can absorb. Vitamin A is synthesized from beta carotene, and niacin is synthesized from an amino acid (tryptophan).

Fortified Food

Several countries, including the US implemented fortification programs by whch vitamins (folic acid, niacin and vitamins A, D, B1, B2 and B12) are added to certain foods to prevent eventual deficiencies in the general population.

Multivitamin and Mineral Supplements

Many people buy multivitamin supplements and take a daily dose of vitamins whether they need it or not. There are some concerns about the benefits of these multivitamins (more on this below).

Vitamins information

A history of vitamins

During the 1800s, "germ theory" became the main explanation for most ailments, and at the same time nutrition science beleived that only four nutrients (carbohydrates, fats, proteins and minerals) were essential for life. But neither theory could explain certain diseases (scurvy, beriberi, pellagra, rickets).

A long process of trial and error involving chemists, physicians and other scientists finally identified certain organic compounds that were "hidden" inside the food in minute quantities which could revert and cure those diseases. It became clear that they were provoked by a deficiency of those compounds.

They were identified and isolated from foodstuffs, and their chemical structures understood. Later they were synthesized in the laboratory.

All vitamins were finally discovered between 1913 and 1948.

Types of vitamins

Classification of Vitamins

As mentioned further up, vitamins can be classified according to their solubility in water or oil (meaning that they dissolve in one or the other).

Fat-Soluble Vitamins

These dissolve in fats and oils. Adding oil to your salad will help absorb more vitamins from it, as they will solubilize into the oil. Once digested, they will dissolve in your body's fatty tissues.

This accumulation in body fat can lead to problems if the vitamin intake is excessive (especially in the case of vitamins A and D).

They are more frequent in fatty foods such as meats, dairy products and seafood.

Vitamins A, D, E and K are all fat-soluble.

Water-Soluble Vitamins

These are soluble in water, and as they are not absorbed by your body's tissues, any excess of them is processed in the kidneys and excreted in the urine.

All eight vitamin Bs and vitamin C are water soluble, and only this type of vitamins function as coenzymes.

As water-soluble vitamins are not stored so easily, their intake should be consistent (i.e. a daily supply to replenish their supply).

These vitamins are found in watery and ⁄ or starchy foods like grains, fruits and vegetables.

Vitamins in Food

List of vitamins and their functions

Vitamin requirements and uses

As mentioned before, a balanced diet is a good way to cover your vitamin needs. The following examples show why:

  • One cup of cooked, boiled and drained spinach has 943μg of Vitamin A, which covers the daily requirement of an adult man (900 μg)( 1 )

However some people may be undernourished or vitamin deprived and should know their daily vitamin requirements. See the following vitamin chart which lists the uses of vitamins, their function and the daily recommended intake.

Vitamin Chart

Below we list each vitamin and its recommended dietary allowances (RDA) or Adequate Intakes (AI) based on the Food and Nutrition Board, Institute of Medicine, National Academies (2011) ( 2 ) Dietary Reference Intakes (DRIs): Recommended Dietary Allowances and Adequate Intakes, Vitamins and the FDA ( 3 ) published guidelines. These are values for non-pregnant women, adults only.

Vitamin A - Retinols and Carotenoids

Function: Growth, development, immune function, formation of red blood cells, skin and bone. Vision.

Food Sources: Carrots, Cantaloupe, leafy green veggies (spinach, kale, collard greens and broccoli), Sweet Potatoes, Pumpkin, Red Peppers (orange veggies have β-carotene), Dairy products, Fortified cereals, Eggs.

RDA: Men 900 mg ⁄ d and women 700 mg ⁄ d. - Fat Soluble

Vitamin B1 - Thiamine

Function: Food to energy, nervous system function.

Food Sources: Asparagus, Beans, Peas, Kale, Green Leafy vegetables, Nuts, Pork, Sunflower seeds, Enriched bread, cereal, pasta and rice.

RDA: Men 1.2 mg ⁄ d and women 1.1 mg ⁄ d. - Water Soluble

Vitamin B2 - Riboflavin

Function: Food to energy, red blood cell formation, growth and development.

Food Sources: Spinach, Mushrooms, Seafood (Oysters), Poultry, Meats, Milk, Eggs, Enriched bread, cereal, pasta and rice.

RDA: Men 1.3 mg ⁄ d and women 1.1 mg ⁄ d. - Water Soluble

Vitamin B3 - Niacin

Function: Production of cholesterol, metabolization of food, digestion and nervous system function.

Food Sources: Beans, Nuts, Seafood, Poultry, Pork, Beef, Whole Grains and Enriched bread, cereal, pasta and rice.

RDA: Men 16 mg ⁄ d and women 14 mg ⁄ d. - Water Soluble

Vitamin B5 - Pantothenic Acid

Function: Metabolization of fat, food to energy, nervous system, red blood cell formation, production of hormones.

Food Sources: Avocados, Beans, Peas, Sweet Potatoes, Mushrooms, Whole Grains, Yogurt, Eggs, Milk, Poultry, Seafood.

AI: Men and Women 5 mg ⁄ d. - Water Soluble

Vitamin B6 - Pyridoxine

Function: Red blood cell formation, nervous system and immune function. Metabolization of fats, carbs and protein.

Food Sources: Chickpeas, Non-Citric fruits, Potatoes, Salmon, Tuna

RDA: Men 1.3 mg ⁄ d and women 1.5 mg ⁄ d. - Water Soluble

Vitamin B7 - Biotin

Function: Energy storage and the metabolism of fat, carbs and protein.

Food Sources: Avocados, Cauliflower, Fruits (rasberries), Eggs, Salmon, Pork, Liver, Whole Grains.

AI: Men and Women 30 μg ⁄ d. - Water Soluble

Vitamin B9 - Folate or Folic Acid

Function: Metabolism of protein, red blood cell formation and prevention of birth defects (critical in women who are pregnant or could become pregnant).

Food Sources: Asparagus, Avocados, Grean leaf veggies (spinach), Orange Juice, Enriched bread, cereal, pasta and rice.

RDA: Men 1.3 mg ⁄ d and women 1.1 mg ⁄ d. - Water Soluble

Vitamin B12 - Cobalamins

Function: Food to energy, formation of red blood cells, nervous system function

Food Sources: Eggs, Dairy products, Meats, Poultry, Seafood (trout, salmon, tuna, haddock, shellfish clams), Fortified cereals, Fortified yeast.

RDA: Men and women 2.4 μg ⁄ d. - Water Soluble.

Vitamin C - Ascorbic Acid

Function: Immune function, formation of collagen and connective tissue, antioxidant, wound healing

Food Sources: Citrus fruits and juices (lemon, orange, grapefruit), Kiwi, Broccoli, Brussels Sprouts, Peppers, Tomatoes (and juice), Strawberries, Berries, Cantaloupe. Cooking degrades it.

RDA: Men 90 mg ⁄ d and women 75 mg ⁄ d. - Water Soluble

Vitamin D - Calciferol

Function: Blood pressure regulation, Bone growth calcium balance, nervous system and immune functions, hormone production

Food Sources: Eggs, Fish (mackerel, salmon, trout, tuna, herring), Fish Liver Oil, Fortified cereals, soy (non-dairy), dairy products and juices, Eggs, mushrooms. Exposure to sunlight.

AI: Men and Women 15 μg ⁄ d. - Fat Soluble

Vitamin E - Tocopherols, Tocotrienols

Function: Immune function, formation of blood vessels, antioxidant

Food Sources: Green vegetables (Broccoli, spinach), Parsley, Avocado, Kiwi, Nuts, almonds, Wheat Germ, Whole Grains, Seeds, Peanuts (and Peanut Butter), Fortified Juices and Cereals, uncooked Vegetable oils.

RDA: Men and Women 15 mg ⁄ d. - Fat Soluble

Vitamin K - Quinones

Function: Blood clotting, coagulation, bone strength

Food Sources: Green Leaf veggies (broccoli, spinach, turnip greens, collards, Swiss chard, mustard greens.

AI: Men 120 μ ⁄ d and women 90 μg ⁄ d. - Fat Soluble

Effect of Heat, Light and Air on Vitamins

As with most chemical compounds, exposure to air, light or heating vitamins can cause some of the to decompose and lose their properties. The following list mentions the vitamins that are known to degrade under some or all of these conditions:

  • Vitamin D: Heat, Air, Light
  • Vitamin B1: Heat (boiling), Air
  • Vitamin B2: Heat, Air
  • Vitamin B3: Heat, Air, Light
  • Vitamin B5: Light
  • Vitamin B7: Heat
  • Vitamin B12: Heat
  • Vitamin E: Heat
  • Vitamin K: Heat, Air

In the case of water-soluble vitamins (C, B1, B2, B3, B6, B7, B9 and B12), if the foods containing them are boiled, the water absorbs the vitamins, reducing the food's vitamin content.

Vitamins: Safety Concerns

Supplementation with daily multivitamins is growing all across the world. In America, one third of adults and half of population oer the age of 55 are taking of at least one supplement per day.

The Multivitamin ⁄ mineral (MVM) supplement industry sells $11 billion each year in the US.

The popular idea behind this trend is that vitamins are safe and may be effective as preventive agents against a wide array of diseases and conditions.

But, do healthy people really need these supplements? Are they beneficial? Can they reduce risk of chronic diseases?

Below we will mention some studies that have looked into the long term health consequences and the possible harmful side-effects of vitamins:

Hamishekar et al., (2016) ( 4 ) performed a meta-analysis and reached the following conclusions:

  • "Vitamin E does not prevent cancer or cardiovascular disease and may even increase risk of heart failure in patients with diabetes mellitus or vascular disease"
  • "Vitamin C ... can have prooxidant effects" acting as a free radical and degrading fats by oxidizing them, this weakens cell membranes, resulting in cell damage.
  • Food sourced vitamin C does not have the negative oxidative effects found in vitamin C from supplements, perhaps the antioxidant balance in foods prevents it.
  • Excessive intake of Vitamin A can cause osteoporosis and increase risk of bone fracture (such as fracture in hip bone).
  • Folic Acid (a vitamin B) and a placebo were compared and "a significant excess of prostate cancers was observed in the folate group (7.3% in the folic acid group versus 2.8% in the placebo group"
  • The effect of Vitamin D combined with calcium on bone density and fracture prevention "remains equivocal and studies have shown mixed results"

The study concludes that "taking high-dose supplements of vitamins A, E, D, C, and folic acid is not always effective for prevention of disease, and it can even be harmful to the health.".

pills ans multivitamin supplements
Do you need to take multivitamin and mineral supplements?

Farin Kamangar and Ashkan Emadi, (2012) ( 5 ) report that MVM supplements are most likely NOT 2beneficial in reducing the risk of chronic diseases such as ischemic heart disease, cancer, and stroke", and support this with over twenty years of larg scale trials that show that "for the majority of the population, MVM supplements are not only ineffective, but they may be deleterious to health".

Some examples:

Fortmann et al., (2013) ( 6 ) reports several studies involving over 26,000 subjects both men and women:

  • No effect on the women group
  • Vitamin E and β-carotene did not prevent cardiovascular disease (CVD) or cancer.
  • β-carotene increased lung cancer risk in smokers.
  • Studies of single or paired nutrients (vitamins A, C, D, folic acid, selenium, calcium) showed no clear evidence of harm or benefit.
  • Small, borderline-significant benefit from MVM after taking them for 10 years, on cancer in men only

Huang HY et al., (2006) ( 7 )reviewed several trials and found some benefits and many neutral effects:

  • French trial combining vitamins C and E, &beta-carotene, selenium and zinc reduced cancer risk in men, but not in women.
  • France and Chinese trials: no cardiovascular disease benefits.
  • MVMs did not prevent cataract
  • β-carotene and vitamin E did not have "benefits for preventing cancer, cardiovascular disease, cataract, and age-related macular degeneration"
  • As with Fotrman's study, &beta-carotene MVMs increased lung cancer risk in smokers and persons exposed to asbestos.
  • Folic acid alone or combined with vitamin B12 - vitamin B6 had no significant effects on cognitive function.

Rogovik, Vohra and Goldman (2010) ( 8 ) looked into vitamins and their interactions with other medicines and their potential nasty adverse effects.

Their study covered data published from 1966 to 2009; it disclosed that:

  • Vitamins have documented adverse effects and toxicities, and most have documented interactions with drugs.
  • biotin, pantothenic acid, riboflavin, thiamine, vitamin B12 and vitamin K have minor and reversible adverse effects
  • Fat-soluble vitamins (A, E, D), can cause serious adverse events.
  • Water-soluble folic acid and niacin, can also have significant toxicities and adverse events.

The study concludes that "vitamins A, E, D, folic acid, and niacin should be categorized as over-the-counter medications" and that "Vitamin A should be excluded from multivitamin supplements and food fortificants.".

Take home point

Don't supplement unless your doctor tells you to do so, it may cause more harm than good.

Closing Comments

A word of caution. Don't go overboard with supplements

If you eat a balanced diet (which surely includes vitamin fortified foods) you are surely covering all of your vitamin needs.

As mentioned above there are some risks and side effects associated with unnecessary vitamin supplementation.

In some special cases supplements may be appropriate, but you should visit your health professional to recommend which supplements and in what quantities. If you are pregnant or on a restricted diet you may need supplements, but don't self-medicate, see your physician.

And remember that you should not exceed the maximum dose. If you are taking other medications you should talk to your doctor before using any supplements, there may be nasty interactions.

Cite this article:

. ©2018. Vitamins and Supplements. Patagonia Wellness, 24 Oct. 2018. http://www.patagoniawellness.com/health/vitamins-supplements.html

Tags: vitamins, multivitamins, supplements, vitamin types, vitamin functions, vitamin uses, vitamins in food, risks of vitamins, vitamin chart,

Subject: Vitamins and Supplements. Full details on vitamins: sources, types, uses, their biological functions, risks and daily recommended intakes.

 

References and Further Reading

(2) Food and Nutrition Board, Institute of Medicine, National Academies (2011), Dietary Reference Intakes (DRIs): Recommended Dietary Allowances and Adequate Intakes, Vitamins.

(3) FDA Food and Drugs Administration, Viamins, Nutrition Education

(4) Hadi Hamishehkar, Farhad Ranjdoost, Parina Asgharian, Ata Mahmoodpoor, and Sarvin Sanaie, (2016). Vitamins, Are They Safe?. Adv Pharm Bull. 2016 Dec; 6(4): 467-477. 2016 Dec 22. doi: 10.15171/apb.2016.061

(5) Farin Kamangar and Ashkan Emadi, (2012). Vitamin and Mineral Supplements: Do We Really Need Them?. Int J Prev Med. 2012 Mar; 3(3): 221-226

(7) Huang HY et al., (2006). Multivitamin/mineral supplements and prevention of chronic disease. Evid Rep Technol Assess (Full Rep). 2006 May;(139):1-117

(8) Rogovik AL, Vohra S, Goldman RD. (2010). Safety considerations and potential interactions of vitamins: should vitamins be considered drugs?. Ann Pharmacother. 2010 Feb;44(2):311-24. doi: 10.1345/aph.1M238. Epub 2009 Dec 29

Richard D. Semba, (2013). The Discovery of the Vitamins. International Journal for Vitamin and Nutrition Research (2012), 82, pp. 310-315