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Vitamin
B vitamin supplement tablets.jpg
A bottle of B-complex vitamin pills
PronunciationUK: /ˈvɪtəmɪn, ˈvt-/ VIT-ə-min, VYTE-,
US: /ˈvtəmɪn/ VY-tə-min

A vitamin is an organic molecule (or a set of molecules closely related chemically, i.e. vitamers) that is an essential micronutrient that an organism needs in small quantities for the proper functioning of its metabolism. Essential nutrients cannot be synthesized in the organism, either at all or not in sufficient quantities, and therefore must be obtained through the diet. Vitamin C can be synthesized by some species but not by others; it is not a vitamin in the first instance but is in the second. The term vitamin does not include the three other groups of essential nutrients: minerals, essential fatty acids, and essential amino acids. Most vitamins are not single molecules, but groups of related molecules called vitamers. For example, there are eight vitamers of vitamin E: four tocopherols and four tocotrienols. Some sources list fourteen vitamins, by including choline, but major health organizations list thirteen: vitamin A (as all-trans-retinol, all-trans-retinyl-esters, as well as all-trans-beta-carotene and other provitamin A carotenoids), vitamin B1 (thiamine), vitamin B2 (riboflavin), vitamin B3 (niacin), vitamin B5 (pantothenic acid), vitamin B6 (pyridoxine), vitamin B7 (biotin), vitamin B9 (folic acid or folate), vitamin B12 (cobalamins), vitamin C (ascorbic acid), vitamin D (calciferols), vitamin E (tocopherols and tocotrienols), and vitamin K (phylloquinone and menaquinones).

Vitamins have diverse biochemical functions. Vitamin A acts as a regulator of cell and tissue growth and differentiation. Vitamin D provides a hormone-like function, regulating mineral metabolism for bones and other organs. The B complex vitamins function as enzyme cofactors (coenzymes) or the precursors for them. Vitamins C and E function as antioxidants. Both deficient and excess intake of a vitamin can potentially cause clinically significant illness, although excess intake of water-soluble vitamins is less likely to do so.

All vitamins were discovered (identified) between 1913 and 1948. Historically, when intake of vitamins from diet was lacking, the results were vitamin deficiency diseases. Then, starting in 1935, commercially produced tablets of yeast-extract vitamin B complex and semi-synthetic vitamin C became available. This was followed in the 1950s by the mass production and marketing of vitamin supplements, including multivitamins, to prevent vitamin deficiencies in the general population. Governments have mandated the addition of some vitamins to staple foods such as flour or milk, referred to as food fortification, to prevent deficiencies. Recommendations for folic acid supplementation during pregnancy reduced risk of infant neural tube defects.

Etymology

The term "vitamin" was derived from "vitamine", a compound word coined in 1912 by the biochemist Casimir Funk while working at the Lister Institute of Preventive Medicine. Funk created the name from vital and amine, because it appeared that these organic micronutrient food factors that prevent beriberi and perhaps other similar dietary-deficiency diseases were required for life, hence "vital," and were chemical amines, hence "amine.". This was true of thiamine, but after it was found that vitamin C and other such micronutrients were not amines, the word was shortened to "vitamin" in English.

List

Vitamin Vitamers (incomplete) Solubility U.S. recommended dietary allowances
per day
ages 19–70)
Deficiency disease(s) Overdose syndrome/symptoms Food sources
Vitamin A all-trans-Retinol, Retinals, and
provitamin Carotenoids
including all-trans-beta-carotene
Fat 900 µg/700 µg Night blindness, hyperkeratosis, and keratomalacia Hypervitaminosis A from animal origin as Vitamin A / all-trans-Retinol: Fish in general, liver and dairy products;

from plant origin as provitamin A / all-trans-beta-carotene: orange, ripe yellow fruits, leafy vegetables, carrots, pumpkin, squash, spinach

Vitamin B1 Thiamine Water 1.2 mg/1.1 mg Beriberi, Wernicke-Korsakoff syndrome Drowsiness and muscle relaxation Pork, wholemeal grains, brown rice, vegetables, potatoes, liver, eggs
Vitamin B2 Riboflavin Water 1.3 mg/1.1 mg Ariboflavinosis, glossitis, angular stomatitis
Dairy products, bananas, green beans, asparagus
Vitamin B3 Niacin, Niacinamide, Nicotinamide riboside Water 16 mg/14 mg Pellagra Liver damage (doses > 2g/day) and other problems Meat, fish, eggs, many vegetables, mushrooms, tree nuts
Vitamin B5 Pantothenic acid Water 5 mg/5 mg Paresthesia Diarrhea; possibly nausea and heartburn. Meat, broccoli, avocados
Vitamin B6 Pyridoxine, Pyridoxamine, Pyridoxal Water 1.3–1.7 mg/1.2–1.5 mg Anemia, Peripheral neuropathy Impairment of proprioception, nerve damage (doses > 100 mg/day) Meat, vegetables, tree nuts, bananas
Vitamin B7 Biotin Water AI: 30 µg/30 µg Dermatitis, enteritis
Raw egg yolk, liver, peanuts, leafy green vegetables
Vitamin B9 Folates, Folic acid Water 400 µg/400 µg Megaloblastic anemia and deficiency during pregnancy is associated with birth defects, such as neural tube defects May mask symptoms of vitamin B12 deficiency; other effects. Leafy vegetables, pasta, bread, cereal, liver
Vitamin B12 Cyanocobalamin, Hydroxocobalamin, Methylcobalamin, Adenosylcobalamin Water 2.4 µg/2.4 µg Vitamin B12 deficiency anemia None proven Meat, poultry, fish, eggs, milk
Vitamin C Ascorbic acid Water 90 mg/75 mg Scurvy Stomach Pain, Diarrhoea and Flatulence. Many fruits and vegetables, liver
Vitamin D Cholecalciferol (D3), Ergocalciferol (D2) Fat 15 µg/15 µg Rickets and osteomalacia Hypervitaminosis D Eggs, liver, certain fish species such as sardines, certain mushroom species such as shiitake
Vitamin E Tocopherols, Tocotrienols Fat 15 mg/15 mg Deficiency is very rare; mild hemolytic anemia in newborn infants Possible increased incidence of congestive heart failure. Many fruits and vegetables, nuts and seeds, and seed oils
Vitamin K Phylloquinone, Menaquinones Fat AI: 110 µg/120 µg Bleeding diathesis Decreased anticoagulation effect of warfarin. Leafy green vegetables such as spinach; egg yolks; liver

Classification

Vitamins are classified as either water-soluble or fat-soluble. In humans there are 13 vitamins: 4 fat-soluble (A, D, E, and K) and 9 water-soluble (8 B vitamins and vitamin C). Water-soluble vitamins dissolve easily in water and, in general, are readily excreted from the body, to the degree that urinary output is a strong predictor of vitamin consumption. Because they are not as readily stored, more consistent intake is important. Fat-soluble vitamins are absorbed through the intestinal tract with the help of lipids (fats). Vitamins A and D can accumulate in the body, which can result in dangerous hypervitaminosis. Fat-soluble vitamin deficiency due to malabsorption is of particular significance in cystic fibrosis.

Anti-vitamins

Anti-vitamins are chemical compounds that inhibit the absorption or actions of vitamins. For example, avidin is a protein in raw egg whites that inhibits the absorption of biotin; it is deactivated by cooking. Pyrithiamine, a synthetic compound, has a molecular structure similar to thiamine, vitamin B1, and inhibits the enzymes that use thiamine.

Biochemical functions

Each vitamin is typically used in multiple reactions, and therefore most have multiple functions.

On fetal growth and childhood development

Vitamins are essential for the normal growth and development of a multicellular organism. Using the genetic blueprint inherited from its parents, a fetus develops from the nutrients it absorbs. It requires certain vitamins and minerals to be present at certain times. These nutrients facilitate the chemical reactions that produce among other things, skin, bone, and muscle. If there is serious deficiency in one or more of these nutrients, a child may develop a deficiency disease. Even minor deficiencies may cause permanent damage.

On adult health maintenance

Once growth and development are completed, vitamins remain essential nutrients for the healthy maintenance of the cells, tissues, and organs that make up a multicellular organism; they also enable a multicellular life form to efficiently use chemical energy provided by food it eats, and to help process the proteins, carbohydrates, and fats required for cellular respiration.

Intake

Sources

For the most part, vitamins are obtained from the diet, but some are acquired by other means: for example, microorganisms in the gut flora produce vitamin K and biotin; and one form of vitamin D is synthesized in skin cells when they are exposed to a certain wavelength of ultraviolet light present in sunlight. Humans can produce some vitamins from precursors they consume: for example, vitamin A is synthesized from beta carotene; and niacin is synthesized from the amino acid tryptophan. Vitamin C can be synthesized by some species but not by others. Vitamin B12 is the only vitamin or nutrient not available from plant sources. The Food Fortification Initiative lists countries which have mandatory fortification programs for vitamins folic acid, niacin, vitamin A and vitamins B1, B2 and B12.

Deficient intake

The body's stores for different vitamins vary widely; vitamins A, D, and B12 are stored in significant amounts, mainly in the liver, and an adult's diet may be deficient in vitamins A and D for many months and B12 in some cases for years, before developing a deficiency condition. However, vitamin B3 (niacin and niacinamide) is not stored in significant amounts, so stores may last only a couple of weeks. For vitamin C, the first symptoms of scurvy in experimental studies of complete vitamin C deprivation in humans have varied widely, from a month to more than six months, depending on previous dietary history that determined body stores.

Deficiencies of vitamins are classified as either primary or secondary. A primary deficiency occurs when an organism does not get enough of the vitamin in its food. A secondary deficiency may be due to an underlying disorder that prevents or limits the absorption or use of the vitamin, due to a "lifestyle factor", such as smoking, excessive alcohol consumption, or the use of medications that interfere with the absorption or use of the vitamin. People who eat a varied diet are unlikely to develop a severe primary vitamin deficiency, but may be consuming less than the recommended amounts; a national food and supplement survey conducted in the US over 2003-2006 reported that over 90% of individuals who did not consume vitamin supplements were found to have inadequate levels of some of the essential vitamins, notably vitamins D and E.

Well-researched human vitamin deficiencies involve thiamine (beriberi), niacin (pellagra), vitamin C (scurvy), folate (neural tube defects) and vitamin D (rickets). In much of the developed world these deficiencies are rare due to an adequate supply of food and the addition of vitamins to common foods. In addition to these classical vitamin deficiency diseases, some evidence has also suggested links between vitamin deficiency and a number of different disorders.

Excess intake

Some vitamins have documented acute or chronic toxicity at larger intakes, which is referred to as hypertoxicity. The European Union and the governments of several countries have established Tolerable upper intake levels (ULs) for those vitamins which have documented toxicity (see table). The likelihood of consuming too much of any vitamin from food is remote, but excessive intake (vitamin poisoning) from dietary supplements does occur. In 2016, overdose exposure to all formulations of vitamins and multi-vitamin/mineral formulations was reported by 63,931 individuals to the American Association of Poison Control Centers with 72% of these exposures in children under the age of five. In the US, analysis of a national diet and supplement survey reported that about 7% of adult supplement users exceeded the UL for folate and 5% of those older than age 50 years exceeded the UL for vitamin A.

Effects of cooking

The USDA has conducted extensive studies on the percentage losses of various nutrients from food types and cooking methods. Some vitamins may become more "bio-available" – that is, usable by the body – when foods are cooked. The table below shows whether various vitamins are susceptible to loss from heat—such as heat from boiling, steaming, frying, etc. The effect of cutting vegetables can be seen from exposure to air and light. Water-soluble vitamins such as B and C dissolve into the water when a vegetable is boiled, and are then lost when the water is discarded.

Vitamin Is substance susceptible to losses under given condition?
Soluble in Water Air Exposure Light Exposure Heat Exposure
Vitamin A no partially partially relatively stable
Vitamin C very unstable yes no no
Vitamin D no no no no
Vitamin E no yes yes no
Vitamin K no no yes no
Thiamine (B1) highly no ? > 100 °C
Riboflavin (B2) slightly no in solution no
Niacin (B3) yes no no no
Pantothenic Acid (B5) quite stable no no yes
Vitamin B6 yes ? yes < 160 °C
Biotin (B7) somewhat ? ? no
Folic Acid (B9) yes ? when dry at high temp
Cobalamin (B12) yes ? yes no

Recommended levels

In setting human nutrient guidelines, government organizations do not necessarily agree on amounts needed to avoid deficiency or maximum amounts to avoid the risk of toxicity. For example, for vitamin C, recommended intakes range from 40 mg/day in India to 155 mg/day for the European Union. The table below shows U.S. Estimated Average Requirements (EARs) and Recommended Dietary Allowances (RDAs) for vitamins, PRIs for the European Union (same concept as RDAs), followed by what three government organizations deem to be the safe upper intake. RDAs are set higher than EARs to cover people with higher than average needs. Adequate Intakes (AIs) are set when there is not sufficient information to establish EARs and RDAs. Governments are slow to revise information of this nature. For the U.S. values, with the exception of calcium and vitamin D, all of the data date to 1997–2004.

All values are consumption per day:

Nutrient U.S. EAR Highest U.S.
RDA or AI
Highest EU
PRI or AI
Upper limit (UL) Unit
U.S. EU  Japan
Vitamin A 625 900 1300 3000 3000 2700 µg
Vitamin C 75 90 155 2000 ND ND mg
Vitamin D 10 15 15 100 100 100 µg
Vitamin K NE 120 70 ND ND ND µg
α-tocopherol (Vitamin E) 12 15 13 1000 300 650-900 mg
Thiamin (Vitamin B1) 1.0 1.2 0.1 mg/MJ ND ND ND mg
Riboflavin (Vitamin B2) 1.1 1.3 2.0 ND ND ND mg
Niacin (Vitamin B3) 12 16 1.6 mg/MJ 35 10 60-85 mg
Pantothenic acid (Vitamin B5) NE 5 7 ND ND ND mg
Vitamin B6 1.1 1.3 1.8 100 25 40-60 mg
Biotin (Vitamin B7) NE 30 45 ND ND ND µg
Folate (Vitamin B9) 320 400 600 1000 1000 900-1000 µg
Cyanocobalamin (Vitamin B12) 2.0 2.4 5.0 ND ND ND µg

EAR US Estimated Average Requirements.

RDA US Recommended Dietary Allowances; higher for adults than for children, and may be even higher for women who are pregnant or lactating.

AI US and EFSA Adequate Intake; AIs established when there is not sufficient information to set EARs and RDAs.

PRI Population Reference Intake is European Union equivalent of RDA; higher for adults than for children, and may be even higher for women who are pregnant or lactating. For Thiamin and Niacin the PRIs are expressed as amounts per MJ of calories consumed. MJ = megajoule = 239 food calories.

UL or Upper Limit Tolerable upper intake levels.

ND ULs have not been determined.

NE EARs have not been established.

Supplementation