Exam 9: Nutrients Involved in Energy Metabolism
________ is involved in the synthesis and release of a neurotransmitter involved in muscle movement and memory storage.
B
Discuss the state of thiamine intakes in Canadians. Who is at risk of a thiamine deficiency in Canada? What are some potential consequences of a thiamine deficiency? What should be done to improve thiamine intakes in the Canadian population?
According to data gathered by the Canadian Community Health Survey from 2004 to 2005, the average adult Canadian is obtaining at least the RDA for thiamine.
Older adults are at risk for low thiamine intakes if they have a reduced total energy intake.
Those with medical conditions that result in malabsorption of nutrients and those on renal dialysis are also at risk for low thiamine.
Athletes also need to consider their thiamine intakes as exercise may increase thiamine requirements.
Individuals with chronic heavy alcohol consumption and limited food intake are also at risk for a thiamine deficiency.
Wernicke-Korsakoff syndrome is the name for alcohol related thiamine deficiency.
Alcohol affects thiamine because excessive alcohol is often associated with a poor diet, there is an increased need for thiamine to metabolize the alcohol, and alcohol reduces thiamine absorption.
People with Wernicke-Korsakoff syndrome experience tremors, confusion, and memory impairment.
A thiamine deficiency can also cause beriberi. Beriberi can come in two forms. Wet beriberi can result in heart failure. Dry beriberi can causes muscle wasting and nerve damage, thereby, leading to paralysis.
Most Canadians have adequate intakes of thiamine and no interventions are required. Those populations at high risk should be educated on the importance of thiamine and the foods that are high in thiamine. Health care providers should be educated on the risks for low thiamine and the signs and symptoms of low thiamine so they can identify and treat any deficiencies and deficiency associated diseases.
Talib is an 25-year-old endurance runner. He currently obtains 1.5 mg/day of thiamine, 1.8 mg/day of riboflavin, and 0.8 mg/day of vitamin B6. Which of the following changes would you recommend Talib make to ensure optimal physical performance?
B
Which of the following B-vitamins is part of the coenzyme flavin adenine dinucleotide (FAD)?
Riboflavin assists with antioxidant function through its role as a coenzyme for which enzyme?
The RDA for riboflavin for adults aged 19 years and older is:
Which of the following foods would be the BEST source of sulphur?
An infant is born with stunted growth, deafness, and cretinism. Which of the following was the mother MOST likely to have been deficient in during pregnancy?
You are working in a clinic and a patient comes in complaining of swelling around their mouth and throat, skin irritation, and a purple-coloured tongue. What would be your diagnosis?
Which of the following B-vitamins primarily functions in cell regeneration and the synthesis of red blood cells?
Which of the following is the MOST likely to be the primary source for iodine in Canadians?
The vitamin thiamine is composed of a thiazole and a(n)________ group.
You are trying to decide between two brands of milk. They appear to be identical except one brand comes in a clear plastic container and the other in an opaque cardboard container. Which would you choose and why?
An advertisement for a B-vitamin complex states that it is difficult for healthy adults to consume adequate amounts of the B-complex vitamins through diet alone and that supplements are required. Do you agree or disagree? Consider what type of a diet is low in B-vitamins and the measures Health Canada has taken to increase intakes.
Which dietary source of niacin has the highest availability?
What percentage of dietary vitamin B6 comes from animal sources in a typical Canadian diet?
Imagine that it is 1948 and you are responsible for explaining to the government why they should make it mandatory to add iodine to table salt. Explain the importance of iodine including its role in the body and the concerns with a deficiency. Explain the reason why iodine intakes would be low in Canadians if iodine was not added to table salt. Defend the idea that adding iodine to salt is a feasible solution.
Violet has been consuming a vegan diet for 10 years now. Recently she has been feeling depressed, confused, and her doctor has told her she has anemia. Which of the following is she most likely to be deficient in?
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