Nutrient DeficienciesKnow How To Combat!
Vitamin D


Vit. D is a fat soluble vitamin
and its synthesized in the
body



1 billion people worldwide
have Vit D def...
Function Of Vitamin D


Calcium absorption in the intestines and is required
for the efficient utilization of dietary cal...
Diagnostic Test


Measurement of 25(OH) vitamin D serum levels
best reflects the vitamin D status of an individual.



N...
Symptoms


Usually asymptomatic until severe



Musculoskeletal pain



Fractures



Weakness
Causes


Decreased sun exposure/sunscreen
◦ SPF 15 decreases vitamin D3 synthesis by 99%



Decreased intake of foods ri...
Vit. D Deficiency Leads To….








Rickets in Children
Osteoporosis
Obesity
Diabetes
Cancer risk
Cardiovascular di...
Recommended Dietary
Allowance
Age
0–12
months*
1–13
years

Male
400 IU
(10 mcg)
600 IU
(15 mcg)

Female
400 IU
(10 mcg)
60...
Sources



Regular supplementation of atleast 2000 IU/day of
vit. D supplementation to maintain normal vit. D
levels.

JA...
Toxicity


Chronic ingestion of 50 to 100 times normal
physiologic requirement of Vit D (> 40,000 IU/day)
ie. 25 OH level...
Vitamin B12


Vitamin B12 is a water-soluble vitamin



Vitamin b12 is one of the most important vitamin
required for gr...
Diagnostic Test


Normal : 200-900 pg/mL



Deficiency : <20o pg/mL



Toxicity : >900 pg/mL
Symptoms






Weakness, tiredness or light-headedness
Pale skin
Sore tongue
Easy bruising or bleeding gums
Stomach u...
Causes


Perenicious anemia and atrophic gastritis



Surgery of the stomach or small intestine



Crohn's disease, cel...
Vit. B12 Deficiency Leads To….


Hyperhomocysteinemia



Cognitive function



Depression



Diabetic neuropathy



F...
Recommended Dietary
Allowance

ge
Male
Female
0–6
0.4 mcg
0.4 mcg
months*
7–12
0.5 mcg
0.5 mcg
months*
1–3 years
0.9 mcg
0...
Sources


Fatty fishes like cod, salmon,
tuna, sardines, liver, beef,
chicken and eggs.



Milk and milk products.



F...
How much will meet the
requirement??


Sheep liver provides 91.9μg of
Vitamin B12 whereas goat
liver provides 90.4 μg


...
Calcium


Most important mineral for Bone and teeth health



Calcium helps in normal muscle contraction, blood
clotting...
Requirements
Daily requirement:
Normal man&women400mg
Children(13-18yrs)- 600mg
It increases in pregnancy, adolescent age
Dairy Products


It is world wide known that all dairy products are
high in calcium.



Milk, curds, cheese, etc.Having ...
Ragi
 Amongst all Cereals Ragi is the
richest source of Calcium


It provides about 344mg
of calcium every 100gms



Ha...
Nuts And Oilseeds


Sesame seeds provide most calcium when roasted
or dried. One tea spoon of sesame gives almost 88
mg o...
Soyabean


Soy products are naturally high in calcium, it also
contains boron and magnesium which are
Important for bone ...
Fish


Enjoy having Fishes like Salmon not only for their
high calcium content but also for heart healthy
Omega3 fatty ac...
Know more about Nutrient defeciency (b12,vit d,cal,fe)
Know more about Nutrient defeciency (b12,vit d,cal,fe)
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Know more about Nutrient defeciency (b12,vit d,cal,fe)

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Do you plan your meal rich in all nutrients? are you one of them who suffered from micro nutrients deficiency? then this presentation will help you in knowing the importance of diet to combat nutrient deficiencies like Vitamin B12, calcium, Iron.

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Know more about Nutrient defeciency (b12,vit d,cal,fe)

  1. 1. Nutrient DeficienciesKnow How To Combat!
  2. 2. Vitamin D  Vit. D is a fat soluble vitamin and its synthesized in the body  1 billion people worldwide have Vit D deficiency or insufficiency  96.7% Asian-Indian patients have Vitamin D deficiency and are fragile hip fracture (J Assoc Physicians India. 2010 Sep;58:539-42)
  3. 3. Function Of Vitamin D  Calcium absorption in the intestines and is required for the efficient utilization of dietary calcium.  Involved in cellular growth, differentiation and apoptosis.  Simulates insulin secretion.  Modulates the immune system.  Reduces inflammation.  Muscle development
  4. 4. Diagnostic Test  Measurement of 25(OH) vitamin D serum levels best reflects the vitamin D status of an individual.  Normal : >30 ng/ml (>75 nmol/L)  Insufficiency : 20-30 ng/ml (50-75 nmol/L)  Deficiency : <20 ng/ml (<50 nmol/L)
  5. 5. Symptoms  Usually asymptomatic until severe  Musculoskeletal pain  Fractures  Weakness
  6. 6. Causes  Decreased sun exposure/sunscreen ◦ SPF 15 decreases vitamin D3 synthesis by 99%  Decreased intake of foods rich in vitamin D  Impaired absorption due to air pollution  Chronic kidney disease
  7. 7. Vit. D Deficiency Leads To….       Rickets in Children Osteoporosis Obesity Diabetes Cancer risk Cardiovascular disease (including MI)
  8. 8. Recommended Dietary Allowance Age 0–12 months* 1–13 years Male 400 IU (10 mcg) 600 IU (15 mcg) Female 400 IU (10 mcg) 600 IU (15 mcg) 14–18 years 19–50 years 51–70 years >70 years 600 IU (15 mcg) 600 IU (15 mcg) 600 IU (15 mcg) 800 IU 600 IU (15 mcg) 600 IU (15 mcg) 600 IU (15 mcg) 800 IU Pregnanc y Lactation 600 IU (15 mcg) 600 IU (15 mcg) 600 IU (15 mcg) 600 IU (15 mcg)
  9. 9. Sources  Regular supplementation of atleast 2000 IU/day of vit. D supplementation to maintain normal vit. D levels. JAPI • november 2011 • voL. 59
  10. 10. Toxicity  Chronic ingestion of 50 to 100 times normal physiologic requirement of Vit D (> 40,000 IU/day) ie. 25 OH levels of >150 ng/ml can leads to ◦ ◦ ◦ ◦ Renal calculi Hypercalcemia Renal insufficiency Fatigue and weakness JAPI • november 2011 • voL. 59
  11. 11. Vitamin B12  Vitamin B12 is a water-soluble vitamin  Vitamin b12 is one of the most important vitamin required for growth and division of cells. It is responsible in other important body functions. Recommendation: Man,women-1.0 μg Children(1-18) – 0.2-1.0 μg Lactating mothers- 1.5 μg
  12. 12. Diagnostic Test  Normal : 200-900 pg/mL  Deficiency : <20o pg/mL  Toxicity : >900 pg/mL
  13. 13. Symptoms      Weakness, tiredness or light-headedness Pale skin Sore tongue Easy bruising or bleeding gums Stomach upset In sever case:  Tingling or numbness in fingers and toes  Difficulty walking  Mood changes or depression  Memory loss, disorientation, and dementia
  14. 14. Causes  Perenicious anemia and atrophic gastritis  Surgery of the stomach or small intestine  Crohn's disease, celiac disease, bacterial growth, or a parasite  Excessive alcohol consumption.  Graves' disease  Long-term use of acid-reducing drugs
  15. 15. Vit. B12 Deficiency Leads To….  Hyperhomocysteinemia  Cognitive function  Depression  Diabetic neuropathy  Fatigue, Joint pain (elbow)  Sickle cell disease
  16. 16. Recommended Dietary Allowance ge Male Female 0–6 0.4 mcg 0.4 mcg months* 7–12 0.5 mcg 0.5 mcg months* 1–3 years 0.9 mcg 0.9 mcg 4–8 years 1.2 mcg 1.2 mcg 9–13 1.8 mcg 1.8 mcg years Pregnanc y Lactation
  17. 17. Sources  Fatty fishes like cod, salmon, tuna, sardines, liver, beef, chicken and eggs.  Milk and milk products.  Fortified fruit juices and cereals
  18. 18. How much will meet the requirement??  Sheep liver provides 91.9μg of Vitamin B12 whereas goat liver provides 90.4 μg  100ml of cow’s and buffalo’s milk gives 0.14 μg of B12  The raw yellow part of hen eggs has got most of the vitamin B12. It provides 1.8 μg of B12 / 100gm  Mackerel is the best amongst
  19. 19. Calcium  Most important mineral for Bone and teeth health  Calcium helps in normal muscle contraction, blood clotting, contraction of heart muscles  Expert groups say the number of osteoporosis patients at approximately 26 million (2003 figures) with the numbers projected to increase to 36 million by 2013 Ref: http://www.outlookindia.com 2004 Ref:Osteoporosis Society of India (2003) Action Plan Osteoporosis: Consensus statement of an expert group. New Delhi
  20. 20. Requirements Daily requirement: Normal man&women400mg Children(13-18yrs)- 600mg It increases in pregnancy, adolescent age
  21. 21. Dairy Products  It is world wide known that all dairy products are high in calcium.  Milk, curds, cheese, etc.Having low fat dairy products will be more beneficial for overall health.  Cheese is the highest source of calcium which gives 1376mg/100gm. Having a cheese cube in 2 weeks is accepted.
  22. 22. Ragi  Amongst all Cereals Ragi is the richest source of Calcium  It provides about 344mg of calcium every 100gms  Having Ragi 2-3 times a weeks considered beneficial
  23. 23. Nuts And Oilseeds  Sesame seeds provide most calcium when roasted or dried. One tea spoon of sesame gives almost 88 mg of calcium  Almonds provide around 230mg /100gm and also rich source of Omega3 acids
  24. 24. Soyabean  Soy products are naturally high in calcium, it also contains boron and magnesium which are Important for bone health  Soy contains isoflavones which inhibit the breakdown of bones  Thus, soybean is beneficial in post menopausal women for their bone health  Soy milk, Tofu are good in calcium  One needs to check for soy allergy
  25. 25. Fish  Enjoy having Fishes like Salmon not only for their high calcium content but also for heart healthy Omega3 fatty acids.  Having Fish 2 times a week shows wonders. Remember method of cooking is important. Try grilled, steamed instead of fried.

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