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Objectives






7-2

State one or more functions of each of
the 13 vitamins discussed.
Identify at least two food sources of each
of the vitamins discussed.
Identify some symptoms of, or diseases
caused by, deficiencies of the vitamins
discussed.
Facts







7-3

Organic (carbon-containing) compounds
that are essential in small amounts for
body processes
Do not provide energy
Enable the body to use the energy
provided by fats, carbohydrates, and
proteins
Megadoses can be toxic.
Vitamin Types (13)



Fat-soluble (4): A, D, E, K
Water-soluble (9):



7-4

Vitamin C
Vitamin B complex which
includes: thiamin (B1),
riboflavin (B2), niacin,
vitamin B6, folate, vitamin
B12 (cobalamin), pantothenic
acid, biotin
Vitamin Deficiency


People prone to vitamin deficiency:








7-5

Alcoholics
Poor and incapacitated elderly
Clients with serious diseases that affect
appetite
Mentally retarded
Children receiving inadequate care
Individuals with malabsorption disease
•

Match the following terms with the correct
definition.
1. Avitaminosis

2. Hypervitaminosis

b. Without vitamins

3. Vitamin supplement

7-8
7-6

a. Concentrated form of
vitamins

c. Condition caused by
ingestion of excess
vitamins
Avoiding Vitamin Loss








7-7

Buy fresh, unbruised
vegetables and fruits and use
them raw when possible.
Prepare fresh vegetables and
fruits just before serving.
Heat canned vegetables
quickly and in their own liquid.
Follow package directions
when cooking frozen
vegetables or fruit.
(continues)
(continued)

Avoiding Vitamin Loss








7-8

Steam, or use as little
water as possible.
Cover pan and cook
for a short period of
time.
Save cooking liquid
for soups, stews, and
gravy.
Store fruits and
vegetables in a cool,
dark place.
Fat-Soluble Vitamins









7-9

Vitamins A, D, E, K
Not lost easily in
cooking
Lost when mineral oil is
ingested
Excess amounts are
stored in the liver.
Deficiencies are slow
to appear.
Vitamin A


Preformed




Provitamin A carotenoids




7-10

Retinol: the active form of vitamin A
Beta carotene, lutein, lycopene, and
zeaxanthin
Inactive form of vitamin A found in plants;
converted to retinol
Functions of Vitamin A





7-11

Maintains healthy eyes and skin
Normal bone growth and reproduction
Healthy immune system
Antioxidants that protect cells from free
radicals
Sources of Vitamin A


Preformed vitamin A (retinol)




Beta carotene


7-12

Fat-containing animal foods:
liver, butter, cream, whole
milk, cheese, egg yolk
Carrots, sweet potatoes,
spinach, broccoli, pumpkin,
squash, mango, and
cantaloupe
•

Excess


7-18
7-13

Birth defects, hair
loss, dry skin,
headaches, nausea,
dry mucous membranes, liver
damage, and bone
and joint pain

•

Deficit


Night blindness, dry,
rough skin,
increased
susceptibility to
infections, and
blindness or
xerophthalmia
Vitamin D





7-14

Prohormone: it is converted to a hormone
in the body
D2 (ergocalciferol) is formed in plants.
D3 (cholecalciferol) is formed in humans
from cholesterol in the skin.
Functions of Vitamin D




7-15

Promotes calcium and phosphorus
absorption in the body
Values are given in micrograms or in
international units.
Sources of Vitamin D






7-16

Sunlight: changes
provitamin to vitamin D3
Food sources: milk, fish
liver oils, egg yolk,
butter, and fortified
margarine
Most milk in the U.S.
has 10 µg of vitamin D
concentrate added per
quart.
•

Excess


Deposits of calcium
and phosphorus in
soft tissues, kidney,
and heart damage,
and bone fragility

•

Deficit






7-23
7-17

Poor bone and tooth
formation, rickets
which causes
malformed bones
and pain in infants
Osteomalacia
(softening of bones)
Osteoporosis (brittle,
porous bones)
Vitamin E


Tocopherols








7-18

Alpha (most biologically active)
Beta, delta, and gamma

Tocotrienols
Given as α-TE (alpha-tocopherol
equivalents)
1 mg of α-TE = 1 international unit
Functions of Vitamin E






7-19

Antioxidant
Prevention of hemolytic anemia among
premature infants
Enhances immune system
Retards spoilage of commercial foods
Sources of Vitamin E






7-20

Vegetable oils: corn,
soybean, safflower, and
cottonseed, and
products made from
them, such as
margarine
Wheat germ, nuts, and
green leafy vegetables
The U.S. diet is thought
to contain sufficient
vitamin E.
•

Excess






7-28
7-21

Relatively nontoxic,
fat-soluble vitamin
Excess stored in
adipose tissue
Avoid long-term
megadoses.

•

Deficit


Serious neurological
defects can occur
from malabsorption.
Vitamin K







7-22

Made up of several compounds essential
to blood clotting
Vitamin K1 (phylloquinone)
Vitamin K2 (menaquinone)
Synthetic vitamin K (menadione)
Vitamin K is destroyed by light and
alkalis.
Functions of Vitamin K




Formation of prothrombin for clotting of
blood
Candidates likely to receive vitamin K





7-23

Newborns immediately after birth
Clients who suffer from faulty fat absorption
After extensive antibiotic therapy
Antidote for an overdose of anticoagulant or
treatment of hemorrhage
Sources of Vitamin K







7-24

Green leafy vegetables such
as broccoli, cabbage, spinach,
and kale
Dairy products, cow’s milk,
eggs, meats, fruits, and
cereals
Bacteria in small intestine
synthesizes some vitamin K,
but must be supplemented by
dietary sources.
Measured in micrograms
•

Excess


7-33
7-25

Anemia can result
from excessive
amounts of synthetic
vitamin K.

•

Deficit


Defective blood
coagulation, which
increases clotting
time and makes
client prone to
hemorrhage.
Water-Soluble Vitamins





7-26

Vitamin B complex
and C
Dissolve in water
Easily destroyed by
air, light, and
cooking
Vitamin B Complex: Thiamin/B 1




7-27

Essential for nerve and
muscle action, and
metabolism of
carbohydrates and
some amino acids
Sources include
unrefined and enriched
cereals, yeast, wheat
germ, lean pork, organ
meats, and legumes
(continues)
(continued)

Vitamin B Complex: Thiamin/B 1




7-28

Deficiency symptoms include loss of
appetite, fatigue, nervous irritability, and
constipation
Beriberi is a disease caused by extreme
deficiency of vitamin B1




7-29

Vitamin B Complex:
Riboflavin/B 2

Necessary for the
metabolism of
carbohydrates, protein, and
fats; tissue maintenance
(especially the skin around
the mouth); and healthy
eyes
Sources: milk, meats,
poultry, fish, enriched
breads, cereals, broccoli,
spinach, and asparagus

(continues)
(continued)



7-30

Vitamin B Complex:
Riboflavin/B 2

Deficiency can cause cheilosis (sores on
the lips and cracks at the corners of the
mouth); glossitis (inflammation of the
tongue); dermatitis; and eye strain in the
form of itching, burning, and eye fatigue
Vitamin B Complex: Niacin










7-31

Generic name for nicotinic acid
and nicotinamide
A coenzyme in energy
metabolism
Sources include meats, poultry,
fish, peanuts, and legumes
Milk and eggs are sources of
tryptophan (precursor of niacin)
Measured in niacin equivalents
(NE)
(continues)
(continued)

Vitamin B Complex: Niacin




7-32

Excessive amounts of niacin can cause
flushing due to vascular dilation,
gastrointestinal problems, itching, and
liver damage.
May be used as a cholesterol-lowering
agent under close supervision of a
physician because of adverse side
effects, which include liver damage and
peptic ulcers
(continues)
(continued)

Vitamin B Complex: Niacin




7-33

Deficiency symptoms include weakness,
anorexia, indigestion, anxiety, and
irritability.
Pellagra is an extreme deficiency causing
sores on the skin, diarrhea, anxiety,
confusion, irritability, poor memory,
dizziness, and untimely death.
Vitamin B Complex: B 6





7-34

Pyridoxine, pyridoxal, and pyridoxamine
Essential for protein metabolism and
absorption, and aids in the release of
glucose from glycogen
Serves as a catalyst in conversion of
tryptophan to niacin; helps synthesize
neurotransmitters such as serotonin and
dopamine
(continues)
(continued)

Vitamin B Complex: B 6





7-35

Measured in milligrams
Sources include poultry, fish,
liver, kidney, potatoes,
bananas, spinach, and
unrefined whole grains (oats
and wheat)
Deficiency symptoms include
irritability, depression, and
dermatitis
(continues)
(continued)

Vitamin B Complex: B 6




7-36

Deficiency in infants can cause various
neurological symptoms and abdominal
problems
Toxicity is rare; may cause temporary
neurological problems
Vitamin B Complex: Folate






7-37

Folate, folacin, and folic acid
are chemically similar
compounds, and names are
used interchangeably.
Needed for DNA synthesis,
protein metabolism, and
formation of hemoglobin
Sources include cereals
fortified with folate, green leafy
vegetables, legumes,
sunflower seeds, fruits such
as oranges and strawberries
(continues)
(continued)

Vitamin B Complex: Folate







7-38

Measured in micrograms
Average adult requires 400
µg/day
600 µg/day required 1 month
before conception through first 6
weeks of pregnancy
Excess can mask vitamin B12
deficiency and inactivates
phenytoin, an anticonvulsant
drug used by epileptics
(continues)
(continued)

Vitamin B Complex: Folate




7-39

Deficiency linked to neural tube defects in
fetus, such as spina bifida (spinal cord or
spinal fluid bulge through the back) and
anencephaly (absence of the brain).
Other signs include inflammation of
mouth and tongue, poor growth,
depression and mental confusion,
problems with nerve functions, and
megaloblastic anemia.
Vitamin B Complex: B 12







7-40

Cobalamin: contains mineral cobalt
Involved in folate metabolism,
maintenance of the myelin sheath, and
healthy red blood cells
To be absorbed, must bind with intrinsic
factor in stomach.
Sources include animal foods, especially
organ meats, lean meat, seafood, eggs,
and dairy products
(continues)
(continued)

Vitamin B Complex: B 12




7-41

Increased need during pregnancy and
lactation
Deficiency is rare and may be due to
congenital problems of absorption or years
of a vegetarian diet with no animal foods.
Vitamin B Complex:
Pantothenic Acid








7-42

Involved in metabolism of carbohydrates,
fats, and proteins
Essential for synthesis of neurotransmitter
acetylcholine, and steroid hormones
Sources include meats, poultry, fish,
eggs, whole-grain cereals, and legumes
Thought to be synthesized by the body

(continues)
Vitamin B Complex: Biotin






7-43

Coenzyme in synthesis of fatty acids and
amino acids
Sources include liver, egg yolk, soy flour,
cereals, and yeast
Synthesized in intestine by microorganisms

(continues)
(continued)

Vitamin B Complex: Biotin



7-44

Toxicity from excess unknown
Deficiency symptoms include nausea,
anorexia, depression, pallor, dermatitis,
and increase in serum cholesterol
Vitamin C: Ascorbic Acid







7-45

Has antioxidant properties and protects
food from oxidation
Role in formation of collagen and
absorption of nonheme iron
Prevents scurvy
May be involved with formation or
functioning of norepinephrine, some
amino acids, folate, leukocytes, the
immune system, and allergic reactions
(continues)
(continued)

Vitamin C: Ascorbic Acid




7-46

Sources include citrus fruits, melon,
strawberries, tomatoes, potatoes, red and
green peppers, cabbage, and broccoli
Stress and cigarette smoking increase
need
Vitamin Supplementation








7-47

Balanced diet provides
nutritional needs of healthy
people.
No amount of vitamins will
build muscles.
Vitamins do not provide
energy; they help to release
the energy provided by
nutrients.
Heart disease, cancer, and
the common cold cannot be
cured by vitamin supplements
Conclusion








7-48

Organic compounds that regulate body
functions and promote growth
Each vitamin has a specific function.
Well-balanced diet provides sufficient
vitamins to fulfill body requirements.
Fat-soluble vitamins: A, D, E, K
Water-soluble vitamins: B complex, C
Functional Food


Functional food or
medicinal food is any
healthy or fictional food
claimed to have a
health-promoting or
disease-preventing
property beyond the
basic function of
supplying nutrients.

7-49
Phytochemicals


Phytochemicals are
chemical compounds
such as beta-carotene
that occur naturally in
plants. The term is
generally used to refer
to those chemicals that
may affect health, but
are not yet established
as essential nutrients.

7-50

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Vitamins

  • 1.
  • 2. Objectives    7-2 State one or more functions of each of the 13 vitamins discussed. Identify at least two food sources of each of the vitamins discussed. Identify some symptoms of, or diseases caused by, deficiencies of the vitamins discussed.
  • 3. Facts     7-3 Organic (carbon-containing) compounds that are essential in small amounts for body processes Do not provide energy Enable the body to use the energy provided by fats, carbohydrates, and proteins Megadoses can be toxic.
  • 4. Vitamin Types (13)   Fat-soluble (4): A, D, E, K Water-soluble (9):   7-4 Vitamin C Vitamin B complex which includes: thiamin (B1), riboflavin (B2), niacin, vitamin B6, folate, vitamin B12 (cobalamin), pantothenic acid, biotin
  • 5. Vitamin Deficiency  People prone to vitamin deficiency:       7-5 Alcoholics Poor and incapacitated elderly Clients with serious diseases that affect appetite Mentally retarded Children receiving inadequate care Individuals with malabsorption disease
  • 6. • Match the following terms with the correct definition. 1. Avitaminosis 2. Hypervitaminosis b. Without vitamins 3. Vitamin supplement 7-8 7-6 a. Concentrated form of vitamins c. Condition caused by ingestion of excess vitamins
  • 7. Avoiding Vitamin Loss     7-7 Buy fresh, unbruised vegetables and fruits and use them raw when possible. Prepare fresh vegetables and fruits just before serving. Heat canned vegetables quickly and in their own liquid. Follow package directions when cooking frozen vegetables or fruit. (continues)
  • 8. (continued) Avoiding Vitamin Loss     7-8 Steam, or use as little water as possible. Cover pan and cook for a short period of time. Save cooking liquid for soups, stews, and gravy. Store fruits and vegetables in a cool, dark place.
  • 9. Fat-Soluble Vitamins      7-9 Vitamins A, D, E, K Not lost easily in cooking Lost when mineral oil is ingested Excess amounts are stored in the liver. Deficiencies are slow to appear.
  • 10. Vitamin A  Preformed   Provitamin A carotenoids   7-10 Retinol: the active form of vitamin A Beta carotene, lutein, lycopene, and zeaxanthin Inactive form of vitamin A found in plants; converted to retinol
  • 11. Functions of Vitamin A     7-11 Maintains healthy eyes and skin Normal bone growth and reproduction Healthy immune system Antioxidants that protect cells from free radicals
  • 12. Sources of Vitamin A  Preformed vitamin A (retinol)   Beta carotene  7-12 Fat-containing animal foods: liver, butter, cream, whole milk, cheese, egg yolk Carrots, sweet potatoes, spinach, broccoli, pumpkin, squash, mango, and cantaloupe
  • 13. • Excess  7-18 7-13 Birth defects, hair loss, dry skin, headaches, nausea, dry mucous membranes, liver damage, and bone and joint pain • Deficit  Night blindness, dry, rough skin, increased susceptibility to infections, and blindness or xerophthalmia
  • 14. Vitamin D    7-14 Prohormone: it is converted to a hormone in the body D2 (ergocalciferol) is formed in plants. D3 (cholecalciferol) is formed in humans from cholesterol in the skin.
  • 15. Functions of Vitamin D   7-15 Promotes calcium and phosphorus absorption in the body Values are given in micrograms or in international units.
  • 16. Sources of Vitamin D    7-16 Sunlight: changes provitamin to vitamin D3 Food sources: milk, fish liver oils, egg yolk, butter, and fortified margarine Most milk in the U.S. has 10 µg of vitamin D concentrate added per quart.
  • 17. • Excess  Deposits of calcium and phosphorus in soft tissues, kidney, and heart damage, and bone fragility • Deficit    7-23 7-17 Poor bone and tooth formation, rickets which causes malformed bones and pain in infants Osteomalacia (softening of bones) Osteoporosis (brittle, porous bones)
  • 18. Vitamin E  Tocopherols      7-18 Alpha (most biologically active) Beta, delta, and gamma Tocotrienols Given as α-TE (alpha-tocopherol equivalents) 1 mg of α-TE = 1 international unit
  • 19. Functions of Vitamin E     7-19 Antioxidant Prevention of hemolytic anemia among premature infants Enhances immune system Retards spoilage of commercial foods
  • 20. Sources of Vitamin E    7-20 Vegetable oils: corn, soybean, safflower, and cottonseed, and products made from them, such as margarine Wheat germ, nuts, and green leafy vegetables The U.S. diet is thought to contain sufficient vitamin E.
  • 21. • Excess    7-28 7-21 Relatively nontoxic, fat-soluble vitamin Excess stored in adipose tissue Avoid long-term megadoses. • Deficit  Serious neurological defects can occur from malabsorption.
  • 22. Vitamin K      7-22 Made up of several compounds essential to blood clotting Vitamin K1 (phylloquinone) Vitamin K2 (menaquinone) Synthetic vitamin K (menadione) Vitamin K is destroyed by light and alkalis.
  • 23. Functions of Vitamin K   Formation of prothrombin for clotting of blood Candidates likely to receive vitamin K     7-23 Newborns immediately after birth Clients who suffer from faulty fat absorption After extensive antibiotic therapy Antidote for an overdose of anticoagulant or treatment of hemorrhage
  • 24. Sources of Vitamin K     7-24 Green leafy vegetables such as broccoli, cabbage, spinach, and kale Dairy products, cow’s milk, eggs, meats, fruits, and cereals Bacteria in small intestine synthesizes some vitamin K, but must be supplemented by dietary sources. Measured in micrograms
  • 25. • Excess  7-33 7-25 Anemia can result from excessive amounts of synthetic vitamin K. • Deficit  Defective blood coagulation, which increases clotting time and makes client prone to hemorrhage.
  • 26. Water-Soluble Vitamins    7-26 Vitamin B complex and C Dissolve in water Easily destroyed by air, light, and cooking
  • 27. Vitamin B Complex: Thiamin/B 1   7-27 Essential for nerve and muscle action, and metabolism of carbohydrates and some amino acids Sources include unrefined and enriched cereals, yeast, wheat germ, lean pork, organ meats, and legumes (continues)
  • 28. (continued) Vitamin B Complex: Thiamin/B 1   7-28 Deficiency symptoms include loss of appetite, fatigue, nervous irritability, and constipation Beriberi is a disease caused by extreme deficiency of vitamin B1
  • 29.   7-29 Vitamin B Complex: Riboflavin/B 2 Necessary for the metabolism of carbohydrates, protein, and fats; tissue maintenance (especially the skin around the mouth); and healthy eyes Sources: milk, meats, poultry, fish, enriched breads, cereals, broccoli, spinach, and asparagus (continues)
  • 30. (continued)  7-30 Vitamin B Complex: Riboflavin/B 2 Deficiency can cause cheilosis (sores on the lips and cracks at the corners of the mouth); glossitis (inflammation of the tongue); dermatitis; and eye strain in the form of itching, burning, and eye fatigue
  • 31. Vitamin B Complex: Niacin      7-31 Generic name for nicotinic acid and nicotinamide A coenzyme in energy metabolism Sources include meats, poultry, fish, peanuts, and legumes Milk and eggs are sources of tryptophan (precursor of niacin) Measured in niacin equivalents (NE) (continues)
  • 32. (continued) Vitamin B Complex: Niacin   7-32 Excessive amounts of niacin can cause flushing due to vascular dilation, gastrointestinal problems, itching, and liver damage. May be used as a cholesterol-lowering agent under close supervision of a physician because of adverse side effects, which include liver damage and peptic ulcers (continues)
  • 33. (continued) Vitamin B Complex: Niacin   7-33 Deficiency symptoms include weakness, anorexia, indigestion, anxiety, and irritability. Pellagra is an extreme deficiency causing sores on the skin, diarrhea, anxiety, confusion, irritability, poor memory, dizziness, and untimely death.
  • 34. Vitamin B Complex: B 6    7-34 Pyridoxine, pyridoxal, and pyridoxamine Essential for protein metabolism and absorption, and aids in the release of glucose from glycogen Serves as a catalyst in conversion of tryptophan to niacin; helps synthesize neurotransmitters such as serotonin and dopamine (continues)
  • 35. (continued) Vitamin B Complex: B 6    7-35 Measured in milligrams Sources include poultry, fish, liver, kidney, potatoes, bananas, spinach, and unrefined whole grains (oats and wheat) Deficiency symptoms include irritability, depression, and dermatitis (continues)
  • 36. (continued) Vitamin B Complex: B 6   7-36 Deficiency in infants can cause various neurological symptoms and abdominal problems Toxicity is rare; may cause temporary neurological problems
  • 37. Vitamin B Complex: Folate    7-37 Folate, folacin, and folic acid are chemically similar compounds, and names are used interchangeably. Needed for DNA synthesis, protein metabolism, and formation of hemoglobin Sources include cereals fortified with folate, green leafy vegetables, legumes, sunflower seeds, fruits such as oranges and strawberries (continues)
  • 38. (continued) Vitamin B Complex: Folate     7-38 Measured in micrograms Average adult requires 400 µg/day 600 µg/day required 1 month before conception through first 6 weeks of pregnancy Excess can mask vitamin B12 deficiency and inactivates phenytoin, an anticonvulsant drug used by epileptics (continues)
  • 39. (continued) Vitamin B Complex: Folate   7-39 Deficiency linked to neural tube defects in fetus, such as spina bifida (spinal cord or spinal fluid bulge through the back) and anencephaly (absence of the brain). Other signs include inflammation of mouth and tongue, poor growth, depression and mental confusion, problems with nerve functions, and megaloblastic anemia.
  • 40. Vitamin B Complex: B 12     7-40 Cobalamin: contains mineral cobalt Involved in folate metabolism, maintenance of the myelin sheath, and healthy red blood cells To be absorbed, must bind with intrinsic factor in stomach. Sources include animal foods, especially organ meats, lean meat, seafood, eggs, and dairy products (continues)
  • 41. (continued) Vitamin B Complex: B 12   7-41 Increased need during pregnancy and lactation Deficiency is rare and may be due to congenital problems of absorption or years of a vegetarian diet with no animal foods.
  • 42. Vitamin B Complex: Pantothenic Acid     7-42 Involved in metabolism of carbohydrates, fats, and proteins Essential for synthesis of neurotransmitter acetylcholine, and steroid hormones Sources include meats, poultry, fish, eggs, whole-grain cereals, and legumes Thought to be synthesized by the body (continues)
  • 43. Vitamin B Complex: Biotin    7-43 Coenzyme in synthesis of fatty acids and amino acids Sources include liver, egg yolk, soy flour, cereals, and yeast Synthesized in intestine by microorganisms (continues)
  • 44. (continued) Vitamin B Complex: Biotin   7-44 Toxicity from excess unknown Deficiency symptoms include nausea, anorexia, depression, pallor, dermatitis, and increase in serum cholesterol
  • 45. Vitamin C: Ascorbic Acid     7-45 Has antioxidant properties and protects food from oxidation Role in formation of collagen and absorption of nonheme iron Prevents scurvy May be involved with formation or functioning of norepinephrine, some amino acids, folate, leukocytes, the immune system, and allergic reactions (continues)
  • 46. (continued) Vitamin C: Ascorbic Acid   7-46 Sources include citrus fruits, melon, strawberries, tomatoes, potatoes, red and green peppers, cabbage, and broccoli Stress and cigarette smoking increase need
  • 47. Vitamin Supplementation     7-47 Balanced diet provides nutritional needs of healthy people. No amount of vitamins will build muscles. Vitamins do not provide energy; they help to release the energy provided by nutrients. Heart disease, cancer, and the common cold cannot be cured by vitamin supplements
  • 48. Conclusion      7-48 Organic compounds that regulate body functions and promote growth Each vitamin has a specific function. Well-balanced diet provides sufficient vitamins to fulfill body requirements. Fat-soluble vitamins: A, D, E, K Water-soluble vitamins: B complex, C
  • 49. Functional Food  Functional food or medicinal food is any healthy or fictional food claimed to have a health-promoting or disease-preventing property beyond the basic function of supplying nutrients. 7-49
  • 50. Phytochemicals  Phytochemicals are chemical compounds such as beta-carotene that occur naturally in plants. The term is generally used to refer to those chemicals that may affect health, but are not yet established as essential nutrients. 7-50

Hinweis der Redaktion

  1. The general category of functional foods includes processed food or foods fortified with health-promoting additives, like "vitamin-enriched" products. Fermented foods with live cultures are considered as functional foods with probiotic benefits.
  2. While there is abundant scientific and government support for recommending diets rich in fruits and vegetables, there is only limited evidence that health benefits are due to specific phytochemicals.