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Vitamin A was identified as a necessary growth factor in 1915
and was the first vitamin to be discovered. It is obtained
from food in a combination of two different forms: as pre-formed
vitamin A and as pro-vitamin A, which the body can convert
to vitamin A as necessary. Pre-formed vitamin A, often in
the form of retinal or retinal, is found in foods of animal
origin and pro-vitamin A, of which beta-carotene is the best
known form, is found in orange, yellow and dark green vegetables
and fruits. Both forms are fat soluble.
What does it do for your body?
EYES - Vitamin A is essential for eyes to function
effectively. It is involved in the growth and repair of the
eye and in the production of a chemical called visual purple,
which helps in night vision.
EPITHELIAL CELLS - Vitamin A is involved in the growth and
repair of epithelial cells. These cells cover the internal
and external surfaces of the body and are found in the skin,
lungs, developing teeth, inner ear, cornea of the eye, sex
organs, glands and their ducts, gums, nose, cervix and other
areas. This growth and maintenance role is vital for many
bodily functions. For example, the good health of the digestive
tract lining is important in protecting against ulcers and
maintenance of the lining of the vagina and uterus is important
in fertility.
PREGNANCY - Vitamin A is necessary in pregnancy for the development
of the embryo.
NERVES - Vitamin A is involved in the production of membranes
and of myelin, which coats the nerves.
GLANDS AND HORMONES - Vitamin A plays a role in the maintenance
of the adrenal gland and synthesis of certain hormones such
as thyroid hormone.
THE IMMUNE SYSTEM - Vitamin A is known as "the anti-infective
vitamin" as it is vital for the development of the body’s
natural defenses. It stimulates and enhances many immune functions.
This immune enhancing function promotes healing of tissues
and increases resistance to infection.
Adequate vitamin A intake, either from diet or supplements,
is very important especially for children. Many studies have
found that vitamin A supplementation reduces the risk of infectious
diseases in areas where vitamin A deficiency is widespread.
A recent research review of several studies found that adequate
vitamin A intake in children resulted in many health benefits.
Children in developing countries are often at high risk of
vitamin A deficiency. In developed countries, ensuring adequate
vitamin A intake is particularly important for immune support.
GROWTH AND BONE FORMATION - Vitamin A is necessary for growth
and the formation of bones and teeth, collagen synthesis,
cartilage synthesis and wound healing.
ANTIVIRAL ACTIVITY - Laboratory experiments have shown vitamin
A to have antiviral activity.
Absorption
The presence of fat and bile in the intestines is necessary
for vitamin A absorption. Around 80 to 90 % of vitamin A in
the diet is absorbed although this is reduced in older people
and those who have trouble absorbing fat, such as pancreatitis,
celiac disease and cystic fibrosis sufferers, who may run
the risk of vitamin A deficiency.
Vitamin A is joined to fatty acids in the intestinal lining,
combined with other substances and transported to the liver,
which stores 90% of the body’s vitamin A.
Deficiency
Vitamin A deficiency is relatively rare in developed countries
and is usually limited to those who have absorption difficulties,
liver disease or who drink a lot of alcohol. Vitamin A deficiency
is common in alcoholics and contributes to some of the disorders
of alcoholism such as night blindness, skin problems, cirrhosis
of the liver and susceptibility to infections.
Vitamin A deficiency symptoms:
EYES - One of the first symptoms of deficiency is night blindness
due to lack of visual purple. Prolonged deficiency leads to
xerophthalmia, a condition in which eyes become dry, ulcers
appear on the cornea, the eyelids become swollen and sticky
and which eventually leads to blindness. Vitamin A deficiency
is the leading preventable cause of blindness in developing
countries.
SKIN - Prolonged deficiency leads to thickened dry skin which
is prone to infections. Small hardened bumps of a protein
known as keratin may develop around the hair follicles.
GROWTH - Deficiency causes growth retardation, weight loss,
diarrhea, thickening of bone shafts, congenital malformations,
impaired hearing, taste and smell, wasting of testicles and
reduced sperm count. Inadequate vitamin A intake may lead
to improper tooth formation in children and to gum disease.
IMMUNE SYSTEM - Epithelial surfaces are adversely affected
by vitamin A deficiency causing increased susceptibility to
skin and respiratory infections. Immune cells and antibody
functions are also affected which may lead to an increase
in pre-cancerous cells in the epithelial tissues of the mouth,
throat and lungs.
THYROID GLAND - A deficiency of vitamin A can contribute to
lower levels of active thyroid hormone with symptoms of low
body temperature, depression, difficulty in losing weight,
headaches and lethargy.
Therapeutic uses
Vitamin A supplements are used in developing countries to
prevent or treat deficiency and to protect immune system function.
SKIN DISORDERS - The vitamin A derivatives etretinate and
isotretinoin are used topically to treat psoriasis. These
compounds inhibit the formation of some of the toxic compounds
which may be responsible for the high rate of cell division
causing the scaly build up on the skin.
Other Uses
Vitamin eye drops have been used to treat dry eyes.
Creams containing vitamin A have been used to heal wounds
in patients taking corticosteroid drugs.
Interactions
Vitamin E and zinc are necessary for vitamin A metabolism,
including absorption, transport and release from the liver.
Vitamin E may protect against some of the effects of excess
vitamin A.
Vitamin A is necessary for calcium metabolism in the formation
of healthy bones and teeth.
Vitamin A absorption is reduced by mineral oil laxatives,
which bind it. Antacids, the anti-gout drug colchicine, and
the cholesterol reducing drug, cholestyramine inhibit vitamin
A absorption.
Alcohol irritates the digestive tract and inhibits the absorption
of vitamin A while also depleting the body’s tissue
stores.
Cautions
Pre-formed vitamin A supplements in doses of more than 3000
mg RE should not be taken by women who may become pregnant.
Pro-vitamin A, or beta-carotene are safe for pregnant women.
Vitamin A supplements should not be taken with isotretinoin
or etretinate for skin disease or in cases of impaired liver
or kidney function. If vitamin A supplements are taken with
large amounts of alcohol, liver damage may occur.
Broad spectrum antibiotics should not be taken with high doses
of vitamin A.
How much vitamin A do we need? The Recommended Dietary Allowance
(RDA) for vitamin A is measured in retinol equivalents (RE),
retinol being the active form of vitamin A. For men, the RDA
is 1000 micrograms of RE per day; and, for women, it is 800
micrograms of RE per day.
Vitamin A is also found in a variety of dark green and deep
orange fruits and vegetables, such as carrots, sweet potatoes,
pumpkin, spinach, butternut squash, turnip greens, bok choy,
mustard greens, and romaine lettuce. Beta carotene is the
most active carotenoid (the red, orange, and yellow pigments)
form of vitamin A, but it is inefficiently absorbed and converted
to retinol in comparison to vitamin A from animal sources.
FYI, cooking (but not overcooking) increases the bioavailability
of carotenoids in plant foods; and, absorption of vitamin
A from the diet is improved when consumed along with some
fat in the same meal.
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