Beruflich Dokumente
Kultur Dokumente
Terms Used
Ergocalciferol = D2
Cholecalciferol = D3
• Transport
• D3 from diet: initially transported by chylomicron
Also transported by vitamin D-binding protein (DBP) to extra
hepatic tissues
Chylomicron remnants deliver remainder to the liver
• D3 from skin is carried by DBP
• Storage
• Storage in blood (largest single pool), muscle and adipose
tissue
Functions
Wide range of functions
• Cell differentiation, proliferation and growth
• Insulin secretion
(Limited data in humans suggest that insufficient vitamin
D levels may have an adverse effect on insulin secretion
and glucose tolerance in type 2 diabetes)
Bank-safety deposit
box (bone)
Body Guard #2
enterocyte
Body Guard #1
Kidneys
• Vitamin K
Because both vitamin D and vitamin K are related to
calcium metabolism, an interaction is possible
Metabolism and Excretion
• Assessment of nutriture
• Individuals at risk
• Exclusively breastfed
• Dark skin
• Older
• Limited skin exposure outdoors
• Heavy sunscreen use
• Fat malabsorption
• Inflammatory bowel disease
• Obese
Deficiency
• Rickets
• Insufficient mineralization of bone in children
• Seizures and growth retardation
• Results
• Malformed long bones of leg
• Rachitic rosary
• Curvature of the spine
• Deformed chest and pelvis
Deficiency
Toxicity
• Individuals at risk
• Individuals consuming cod liver oil or other vitamin D-
rich supplement
• Intakes above UL of 100 ug (4000 IU)
• Risk of hypervitaminosis D
• Due to dietary intake (supplements), not sunlight
• Results in excessively high blood calcium levels
• Major acute symptoms include nausea, vomiting, poor
appetite
• Main chronic symptom is calcification of soft tissues