Vitamin: Difference between revisions

Marked this version for translation
Marked this version for translation
 
(4 intermediate revisions by the same user not shown)
Line 2: Line 2:
<translate>
<translate>
<!--T:1-->
<!--T:1-->
{{ビタミン}}
{{サプリメント}}
{{Pathnav|Dietary supplement|frame=1}}
{{short description|Nutrients required by organisms in small amounts}}
{{short description|Nutrients required by organisms in small amounts}}


Line 61: Line 64:
All the vitamins were discovered between 1913 and 1948. Historically, when intake of vitamins from diet was lacking, the results were vitamin deficiency diseases. Then, starting in 1935, commercially produced tablets of yeast-extract vitamin B complex and semi-synthetic vitamin C became available. This was followed in the 1950s by the mass production and marketing of [[vitamin supplement]]s, including [[multivitamin]]s, to prevent vitamin deficiencies in the general population. Governments have mandated the addition of some vitamins to [[staple food]]s such as flour or milk, referred to as [[food fortification]], to prevent deficiencies. Recommendations for folic acid supplementation during [[Nutrition and pregnancy|pregnancy]] reduced risk of infant [[neural tube defect]]s.
All the vitamins were discovered between 1913 and 1948. Historically, when intake of vitamins from diet was lacking, the results were vitamin deficiency diseases. Then, starting in 1935, commercially produced tablets of yeast-extract vitamin B complex and semi-synthetic vitamin C became available. This was followed in the 1950s by the mass production and marketing of [[vitamin supplement]]s, including [[multivitamin]]s, to prevent vitamin deficiencies in the general population. Governments have mandated the addition of some vitamins to [[staple food]]s such as flour or milk, referred to as [[food fortification]], to prevent deficiencies. Recommendations for folic acid supplementation during [[Nutrition and pregnancy|pregnancy]] reduced risk of infant [[neural tube defect]]s.


==List of vitamins== <!--T:10-->
<!--T:10-->
==List of vitamins==
{| class="wikitable sortable col3center"
{| class="wikitable sortable col3center"
|-
|-
Line 230: Line 234:
|}
|}


==History== <!--T:13-->
<!--T:13-->
==History==
The value of eating certain foods to maintain health was recognized long before vitamins were identified. The [[ancient Egyptians]] knew that feeding [[liver (food)|liver]] to a person may help with [[night blindness]], an illness now known to be caused by a [[vitamin A]] deficiency. The advancement of ocean voyages during the [[Age of Discovery]] resulted in prolonged periods without access to fresh fruits and vegetables, and made illnesses from vitamin deficiency common among ships' crews.
The value of eating certain foods to maintain health was recognized long before vitamins were identified. The [[ancient Egyptians]] knew that feeding [[liver (food)|liver]] to a person may help with [[night blindness]], an illness now known to be caused by a [[vitamin A]] deficiency. The advancement of ocean voyages during the [[Age of Discovery]] resulted in prolonged periods without access to fresh fruits and vegetables, and made illnesses from vitamin deficiency common among ships' crews.


Line 279: Line 284:
[[File:J. C. Drummond, The Nomenclature of the So-called Accessory Food Factors (Vitamins), 1920.png|thumb|[[Jack Drummond]]'s single-paragraph article in 1920 which provided structure and nomenclature used today for vitamins]]
[[File:J. C. Drummond, The Nomenclature of the So-called Accessory Food Factors (Vitamins), 1920.png|thumb|[[Jack Drummond]]'s single-paragraph article in 1920 which provided structure and nomenclature used today for vitamins]]


==="Vitamine" to vitamin=== <!--T:19-->
<!--T:19-->
==="Vitamine" to vitamin===
In 1910, the first vitamin complex was isolated by Japanese scientist [[Umetaro Suzuki]], who succeeded in extracting a water-soluble complex of micronutrients from rice bran and named it [[aberic acid]] (later ''Orizanin''). He published this discovery in a Japanese scientific journal. When the article was translated into German, the translation failed to state that it was a newly discovered nutrient, a claim made in the original Japanese article, and hence his discovery failed to gain publicity. In 1912 Polish-born biochemist [[Casimir Funk]], working in London, isolated the same complex of micronutrients and proposed the complex be named "vitamine". It was later to be known as vitamin B<sub>3</sub> (niacin), though he described it as "anti-beri-beri-factor" (which would today be called thiamine or vitamin B<sub>1</sub>). Funk proposed the hypothesis that other diseases, such as rickets, pellagra, coeliac disease, and scurvy could also be cured by vitamins. [[Maximilian Nierenstein|Max Nierenstein]] a friend and Reader of Biochemistry at Bristol University reportedly suggested the "vitamine" name (from "vital amine"). The name soon became synonymous with Hopkins' "accessory factors", and, by the time it was shown that not all vitamins are [[amine]]s, the word was already ubiquitous. In 1920, [[Jack Cecil Drummond]] proposed that the final "e" be dropped to deemphasize the "amine" reference, hence "vitamin," after researchers began to suspect that not all "vitamines" (in particular, vitamin A) have an amine component.<
In 1910, the first vitamin complex was isolated by Japanese scientist [[Umetaro Suzuki]], who succeeded in extracting a water-soluble complex of micronutrients from rice bran and named it [[aberic acid]] (later ''Orizanin''). He published this discovery in a Japanese scientific journal. When the article was translated into German, the translation failed to state that it was a newly discovered nutrient, a claim made in the original Japanese article, and hence his discovery failed to gain publicity. In 1912 Polish-born biochemist [[Casimir Funk]], working in London, isolated the same complex of micronutrients and proposed the complex be named "vitamine". It was later to be known as vitamin B<sub>3</sub> (niacin), though he described it as "anti-beri-beri-factor" (which would today be called thiamine or vitamin B<sub>1</sub>). Funk proposed the hypothesis that other diseases, such as rickets, pellagra, coeliac disease, and scurvy could also be cured by vitamins. [[Maximilian Nierenstein|Max Nierenstein]] a friend and Reader of Biochemistry at Bristol University reportedly suggested the "vitamine" name (from "vital amine"). The name soon became synonymous with Hopkins' "accessory factors", and, by the time it was shown that not all vitamins are [[amine]]s, the word was already ubiquitous. In 1920, [[Jack Cecil Drummond]] proposed that the final "e" be dropped to deemphasize the "amine" reference, hence "vitamin," after researchers began to suspect that not all "vitamines" (in particular, vitamin A) have an amine component.<


===Nobel Prizes for vitamin research=== <!--T:20-->
<!--T:20-->
===Nobel Prizes for vitamin research===
The Nobel Prize for Chemistry for 1928 was awarded to [[Adolf Windaus]] "for his studies on the constitution of the sterols and their connection with vitamins", the first person to receive an award mentioning vitamins, even though it was not specifically about vitamin D.
The Nobel Prize for Chemistry for 1928 was awarded to [[Adolf Windaus]] "for his studies on the constitution of the sterols and their connection with vitamins", the first person to receive an award mentioning vitamins, even though it was not specifically about vitamin D.


Line 303: Line 310:
In 1967, [[George Wald]], [[Ragnar Granit]] and [[Haldan Keffer Hartline]] were awarded the Nobel Prize in Physiology and Medicine  "...for their discoveries concerning the primary physiological and chemical visual processes in the eye." Wald's contribution was discovering the role vitamin A had in the process.
In 1967, [[George Wald]], [[Ragnar Granit]] and [[Haldan Keffer Hartline]] were awarded the Nobel Prize in Physiology and Medicine  "...for their discoveries concerning the primary physiological and chemical visual processes in the eye." Wald's contribution was discovering the role vitamin A had in the process.


===History of promotional marketing=== <!--T:27-->
<!--T:27-->
===History of promotional marketing===
Once discovered, vitamins were actively promoted in articles and advertisements in ''[[McCall's]]'', ''[[Good Housekeeping]]'', and other media outlets. Marketers enthusiastically promoted [[cod-liver oil]], a source of vitamin D, as "bottled sunshine", and bananas as a "natural vitality food". They promoted foods such as [[yeast]] cakes, a source of B vitamins, on the basis of scientifically determined nutritional value, rather than taste or appearance. In 1942, when flour [[food fortification|enrichment]] with nicotinic acid began, a headline in the popular press said "Tobacco in Your Bread." In response, the Council on Foods and Nutrition of the [[American Medical Association]] approved of the [[Food and Nutrition Board]]'s new names ''niacin'' and ''niacin amide'' for use primarily by non-scientists. It was thought appropriate to choose a name to dissociate nicotinic acid from [[nicotine]], to avoid the perception that vitamins or niacin-rich food contains nicotine, or that cigarettes contain vitamins. The resulting name ''niacin'' was derived from ''{{strong|ni}}cotinic {{strong|ac}}id'' + ''vitam{{strong|in}}''. Researchers also focused on the need to ensure adequate nutrition, especially to compensate for what was lost in the manufacture of [[processed foods]].
Once discovered, vitamins were actively promoted in articles and advertisements in ''[[McCall's]]'', ''[[Good Housekeeping]]'', and other media outlets. Marketers enthusiastically promoted [[cod-liver oil]], a source of vitamin D, as "bottled sunshine", and bananas as a "natural vitality food". They promoted foods such as [[yeast]] cakes, a source of B vitamins, on the basis of scientifically determined nutritional value, rather than taste or appearance. In 1942, when flour [[food fortification|enrichment]] with nicotinic acid began, a headline in the popular press said "Tobacco in Your Bread." In response, the Council on Foods and Nutrition of the [[American Medical Association]] approved of the [[Food and Nutrition Board]]'s new names ''niacin'' and ''niacin amide'' for use primarily by non-scientists. It was thought appropriate to choose a name to dissociate nicotinic acid from [[nicotine]], to avoid the perception that vitamins or niacin-rich food contains nicotine, or that cigarettes contain vitamins. The resulting name ''niacin'' was derived from ''{{strong|ni}}cotinic {{strong|ac}}id'' + ''vitam{{strong|in}}''. Researchers also focused on the need to ensure adequate nutrition, especially to compensate for what was lost in the manufacture of [[processed foods]].


Line 309: Line 317:
Robert W. Yoder is credited with first using the term ''vitamania'', in 1942, to describe the appeal of relying on nutritional supplements rather than on obtaining vitamins from a varied diet of foods. The continuing preoccupation with a healthy lifestyle led to an obsessive consumption of vitamins and multi-vitamins, the beneficial effects of which are questionable. As one example, in the 1950s, the [[Wonder Bread]] company sponsored the [[Howdy Doody]] television show, with host [[Buffalo Bob Smith]] telling the audience, "Wonder Bread builds strong bodies 8 ways", referring to the number of [[Food additive|added nutrients]].
Robert W. Yoder is credited with first using the term ''vitamania'', in 1942, to describe the appeal of relying on nutritional supplements rather than on obtaining vitamins from a varied diet of foods. The continuing preoccupation with a healthy lifestyle led to an obsessive consumption of vitamins and multi-vitamins, the beneficial effects of which are questionable. As one example, in the 1950s, the [[Wonder Bread]] company sponsored the [[Howdy Doody]] television show, with host [[Buffalo Bob Smith]] telling the audience, "Wonder Bread builds strong bodies 8 ways", referring to the number of [[Food additive|added nutrients]].


==Etymology== <!--T:29-->
<!--T:29-->
==Etymology==
The term "vitamin" was derived from "vitamine", a [[compound (linguistics)|compound word]] coined in 1912 by the [[biochemist]] Casimir Funk while working at the [[Lister Institute of Preventive Medicine]]. Funk created the name from ''vital'' and ''amine'', because it appeared that these organic micronutrient food factors that prevent beriberi and perhaps other similar dietary-deficiency diseases were required for life, hence "vital", and were chemical amines, hence "amine". This was true of [[thiamine]], but after it was found that vitamin C and other such micronutrients were not amines, the word was shortened to "vitamin" in English.
The term "vitamin" was derived from "vitamine", a [[compound (linguistics)|compound word]] coined in 1912 by the [[biochemist]] Casimir Funk while working at the [[Lister Institute of Preventive Medicine]]. Funk created the name from ''vital'' and ''amine'', because it appeared that these organic micronutrient food factors that prevent beriberi and perhaps other similar dietary-deficiency diseases were required for life, hence "vital", and were chemical amines, hence "amine". This was true of [[thiamine]], but after it was found that vitamin C and other such micronutrients were not amines, the word was shortened to "vitamin" in English.


==Classification== <!--T:30-->
<!--T:30-->
==Classification==
Vitamins are classified as either [[Hydrophilicity|water-soluble]] or [[lipophilicity|fat-soluble]]. In humans there are 13 vitamins: 4 fat-soluble (A, D, E, and K) and 9 water-soluble (8 B vitamins and vitamin C). Water-soluble vitamins dissolve easily in water and, in general, are readily excreted from the body, to the degree that urinary output is a strong predictor of vitamin consumption. Because they are not as readily stored, more consistent intake is important. Fat-soluble vitamins are absorbed through the [[gastrointestinal tract]] with the help of [[lipid]]s (fats). Vitamins A and D can accumulate in the body, which can result in dangerous [[hypervitaminosis]]. Fat-soluble vitamin deficiency due to malabsorption is of particular significance in [[cystic fibrosis]].
Vitamins are classified as either [[Hydrophilicity|water-soluble]] or [[lipophilicity|fat-soluble]]. In humans there are 13 vitamins: 4 fat-soluble (A, D, E, and K) and 9 water-soluble (8 B vitamins and vitamin C). Water-soluble vitamins dissolve easily in water and, in general, are readily excreted from the body, to the degree that urinary output is a strong predictor of vitamin consumption. Because they are not as readily stored, more consistent intake is important. Fat-soluble vitamins are absorbed through the [[gastrointestinal tract]] with the help of [[lipid]]s (fats). Vitamins A and D can accumulate in the body, which can result in dangerous [[hypervitaminosis]]. Fat-soluble vitamin deficiency due to malabsorption is of particular significance in [[cystic fibrosis]].


==Anti-vitamins== <!--T:31-->
<!--T:31-->
==Anti-vitamins==
{{Main|Antinutrient}}
{{Main|Antinutrient}}
Anti-vitamins are chemical compounds that inhibit the absorption or actions of vitamins. For example, [[avidin]] is a protein in raw egg whites that inhibits the absorption of [[biotin]]; it is deactivated by cooking. Pyrithiamine, a synthetic compound, has a molecular structure similar to thiamine, [[vitamin B1|vitamin B<sub>1</sub>]], and inhibits the [[enzyme]]s that use thiamine.
Anti-vitamins are chemical compounds that inhibit the absorption or actions of vitamins. For example, [[avidin]] is a protein in raw egg whites that inhibits the absorption of [[biotin]]; it is deactivated by cooking. Pyrithiamine, a synthetic compound, has a molecular structure similar to thiamine, [[vitamin B1|vitamin B<sub>1</sub>]], and inhibits the [[enzyme]]s that use thiamine.


==Biochemical functions== <!--T:32-->
<!--T:32-->
==Biochemical functions==
Each vitamin is typically used in multiple reactions, and therefore most have multiple functions.
Each vitamin is typically used in multiple reactions, and therefore most have multiple functions.


===On fetal growth and childhood development=== <!--T:33-->
<!--T:33-->
===On fetal growth and childhood development===
{{main|Nutrition and pregnancy}}
{{main|Nutrition and pregnancy}}
Vitamins are essential for the normal growth and development of a multicellular organism. Using the genetic blueprint inherited from its parents, a [[fetus]] [[prenatal development|develop]]s from the nutrients it absorbs. It requires certain vitamins and minerals to be present at certain times. These nutrients facilitate the chemical reactions that produce among other things, [[skin]], [[bone]], and [[muscle]]. If there is serious deficiency in one or more of these nutrients, a child may develop a deficiency disease. Even minor deficiencies may cause permanent damage.
Vitamins are essential for the normal growth and development of a multicellular organism. Using the genetic blueprint inherited from its parents, a [[fetus]] [[prenatal development|develop]]s from the nutrients it absorbs. It requires certain vitamins and minerals to be present at certain times. These nutrients facilitate the chemical reactions that produce among other things, [[skin]], [[bone]], and [[muscle]]. If there is serious deficiency in one or more of these nutrients, a child may develop a deficiency disease. Even minor deficiencies may cause permanent damage.


===On adult health maintenance=== <!--T:34-->
<!--T:34-->
===On adult health maintenance===
Once growth and development are completed, vitamins remain essential nutrients for the healthy maintenance of the cells, tissues, and organs that make up a multicellular organism; they also enable a multicellular life form to efficiently use chemical energy provided by food it eats, and to help process the proteins, carbohydrates, and fats required for [[cellular respiration]].
Once growth and development are completed, vitamins remain essential nutrients for the healthy maintenance of the cells, tissues, and organs that make up a multicellular organism; they also enable a multicellular life form to efficiently use chemical energy provided by food it eats, and to help process the proteins, carbohydrates, and fats required for [[cellular respiration]].


== Intake == <!--T:35-->
== Intake == <!--T:35-->


===Sources=== <!--T:36-->
<!--T:36-->
===Sources===
For the most part, vitamins are obtained from the diet, but some are acquired by other means: for example, microorganisms in the [[gut flora]] produce vitamin K and biotin; and one form of vitamin D is synthesized in skin cells when they are exposed to a certain wavelength of ultraviolet light present in [[sunlight]]. Humans can produce some vitamins from precursors they consume: for example, vitamin A is synthesized from [[beta carotene]]; and [[Niacin (nutrient)|niacin]] is synthesized from the [[amino acid]] [[tryptophan]]. Vitamin C can be synthesized by some species but not by others. [[Vitamin B12|Vitamin B<sub>12</sub>]] is the only vitamin or nutrient not available from plant sources. The Food Fortification Initiative lists countries which have mandatory fortification programs for vitamins folic acid, niacin, vitamin A and vitamins B<sub>1</sub>, B<sub>2</sub> and B<sub>12</sub>.
For the most part, vitamins are obtained from the diet, but some are acquired by other means: for example, microorganisms in the [[gut flora]] produce vitamin K and biotin; and one form of vitamin D is synthesized in skin cells when they are exposed to a certain wavelength of ultraviolet light present in [[sunlight]]. Humans can produce some vitamins from precursors they consume: for example, vitamin A is synthesized from [[beta carotene]]; and [[Niacin (nutrient)|niacin]] is synthesized from the [[amino acid]] [[tryptophan]]. Vitamin C can be synthesized by some species but not by others. [[Vitamin B12|Vitamin B<sub>12</sub>]] is the only vitamin or nutrient not available from plant sources. The Food Fortification Initiative lists countries which have mandatory fortification programs for vitamins folic acid, niacin, vitamin A and vitamins B<sub>1</sub>, B<sub>2</sub> and B<sub>12</sub>.


===Deficient intake=== <!--T:37-->
<!--T:37-->
===Deficient intake===
{{See also|Vitamin deficiency}}
{{See also|Vitamin deficiency}}


Line 346: Line 362:
Well-researched human vitamin deficiencies involve thiamine (beriberi), niacin ([[pellagra]]), vitamin C (scurvy), folate (neural tube defects) and vitamin D (rickets). In much of the developed world these deficiencies are rare due to an adequate supply of food and the addition of vitamins to common foods. In addition to these classical vitamin deficiency diseases, some evidence has also suggested links between vitamin deficiency and a number of different disorders.
Well-researched human vitamin deficiencies involve thiamine (beriberi), niacin ([[pellagra]]), vitamin C (scurvy), folate (neural tube defects) and vitamin D (rickets). In much of the developed world these deficiencies are rare due to an adequate supply of food and the addition of vitamins to common foods. In addition to these classical vitamin deficiency diseases, some evidence has also suggested links between vitamin deficiency and a number of different disorders.


===Excess intake=== <!--T:41-->
<!--T:41-->
===Excess intake===
{{See also|Hypervitaminosis}}
{{See also|Hypervitaminosis}}


Line 352: Line 369:
Some vitamins have documented acute or chronic toxicity at larger intakes, which is referred to as hypertoxicity. The European Union and the governments of several countries have established [[Tolerable upper intake levels]] (ULs) for those vitamins which have documented toxicity (see table). The likelihood of consuming too much of any vitamin from food is remote, but excessive intake ([[vitamin poisoning]]) from dietary supplements does occur. In 2016, overdose exposure to all formulations of vitamins and multi-vitamin/mineral formulations was reported by 63,931 individuals to the [[American Association of Poison Control Centers]] with 72% of these exposures in children under the age of five. In the US, analysis of a national diet and supplement survey reported that about 7% of adult supplement users exceeded the UL for folate and 5% of those older than age 50 years exceeded the UL for vitamin A.
Some vitamins have documented acute or chronic toxicity at larger intakes, which is referred to as hypertoxicity. The European Union and the governments of several countries have established [[Tolerable upper intake levels]] (ULs) for those vitamins which have documented toxicity (see table). The likelihood of consuming too much of any vitamin from food is remote, but excessive intake ([[vitamin poisoning]]) from dietary supplements does occur. In 2016, overdose exposure to all formulations of vitamins and multi-vitamin/mineral formulations was reported by 63,931 individuals to the [[American Association of Poison Control Centers]] with 72% of these exposures in children under the age of five. In the US, analysis of a national diet and supplement survey reported that about 7% of adult supplement users exceeded the UL for folate and 5% of those older than age 50 years exceeded the UL for vitamin A.


===Effects of cooking=== <!--T:43-->
<!--T:43-->
===Effects of cooking===
The [[USDA]] has conducted extensive studies on the percentage losses of various nutrients from food types and cooking methods. The table below shows whether various vitamins are susceptible to loss from heat—such as heat from boiling, steaming, frying, etc. The effect of cutting vegetables can be seen from exposure to air and light. Water-soluble vitamins such as B and C dissolve into the water when a vegetable is boiled, and are then lost when the water is discarded.
The [[USDA]] has conducted extensive studies on the percentage losses of various nutrients from food types and cooking methods. The table below shows whether various vitamins are susceptible to loss from heat—such as heat from boiling, steaming, frying, etc. The effect of cutting vegetables can be seen from exposure to air and light. Water-soluble vitamins such as B and C dissolve into the water when a vegetable is boiled, and are then lost when the water is discarded.


Line 444: Line 462:
|}
|}


==Recommended levels== <!--T:45-->
<!--T:45-->
==Recommended levels==
In setting human nutrient guidelines, government organizations do not necessarily agree on amounts needed to avoid deficiency or maximum amounts to avoid the risk of toxicity. For example, for vitamin C, recommended intakes range from 40&nbsp;mg/day in India to 155&nbsp;mg/day for the European Union. The table below shows U.S. Estimated Average Requirements (EARs) and Recommended Dietary Allowances (RDAs) for vitamins, PRIs for the European Union (same concept as RDAs), followed by what three government organizations deem to be the safe upper intake. RDAs are set higher than EARs to cover people with higher than average needs. Adequate Intakes (AIs) are set when there is not sufficient information to establish EARs and RDAs. Governments are slow to revise information of this nature. For the U.S. values, with the exception of calcium and vitamin D, all of the data date to 1997–2004.
In setting human nutrient guidelines, government organizations do not necessarily agree on amounts needed to avoid deficiency or maximum amounts to avoid the risk of toxicity. For example, for vitamin C, recommended intakes range from 40&nbsp;mg/day in India to 155&nbsp;mg/day for the European Union. The table below shows U.S. Estimated Average Requirements (EARs) and Recommended Dietary Allowances (RDAs) for vitamins, PRIs for the European Union (same concept as RDAs), followed by what three government organizations deem to be the safe upper intake. RDAs are set higher than EARs to cover people with higher than average needs. Adequate Intakes (AIs) are set when there is not sufficient information to establish EARs and RDAs. Governments are slow to revise information of this nature. For the U.S. values, with the exception of calcium and vitamin D, all of the data date to 1997–2004.


Line 505: Line 524:
'''NE'''  EARs have not been established.
'''NE'''  EARs have not been established.


==Supplementation== <!--T:55-->
<!--T:55-->
==Supplementation==
[[File:500 mg calcium supplements with vitamin D.jpg|thumb|upright=1.25|Calcium combined with vitamin D (as calciferol) supplement tablets with fillers.]]
[[File:500 mg calcium supplements with vitamin D.jpg|thumb|upright=1.25|Calcium combined with vitamin D (as calciferol) supplement tablets with fillers.]]
In those who are otherwise healthy, there is little evidence that supplements have any benefits with respect to [[cancer]] or [[cardiovascular disease|heart disease]]. Vitamin A and E supplements not only provide no health benefits for generally healthy individuals, but they may increase mortality, though the two large studies that support this conclusion included [[tobacco smoking|smokers]] for whom it was already known that beta-carotene supplements can be harmful. A 2018 meta-analysis found no evidence that intake of vitamin D or calcium for community-dwelling elderly people reduced bone fractures.
In those who are otherwise healthy, there is little evidence that supplements have any benefits with respect to [[cancer]] or [[cardiovascular disease|heart disease]]. Vitamin A and E supplements not only provide no health benefits for generally healthy individuals, but they may increase mortality, though the two large studies that support this conclusion included [[tobacco smoking|smokers]] for whom it was already known that beta-carotene supplements can be harmful. A 2018 meta-analysis found no evidence that intake of vitamin D or calcium for community-dwelling elderly people reduced bone fractures.
Line 516: Line 536:
{{see also|Megavitamin therapy}}
{{see also|Megavitamin therapy}}


===Governmental regulation=== <!--T:58-->
<!--T:58-->
===Governmental regulation===
Most countries place dietary supplements in a special category under the general umbrella of ''foods'', not drugs. As a result, the manufacturer, and not the government, has the responsibility of ensuring that its dietary supplement products are safe before they are marketed. Regulation of supplements varies widely by country. In the [[United States]], a dietary supplement is defined under the [[Dietary Supplement Health and Education Act]] of 1994. There is no FDA approval process for dietary supplements, and no requirement that manufacturers prove the safety or efficacy of supplements introduced before 1994. The [[Food and Drug Administration]] must rely on its Adverse Event Reporting System to monitor adverse events that occur with supplements.
Most countries place dietary supplements in a special category under the general umbrella of ''foods'', not drugs. As a result, the manufacturer, and not the government, has the responsibility of ensuring that its dietary supplement products are safe before they are marketed. Regulation of supplements varies widely by country. In the [[United States]], a dietary supplement is defined under the [[Dietary Supplement Health and Education Act]] of 1994. There is no FDA approval process for dietary supplements, and no requirement that manufacturers prove the safety or efficacy of supplements introduced before 1994. The [[Food and Drug Administration]] must rely on its Adverse Event Reporting System to monitor adverse events that occur with supplements.


Line 522: Line 543:
In 2007, the US [[Code of Federal Regulations]] (CFR) Title 21, part III took effect, regulating Good Manufacturing Practices (GMPs) in the manufacturing, packaging, labeling, or holding operations for dietary supplements. Even though product registration is not required, these regulations mandate production and quality control standards (including testing for identity, purity and adulterations) for dietary supplements. In the European Union, the [[Food Supplements Directive]] requires that only those supplements that have been proven safe can be sold without a prescription. For most vitamins, [[pharmacopoeia|pharmacopoeial standards]] have been established. In the United States, the [[United States Pharmacopeia]] (USP) sets standards for the most commonly used vitamins and preparations thereof. Likewise, monographs of the [[European Pharmacopoeia]] (Ph.Eur.) regulate aspects of identity and purity for vitamins on the European market.
In 2007, the US [[Code of Federal Regulations]] (CFR) Title 21, part III took effect, regulating Good Manufacturing Practices (GMPs) in the manufacturing, packaging, labeling, or holding operations for dietary supplements. Even though product registration is not required, these regulations mandate production and quality control standards (including testing for identity, purity and adulterations) for dietary supplements. In the European Union, the [[Food Supplements Directive]] requires that only those supplements that have been proven safe can be sold without a prescription. For most vitamins, [[pharmacopoeia|pharmacopoeial standards]] have been established. In the United States, the [[United States Pharmacopeia]] (USP) sets standards for the most commonly used vitamins and preparations thereof. Likewise, monographs of the [[European Pharmacopoeia]] (Ph.Eur.) regulate aspects of identity and purity for vitamins on the European market.


==Naming== <!--T:60-->
<!--T:60-->
==Naming==
{| class="wikitable sortable" style="float:right; font-size:90%; margin-left:20px"
{| class="wikitable sortable" style="float:right; font-size:90%; margin-left:20px"
|+Nomenclature of reclassified vitamins
|+Nomenclature of reclassified vitamins
Line 599: Line 621:
"Vitamin N" is a term popularized for the mental health benefits of spending time in nature settings. "Vitamin I" is slang among athletes for frequent/daily consumption of [[ibuprofen]] as a pain-relieving treatment.
"Vitamin N" is a term popularized for the mental health benefits of spending time in nature settings. "Vitamin I" is slang among athletes for frequent/daily consumption of [[ibuprofen]] as a pain-relieving treatment.


== See also == <!--T:65-->
<!--T:65-->
== See also ==
{{Portal|Food}}
{{Portal|Food}}
*[[Vitamin deficiency]]
*[[Vitamin deficiency]]
Line 605: Line 628:
*[[Human nutrition]]
*[[Human nutrition]]


== References == <!--T:66-->
<!--T:66-->
== References ==
{{Reflist|30em}}
{{Reflist|30em}}


== Notes == <!--T:67-->
<!--T:67-->
== Notes ==
{{notelist}}
{{notelist}}


== External links == <!--T:68-->
<!--T:68-->
== External links ==
<!--========================{{No more links}}============================
<!--========================{{No more links}}============================
  |PLEASE BE CAUTIOUS IN ADDING MORE LINKS TO THIS ARTICLE. Wikipedia |
  |PLEASE BE CAUTIOUS IN ADDING MORE LINKS TO THIS ARTICLE. Wikipedia |