- What Are
- Vitamin Deficiencies
- Is It Safe?
- Minerals In Foods
- Who Needs
What Facts Should I Know about Vitamins and Minerals?
What are vitamins and minerals?
- Vitamins and minerals are essential nutrients required for healing and functioning of the body.
- When we don't take in enough nutrients, vitamin and mineral deficiencies occur and diseases -- even death -- can result.
- Vitamins are classified as either water-soluble or fat-soluble.
- Minerals are classified as electrolytes or trace minerals.
What is the best way to get vitamins and minerals each day?
- Vitamins and minerals come from healthy foods, but many people do not eat enough of the right foods to ensure they get the entire recommended daily intake.
What Are Vitamins and Minerals?
Vitamins and minerals are essential nutrients. You don't need much, just milligrams to micrograms a day, but if you don't get enough or the right kinds of vitamins and minerals, essential functions in the body cannot happen. The difference between vitamins and minerals has to do with their chemical structure. Vitamins can be broken down, but minerals are inorganic and cannot be broken into smaller chemical units. Vitamins are essential, meaning we have to get them from our diet (or supplements). Some, but not all, minerals are essential. Vitamins can also be classified as fat-soluble or water-soluble. Water-soluble vitamins are only in the body for a short time before excesses are excreted in the urine and sweat. Fat-soluble vitamins can be stored in fat tissue, so they can accumulate over time. Minerals can be classified as macrominerals, which are also called electrolytes, or trace minerals.
What Are Symptoms and Signs of Vitamin and Mineral Deficiencies and Toxicities?
The signs and symptoms of deficiency depend on the specific vitamin or mineral. For example, if a person is deficient in the vitamins and minerals that are necessary to make and repair skin, connective tissue, and collagen, he or she will have signs and symptoms related to poor skin healing, excess skin wrinkling or dryness, lack of elasticity, dermatitis, or rashes. There are minimum requirements for the amount of vitamins and minerals we need. If we don't get enough, we become deficient and display the signs and symptoms of low nutrient intake. The signs and symptoms of deficiency are summarized in the chart below.
|Nutrient||Signs and Symptoms of Deficiency||Signs and Symptoms of Toxicity|
|Vitamin A (Retinol)||Night blindness, xerosis, Bitot's spot, keratomalacia, perifollicular hyperkeratosis, anorexia, bone changes||Anorexia, headache, blurred vision, dry skin, pruritus, painful extremities, hepatomegaly, splenomegaly|
|Vitamin D||Rickets/osteomalacia, bone pain, muscle weakness, fatigue, frequent infections, geriatric cognitive defects, pediatric asthma||Hypercalcemia and tetany, anorexia, nausea, vomiting, constipation, polydipsia, polyuria, renal stones, hypertension|
|Vitamin E||Loss of reflexes, gait disturbance (posterior tract-spinocerebellar symptoms), paresis of gaze, eczema, psoriasis, poor wound healing, broken capillaries||Fatigue, headache, delayed wound healing, increased bleeding, muscle weakness|
|Vitamin K||Bruising, bleeding gums, poor wound clotting||Hemolytic anemia, liver damage|
|Vitamin B1 (Thiamine)||Beriberi, edema, peripheral neuropathies/hot feet, lactic acidosis with carbohydrate||Arrhythmias, anaphylactic shock with large intravenous doses|
|Vitamin B2 (Riboflavin)||Reddened, greasy scaly, pruritic skin in the oculo-orogenital areas; dyssebacia (shark skin), stomatitis, angular cheilosis, magenta tongue, photosensitivity, corneal vascularization||No cases reported|
|Niacin||Pellagra: photosensitive dermatitis; diarrhea; mucosal inflammation; dementia; beefy, red tongue||Release of histamine: severe flushing, pruritus, gastrointestinal disturbances, elevated serum uric acid and glucose, hepatic toxicity|
|Vitamin B5 (Pantothenic Acid)||Burning feet syndrome, fatigue, enteritis, alopecia, dermatitis||Diarrhea, water retention|
|Vitamin B6||Seborrheic dermatitis, glossitis, cheilosis, angular stomatitis, peripheral neuropathy, irritability, convulsions||Peripheral sensory neuropathy, ataxia, perioral numbness|
|Folate||Megaloblastic anemia, glossitis, hair loss, cognitive defects, pallor, persistent fatigue, tender tongue, absence of neurological symptoms||Masks vitamin B12 deficiency|
|Vitamin B12 (Cobalamin)||Megaloblastic anemia, glossitis & oral mucosal lesions, tachycardia, anorexia, sensory neuropathy/paresthesias, muscle weakness, memory loss, depression, constipation, fatigue||No clear toxicity reported|
|Biotin||Scaly dermatitis, alopecia||None reported|
|Vitamin C||Scurvy, bleeding gums, anemia, fatigue, aching bones, joints, and muscles, perifollicular hemorrhages, poor wound healing||Nausea, abdominal cramps, diarrhea|
|Calcium||Tetany, depression, anxiety, irritability, bone pain, osteoporosis, rickets/ chondromalacia||Constipation, hypercalciuria, hypercalcemia|
|Phosphorus||Bone loss (rickets), weakness, anorexia, pain||Tetany (infants), arrhythmias|
|Potassium||Weakness, anorexia, nausea, irrational behavior, arrhythmias||Hyperkalemia cardiac toxicity|
|Sodium||Hypovolemia, muscle weakness||Edema, hypertension|
|Chloride||Infants: hypochloremic metabolic acidosis||Hypertension|
|Magnesium||Nausea, weakness, cognitive impairment, arrhythmias, constipation, muscle cramps||Nausea, vomiting, diarrhea, hypotension|
|Iron||Fatigue, anemia, glossitis||Acute: vomiting, cyanosis, diarrhea, shock Chronic: hepatomegaly, slate-gray skin, cardiomyopathy, arthropathy|
|Zinc||Anorexia, growth retardation, hypogonadism, hypogeusia, poor wound healing||Chronic: hypocupremia (copper deficiency), microcytosis, impaired immune response, low HDL levels|
|Iodine||Endemic goiter, cretinism||Iodide goiter, myxedema (severe hypothyroidism)|
|Selenium||Muscle pain, cardiomyopathy, growth retardation, osteoarthritis (cartilage defects)||Alopecia, fingernail changes, garlic odor, nausea, diarrhea, peripheral neuropathy|
|Copper||Hypochromic anemia, neutropenia, osteoporosis, growth retardation||Hyperactivity, depression, headaches, capillary fragility|
|Manganese||Weight loss, dementia, nausea/vomiting, changes in hair color, carb intolerance||Neurologic, cognitive, and behavioral changes|
|Fluoride||Not an essential nutrient||Mottled, pitted teeth; impaired bone health; kidney, nerve, and muscle dysfunction|
|Chromium||Weight loss, peripheral neuropathy, glucose intolerance||Renal impairment|
|Molybdenum||Irritability, coma||Gout-like syndrome|
|N-Acetyl Cysteine, Glutathione||Cataracts, macular degeneration, elevated gamma-glutamyl transpeptidase||None reported|
What Are the Benefits to Vitamin and Mineral Supplements?
The benefits of vitamins and minerals can be obtained by either eating more foods rich in vitamins and minerals (like vegetables, nuts, seeds, and whole grains) or by taking supplements. The benefits can include increased energy, healthier hair and skin, and prevention of heart disease, cancer, and other chronic diseases. For example, research shows that vitamins A, C, and E may play a role in the prevention of cancer. Minerals, such as iodine and selenium, are essential for normal thyroid function.
What Are the Recommended Daily Requirements for Vitamins and Minerals?
Daily requirements have been set by the USDA to help us understand the bare minimum of the nutrients we need to prevent major disease. There are different needs based on age, pregnancy status, and sex. The requirements are reevaluated periodically as scientific knowledge evolves. For example, the recommended daily value for adults for vitamin D is only 400 IU, but more recent research suggests that requirements may be 1,000 IU-4,000 IU per day. The chart below shows the minimum daily requirements for vitamin A, vitamin B1 or thiamin, vitamin B2 or riboflavin, vitamin B3 or niacin, vitamin B6, vitamin B12, vitamin C, ascorbic acid, vitamin D, vitamin E, folate, folic acid, vitamin K, calcium, chromium, copper, fluoride, iron, magnesium, manganese, molybdenum, phosphorus, potassium, selenium, and zinc.
|Vitamin A||5,000 International Units (IU)|
|Vitamin B1 (Thiamine)||1.5 Milligrams (mg)|
|Vitamin B2 (Riboflavin)||1.7 mg|
|Vitamin B3 (Niacin)||20 mg|
|Vitamin B6 (Pyridoxine)||2 mg|
|Vitamin B5 (Panthothenic Acid)||10 mg|
|Vitamin B12 (Cobalamin)||6 Micrograms (µg)|
|Vitamin C (Ascorbic Acid)||60 mg|
|Vitamin D||400 IU|
|Vitamin E||30 IU|
|Folate (Folic Acid)||400 µg|
|Vitamin K||80 µg|
What Foods Are High in Which Vitamins and Minerals?
Healthy foods, such as fruits and vegetables, are high in necessary nutrients. Fruits and vegetables are good sources of vitamin C, vitamin K, potassium, and magnesium, as well as many other nutrients. Whole grains like brown rice and quinoa are also high in vitamins, especially B vitamins such as vitamin B1 or thiamin, vitamin B2 or riboflavin, vitamin B3 or niacin, vitamin B6, and folate. Beans and lentils are high in minerals such as iron, magnesium, and manganese, as are nuts. White foods (such as white bread, white rice, and sugar), which are highly processed, are low in vitamins and minerals.
Who Should Take Vitamin and Mineral Supplements?
Research studies have tried to answer the following question:
"Do people need to take vitamin supplements?"
The answer appears to be "it depends." Studies show that regular intake of a multivitamin is associated with a lower cancer rate and is especially beneficial to prevent a cancer recurrence (risk was reduced by 27%).
Older adults benefit from taking a multivitamin; it may help reduce cognitive decline, improve mood, physical strength, and well-being.
Pregnant women have a higher need for folate, which is necessary for normal brain development in the fetus, as well as higher needs for iron, calcium, and other minerals.
How Certain Medications Affect Nutrient Absorption
People who are taking medications that affect nutrients should also pay attention to ensure they get enough. For example, people taking statins need more CoQ10 than others. People taking acid-blocking medications are unable to absorb many nutrients and may benefit from a multivitamin or B12. Your health-care provider can help you decide whether taking a vitamin or mineral supplement is right for you.
What Should People Look for When Choosing Vitamin and Mineral Supplements?
When choosing a vitamin or mineral supplement, people must consider the quality, amount, and form of the nutrient. To find a good-quality vitamin or mineral supplement, look for a brand manufactured in the U.S., Europe, or Canada (where regulations are more strict) that carries an indication of third-party analysis. Several organizations do this and put their seal on the products: NSF International, U.S. Pharmacopeia, or Consumer Lab. Choosing a good-quality brand ensures that the supplement contains what the label says it contains. It is also important to get the right forms of the vitamins. For example, some people have genetic variation that affects processing of B vitamins and requires them to take methylfolate (instead of folic acid).
Where Can People Find Additional Information About Vitamins and Minerals?
People who have questions about whether they should take vitamins and minerals, or whether they would benefit from increased intake of specific nutrients, should talk to an expert in micronutrients. Naturopathic doctors, nutritionists, registered dieticians, and integrative medicine doctors are all good resources for people who want to understand their needs for vitamins and minerals. For people who want to study about vitamins and minerals themselves, be careful! There is a lot of misinformation on the Internet! Reputable institutes such as the Linus Pauling Institute and the NIH Office of Dietary Supplements are good resources for quality information.
Health Solutions From Our Sponsors
Alshahrani, F., and N. Aljohani. "Vitamin D: deficiency, sufficiency and toxicity." Nutrients 5.9 Sept. 13, 2013: 3605-3616.
Comerford, K.B. "Recent developments in multivitamin/mineral research." Adv Nutr 4.6 Nov. 6, 2013: 644-656.
Hardy, M.L., and K. Duvall. "Multivitamin/multimineral supplements for cancer prevention: implications for primary care practice." Postgrad Med 127.1 Jan. 2015: 107-116.
Kim, Y.S., et al. "Impact of dietary components on NK and Treg cell function for cancer prevention." Mol Carcinog 54.9 Sept. 2015: 669-678.
Linus Pauling Institute