First identified and commonly diagnosed in the Asturian Empire (now Northern Spain), it was originally called “Asturian leprosy.” However, the condition was seen throughout Europe, the Middle East, and North Africa, wherever a large percentage of food energy was derived from corn, and fresh meat was not available. Vitamin A Deficiency. Therefore, vitamin C-rich food items should be eaten raw. Deficiency of vitamin D is an exception. In children, especially those that don’t or can’t receive regular check-ups, deformity and debilitation by the deficiency is often only noticed after significant damage has been done to their developing skeletons. The superior taste of the milled white rice led many locals to abandon the local (unpolished) brown rice, and in doing so, abandon their primary source of thiamine. diseases caused by deficiency of VITAMINS & MINERALS (Science) 1. Preserved meats and carbohydrates contained no vitamin C, and unlike most animals, the human body is not able to create vitamin C on its own. This chapter reviews the evidence linking slight deficiencies or excesses of vitamins and minerals to a number of chronic diseases. The medical names of the different conditions are derived from the vitamin involved: an excess of vitamin A, for example, is called " hypervitaminosis A ". This leads to costochondral swelling, or what’s known as the “rachitic rosary” along the ribcage of the child, as well as widened wrists and “thick” joints. Vitamin D deficiency is generally tied to a lack of sunlight; we produce vitamin D through exposing our skin to UVB light. In the developed world, you won’t be the healthiest bloke on the block if you eat nothing but breakfast cereal and cartons of juice—but the food industry has ensured that you at least won’t die of malnutrition. When caused by not enough vitamin intake it is classified as a primary deficiency, whereas when due to an underlying disorder such as malabsorption it is called a secondary deficiency. 4 Diseases Caused by a Lack of Essential Vitamins and Minerals Despite the extensive work of Dr. Joseph Goldberger in the 1910s and 1920s, which proved that pellagra wasn’t caused by a germ but by a dietary deficiency, the condition was occurring in epidemic proportions in the rural Southern US until the 1940s. Despite not being able to pinpoint the exact cause of scurvy, in the 18th century, naval physician James Lind was able to prove, in what’s considered to be the first controlled scientific experiment, that scurvy could be prevented (and cured) by incorporating citrus fruits such as limes and oranges into the diet of sailors. If left untreated, rickets also can cause an extremely curved back, stunted growth, and frequent fractures—all of which can lead to permanent and debilitating deformity. Many of the early explorers lost great numbers of men to scurvy: Vasco de Gama lost 116 out of 170 men in 1499, and in 1520, Magellan lost 208 out of 230. Deficiency of Vitamins Table lists some important vitamins and their sources, functions, deficiency diseases, and symptoms. It also affects the immune system and results in deaths from malaria, diarrhoea and measles. Vitamin D deficiency is thus more common in this population (Tsiaras and Weinstock, 2011). The Sinhalese term “beri-beri” means, “I cannot, I cannot,” and derives from the inability to perform even the simplest of tasks once the polyneuritis (nerve inflammation) caused by the deficiency of vitamin B1 (thiamine) has permanently damaged the neurons, when the condition has progressed to the end-stage. This lesson covers various diseases caused by deficiency of VITAMINS & MINERALS in our diet. Vitamin deficiency anemia is a lack of healthy red blood cells caused when you have lower than normal amounts of certain vitamins.  Skin rash. Before widened wrists or rachitic rosary appears, the softening of the skull bones can lead to “Caput Quadratum”—a square-headed appearance, and often the first sign of skeletal growth problems. In the 18th century, James Lind found that eating citrus fruits reduced the occurrence of scurvy in sailors. Page 110 Share Cite Suggested Citation: "8 Vitamins, Minerals, and Chronic Diseases." Vitamin … But in adults, it both takes significantly longer to develop and tends to cause tip-off signs that something is wrong before bone warping sets in, such as extreme pain in the bones, and unexplained muscle weakness. diarrhea. The disease of pirates: the grey-death. The discovery of important vitamins and how to produce them has been so significant to human health that many of those who were integral to the discoveries have been awarded the Nobel Prize in Medicine; more than 10 Nobel Prizes have been divided among almost 20 eminent scientists for the discovery or isolation of vitamins A, B1, B12, C, D, E, and K. Over the second half of the 20th century, after the beginning of widespread supplementation to everyday food items, the incidences of the conditions covered here went down dramatically across much of the world. With the increased processing of our food throughout the 20th century, however, some of these minerals have been lost, and have had to be re-added to the average Western diet through supplementation. 40 41. THERAPEUTIC USES  Cardiovascular diseases. Later dietary testing on prisoners confirmed his results. Vitamin B12 Vitamin B12 (or cobalamin) has similar roles to folate within the body, helping make red blood cells and playing roles in brain health and DNA synthesis. Although his findings weren’t widely accepted at first, the British Navy eventually began issuing standard rations of lemon juice, and later, limes, to their sailors—which gave rise to the term “limey” in reference to the British. Sometimes bariatric surgery is not the cause of the nutritional deficiencies. Minerals also assist in certain chemical reactions in the body. muscle cramping. The most telling symptoms of rickets are at the epiphyses (growth plates) of bones: The body is unable to lengthen bones by depositing calcium, and ends up with bones that flare outward in a “cupping” appearance. It was initially believed that either the corn itself, or some insect associated with corn, was causing pellagra. A few deaths were attributable to other causes, but the vast majority were due to scurvy. A lack of B12 can cause the same symptoms as folate deficiency, leading to vitamin B12 deficiency anemias like pernicious anemia. Vitamin A is well-known for its role in skin health 8.Cells in two specific layers of the skin, called the dermis and epidermis, contain specialized receptors that pull vitamin A into the skin and keep it healthy 8.Because of its ability to keep your skin healthy, vitamin A is often added to both over-the-counter and prescription skin care items in the form of retinoids 8. poor concentration. These days, scurvy is an extremely rare condition, almost exclusively caused by someone eating a completely unvaried diet. Vitamins and micronutrients Vitamin poisoning is the condition of overly high storage levels of vitamins, which can lead to toxic symptoms.  Weight loss. Scurvy didn’t become a significant problem until the Age of Discovery (beginning in the 15th century), when people at sea were not able to access that much-needed fresh food for months at a time. Unlike vitamin C, the human body is able to produce vitamin D, but only if it has the metabolic precursors available to it. Vitamin D deficiency is common among certain groups of people (such as older people) even if they eat a variety of foods. A nutritional deficiency can be caused by intake of inadequate nutrients, or a defect in the body’s absorption mechanism. Even into the 20th century, conditions caused by a lack of certain vitamins or minerals were endemic to North America and Europe. Because lack of minerals can cause several other health diseases. In the 1880s, a doctor named Christiaan Eijkman began researching the causes of this epidemic at a laboratory in the Dutch East Indies (now Jakarta, Indonesia), and initially believed that the condition was caused by a bacterial infection. Calcium is a team player. This condition is largely confined to Asia, especially in countries where boiled rice is a staple. Vitamin D: Vitamin D research is in its infancy, but so far it has shown that vitamin D affects most of the body’s tissues.Current research links vitamin D deficiency with 17 different types of cancer (including breast cancer) and many other illnesses like osteoporosis, heart disease and juvenile diabetes.  Fatigue and joint pain. Supplementation of assistance food and local fortification of salt and flour is beginning to help give displaced people (especially displaced children) a new chance at life without these and other nutritional diseases. Between the era that corn was introduced to Europe (the early 16th century) and the late 19th century, pellagra was found almost everywhere that poor people subsisted on cornmeal and little else. when your small intestine is damaged, it can’t absorb vitamins and minerals. decreased immune system. The most widespread nutritional deficiency worldwide is iron deficiency. constipation, bloating, or abdominal pain. Even though the disease was known since ancient times (described by Hippocrates around 400 BCE), it was not a scourge to those who were largely land-bound. From the 1860s to the turn of the 20th century, people whose plant consumption was limited to the polished white rice would often come down with weakness, pain, weight loss, difficulty walking, and emotional disturbances. If you answered “vampirism,” you’re close—the myth of the vampire may have its roots in the condition known as “pellagra.”, Pellagra is caused by a lack of vitamin B3 (niacin). Vitamin D is vital for keeping bones, teeth and muscles healthy. Fat malabsorption. It was eventually discovered that this was because the traditional processing of corn in the Americas involved “nixtamalization,” in which the kernels were soaked in limewater before hulling them. Around the turn of the 20th century, people began to notice that despite subsisting on just as much corn as poor Europeans, poor Mesoamerican natives didn’t come down with the condition. Deficiency of Minerals Table lists some important minerals and their sources, functions, deficiency diseases, and symptoms. The area of highest prevalence was Northern Italy, where Francesco Frapoli of Milan called it “pelle agra,” meaning “sour skin.”. If you do have low levels of vitamin D, sleep disturbances can result.  Cataracts. Consuming too little of a vitamin can cause a nutritional disorder. They can be caused by not taking your supplements, or other reasons. loss of appetite. However, people who eat a variety of foods are unlikely to develop most vitamin deficiencies. Even though he didn’t know the cause of the condition, Eijkman proved that white rice was the culprit, and shared the 1929 Nobel Prize in Medicine for his discovery. irregular heart beat. Vitamin deficiency is the condition of a long-term lack of a vitamin. Artificially added nutrients may not make a food “healthy,” but they do stave off several debilitating, and sometimes fatal, diseases of malnutrition. For example, vitamin C is easily destroyed during cooking. SCIENCE 7 th - BY PANKTI DAVE HEALTH AND DISEASE 2. Vitamin A Deficiency (Causes Night Blindness) You may have vitamin A deficiency if you experience … Today, pellagra is most common in the poorest regions of the world, especially places that rely upon food aid programs.  Slow healing of wound and fractured bone. An underlying disorder may be metabolic – as in a genetic defect for converting tryptophan to niacin – or from lifestyle choices that increase vitamin needs, such as smoking or drinking alcohol. This condition is brought on by a lack of vitamin D, which causes the body to be unable to absorb or deposit calcium. VITAMIN C DEFICIENCY  Leads to scurvy. This is a blood disorder that causes fatigue, … Vitamin D Deficiency: In children a vitamin D deficiency can result in rickets, deformed bones, delayed growth, and soft teeth. Vitamin deficiencies generally present with apathy as the foremost behavioral symptom, but some nutritional deficiencies are reported to cause agitation and violence, usually as a result of psychosis (Table II).Pyridoxine (B 6) deficiency due to homocystinuria may cause psychosis.Folic acid deficiency in homocystinuria and hypomethioninemia may cause a schizophrenia-like syndrome. A deficiency disease can be defined as a disease which is caused by the lack of essential nutrients or dietary elements such as vitamins and minerals in the human body. Some countries still ship unfortified cornmeal rather than corn masa (nixtamalized corn) or fortified cornmeal to developing countries or to their own impoverished populations. This belief was reinforced when much of France eliminated corn as a food staple and virtually eradicated the condition. However, humans have not historically had a widespread significant problem acquiring these nutrients, as most plants absorb many minerals from the soil. Vitamin deficiencies are associated with several deficiency diseases, underscoring the need to ensure sufficient vitamin intake. Although beriberi was known to exist in rice-eating countries several centuries back, its prevalence boomed with the introduction of steam-driven rice-polishing mills from Europe. In most cases, high levels of oral supplementation of vitamin C are enough to reverse the condition in a matter of weeks, and death by scurvy is almost unheard of. numbness or tingling in the extremities. Sources: Green leafy vegetables, fruits, butter, egg yolk, carrots, and fish, Sources: Eggs, milk, and green leafy vegetables, Sources: Citrus fruits like lime, orange, and lemon; tomatoes and sprouts, Sources: Spinach, cabbage, or any other green leafy vegetable. The chickens that ate the white rice came down with beriberi-like symptoms, while the others stayed healthy. What causes blistering of the skin in the sun, pale skin, a craving for raw meat, blood dripping from the mouth, aggression, and insanity? Companies pushing products with added vitamins and minerals can fool people into thinking that they’re eating a “healthy” food when they’re not—but it’s not like those vitamins and minerals are there for no reason. Beriberi became one of the leading causes of mortality in the region. 39 40. Some vitamins are very sensitive to heat and light. Doctors and nutritionists still agree that the healthiest way to acquire your necessary vitamins and minerals is by eating a balanced diet and spending time outdoors each day, but in the course of modern life, that’s not always possible, and if people are going to eat poorly either way, we may as well keep them from dropping dead of scurvy. Vitamins and Minerals – Deficiency Diseases Deficiency of Vitamins Table lists some important vitamins and their sources, functions, deficiency diseases, and symptoms. Even people with healthy diets benefit from the supplementation of vitamins and minerals in common foodstuffs, and adding the nutrients costs next to nothing. Scurvy is caused by a lack of vitamin C, whose chemical name, ascorbic acid, is derived from the Latin term for scurvy, scorbutus.  Common cold. The alkali solution freed up the niacin that was present in the grain, but previously inaccessible. It is one of the major causes of night blindness in pregnant women. The early symptoms of scurvy include spongy gums, pain in the joints, and blood spots appearing under the skin. Of course, the minerals essential to the human body play similarly important roles in maintaining health. Recently, beriberi was also seen in Haitian prisons when the prison system began buying imported polished rice from the United States, and stopped feeding their inmates the local brown rice. China, parts of Africa, Indonesia, and North Korea all have endemic pellagra among their lowest classes. Deficiency disease examples: Vitamin B1 deficiency causes beriberi, lack of iron in the body can lead to anaemia. As the disease progressed, the teeth would become loose, extreme halitosis (bad breath) would develop, the afflicted would become too weak to walk or work, be in too much pain to eat, and would die “mid-sentence,” often from a burst blood vessel. The symptoms of a mineral deficiency depend upon which nutrient the body lacks. nausea and vomiting. Here are a few of those maladies. The research focused on the benefits of micronutrients (vitamins and minerals) and their associated deficiency diseases and health complications.  Anaemia. In the rest of the world, displacement due to war, and unfortified food from aid programs, has left survivors with enough calories, but not enough nutrients. people with untreated celiac disease often are low in these: *iron *calcium *fiber *zinc *magnesium *folate *niacin Individuals who undergo regular renal replacement therapy such as hemodialysis risk water-soluble vitamin and mineral deficiencies due to increased losses during the dialysis process, increased needs, and inadequate intake. Calcium: Without enough calcium, a child’s bones and teeth don’t grow strong and straight, and an adult’s bones lose minerals and weaken. Beriberi is occasionally seen in the modern world, but its primary cause is chronic alcoholism—the poor diets of some chronic alcoholics, combined with the decreased absorption of what thiamine is consumed, leads to symptoms that unfortunately are sometimes left undiagnosed until it’s too late.  Lead toxicity. However, after years of study, he came to the conclusion that “white rice is poisonous.” He discovered this by feeding a group of chickens solely white rice, and another group unpolished brown rice. Less commonly, it can also be caused by a lack of calcium or phosphorus, but vitamin D deficiency is by far the most common cause. This is actually re-emerging as a health concern among some increasingly-indoor groups of people, and is one of the few hypovitaminosis (lack of vitamin) conditions not considered to be a “disease of the past.” Luckily, when the deficiency is recognized, cholecalciferol can be directly taken as a vitamin supplement or acquired from eating organ meats and oils, such as cod liver oil, allowing the body to resume producing vitamin D. Rickets is a condition of children, as the deficiency’s most severe effects are on developing bones; in adults, “bone-softening,” or osteomalacia, can be caused by the same vitamin deficiency.  Cancer prevention. Vitamin and sources Function Deficiency disease Symptoms A Sources: Green leafy vegetables, fruits, butter, egg yolk, carrots, and fish Keeps eyes, hair, and skin healthy Night blindness Dryness of eyes; improper … A disease of the peripheral nerves caused by a dietary deficiency of thiamine (vitamin B1). Iron deficiency can lead to anemia. 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