2014-07-01


There are nine water soluble vitamins. As the name suggests, they dissolve in water. These vitamins are not stored in the body and the excess is therefore excreted via urine. They can be found from a variety of plant and animal foods and must be consumed each day.

The table below provides a brief summary of the function of the vitamins, where they can be found and how deficiency presents.

Vitamin

Function

Source

Deficiency

Thiamin (vitamin B1)

Plays a role in carbohydrate metabolism – producing energy for the body

Necessary for healthy growth, appetite, digestion

Maintains healthy muscle contractions and nerve function

Vegemite

Rice bran

Fortified breakfast cereal and grain products

Nuts and seeds e.g. sunflower seeds, peanuts, sesame

Pork

Wheat flour

Rolled oats

Legumes

Dry beriberi

Irritability

Weight loss

Muscle wasting

Confusion

Heart abnormalities – cardiomegaly, tachycardia

Peripheral neuropathy, tingling throughout body

Wet beriberi

Above symptoms in conjunction with heart failure, oedema, pulmonary congestion

Wernicke-Korsakoff syndrome

Can be as a result of inadequate thiamine intake in conjunction with alcoholism. Results in confusion and can lead to coma.

Riboflavin (Vitamin B2)

Converts certain nutrients in to other forms e.g. tryptophan to niacin

Necessary for healthy growth and the production of red blood cells

Plays a role in energy metabolism – releases energy from carbohydrates

Milk, dairy products

Fortified breads and cereals

Vegemite

Eggs

Offal

Avoid exposure to light as this destroys riboflavin

Ariboflavinosis

Growth disturbance

Seborrhaeic dermatitis – skin lesions with scales of a greasy appearance

Eyes – itching, burning, photophobia, impaired vision

Sore lips, throat and/or mouth

Inflamed tongue potentially with a purple colour

Greasy skin around genitals

Niacin (vitamin B3)

Plays a role in the metabolism of carbohydrates and amino acids, providing energy to the body

Involved in tissue respiration (exchange of gases between the blood and tissues)

Can be made from tryptophan by the body

Assists in healthy functioning of the digestive system, nerves and skin

Beef, pork, chicken, lamb

Enriched wholegrain cereal and breads

Wheat bran

Eggs

Cows milk, cheese

Mushroom

Legumes

Liver

Nuts

Pellagra

Dermatitis

Scaly, red rash surrounding eyes, mouth and nose

Hair loss

Lethargy

Diarrhoea

Dementia

Painful tongue

Tremors

Pyridoxine (Vitamin B6)

Converts tryptophan to niacin

Necessary for growth

Assists in the metabolism of amino acids and glycogen and the synthesis of unsaturated fatty acids

Vegetables e.g. eggplant

Fruit

Meat e.g. veal, cod, salmon, mutton, chicken, oyster

Pistachio, peanut, sunflower seeds

Microcytic anaemia

Weakness

Cheilosis – fissuring and scaling of the lips

Insomnia

Glossitis – tongue inflammation

Stomatitis – Inflamed mouth and lips

Poor growth

Folate/ folic acid

Essential for the division of cells

Normal maturation of red blood cells

Biosynthesis of nucleic acids (including DNA and RNA) –vital role in foetal development.

Chicken/ lamb liver

Cereals/ cereal products

Peanuts, almonds

Vegetables e.g. Cabbage, asparagus

Legumes

Eggs

Megaloblastic macrocytic anaemia

Foetus neural tube defects

Poor growth

Large immature erythrocytes

Weakness

Depression

Irritability

Palpitations

Fatigue

Cyanocobalamin (Vitamin B12)

Folate metabolism

DNA synthesis

Helps break down fatty acids to produce energy

Plays a role in the production and maintenance of the myelin around nerve cells

B12 is produced by bacteria in the large intestine of animals. It is therefore found almost exclusively in animal products.

Mussels, oysters, sardines

Chicken, rabbit, beef, lamb, pork

Egg

Dairy

Liquorice

Bread

Fortified products

Pernicious anaemia

Yellow tinged skin

Tongue – smooth and red

Numbness, tingling, hot feet

Weakness

Stiffness

Fatigue which can result in paralysis

Secondary folate deficiency (and symptoms)

Malabsorption

Impotency

Incontinence

Memory loss

Who is at risk?

Vegans

Gastrectomy patients

Pantothenic acid (Vitamin B5)

Metabolism of carbohydrates, fats, protein and alcohol

Plays an important role as part of CoA in the breakdown and synthesis of numerous body compounds

Chicken, beef

Potatoes,

Oat-based cereals

Cashew, peanuts

Vegemite

Tomato

Liver, kidney

Egg yolks

Whole grains

Burning in feet

Numbness or tingling in toes and feet

Fatigue

Sleeplessness

Weakness

Biotin

Plays a role in the breakdown and synthesis of amino acids and fatty acids

Component of enzymes

Liver

Pork, chicken

Broccoli

Mushroom

Almonds, peanuts, sunflower seeds

Liquorice

Can occur following the ingestion of raw egg. Avidin in egg binds to biotin and inhibits absorption.Deficiency is rare but can involve:

Alopecia

Conjunctivitis

Paralysis

Seborrheic dermatitis

Ascorbic acid (vitamin C)

Maintains collagen – this assists with wound healing

Increases the absorption of non-haem iron e.g. plant sources of iron

Helps to build and maintain a healthy immune system

Protects cells against free radical damage

Guava

Parsley

Chilli

Capsicum

Citrus fruit

Brussel sprouts

Red capsicum

Strawberries, blackcurrants

Poor wound healing

Lesions

Swollen/ bleeding gums

Teeth loss

Oedema

Weakened bones/ rheumatic pains

Psychological alterations

The above table was adapted from the Griffith Handbook of Clinical Nutrition and Dietetics1

References

1. Stewart R.Griffith Handbook of Clinical Nutrition and Dietetics. 4th ed. Queensland: Griffith University; 2011.

Contact us for results focused nutritional advice

This article was written by our dietitian Belinda Elwin who is a Dietitians Association of Australia member and Accredited Practising Dietitian and Nutritionist.

If you have questions about water soluble vitamins or other nutrition related issues, make an appointment. We‘ll provide you with a simple and effective routine targeted to your concerns.
Contact us today.

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