Sunday, August 25, 2024

Vitamin C Deficiency and Scurvy

Vitamin C, also known as ascorbic acid, is most commonly associated with citrus fruits and was the first vitamin to be chemically produced.  (Added 15 February 2020:  And apparently, all vitamin C supplements in the US come from China.  Or used to.)  It is on WHO's List of Essential Medicines.  Because it is water-soluble, vitamin C needs to be consumed on a daily basis for optimal health.  Also, cooking lowers the vitamin C content, by about 1/3, so eating fresh fruits and vegetables whenever possible is best.

Currently, vitamin C deficiency most commonly occurs among the severely malnourished, especially in refugee camps, where up to 45% of the population may be affected.  But even in developed countries today it affects 5% of individuals.  Severe vitamin C deficiency, scurvy, is rarely seen in the developed world.

Historically, throughout the 15th through 19th centuries, it was assumed and planned that half the sailors would die from scurvy.  During the 18th century, when Britain was engaged in wars the world over, sailors were far more likely to die from disease, and especially scurvy, than in battle.  And that's the way it's been throughout history.  Disease and famine always kill more people than battle.  Also worth mentioning is that throughout this period, sailors and naval surgeons (the ships' doctors) were convinced that citrus fruits could prevent scurvy.  The formally trained physicians, who knew more because they went to school, disregarded the evidence because it didn't conform to their ideas of disease.

Initial signs of vitamin C deficiency, which take from five to twenty weeks to appear, include fatigue, red gums, easy bruising and bleeding, joint pain, and rough, bumpy skin. As time goes on and a diet devoid of vitamin C continues to be consumed any of the following may be observed:  corkscrew-shaped body hair (but these are brittle and may fall out before being observed); bright red hair follicles; spoon-shaped fingernails and red spots or lines in the nail bed; wounds very slow to heal; bleeding gums; and teeth falling out.  Ultimately, scurvy is fatal if left untreated.

Fortunately, the symptoms of scurvy are completely reversible.  While meeting the minimum recommended daily allowances of vitamin C (as generally is found in five servings of fruits and vegetables per day) is needed for optimal health, very little is needed to prevent scurvy.  Just a tablespoon of fresh bell pepper or juice from half a lemon will do the job. 

Genetic or other conditions that increase the risk for vitamin C deficiency include anorexia, alcoholism, smoking, dialysis, Crohn's disease, ulcerative colitis, and severe mental illness.

In addition to citrus fruits, other common sources of vitamin C include fruits such as berries, melons, tomatoes, and pineapple; vegetables such as spinach, kale, broccoli, cabbage, potatoes, and bell peppers (which are actually much higher in vitamin C than citrus fruits); fresh milk; and herbs such as rose hips, pine needles, juniper needles, and wheat grass.

Links to related posts:
Dietary Deficiency and Consequences--Vitamin A
                                                                Vitamin B1
                                                                Vitamin B2
                                                                Vitamin B3
                                                                Vitamin B5, B6, B7
                                                                Vitamin B9
                                                                Vitamin B12
                                                                Vitamin D
                                                                Calcium  
                                                                Iodine  
                                                                Iron
                                                                Magnesium
                                                                Potassium  
                                                                Zinc

For further reading:
https://patient.info/health/vitamin-c-deficiency-leaflet  (Accessed on 11 January 2019)
https://www.healthline.com/nutrition/vitamin-c-deficiency-symptoms (Accessed on 11 January 2019)
https://draxe.com/vitamin-c-foods/ (Accessed on 11 January 2019)
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3197848/ (Accessed on 11 January 2019)
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3197848/ (Accessed on 11 January 2019)

© 2019, PrepSchoolDaily.blogspot.com 

20 february 2019

1 comment:

  1. Jennifer, you mentioned wheat grass as a source of Vitamin C. I have read that wheat sprouts are a good source, too. That only makes sense. Sprouting wheat is easy. Imagine how many sailors in the sail and wooden ship era could have avoided scurvy if wheat sprouts were served once a day.

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