Exam code: 8585
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What is the difference between fat-soluble and water-soluble vitamins?
Fat-soluble vitamins dissolve in fat and are stored in fatty tissue and the liver.
Water-soluble vitamins dissolve in water and are not stored, so they must be eaten more regularly.

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What is the difference between fat-soluble and water-soluble vitamins?
Fat-soluble vitamins dissolve in fat and are stored in fatty tissue and the liver.
Water-soluble vitamins dissolve in water and are not stored, so they must be eaten more regularly.
The four fat-soluble vitamins are vitamins A, D, E and ________.
The four fat-soluble vitamins are vitamins A, D, E and K.
State the function of vitamin A and one deficiency symptom.
Function: important for vision, immune function, skin health and cell growth.
Deficiency: night blindness, and eventually blindness.
Name three sources of vitamin A.
Any three of:
liver
fish oils
milk
eggs
colourful fruit and vegetables, e.g. carrots, spinach and sweet potatoes
What is the function of vitamin D?
It promotes the absorption of calcium, which is crucial for bone health, and helps regulate the immune system.
Which deficiency disease is caused by a lack of vitamin D, and who is most at risk?
Rickets.
Most at risk are pregnant women, young children and babies, and people with limited exposure to sunlight.
What is the function of vitamin K, and what happens if it is deficient?
Function: essential for blood clotting and bone health.
Deficiency: clotting takes longer, causing easy bruising and bleeding. Newborn babies are particularly at risk.
Name the five B group vitamins named in the specification.
B1 — thiamin
B2 — riboflavin
B3 — niacin
B9 — folic acid
B12 — cobalamin
State three functions of vitamin C.
Any three of:
growth and repair of tissues
acts as an antioxidant
aids the absorption of iron
supports immune function
Which deficiency disease is caused by a lack of vitamin C, and what are its symptoms?
Scurvy.
Symptoms include swollen gums, joint pains and a failure to heal wounds.
Name three sources of vitamin C.
Any three of:
citrus fruits, e.g. oranges and lemons
strawberries
bell peppers
broccoli
Brussels sprouts
Why is folic acid especially important during pregnancy?
It is needed for DNA synthesis, cell division and proper foetal development. A deficiency increases the risk of spina bifida in the developing baby.
What is the function of vitamin B12, and what are the signs of deficiency?
Function: essential for red blood cell formation, neurological function and DNA synthesis.
Deficiency: fatigue, weakness and tingling hands or feet.
Which deficiency disease is caused by a lack of vitamin B1 (thiamin)?
Beri beri, a muscle wasting disease. It is only seen in countries where there are food shortages.
True or False?
A deficiency of vitamin E is common and causes serious symptoms.
False.
Vitamin E deficiency is rare, with no obvious issues. An excess causes a loss of appetite.
State four ways preparation or cooking can reduce water-soluble vitamin content.
Any four of:
damaging or over-ripening fruit and vegetables
storing food in unsuitable conditions
not eating food when fresh
cutting food excessively
soaking food, so vitamins leach out
removing skins
cooking in water
How can you reduce the loss of water-soluble vitamins when boiling vegetables?
Use less water.
Add the food to water that is already boiling, then cool it as soon as it is cooked.
Define antioxidant.
A molecule that protects body cells from damage caused by free radicals.
Which three vitamins have antioxidant functions?
Vitamin A — neutralises free radicals
Vitamin C — supports immune function
Vitamin E — protects cell membranes
Which diseases do antioxidant vitamins help protect against?
Heart disease and certain types of cancer, by reducing damage to body cells.
State the effects of an excess of vitamin A and of vitamin C.
Vitamin A: poisonous, and potentially harmful to a developing foetus.
Vitamin C: stomach pain and diarrhoea.
Define mineral.
A naturally occurring element needed by the body in small amounts to carry out a range of functions.
Name the six minerals named in the specification.
calcium
iron
sodium (salt)
fluoride
iodine
phosphorus
State three functions of calcium in the body.
strengthens bones and teeth
helps control muscle contractions
aids blood clotting
Name three sources of calcium.
Any three of:
dairy products, e.g. milk, cheese and yoghurt
nuts, soya beans and tofu
oily fish
green, leafy vegetables
bread and fortified cereals
What is the difference between rickets and osteoporosis?
Rickets stunts bone development in children, causing bone deformities as they grow.
Osteoporosis is the weakening of bones over time, most common in elderly people.
What is the role of iron in the body?
Iron is found in red blood cells. It binds to oxygen in the lungs and carries it around the body to respiring tissues.
Name three sources of iron.
Any three of:
red meat, e.g. beef
beans and nuts
dried fruit and green, leafy vegetables such as spinach
liver and eggs
fortified cereals and bread
Why must vegans take particular care to get enough iron?
Non-meat foods contain non-haem iron, which is harder to absorb. Eating vitamin C alongside it makes absorption easier.
Why does an iron deficiency cause tiredness?
Without enough iron, less oxygen is delivered to respiring cells, so less energy is released. This causes tiredness and dizziness.
A deficiency of iron in the diet causes a condition called ________.
A deficiency of iron in the diet causes a condition called anaemia.
Why do adult females need more iron than adult males?
Females lose blood during menstruation, so new red blood cells containing iron must be made to replace those lost.
Females need around 14.8 mg per day and males around 8.7 mg.
What is the function of sodium in the body?
It helps regulate the water balance between the cells and the blood, and plays a role in nerve impulses, muscle contraction and respiration.
True or False?
Eating too much salt increases the risk of heart attacks and strokes.
True.
Too much salt raises blood pressure, which increases the risk of heart attacks and strokes. Adults should eat no more than 6 g of salt per day.
Name three foods that are high in salt.
Any three of:
bacon and cheese
processed foods, e.g. tinned foods and ready meals
savoury snacks, e.g. salted nuts and crisps
What is the function of fluoride, and where is it found?
Function: prevents tooth decay and strengthens tooth enamel.
Sources: tap water (often added artificially), mineral water, bony fish such as sardines, seafood and tea.
What is the effect of an excess of fluoride?
Staining and 'pitting' of the tooth enamel, and in extreme cases skeletal fluorosis, which causes bone deformities.
What is iodine used for in the body?
To make the hormone thyroxine, which regulates the rate of metabolism.
What are the effects of an iodine deficiency?
Less thyroxine is made, causing development problems in children and reduced IQ.
It can also cause a swollen thyroid, producing a lump in the neck called a goitre.
State two functions of phosphorus.
strengthens bones and teeth
helps release the energy stored in food
State three effects of a phosphorus deficiency.
Any three of:
bone pain
fragile bones
stiff joints
fatigue
State the effects of an excess of calcium, iron and iodine.
Calcium: stomach pain and diarrhoea.
Iron: constipation, nausea and stomach pain.
Iodine: more thyroxine in the blood, leading to weight gain.
State the effects of a deficiency of sodium and of fluoride.
Sodium: muscle cramps, and in extreme cases kidney failure, liver disease and heart failure.
Fluoride: an increased risk of tooth decay.
State the recommended daily intake of calcium, fluoride, iodine and phosphorus for an adult.
Calcium: 700 mg
Fluoride: 3–4 mg
Iodine: 140 mcg
Phosphorus: 550 mg
Why is water not technically classed as a nutrient?
It provides no nutrition to the body, but it still carries out many essential roles.
State three ways water is lost from the body.
in sweat
exhaled in the breath
in urine produced by the kidneys
How do the kidneys regulate the amount of water in the blood?
They produce more urine when there is too much water, and less urine when there is not enough.
How does water help eliminate waste from the body?
Waste water and waste products such as urea are filtered out of the blood by the kidneys and expelled in the urine.
Water also helps prevent constipation.
Explain how sweating cools the body.
Sweat released onto the skin absorbs heat energy from the blood vessels beneath the surface.
It uses this energy to change from a liquid into a gas, cooling the blood and reducing body temperature.
How does water help digestion?
Water in saliva turns solid food into a paste that moves easily through the digestive system.
Water also dilutes stomach acid and helps push digested food through the small intestine.
Why is water important for transport in the body?
Substances and waste products dissolve in water and diffuse to where they are needed. Blood, tissue fluid and cytoplasm are all mostly water.
The NHS recommends drinking around ________ of water per day, roughly 6–8 glasses.
The NHS recommends drinking around 1.2–1.8 litres of water per day, roughly 6–8 glasses.
State four factors that affect how much water a person needs each day.
Any four of:
age
gender
diet
levels of physical activity
climate
True or False?
All drinks are equally good at hydrating the body.
False.
Any fluid increases hydration, but water is the most efficient. Coffee and alcoholic drinks are not very effective.
What proportion of daily hydration comes from food?
Around 20–30 % comes from food, and 70–80 % from drinks.
State three symptoms of dehydration.
headaches
lack of energy
light-headedness
What is water intoxication, and what does it cause?
Drinking too much water, which makes cells swell — including brain cells.
This can cause seizures and lasting damage.
Give two occasions when extra fluids are needed.
Any two of:
during exercise or endurance sport
in a hot climate, when the body sweats more to stay cool
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