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BERIBERI Nathan Trujillo 3/8/2012. Background of Beriberi Beriberi is a disease in which the body does not have enough thiamine (vitamin B1). Thiamine is a water soluble vitamin used to help release energy from carbohydrates. Background of Beriberi (cont)
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Background of Beriberi • Beriberi is a disease in which the body does not have enough thiamine (vitamin B1). • Thiamine is a water soluble vitamin used to help release energy from carbohydrates.
Background of Beriberi (cont) • RDA for thiamine is 1.1 to 1.2 mg/day. The daily value of 1.5 mg is used on food labels. • There is no upper limit since excess Thiamine is excreted quickly.
Two Major Types of Beriberi: • Wet beriberi affects the cardiovascular system. • Dry beriberi and Wernicke-Korsakoff syndrome affects the nervous system.
The Pathology of Beriberi • Symptoms include weakness, loss of appetite, irritability, nervous tingling throughout the body, poor arm and leg coordination, and deep muscle pain in the calves. • Results when glucose cannot be metabolized to release energy.
Epidemiology of Beriberi • Seen in areas where white (polished) rice is a staple. Brown rice still has the bran which is a source of thiamine. • Not prevalent in the U.S. since most foods are fortified with thiamine. • Beriberi is not hereditary. • Affects men and women equally regardless of age.
Beriberi’s effects on Japanese soldiers during WWII
Diagnosis and Treatment • Physical and Neurological examinations are used to assess signs of deterioration. • The goal of treatment is to replace the thiamine your body is lacking. Supplements are given orally or by injection. • Prognosis is very good if detected early. • There is no surgical alternatives.
Breakfast Meal Plan Vitamin B-1 reported in mg
Lunch Menu Vitamin B-1 reported in mg
Dinner Menu Vitamin B-1 reported in mg
Which should you eat? The Berry Berry Kix has a higher amount of Thiamine.
Questions • Why is the U.S. and other developed countries not at risk for Beriberi? • Most of the food is vitamin enriched • What is the daily upper limit for Thiamine? • There is none since it is water soluble • Which type of Beriberi affects the nervous system? • Dry
Resources • Beriberi. (2010). Retrieved 1 March 2012, from http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001379/ • Dietary Reference Intakes. (ND). Retrieved 1 March 2012, from http://www.nal.usda.gov/fnic/DRI//DRI_Thiamin/58-86_150.pdf • Hawk, A. (2006). The Great Disease Enemy, Kak'ke (Beriberi) and the Imperial Japanese Army. Military Medicine, 171(4), 333-339. • Wardlaw, G.M., & Smith, A.M. (2011). Contemporary Nutrition Eighth Edition. New York, NY: McGraw-Hill. • Watnick, M. (2009). Food Composition Table. New York, NY: McGraw-Hill. • Nutrition Facts for Kix cereals:http://caloriecount.about.com/calories-general-mills-kix-i8048 http://caloriecount.about.com/calories-big-g-berry-kix-i115976