OS EFEITOS DA SUPLEMENTAÇÃO COM VITAMINA C

Autores

  • Jordana Tres Santos FEEVALE
  • Marise Wilsmann Krutzmann FEEVALE
  • Camila Correa Bierhals FEEVALE
  • Luciane Rosa Feksa FEEVALE

DOI:

https://doi.org/10.25112/rco.v1i0.1187

Palavras-chave:

Antioxidante. Pró-oxidante. Ácido ascórbico. Estresse oxidativo.

Resumo

A vitamina C ou ácido ascórbico (AA) é um elemento essencial para o ser humano e, por não ser metabolizado pelo corpo, necessitamos da sua ingestão pela dieta e/ou suplementação. As funções do AA no corpo são inúmeras, tais como: cofator para enzimas, biossíntese de hormônios e ação antioxidante, entretanto, estudos relatam que o consumo de AA em doses elevadas pode oferecer riscos à saúde. Deste modo buscou-se analisar os efeitos descritos da suplementação de AA. Realizamos uma revisão bibliográfica, dividida em duas perspectivas: uma histórica, com publicações de 1753-2012; e outra contemporânea, com estudos realizados entre  1990-2017.  A pesquisa foi realizada no Science Direct, Scielo, PubMed, Scopus, Portal de Periódicos da Capes e em livros, utilizando as palavras-chave: vitamina C, ácido ascórbico, estresse oxidativo, antioxidante e pró-oxidante. A suplementação com AA é controversa, sendo descrito tanto o seu efeito antioxidante, como o  pró-oxidante. A sua efetividade na prevenção e no tratamento do resfriado, diabete e câncer é questionável. Determinados grupos de pessoas mostram-se mais suscetíveis à toxicidade e aos danos do AA, podendo apresentar incidência de cálculos renais e interferência na função plaquetária.  Concluímos que a suplementação em doses excessivas de AA pode ocasionar uma transição de um estado saudável para o patológico, desencadeando uma atividade pró-oxidante. Além disso, a dose ótima a ser ingerida e o limiar entre a dose benéfica e a prejudicial, é discutível. Desse modo, a suplementação de vitamina C deve ser realizada com cautela, com prescrição e acompanhamento de profissionais da saúde.

Biografia do Autor

Jordana Tres Santos, FEEVALE

Mestranda em Qualidade Ambiental

Marise Wilsmann Krutzmann, FEEVALE

Mestranda em Qualidade Ambiental

Camila Correa Bierhals, FEEVALE

Mestranda em Qualidade Ambiental

Luciane Rosa Feksa, FEEVALE

Doutora em Ciências Biológicas (Bioquímica)

Professora e pesquisadora na Universidade Feevale no grupo de pesquisa em Bioanálises, em Saúde Humana e Ambiente e Toxicologia Experimental

Referências

ANVISA. Regulamento Técnico Sobre a Ingestão Diária Recomendada (Idr) de Proteína, Vitaminas e Minerais, 2004. Disponível em: <http://www4.anvisa.gov.br/base/visadoc/CP/CP%5B8989-1-0%5D.pdf> Acesso em 28.mar.2017.

AFKHAMI-ARDEKANI, M.; SHOJAODDINY-ARDEKANI, A. Effect of vitamin C on blood glucose, serum lipids & serum insulin in type 2 diabetes patients. Indian Journal of Medical Research, New Delhi, v. 126, n.5, p. 471-474, nov. 2007.

BARBOSA, A.C.; ANDRADE, T.C. Interferência do ácido ascórbico na dosagem glicêmica. Universitas: Ciências da Saúde, Brasília, v. 6, n.2, p. 121-130, jul./dez. 2008.

BARBOSA, K.B.F et al. Estresse oxidativo: conceito, implicações e fatores modulatórios. Revista de Nutrição, Campinas, v. 23, n.4. p. 629-643, jul./ago. 2010.

BAXMANN, A.C. et al. Effect of vitamin C supplements on urinary oxalate and pH in calcium stone-forming patients. Kidney International, St. Louis, v. 63, n.3, p. 1066–1071, 2003.

BRAM, S. et al. Ascorbic acid preferential toxicity for malignant melanoma cells. Nature, United Kingdom, v. 284, n.5757, p. 629-631, apr. 1980.

BIANCHI, M. L. P.; ANTUNES, G. L. M. Radicais Livres e os Principais Antioxidantes da Dieta. Revista de Nutrição, Campinas, v. 12, n.2, p. 123-130, mai./ago. 1999.

CHAKRABORTHY, A. et al. Antioxidant and pro-oxidant activity of Vitamin C in oral environment. Indian Journal of Dental Research, New Delhi, v. 25, n.4, p. 499-504, jul./ago. 2014.

CHEN, K. et al. Vitamin C suppresses oxidative lipid damage in vivo, even in the presence of iron overload. American Journal of Physiology-Endocrinology and Metabolism, Maryland, v. 279, n.6, dec. 2000.

CHILDS, A. et al. Supplementation with vitamin C and N-acetyl-cysteine increases oxidative stress in humans after an acute muscle injury induced by eccentric exercise. Free Radical Biology & Medicine, , v. 31, n.6, p. 745-753, sep. 2001.

CONSTANTINI, N.W. et al. The effect of vitamin C on upper respiratory infections in adolescent swimmers: a randomized trial. European Journal of Pediatrics, v. 170, n.1, p. 59-63, 2011.

CURHAN, G.C. et al. Intake of vitamins B6 and C and the risk of kidney stones in women. Journal of the American Society of Nephrology, v. 10, n.4, p. 840-845, oct. 1999.

CURHAN, G.C. et al. Twenty-four-hour urine chemistries and the risk of kidney stones among women and men. Kidney International, St. Louis, v. 59, n.6, p. 2290-2298, jun. 2001.

DERUELLE, F.; BARON, B. Vitamin C: Is Supplementation Necessary for Optimal Health? The Journal of Alternative and Complementary Medicine, New York, v. 14, n.10, p. 1291-1298, jan. 2008.

DOUGLAS, R.M. et al. Vitamin C for preventing and treating the common cold. Cochrane Database of Systematic Reviews, London, v. 18, n.4, oct. 2004.

ELMADFA, I.; SINGER, I.. Vitamin B-12 and homocysteine status among vegetarians: a global perspective. American Society for Nutrition, Rockville, v. 89, n. 5, p. 1693S-1698S, may. 2009.

FERRARO, P. M. et al. Total, Dietary, and Supplemental Vitamin C Intake and Risk of Incident Kidney Stones. American Journal of Kidney Diseases, New York, v. 67, n.3, p. 400-407, mar. 2016.

FERREIRA, R. Linus Pauling: Por que Vitamina C? Química Nova, São Paulo, v. 27, n. 2, p. 356-357, mar./abr. 2004.

FREI, B. et al. What is the Optimum Intake of Vitamin C in Humans? Journal Critical Reviews in Food Science and Nutrition, v. 52, n.9, p. 815-829, jun. 2012.

FRITZ, H. et al. Intravenous Vitamin C and Cancer: A Systematic Review. Integrative Cancer Therapies, Thousand Oaks, v. 13, n.4, p. 280-300, may. 2014.

HAMISHEHKAR, H. et al. Vitamins, Are They Safe? Advanced Pharmaceutical Bulletin, Tabriz, v. 6, n.4, p. 467-477, dec. 2016.

HAWORTH, W.N.; HIRST, E.L. Synthesis of ascorbic acid. Journal of the Society of Chemical Industry, London, v. 52, p. 645-647, 1933.

HAZA, A.I. et al. Vitamin C Protects from Oxidative DNA Damage and Apoptosis Caused by Food N-Nitrosamines. In: KUCHARSKI, Hubert; ZAJAC, Julek (Ed.). Handbook of Vitamin C Research, New York, Nova Science Publishers, p. 87-127, 2009.

HEMILÄ, H.; CHALKER, E. Vitamin C for preventing and treating the common cold. Cochrane Database of Systematic Reviews, London, v. 31, n.1, jan. 2013.

HEMILÄ, H. The role of vitamin C in the treatment of the common cold. American family physician, London, v. 76, n.8, p. 1111-1115, oct. 2007.

IQBAL, K. Biological Significance of Ascorbic Acid (Vitamin C) in Human Health – A Review. Pakistan Journal of Nutrition, v. 3, n.1, p. 5-13, 2004.

JACOB, R.A; SOTOUDEH, G. Vitamin c function and status in chronic disease. Nutrition in Clinical Care, Malden, v. 5, n.2, p. 66-74, mar. 2002.

KAGAWA, Y. et al. Human Specific Vitamin C Metabolism and Xenobiotic Polymorphism: The Optimal Nutrition. In: KUCHARSKI, Hubert; ZAJAC, Julek (Ed.). Handbook of Vitamin C Research, New York, Nova Science Publishers, p. 45-87, 2009.

LATHAM, M.C. Vitaminas. In: LATHAM, Michael. C. Nutrición humana en el mundo en desarrollo. Roma: FAO, p. 119-134, 2002. Disponível em: <http://www.fao.org/docrep/006/w0073s/w0073s0f.htm#bm15x> Acesso em: 11.mar. 2017.

LEE, D-H. et al. Does supplemental vitamin C increase cardiovascular disease risk in women with diabetes? The American Journal of Clinical Nutrition, Rockville, v. 80, n.5, p. 1194–1200, nov. 2004.

LEE, K.W. et al. Vitamin C and cancer chemoprevention: reappraisal. American Journal of Clinical Nutrition, Korea, v. 78, n.6, p. 1074-1078, dec. 2003.

LEE, S.H. et al. Vitamin C-Induced Decomposition of Lipid Hydroperoxides to Endogenous Genotoxins. Science, Washington, v. 292, n.5524, p. 2083-2086, jun. 2001.

LEE W-J. The Prospects of Vitamin C in Cancer Therapy. Immune Network, Korea, v. 9, n.5, p. 147-152, oct. 2009.

LI, Y.; SCHELLHORN, H. E. New Developments and Novel Therapeutic Perspectives for Vitamin C. The Journal of Nutrition Critical Review, Rockville, v. 137, n.10, p. 2171-2184, out. 2007.

LIND, J. A treatise of scurvy. Sands, Murray and Cochran for Kincaid, A and Donaldson, A. Edinburgh, 1753. Disponível em:

<http://www.jameslindlibrary.org/lind-j-1753/> Acesso em: 11.mar.2017.

LIU, C-S. Vitamin C: Dietary Requirements, Dietary Sources and Adverse Effects. In: KUCHARSKI, Hubert; ZAJAC, Julek (Ed.). Handbook of Vitamin C Research, New York, Nova Science Publishers, p. 127-153, 2009.

MIKIROVA, N.A. et al. The effect of high dose IV vitamin C on plasma antioxidant capacity and level of oxidative stress in cancer patients and healthy subjects. Journal of Orthomolecular Medicine, Kansas, v. 22, n.3, 2007.

McEVOY, G. AHFS Drug Information. American Society of Health-System Pharmacists, Bethesda, 2011.

MESSERER, M. et al. Dietary Supplement Use and Mortality In a Cohort Of Swedish Men. British Journal of Nutrition, Cambridge, v. 99, n.3, p.626-631, mar. 2008.

MOHAMMED, B.M. et al. Impact of high dose vitamin C on platelet function. World Journal of Critical Care Medicine, Pleasanton, v. 6, n.1, p. 37-47, fev. 2017.

MORÁN, G.G.A. et al. Aspectos bioclínicos y patobiológicos de la vitamina C en la especie humana. Revista Ces Medicina, Medelín, v. 20, n.2, jul./dic. 2006.

MOREL et al. Protective effects of vitamin C on endothelium damage and platelet activation during myocardial infarction in patients with sustained generation of circulating microparticles. Journal of Thrombosis and Haemostasis, Malden, v. 1, n.1, p. 171-177, jan. 2003.

MOSER, U; BENDICH, A. Vitamin C. In: MACHLIN, L.J. (Ed.). Handbook of Vitamins, New York, Marcel Dekker, 595 p., 1990.

NAIDU, A. Vitamin C in human health and disease is still a mystery? An overview. Nutrition Journal, London, v. 2, p. 1-10, ago. 2003.

OLSON, J.A. Benefits and liabilities of vitamin A and carotenoids. Journal of Nutrition, Philadelphia, v. 126, p.1208S-1212S, 1996.

PADAYATTY, S.J. et al. Intravenously administered vitamin C as cancer therapy: three cases. Canadian Medical Association Journal, Ottawa, v. 174, n.7, p. 937-942, mar. 2006.

PAK, C. Y. C. et al. Ethnic and geographic diversity of stone disease. Urology, New York, v. 50, n.4, p. 504-507, oct. 1997.

PARK, S. et al. L-Ascorbic acid induces apoptosis in acute myeloid leukemia cells via hydrogen peroxide-mediated mechanisms. The International Journal of Biochemistry & Cell Biology, Korea, v. 36, n.11, p. 2180-2195, nov. 2004.

PAULING, L. Evolution and the need for ascorbic acid. Proceedings of the National Academy of Sciences, Washington, v. 67, n.4, p. 1643-1648, dec. 1970.

PAULING, L. Orthomolecular psychiatry. Varying the concentrations of substances normally present in the human body may control mental disease. Science, Washington, v. 19, n. 160, p. 265-271, apr. 1968.

PAULING, L. The Significance of the Evidence about Ascorbic Acid and the Common Cold. Proceedings of the National Academy of Sciences, Washington, v. 68, n.1, p. 2678-2681, nov. 1971.

PHILIPS, N. Reciprocal Effects of Ascorbate on Cancer Cell Growth and the Expression of Matrix Metalloproteinases and Transforming Growth Factor-Beta: Modulation by Gene Silencing or P. Leucotomos. In: KUCHARSKI, Hubert; ZAJAC, Julek (Ed.). Handbook of Vitamin C Research, New York, Nova Science Publishers, p. 367-377, 2009.

PODMORE, I.D. et al. Vitamin C exhibits pro-oxidant properties. Nature, United Kingdom, v. 392, n.6676, p. 559, 1998.

POLJSAK, B.; IONESCU, J.G. Pro-Oxidant vs. Antioxidant Effects of Vitamin C In: KUCHARSKI, Hubert; ZAJAC, Julek (Ed.). Handbook of Vitamin C Research, New York, Nova Science Publishers, p. 153-184, 2009.

RATKALKAR, V.N.; KLEINMAN, J.G. Mechanisms of Stone Formation. Clin Rev Bone Miner Metab, Wisconsin, v. 9, n.3-4, p. 187–197, dec. 2011.

RITZEL, G. Kritische beurteilung des vitamins C als prophylacticum und therapeuticum der erkältungskrankheiten. Helvetica Medica Acta, Suiza, v. 28, p. 63-8, 1961.

SAKAGAMI, H. Apoptosis-inducing activity of vitamin C and vitamin K. Cellular and molecular biology, Sarreguemines, v. 46, n.1, p. 129-43, mar. 2000.

SASAZUKI, S.; SASAKI, S.; TSUBONO, Y.; OKUBO, S.; HAYASHI, M.; TSUGANE, S. Effect of vitamin C on common cold: randomized controlled trial. European Journal of Clinical Nutrition, Japan, v. 60, n.1, p. 9-17, jan. 2006.

STEVANOVIĆ, M.; USKOKOVIĆ, D. Encapsulation Devices for Vitamin C. In: KUCHARSKI, Hubert; ZAJAC, Julek (Ed.). Handbook of Vitamin C Research, New York, Nova Science Publishers, p. 185-212, 2009.

TAYLOR, E.N.; CURHAN, G.C. Determinants of 24-hour Urinary Oxalate Excretion. Clinical Journal of the American Society of Nephrology, Washington, v. 3, n.5, p. 1453-1460, sep. 2008.

THOMAS, L.D. K. Ascorbic acid supplements and kidney stone incidence among men: a prospective study. JAMA Internal Medicine, Chicago, v. 173, n.5. p. 386-388, mar. 2013.

TISELIUS, H-G. Stone Incidence And Prevention. Brazilian Journal of Urology, Rio de Janeiro, v. 26, n.5, p. 452-462, sep./oct. 2000.

TRAXER, O. et al. Effect of ascorbic acid consumption on urinary stone risk factors. Journal of Urology, Linthicum, v. 170, p. 397-401, ago. 2003.

URIVETZKY, M et al. Ascorbic acid overdosing: a risk factor for calcium oxalate nephrolithiasis. Journal of Urology, Linthicum, v. 147, n.5, p. 1215-1218, may. 1992.

VANNUCCHI, H. et al. Role of nutrients on lipid peroxidation and antioxidant defense system. Medicina, Ribeirão Preto, v. 31, p. 31-44, jan./mar. 1998.

VANNUCCHI, H.; ROCHA, M. M. Funções Plenamente Reconhecidas de Nutrientes Ácido Ascórbico (Vitamina C). ILSI Brasil International Life Sciences Institute, São Paulo, 2012.

VAN STRATEN, M.; JOSLING, P. Preventing the common cold with a vitamin C supplement: a double-blind, placebo controlled survey. Advances in Therapy, United Kingdom, v. 19, n.3, p. 151–159, may/jun. 2002.

YANG, J. et al. Vitamin C: Daily Requirements, Dietary Sources and Adverse Effects. In: KUCHARSKI, Hubert; ZAJAC, Julek (Ed.). Handbook of Vitamin C Research, New York, Nova Science Publishers, p. 237-260, 2009.

Downloads

Publicado

2019-01-11

Como Citar

Santos, J. T., Krutzmann, M. W., Bierhals, C. C., & Feksa, L. R. (2019). OS EFEITOS DA SUPLEMENTAÇÃO COM VITAMINA C. Revista Conhecimento Online, 1, 139–163. https://doi.org/10.25112/rco.v1i0.1187

Edição

Seção

Artigos Livres