Lj. Schurgers et C. Vermeer, Determination of phylloquinone and menaquinones in food - Effect of food matrix on circulating vitamin K concentrations, HAEMOSTASIS, 30(6), 2000, pp. 298-307
Fluctuations in international normalized ratio values are often ascribed to
dietary changes in vitamin K intake. Here we present a database with vitam
in K-1 and K-2 contents of a wide variety of food items. K-1 was mainly pre
sent in green vegetables and plant margarins, K-2 in meat, liver, butter, e
gg yolk, natto, cheese and curd cheese. To investigate the effect of the fo
od matrix on vitamin K bioavailability, 6 healthy male volunteers consumed
either a detergent-solubilized K-1 (3.51 mu mol) or a meal consisting 400 g
of spinach (3.5 mu mol K-1) and 200 g of natto (3.1 mu mol K-2) The absorp
tion of pure K-1 was faster than that of food-bound K vitamins (serum peak
values at 4 h vs. 6 h after ingestion). Moreover, circulating K-2 concentra
tions after the consumption of natto were about 10 times higher than those
of K-1 after eating spinach. It is concluded that the contribution of K-2 v
itamins (menaquinones) to the human vitamin K status is presently underesti
mated, and that their potential interference with oral anticoagulant treatm
ent needs to be investigated. Copyright (C) 2001 S.Karger AG, Basel.