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Are vitamin K and vitamin K1 the same?

3 min read

Vitamin K is a group of fat-soluble vitamins essential for blood clotting and bone health, but it is not a single compound. While often used interchangeably, vitamin K is an umbrella term for a family of compounds, primarily vitamin K1 (phylloquinone) and vitamin K2 (menaquinones).

Quick Summary

Vitamin K is a class of compounds including vitamin K1 (phylloquinone) and vitamin K2 (menaquinones), which are not the same thing. They differ in their food sources, absorption rates, half-life in the body, and primary functions related to blood clotting, bone health, and cardiovascular wellness.

Key Points

  • Not the same: Vitamin K is an umbrella term for a family of compounds, while vitamin K1 is one specific type within that family, also known as phylloquinone.

  • Different primary roles: Vitamin K1's main function is activating proteins for blood clotting in the liver, while Vitamin K2 focuses on bone metabolism and regulating calcium in the arteries.

  • Different sources: Vitamin K1 is found predominantly in green leafy vegetables, whereas Vitamin K2 is found in fermented foods, animal products like cheese and egg yolks, and is produced by gut bacteria.

  • Varying absorption and half-life: The body absorbs K2 more efficiently than K1, and some K2 subtypes have a much longer half-life, allowing them to remain in the body for days compared to K1's hours.

  • Balanced diet recommended: To obtain the benefits of both forms, it is best to eat a diet rich in both K1 (greens) and K2 (fermented/animal products), as the body's conversion of K1 to K2 is limited.

  • Supplementation advice: High-quality K2 supplements, especially MK-7, are available for those with lower dietary intake, but medical consultation is crucial, especially for those on blood thinners.

In This Article

Vitamin K is an essential nutrient that plays a crucial role in activating proteins necessary for blood coagulation. However, the term "vitamin K" refers to a family of fat-soluble compounds, with the two most common dietary forms being vitamin K1 and vitamin K2. While both share a similar chemical structure and function as cofactors for the enzyme gamma-glutamyl carboxylase, their specific roles and bioavailability within the body differ significantly.

What is Vitamin K1?

Also known as phylloquinone, vitamin K1 is the most prevalent form of vitamin K in the human diet, making up 75–90% of the total intake. It is synthesized by plants and is abundant in green, leafy vegetables.

  • Primary function: Vitamin K1 is primarily used by the liver to activate proteins involved in blood clotting factors. This is its most well-established function, ensuring that blood can clot effectively to stop bleeding.
  • Absorption: K1 from plant sources is poorly absorbed by the body, with estimates suggesting less than 10% absorption. This absorption is enhanced when consumed with dietary fat.
  • Half-life: It has a shorter half-life in the blood, remaining for only a few hours.
  • Key sources: The best dietary sources are leafy green vegetables, such as kale, spinach, and broccoli. Other sources include vegetable oils, soybean oil, and some fortified foods.

What is Vitamin K2?

Also referred to as menaquinones, vitamin K2 comprises several subtypes, labeled MK-4 through MK-13, with MK-4 and MK-7 being the most studied. Unlike K1, which comes from plants, K2 is found in fermented foods, animal products, and is produced by bacteria in the gut.

  • Primary functions: K2 is known for activating extra-hepatic (outside the liver) proteins crucial for bone metabolism and cardiovascular health. It helps direct calcium into the bones and prevents its buildup in soft tissues like arteries.
  • Absorption: K2 is often better absorbed than K1, especially the longer-chain forms like MK-7, which can remain in circulation for days. This prolonged circulation time allows it to reach non-liver tissues more effectively.
  • Half-life: It has a longer half-life than K1, particularly the MK-7 variant, which stays in the bloodstream for a longer period.
  • Key sources: Prominent sources include natto (fermented soybeans), hard and soft cheeses, egg yolks, and liver.

Comparison Table: Vitamin K1 vs. Vitamin K2

Feature Vitamin K1 (Phylloquinone) Vitamin K2 (Menaquinones)
Food Sources Green leafy vegetables (kale, spinach, broccoli), vegetable oils Fermented foods (natto, sauerkraut), animal products (cheese, eggs, meat)
Primary Function Blood clotting in the liver Bone health, cardiovascular health (directing calcium)
Primary Organ Action Liver Extra-hepatic tissues (bone, vasculature)
Absorption Rate Poorly absorbed from plant matter Better absorbed, especially when consumed with fat
Half-Life Short (circulates for hours) Long (can circulate for days)
Role in Calcium Plays a less direct role in guiding calcium to bones vs. K2 Activates proteins (Osteocalcin, MGP) that manage calcium

The conversion process and dietary considerations

While vitamin K1 is crucial for blood clotting, the body can convert some K1 into the K2 subtype MK-4. However, this conversion is limited, and relying solely on it may not provide optimal levels of K2 for extra-hepatic functions. A diet that includes both leafy greens (for K1) and fermented or animal products (for K2) is important for comprehensive vitamin K status. For instance, a high intake of K2 has been linked with a reduced risk of coronary heart disease, an association not as strongly correlated with K1 intake in some studies. People on blood-thinning medication like warfarin, which interferes with vitamin K recycling, must manage their vitamin K intake carefully under a doctor's supervision.

Conclusion

In conclusion, vitamin K and vitamin K1 are not the same; rather, K1 is one of the two major naturally occurring forms of vitamin K. The other main form, K2, has distinct properties concerning its sources, bioavailability, and physiological actions, particularly regarding bone and cardiovascular health. While K1 is vital for blood coagulation and readily available in greens, K2's longer half-life and distribution to extra-hepatic tissues make it uniquely important for directing calcium. For comprehensive health benefits, it is prudent to consume a diet that provides adequate amounts of both K1 and K2. Consulting a healthcare provider is recommended for personalized advice on vitamin intake, especially for those with specific medical conditions or those taking certain medications.

Frequently Asked Questions

While kale and spinach are excellent sources of vitamin K1, they contain very little vitamin K2. A varied diet including fermented foods and some animal products is needed to ensure adequate intake of both forms for comprehensive health benefits.

The liver is the primary organ that utilizes vitamin K1. Because of its shorter half-life, the liver retains vitamin K1 more readily to support the carboxylation of blood clotting proteins produced there.

Research suggests that Vitamin K2 is more effective for bone health than K1. K2 activates osteocalcin, a protein that helps incorporate calcium into the bone matrix, promoting better bone mineral density.

K1 contributes to overall vascular function, but some observational studies suggest K2 is more effective at preventing arterial calcification, a key risk factor for heart disease. K2 activates a protein called MGP which helps inhibit calcium deposits in arteries.

The best choice depends on your specific health goals and dietary habits. K1 is often supplemented for its primary role in coagulation, while K2, particularly the MK-7 subtype, is often recommended for its superior bioavailability and effects on bone and cardiovascular health. Always consult a healthcare provider before supplementing.

It is extremely rare to experience toxicity from high doses of dietary vitamin K1 or K2. However, those taking anticoagulant medications like warfarin must maintain a consistent intake and should consult a doctor, as vitamin K can interfere with the medication's effectiveness.

Newborns are at high risk of vitamin K deficiency bleeding (VKDB) because placental transfer of vitamin K is low, and breast milk contains limited amounts. A vitamin K1 injection is administered shortly after birth to prevent this potentially life-threatening condition.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.