A Family of Vitamins: The Different Names for Vitamin K
Unlike many other vitamins, vitamin K is not a single compound but a group of related substances. This is why there isn't just one alternative name, but several, each referring to a distinct form of the vitamin with different sources and functions in the body. Understanding these variations is key to a comprehensive nutrition diet.
Phylloquinone: The Plant-Derived K1
Phylloquinone, also known as vitamin K1, is the primary form of vitamin K consumed in the human diet. The name is derived from the Greek word phyllo, meaning leaf, which is fitting as it's synthesized by plants and found in high concentrations in green, leafy vegetables. In the body, phylloquinone is primarily used by the liver to activate clotting factors, a function so essential that the initial discovery of vitamin K gave rise to its name from the German word 'Koagulation'.
Menaquinone: The Bacterial K2
Menaquinone, or vitamin K2, represents a series of compounds (designated MK-n) produced by bacteria. While gut bacteria can produce some menaquinones, humans must also obtain this form from dietary sources. Menaquinones are found in animal products like meat, eggs, and cheese, as well as fermented foods, most notably the Japanese dish natto. Unlike phylloquinone, K2 is transported to extra-hepatic tissues like bone and arteries, where it plays critical roles in bone metabolism and preventing vascular calcification. The most studied menaquinones are MK-4 and MK-7.
Menadione: The Synthetic K3
Menadione is a synthetic, water-soluble form of vitamin K that is also referred to as vitamin K3. While it was once used in supplements, it is no longer used in human nutrition due to concerns about its potential toxicity and interference with glutathione function. It is now primarily used in animal feed.
The Role of Vitamin K in a Balanced Nutrition Diet
For most people, a balanced diet is enough to meet the body's vitamin K needs. The recommended daily intake for adults is 120 mcg for men and 90 mcg for women. Because vitamin K is fat-soluble, consuming it with some dietary fat enhances its absorption. Here are some of the best dietary sources:
Sources of Vitamin K1 (Phylloquinone):
- Green leafy vegetables like kale, spinach, and collard greens
 - Broccoli and Brussels sprouts
 - Lettuce and cabbage
 - Vegetable oils, especially soybean and canola oil
 
Sources of Vitamin K2 (Menaquinones):
- Natto (fermented soybeans), an exceptionally rich source of MK-7
 - Hard and soft cheeses
 - Egg yolks
 - Chicken and goose liver
 
K1 vs. K2: A Comparison
| Feature | Vitamin K1 (Phylloquinone) | Vitamin K2 (Menaquinone) | 
|---|---|---|
| Primary Source | Plants, especially leafy greens and vegetable oils | Bacteria, fermented foods, and some animal products | 
| Synthesis | Synthesized by plants | Synthesized by gut bacteria and through conversion from K1 | 
| Main Function | Primarily for blood clotting factors in the liver | Transported to extra-hepatic tissues for bone health and vascular calcification prevention | 
| Dietary Availability | Abundant in most diets | Less common in typical Western diets, unless supplemented | 
| Absorption Rate | Absorbed differently than K2, potentially less bioavailable | Can have higher absorption and longer half-life, especially MK-7 | 
Risks of Deficiency and Interactions
While severe vitamin K deficiency is rare in healthy adults, certain conditions and medications can put individuals at risk. Chronic malnutrition, fat malabsorption disorders like celiac disease or cystic fibrosis, and long-term antibiotic use can all contribute to low vitamin K levels. The most serious consequence of deficiency is excessive bleeding or hemorrhage. Neonates are particularly vulnerable and receive a vitamin K injection at birth to prevent a life-threatening bleeding disorder.
Additionally, vitamin K has a significant interaction with certain medications, most notably the blood thinner warfarin (Coumadin). Because vitamin K is essential for producing clotting factors, consistent intake is crucial for patients on these medications to maintain a stable anticoagulant effect. Sudden, large fluctuations in vitamin K intake can be dangerous. Other medications like antibiotics and cholesterol-lowering drugs can also affect vitamin K status. It is always important to consult a healthcare provider regarding medication interactions and vitamin K intake.
Conclusion: Fueling Your Body with the Right Vitamin K
In summary, vitamin K is a vital nutrient with several different names depending on its form and source. The plant-based phylloquinone (K1) is key for blood clotting, while the bacterial-derived menaquinone (K2) plays a major role in bone and cardiovascular health. For most healthy adults, a diet rich in leafy greens and diverse food sources is sufficient to meet their needs. However, specific health conditions or medications may require careful management of vitamin K intake. By incorporating a variety of sources into your nutrition diet, you can ensure your body has the right type of vitamin K it needs to function optimally.
For more in-depth information on vitamin K and its health implications, visit the National Institutes of Health Office of Dietary Supplements website at https://ods.od.nih.gov/factsheets/VitaminK-HealthProfessional/.