Vitamin K: The Difference Between K1 and K2
Vitamin K is a family of fat-soluble vitamins essential for functions like blood clotting, bone health, and cardiovascular wellness. The two main forms are vitamin K1 (phylloquinone) and vitamin K2 (menaquinones). They differ in sources, absorption, and roles, leading to the question: which is the best vitamin K1 or K2?
Vitamin K1: The Coagulation Specialist
Vitamin K1 is abundant in green leafy vegetables and is the primary form in a typical Western diet. Its main role is in blood coagulation, activating liver proteins necessary for clotting. K1 has low absorption from plants and a short half-life.
Vitamin K2: The Bone and Heart Protector
Vitamin K2 includes menaquinone subtypes (MKs), notably MK-4 and MK-7. K2 is better absorbed and has a longer half-life than K1, allowing it to benefit tissues beyond the liver, such as bones and blood vessels. K2 activates osteocalcin for bone mineralization and Matrix GLA protein to prevent calcium buildup in arteries.
Why K2 is often considered 'better' for specific functions
Research indicates K2 is more effective than K1 for bone and heart health. K2 improves bone mineral density and reduces fracture risk. It also inhibits arterial calcification, linked to a lower risk of coronary heart disease. K1's action is more liver-focused, making it less effective for these non-hepatic benefits.
Comparison Table: Vitamin K1 vs. K2
| Feature | Vitamin K1 (Phylloquinone) | Vitamin K2 (Menaquinones) |
|---|---|---|
| Primary Source | Leafy green vegetables (e.g., spinach, kale, broccoli) | Fermented foods (natto, cheese), animal products (egg yolks, liver) |
| Absorption Rate | Low bioavailability (less than 10% absorbed from plants) | Higher bioavailability (especially MK-7) |
| Half-Life in Body | Short (hours) | Long (days, especially MK-7) |
| Main Function | Blood clotting (liver activity) | Bone mineralization & cardiovascular protection (extra-hepatic) |
| Key Activated Proteins | Coagulation factors | Osteocalcin (bone) and MGP (vascular) |
A note on dietary considerations and supplementation
Despite K1's presence in vegetables, its poor absorption makes it hard to achieve optimal levels for systemic effects through diet alone. High-K2 foods like natto are not common in Western diets, and other sources have lower amounts. Supplementation with K2, particularly MK-7, is thus a popular option, especially for bone density or preventing arterial stiffening. Those on blood thinners like warfarin must consult a doctor before changing K intake due to potential interactions.
Conclusion: The Verdict on Which is Best
The choice between vitamin K1 and K2 depends on the desired health outcome. K1 is essential for blood clotting and rapid liver action. However, K2 is better for long-term bone strength and cardiovascular health due to better absorption and longer circulation. A balanced diet and potential K2 supplementation, after professional consultation, can contribute to overall wellness. Both forms are part of a complete nutritional strategy.
London Osteoporosis Clinic: The vital role of vitamin K in health