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Nutritional Supplements Specifically Vitamins Megan Donahue Unit 4 Assignment Kaplan University Who should take them? Pregnant women Nursing mothers Strict vegetarians Vegans People with food allergies or intolerances Senior citizens People with cancer, kidney diseases, cardiovascular issues or bone disease WARNING!!!! Nutritional supplements may cause drug interactions (www.nccam.nih.gov, 2012) ◦ St. John’s wort, an herb, interacts with prescription antidepressants, and may not cause the desired affects (www.nccam.nih.gov. 2012) Nutritional supplements may not be as “natural” as you think (www.nccam.nih.gov, 2012) ◦ Supplements have been found to have hidden ingredients, drugs or other materials, instead of what is listed on the label (www.nccam.nih.gov, 2012) WHAT SHOULD YOU DO? Talk to your doctor ◦ Ask if they could recommend something or refer you to someone based on maybe a lack of nutrition. ◦ You may ask to see a nutritionist/dietician to look at your daily intake of food. ◦ Tell your doctor if you are already taking something, it maybe affecting your prescription medication WHAT SHOULD YOU DO? Ask yourself… ◦ What are the potential health benefits of the supplement product? What is the product supposed to do? Will it help me to eat, sleep, move bowels, help joint pain? ◦ What are the potential benefits for me? What is it supposed to do? What may be the results? What in the vitamin is going to help? Is it Calcium for bones? Is it vitamin B6 for energy? Will there be side effects to any medication I am on? WHAT SHOULD YOU DO? ◦ Ask yourself… ◦ What are the risks in taking this product? Are there any side effects to taking it? ◦ What is the proper dose to take? Do I need to take the whole dosage? What happens if I take too much? ◦ How, when, and how long should I take it? Do I need to be on this forever? Or just for a short period of time? WHAT CAN YOU DO? Eat healthier A lot of the foods we eat, provide us with the nutrition our bodies need! WHAT CAN YOU DO? Be active REGULATION Food and Drug Administration (FDA) ◦ They monitor the product once it is out on the market. ◦ It is up to the manufacture to maintain the products identity, purity, strength, and composition (www.nih.gov, 2011). IF they don’t….THEN… ◦ The FDA takes action and removes the product from the market or works with the manufacture to recall the product (www.nih.gov, 2011) REGULATION FDA also monitors the information on the supplement’s label and package insert to make sure the it’s not misleading (www.nih.gov, 2011) Federal Trade Commission (FTC) monitors the advertising on supplemental products to make sure they are truthful (www.nih.gov, 2011) Supplements and the Elderly (Olivera & Palacios, 2012) Puerto Rico ◦ An increase of use of nutritional supplements in the elderly population ◦ Cross-sectional study of 130 subjects ◦ Ages: 60+ ◦ Data: collected from a validated questionnaire Objective: to find out the what supplements were used in the population and if there were health risks associated with it and medications Supplements and the Elderly continued RESULTS: ◦ 63% of the subjects were women ◦ The most common supplements used Multivitamin and calcium ◦ Non-vitamin/non-mineral used Garlic, chondroitin, glucosamine, and ginger ◦ Conditions most related to usage Hypertension and arthritis ◦ Number of health risks 8 possible due to using the non-vitamin/non-mineral with anticoagulants and antidiabetics RECOMMEND 9 Nutrients (Jaret, n.d.) B12 ◦ Creating red blood cells and DNA ◦ Fish, meat, poultry, eggs, milk and milk products Folate/Folic Acid ◦ Lots of fruits and vegetables ◦ Fortified breakfast cereals RECOMMEND 9 Nutrients Calcium ◦ Building and maintaining strong bones ◦ Dairy products, kale, broccoli (great in smoothies) Vitamin D ◦ Helps the body to absorb calcium, maintain bone density and prevent osteoporosis ◦ Cereals, milk, salmon, eggs and tuna RECOMMEND 9 Nutrients Potassium ◦ Vital for cell function, reduce high blood pressure and risk of kidney stones ◦ Bananas, prunes, plums and potatoes with skin Magnesium ◦ Aides the immune system, helps the heart and bones ◦ Fresh fruits and vegetables, unprocessed foods, whole grains, beans, and seeds RECOMMEND 9 Nutrients Fiber ◦ Helps food to move in digestive tract, protects against heart disease ◦ Whole grains, nuts, seeds, fruits and vegetables Omega-3 Fats ◦ May reduce symptoms of rheumatoid arthritis, slow down age-related macular degeneration ◦ 2 servings of fish a week: salmon, tuna, sardine or mackerel ◦ Soybeans, walnuts, flaxseed and canola oil RECOMMEND 9 Nutrients Water RESEARCH The following sites have research information on dietary supplements ◦ Office of Dietary Supplements http://ods.od.nih.gov/ ◦ National Center for Complementary and Alternative Medicine http://nccam.nih.gov/ ◦ National Library of Medicine http://www.nlm.nih.gov/ ◦ NIH Health Information http://health.nih.gov/ CONCLUSION Thank you for allowing me to speak to you. I hope I have taught you something new. I hope you will share with someone else what you have learned. REFERENCES www.webmd.com . (2014). The Truth Behind the Top 10 Dietary Supplements. Retrieved from http://www.webmd.com/diet/features/truthbehind-top-10-dietary-supplements?page=2 www.nccam.nih.gov. (2012). Safe Use of Dietary Supplements www.nih.gov. (2011). Dietary Supplements: What you need to know Olivera, EJ., & Palacios, C. (2012). Use of Supplements in Puerto Rican older adults residing in an elderly project. University of Puerto Rico Medical Sciences Campus. Retrieved from the Kaplan Library Vitamin picture: Dreamstime.com Jaret, P. (n.d.). Older Adults: 9 Nutrients You May Be Missing. Retrieved from http://www.webmd.com/healthy-aging/nutrition-world-2/missing-nutrients