SOURCES: Institute of Medicine Food and Nutrition Board, Dietary Reference Intakes: "Calcium, Phosphorus, Magnesium, Vitamin D and Fluoride." National Academy Press, Washington, D.C., 1999. Journal of Nutrition, October 2005. Position paper of the American Dietetic Association on Food Fortification and Supplementation, Journal of the American Dietetic Association, August 2005. Michael Holick, MD, PhD, professor of medicine, physiology, and biophysics, Boston University Medical Center. Andrew Shoa, PhD, vice president for regulatory affairs, Council for Responsible Nutrition. Alice Lichtenstein, DSc, director and senior scientist, Cardiovascular Nutrition Laboratory, Human Nutrition Research Center on Aging, Tufts University. Dave Grotto, RD, spokesman, American Dietetic Association; author, 101 Foods That Could Save Your Life. Eduardo Baetti, MD, rheumatologist; Kaiser Permanente. Patrick Rea, editorial director, Nutrition Business Journal. Kristine Clark, PhD, RD, director of sports nutrition, Penn State University. Vasilios Frankos, PhD, Division of Dietary Supplement Programs, FDA. Sarubin, A. The Health Professionals Guide to Popular Dietary Supplements, American Dietetic Association, Chicago, IL, 2000. FDA. WebMD Weight Loss Clinic Feature: "Are You Getting Enough Vitamin D?" National Center for Complementary and Alternative Medicine: "Questions and Answers About Homeopathy."
The U.S. Department of Agriculture's (USDA) food pyramid system (www.mypyramid.gov) provides a good start by recommending that the bulk of your diet come from the grain group—this includes bread, cereal, rice and pasta— the vegetable group; and the fruit group. Select smaller amounts of foods from the milk group and the meat and beans group. Eat few—if any—foods that are high in fat and sugars and low in nutrients. The amount of food you should consume depends on your sex, age and level of activity.
The U.S. Public Health Service recommends that all women of childbearing age consume 400 mcg of folic acid (a B vitamin) daily to reduce their risk of having a pregnancy affected with spina bifida or other neural-tube defects. Women who are actively trying to get pregnant should consume 600 mcg, and lactating women should consumer 500 mcg. Women of childbearing age should also take care to meet the daily requirements for calcium, fiber, iron, protein and vitamin D. Discuss supplements with a health care professional, however. Iron and vitamin D in particular can be dangerous in high amounts.
It's easy to get sucked into the lure of the restaurant menu when you're hungry and everything looks good. You don't have to order the plain grilled chicken breast with steamed veggies—that would be boring. Order what you'd like, but balance the meal out with the rest of the day, says Zied. If you know you're going out for a steak and potatoes dinner, go easy on the meat and starch at lunch. Make sure you're also fitting in healthy fare like whole grains, fruit, veggies, and nuts and seeds in the other meals and snacks that day. That way a hunk of steak won't derail your diet and you'll leave happy.
It's even more important for older people to stay hydrated. Age can bring a decreased sensitivity to thirst. Moreover, it's sometime harder for those who are feeble to get up and get something to drink. Or sometimes a problem with incontinence creates a hesitancy to drink enough. Those who are aging should make drinking water throughout the day a priority.
Research from Tufts University nutrition scientists shows that Americans are drinking so much soda and sweet drinks that they provide more daily calories than any other food. Obesity rates are higher for people consuming sweet drinks. Also watch for hidden sugar in the foods you eat. Sugar may appear as corn syrup, dextrose, fructose, fruit juice concentrate or malt syrup, among other forms, on package labels.
Dietary supplements are any substance that you take to improve your health or wellness. This includes vitamins, minerals, and herbs. The most common form is a pill, or capsule. You also can get them in powders, drinks, and foods. These supplements are not meant to cure diseases or health conditions. An exception is if the U.S. Food and Drug Administration (FDA) has approved it for a health claim.
Although as a general rule, dietary supplement labeling and marketing are not allowed to make disease prevention or treatment claims, the U.S. FDA has for some foods and dietary supplements reviewed the science, concluded that there is significant scientific agreement, and published specifically worded allowed health claims. An initial ruling allowing a health claim for calcium dietary supplements and osteoporosis was later amended to include calcium supplements with or without vitamin D, effective January 1, 2010. Examples of allowed wording are shown below. In order to qualify for the calcium health claim, a dietary supplement much contain at least 20% of the Reference Dietary Intake, which for calcium means at least 260 mg/serving.
Women who have very low levels of sunlight exposure or have naturally very dark skin are at risk of vitamin D deficiency. Those affected may include women who cover most of their body when outdoors, shift workers, those who are unable to regularly get out of their house or women in residential care. Women who have certain medical conditions or are on some medications may also be affected.
Fats: Can they be healthful? Fats get a bad reputation but are necessary for good health. Different sources of food provide different types and amounts of fat. This article looks at which fats are actually good for you and how to go about replacing unhealthy fats with fats that are good for you, as well as the relationship between fat and weight. Read now
When the body is stressed by disease, the gut will naturally absorb more vitamin C because the body needs more. To find the optimal dose, the intake should be increased until bowel tolerance is reached. Some people can tolerate more than 100,000 mg/d of vitamin C in divided doses during serious illness without having loose stool. Liposomal vitamin C bypasses the normal bowel tolerance because it is absorbed directly through cell membranes, so higher doses can be tolerated without diarrhea.
Count nutrients, not calories. If you want to improve the quality of your diet, focus on the nutrients in your food instead of calories. “Our energy intake can only depend on our ability to extract that energy from food,” writes blogger and nutritionist Rhiannon Mack. “All calories are not created equal – it is the quality of the calorie that has the most impact on health, not necessarily the quantity,” she explains in a post that appeared in Move Nourish Believe.
Learn. Find out as much as you can about any dietary supplement you might take. Talk with your doctor, your pharmacist, or a registered dietitian. A supplement that seemed to help your neighbor might not work for you. If you are reading fact sheets or checking websites, be aware of the source of the information. Could the writer or group profit from the sale of a particular supplement? Read more about choosing reliable health information websites.
Young adults. Teen girls and young women usually need more calories than when they were younger, to support their growing and developing bodies. After about age 25, a woman’s resting metabolism (the number of calories her body needs to sustain itself at rest) goes down. To maintain a healthy weight after age 25, women need to gradually reduce their calories and increase their physical activity.
Nutritional supplements are exactly that, supplements to a healthy, nutritious diet. One should not take nutritional supplements in the hope that they will make up for a poor diet and lack of exercise, they will not! There are some nutritional supplements including some vitamins and minerals, as well as other nutrients/cofactors that one can use in conjunction with a healthy diet to promote optimal health. For example, to consume the amount of vitamin E that has been shown to protect the body against free radical damage, one would have to consume a very significant amount of fat calories as vitamin E is found in foods that are high in fat such as vegetable oils, nuts and seeds. it makes sense to take a supplement of vitamin E rather than consuming lots of fat. The same goes for vitamin D. It's very difficult to get vitamin D in your diet as it isn't found in many foods and studies show that most people do not get enough vitamin D.
Some supplements that were found to have health benefits in observational studies turned out, with more rigorous testing, to be not only ineffective but also risky. Vitamin E, which was initially thought to protect the heart, was later discovered to increase the risk for bleeding strokes. Folic acid and other B vitamins were once believed to prevent heart disease and strokes—until later studies not only didn't confirm that benefit but actually raised concerns that high doses of these nutrients might increase cancer risk.
Poor nutrition can manifest itself in many ways. The more obvious symptoms of a nutritional deficiency include dull, dry or shedding hair; red, dry, pale or dull eyes; spoon-shaped, brittle or ridged nails; bleeding gums; swollen, red, cracked lips; flaky skin that doesn't heal quickly; swelling in your legs and feet; wasted, weak muscles; memory loss; and fatigue.
After 40, your hormone levels (estrogen) drop. This causes your insulin (hormone that helps your body use sugar) rise. Your thyroid levels go down. This combination makes you hungrier. You end up eating more and burning fewer calories. Much of the weight gain occurs around your belly. Eat more foods with fiber (berries, whole grains, nuts) to fill you up and help you eat less. Aim for 25 grams of fiber each day after the age of 40. Other ways to increase your metabolism include:
5. Wrap unhealthy foods in tin foil. Wrap healthy foods in plastic wrap. The old saying, “out of sight, out of mind” turns out to have some truth to it. Eating isn’t just a physical event, but also an emotional one. Your mind often determines what it wants to eat based on what your eyes see. Thus, if you hide unhealthy foods by wrapping them up or tucking them away in less prominent places, then you are less likely to eat them.
d minerals to fiber and herbal remedies, these supplements are not regulated in the same way as either food or medicine. Some of them are backed by solid research, others are folk remedies or proprietary cures. If your diet does not include enough of certain vitamins or minerals, a supplement may be a good idea. Natural treatment for conditions like constipation may be effective. But because these substances are unregulated, it is always a good idea to educate yourself about the products and to use common sense when taking them. This is even more true if you are pregnant or taking a medicine that may be affected by supplements.
In addition, several independent organizations offer quality testing and allow products that pass these tests to display their seals of approval. These seals of approval provide assurance that the product was properly manufactured, contains the ingredients listed on the label, and does not contain harmful levels of contaminants. These seals of approval do not guarantee that a product is safe or effective. Organizations that offer this quality testing include:
Another spin on the 80/20 rule, says Dr. Lipman: stopping eating when you're 80% full. That means slowing down and checking in periodically throughout the meal about what your body is saying. Does the food no longer taste great? Are you getting that "I don't really need any more feeling"? Thinking 80/20 as you eat can help slow you down and be more mindful. Being in tune with your body prevents overeating, he says.
Keep a record of the supplements you take in one place, just as you should be doing for all of your medicines. Note the specific product name, the dose you take, how often you take it, and the reason why you use each one. You can also bring the products you use with you when you see your health care provider. The FDA provides a useful form, "My Medicine Record", to record the medicines and dietary supplements that you take. Share this form with your healthcare provider to discuss what's best for your overall health.
As continual research on the properties of supplements accumulates, databases or fact sheets for various supplements are updated regularly, including the Dietary Supplement Label Database, Dietary Supplement Ingredient Database, and Dietary Supplement Facts Sheets of the United States. In Canada where a license is issued when a supplement product has been proven by the manufacturer and government to be safe, effective and of sufficient quality for its recommended use, an eight-digit Natural Product Number is assigned and recorded in a Licensed Natural Health Products Database. The European Food Safety Authority maintains a compendium of botanical ingredients used in manufacturing of dietary supplements.