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HPRC Fitness Arena: Dietary Supplements

FDA investigating adverse events linked to energy drinks

Reports of adverse events —including five deaths—possibly linked to Monster Energy drinks are under investigation by the FDA.

The Food and Drug Administration (FDA) is investigating five deaths and a non-fatal heart attack that may be linked to Monster Energy drinks. The FDA has pointed out that while the investigation is going on, it does not mean that Monster Energy drinks caused these adverse events, which were reported to the FDA over a span of eight years. Other adverse event reports have been associated with consuming the energy drinks. Read the New York Times article here, as well as this one from NBC News.

Operation Supplement Safety (OPSS) has now been launched to answer many of your questions about Dietary Supplements. Visit the OPSS section of HPRC’s website now to learn more!

Eat protein-rich foods to save money

If you want to save money while looking for performance nutrition, choose real food over supplements.

Did you know that protein sources such as chicken breast, tuna, and chocolate milk—even at the highest quality and price—cost less than $6 per pound? In contrast, protein supplements (Muscle Milk, whey, soy or casein protein powders, Myoplex, etc.) are usually over $10 a pound. The smart choice seems obvious.

Operation Supplement Safety (OPSS) has now been launched to answer many of your questions about Dietary Supplements. Visit the OPSS section of HPRC’s website now to learn more!

Energy drinks and adolescents

Energy drink use by adolescents is on the rise, and misuse of these beverages may stem from confusion about using energy drinks for rehydration.

Energy drinks are marketed to improve physical and mental performance, mainly to “boost energy.” Adolescents are getting hold of energy drinks more often, in part due to heavy marketing of sports drinks with athletic superstars, causing adolescents to confuse energy drinks for sports drinks. Energy drinks contain large amounts of caffeine and other stimulants, while sports drinks contain carbohydrates and electrolytes and are intended for use when athletes (including adolescents) are engaged in prolonged, vigorous exercise. Adolescents have already had problems combining energy drinks and alcohol, which has led to risky behavior. The American Academy of Pediatrics has guidelines for the use of energy drinks and sports drinks by adolescents.

Operation Supplement Safety (OPSS) has now been launched to answer many of your questions about Dietary Supplements. Visit the OPSS section of HPRC’s website now to learn more!

DMAA list update for October 2012

HPRC’s latest review of DMAA-containing products shows that 89 have been discontinued or reformulated since the list was first compiled nine months ago.

HPRC’s list of DMAA-containing dietary supplement products has been reformatted, revealing that many are no longer being manufactured or distributed. A number of manufacturers now indicate on their websites that products previously containing DMAA have been reformulated. DMAA-containing versions of discontinued or reformulated products are likely to be on the market until retail supplies have been exhausted, so check labels carefully for ingredients. However, the only way to be certain a product no longer contains DMAA is through laboratory testing.

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Two new dietary supplement reports

HPRC Fitness Arena: Dietary Supplements
Two reports released by the Inspector General of the Department of Health and Human Services show that some dietary supplement products have illegal claims on labels and don’t provide accurate company information to the FDA.

Two just-released government reports show that many supplements are illegally labeled and some companies are not including their phone number or address on the labels of products as the FDA requires. The first report explains that some of the structure/function claims on labels (such as “promotes weight loss” or “supports healthy immune function”) could not be backed up. The second report explained that 28% of companies tested did not register with FDA as required, and 72% of the companies whose products were examined did not provide the appropriate company information to the FDA. At both of the links above you also can listen to a podcast discussing the reports.

Women’s health and dietary supplements

Military Health System has designated October as Women’s Health Awareness month. Find out how dietary supplements play a role in a women’s life.

About half of all military personnel use some dietary supplements, and military women most commonly use weight-loss supplements. But is there a place for dietary supplements in enhancing women’s health? Dietary supplements, by definition, are intended to “supplement the diet” and can contain a dietary ingredient such as a vitamin, mineral, herb or other botanical, amino acid, or combinations of these and/or other substances or constituents intended to be consumed by mouth.

Active women may require more nutrients, but vitamin and mineral needs normally can be met by eating a variety of nutrient-rich foods. The Dietary Guidelines for Americans focus largely on the recommendation that nutrient-dense foods and beverages—such as fruits, vegetables, whole grains, low-fat dairy products, lean meats and poultry, eggs, nuts and seeds—can provide all the nutrients needed by most everyone. These recommendations are based on research that shows a varied, healthy diet lowers the risk of most diseases.

Some dietary supplements have been found to be beneficial for women’s health, such as folic acid, iron, and calcium. Folic acid, a B vitamin involved in the production of new cells in the body, has been shown to help prevent birth defects. Women who are thinking of becoming pregnant or are pregnant should take a supplement that includes 400 micrograms of folic acid per day. Fortified foods such as green, leafy vegetables, enriched whole grain breads, flour, pasta, rice, and most ready-to-eat cereals also contain folic acid. Adolescent girls, women of childbearing age, and especially pregnant women also need more iron, which is a mineral involved in the transport of oxygen in the body. Women in these groups should choose iron-rich foods, particularly red meat, fish, and poultry, as well as iron-fortified foods. When iron levels are low, symptoms may include feeling extra tired and weak, along with a decrease in immune function. A healthcare provider or dietitian can determine the need for supplementation if diet alone cannot maintain iron levels or for those who have iron-deficiency anemia. Calcium is an important mineral that helps maintain strong bones, healthy teeth, and proper functioning of the heart, muscles, and nerves. All women should strive to get their calcium from foods such as low-fat milk, yogurt, cheese, dark-green, leafy vegetables, and foods such as orange juice and soy milk that have been calcium-fortified. Those who may need more should discuss calcium supplement options with a dietitian, since there are many forms available and it is important to determine how much and which kind is suitable for your particular needs.

Some dietary supplement products marketed for weight loss are targeted toward women. Do they work? According to the Food and Drug Administration (FDA), some weight-loss supplements contain hidden prescription drug ingredients. For additional information, see Operation Supplement Safety’s (OPSS) “Are there any safe supplements to help me lose weight?” Furthermore, women looking to enhance their performance may turn to dietary supplement products. OPSS has additional resources for competitive athletes to search for particular products that are certified, as well as helpful red flags on what to avoid.

Some women’s nutrient needs differ from those of men, and they can vary over the course of a lifetime. From adolescent girls, to women of childbearing age, to women over 50, these needs change based on the demands of the physiological changes that occur in the body.  One thing is certain: A variety of nutritious food is really the spice of life and should be the basis for fueling all of life’s stages.

Natural Medicines Comprehensive Database App

Healthcare provider app to get answers and data on natural medicines at any time.

Healthcare providers can search for safety and effectiveness ratings for commercially available dietary supplement products, potential interactions between drugs and natural medicines, and other effectiveness ratings for natural medicines used for health conditions. The Natural Medicines Comprehensive Database (NMCD) App is available for iPhone, iPad, iPod Touch, and Android. Use your .mil email address to open an account with NMCD. See more information here. And watch for the Warfighter version coming soon!

Adolescents and sports drinks

For most active children and adolescents, staying hydrated is easy—drink water.

Does your child like sports drinks? A recently released report—Consumption of Sports Drinks by Children and Adolescents—states that sports drinks are not recommended for children and adolescents when engaged in normal levels of physical activity. The report’s review of research concluded that sports drinks, when consumed in limited quantities, are mainly for those participating in vigorous physical activity lasting longer than an hour. For the vast majority of children and adolescents, drinking water before, during, and after exercise is adequate for proper hydration. See also the “Issue Brief” that describes the key points of their research.

Operation Supplement Safety (OPSS) is about to launch this summer and will answer many of your questions about Dietary Supplements. Watch for HPRC’s announcement coming soon.

Consumer Reports on 10 hazards of dietary supplements

The Consumer Reports website recently posted an article outlining the potential dangers of dietary supplement products.

People take dietary supplements for lots of different reasons, and some may take them because they believe they are “natural” and therefore safe. A new article from ConsumerReports.org lists 10 hazards of taking dietary supplement products, pointing out that supplements are not risk-free.

Operation Supplement Safety (OPSS) is about to launch this summer and will answer many of your questions about Dietary Supplements. Watch for HPRC’s announcement coming soon.

FDA reports dietary supplement manufacturing violations

About half of those dietary supplement manufacturers inspected by FDA found to have manufacturing violations.

The U.S. Food and Drug Administration (FDA) has found violations in manufacturing practices in half of almost 450 dietary supplement companies it has inspected over the last four years, according to a Chicago Tribune article. The implications of these findings can have serious health problems for consumers. Since dietary supplement manufacturers are the ones responsible for ensuring a product is safe before it is marketed, the FDA inspects companies to check for compliance and takes action only if a product is deemed unsafe after it has been marketed. For more information, see the FDA website’s Dietary Supplements section.

Operation Supplement Safety (OPSS) will launch this summer, with answers to many of the questions you may have about Dietary Supplements. Watch for HPRC’s announcement coming soon.

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