Filed under: DoD
The Department of Defense (DoD) Safety Review Panel published their findings on DMAA in a recent report now available through HPRC. The Assistant Secretary of Defense for Health Affairs asked the Safety Review Panel to evaluate the safety of DMAA-containing dietary supplement products. The Panel has recommended that the sale of DMAA-containing products be prohibited in all military exchanges.
HPRC maintains a list of dietary supplement products containing DMAA and periodically updates this list. The most recent version can be found on HPRC’s website. Note that, as of the FDA announcement in April 2013, DMAA is illegal in the U.S. as an ingredient in dietary supplements. For more information, visit the OPSS FAQ about DMAA. Operation Supplement Safety (OPSS) can provide service members and their families with information to make informed decisions about dietary supplement use. For the full DoD Safety Review Panel report, see the link on HPRC's Dietary Supplements web page.
Operation Live Well is a new wellness campaign by the Department of Defense that aims to make healthy living the easy choice and the norm for service members, retirees, DoD civilians, and their families. They point out resources for how to eat better, stay physically active, quit or avoid tobacco, and stay mentally fit. The educational, outreach, and behavior-change initiatives provide tools and resources to help you learn about healthy lifestyles. You’ll also be able to develop your own personalized health plan via the Operation Live Well website soon.
A second part of Operation Live Well is their Healthy Base Initiative (HBI), which aims to help the defense community reach or maintain a healthy weight and avoid tobacco use. Scheduled for launch during the summer of 2013 at 13 military installations and DoD sites worldwide, HBI will offer a range of installation-tailored, health-related programs that will be measured for their effectiveness. The programs that are most successful will eventually be expanded to other installations.
For more information on Operation Live Well, visit militaryonesource.mil/olw.
With the holidays upon us, the number of problems that you have to solve might be kicking up a notch or two. A Department of Defense and Veterans Affairs initiative, Moving Forward, has a website that gives you tools for “overcoming life’s challenges.” As you encounter challenges this holiday season, give their module a test run—it takes you through a step-by-step process for solving problems. They suggest:
- Define the problem and set goals
- Come up with alternative solutions.
- Pick one solution
- Put your solution into action and analyze the outcome.
HPRC’s website also has useful information on stress management.
Body armor, in addition to necessary equipment and supplies, well exceeds the recommended carrying maximum of 50 pounds. The DoD was asked by Congress to conduct a research project to explore the possibility of lightening body armor without sacrificing protection. Currently, the research shows it does not seem possible to make body armor out of a lighter material while still adequately protecting the individual. However, leaders are taking a more preventative approach to reducing injuries on the battlefield. These include changes in pre-deployment training, as well as an increased number of deployed physical and occupational therapists and improvements in forward-deployed care centers.
Are you looking for ways to promote your health or the health of your family? Operation Live Well, a DoD initiative, provides a wealth of information each month on a targeted topic. September is National Cholesterol Education Month and National Childhood Obesity Awareness Month. High blood cholesterol puts you at risk for heart disease, the number one killer of men and women in the United States. Encouraging family physical fitness can instill a lifetime of healthy habits and decrease risks for problems such as heart disease, diabetes, and certain types of cancer. Check back often to see new topics and explore methods to improve and sustain your well-being!
HPRC has received a number of questions about whether dietary supplements—especially those used for bodybuilding and weight loss—could result in a positive result on military drug tests.
Military drug testing begins with urine, which is first screened and then followed by additional tests depending on the outcome of the screen. You can get extensive information about the DoD drug policy and drug testing from the TRICARE website section on the Drug Demand Reduction Program (DDRP), including military testing. And for answers about the potential effects of specific dietary supplements on drug screening tests, you can contact your service’s military drug testing laboratory by phone or email at:
- U.S. Army, Fort Meade, MD – (301)-677-7085 FTDTL_MSupport@amedd.army.mil
- U.S. Army, Tripler AMC, HI – (808)-433-5176 FTDTLWeb.Portal@amedd.army.mil
- U.S. Navy, Great Lakes, IL – 847-688-2045, press 2 or ext 113 NDSLGLfirstname.lastname@example.org
- U.S. Navy, San Diego, CA – 619-532-5180 NDSLSDemail@example.com
- U.S. Navy, Jacksonville, FL – 904-542-7755, press 2 or ext 104 DLJAX@dlj0ndsl.med.navy.mil
- U.S. Air Force, Lackland AFB, TX – (210) 292-3089 firstname.lastname@example.org
Positive urinalysis results due to dietary supplement use can occur because products on the market may contain undeclared drug ingredients—that is, controlled substances that are not stated/listed on the product label. More information can be found in the FDA News Release from 2010 in which this was brought to the public’s attention. There is no way to know if a particular supplement contains an undeclared drug without laboratory testing, but the FDA does keep track of such products once identified through its MedWatch program. One of the best ways to check for such products—and other potential health issues related to dietary supplements—is through the FDA website’s Dietary Supplements Alerts section.
The Department of Defense (DoD) currently has no formal policy on the use of dietary supplements and no list of either banned or safe supplements. For more on this topic, read HPRC’s article “Is there a list of dietary supplements/substances banned by the military?”
Lately, HPRC has been receiving a lot of questions about banned supplements in the military, but the fact is, there isn’t a list of banned dietary supplements currently available. It isn’t always easy to determine whether a dietary supplement product is safe or not, so the Department of Defense (DoD) is working on an educational campaign to inform Warfighters and their families about potential health risks involved with taking dietary supplements and steps to take before choosing/using a dietary supplement. And although DoD currently has no formal policy on the use of dietary supplements, a committee is working to establish such a policy.
Some dietary supplements, including ones sold on military installations, may contain potentially harmful and problematic ingredients. HPRC has put together the resource Red Flags: What You Need to Know to Stay Safe and Avoid Fraud. Of particular note are problematic, potentially dangerous ingredients that could be red flags, including approved prescription drug ingredients and their analogs, drugs banned by the FDA for safety reasons, controlled substances (such as anabolic steroids), and untested/unstudied new active drug ingredients.
You can also learn more on how to make informed decisions about dietary supplements and natural products from the Natural Medicines Comprehensive Database (NMCD). HPRC has made this available to all active-duty personnel; a “.mil” email address is required to create an account. We encourage consumers of dietary supplements to consider only using products rated eight or above on their rating scale. These are in the green area of the scale and have evidence of safety. Items in the yellow range mean data are lacking, and the red area indicates well-known safety concerns and/or proven ineffectiveness. HPRC makes this user-friendly database readily available through links on its website for both Warfighters and healthcare professionals. Choose the appropriate version and follow the instructions to create an account.
Generally, if a supplement is not banned or recalled by the FDA, FTC, or DEA, then it is not banned by DoD. One way to ensure that a dietary supplement product is safe is to see if it is third-party verified. Third-party certification organizations have developed criteria for evaluating and authenticating the quality of a supplement—the ingredients, the dosage levels, the level of contaminants, the label claims, and whether the manufacturing facilities follow Good Manufacturing Practices (GMP). Currently, United States Pharmacopeia (USP) and NSF International conduct safety reviews, and NSF screens for substances banned by the World Anti-Doping Agency (WADA) or United States Anti-Doping Agency (USADA). Multiple professional sport/athletic organizations—including MLB, NHL, NBA, NFL, and NCAA—currently have policies requesting the use of NSF-certified products only. Shop for products with seals from USP and NSF International.
We encourage you to talk with your healthcare provider or dietitian before using dietary supplements to avoid potential problems. Also, see FDA’s list of tainted body building products, which includes important public notifications.
The Military Health System (MHS) has developed a new obesity and nutrition awareness campaign for the Department of Defense (DoD). This campaign will reach all the services to help improve the health and well-being of Warfighters. Menu standards at military dining facilities will be updated, the environment of military facilities will be assessed, and healthier foods will be available in dining facilities and DoD schools. For more detailed information, see the news article and the MHS blog.
Due to concerns about possible serious adverse health effects, the Department of Defense (DoD) has put a medical hold on the sale of weight-loss and bodybuilding products containing 1,3-dimethylamylamine (DMAA), also referred to as methylhexanamine, Geranamine, and geranium oil, extract, or stems and leaves, from military exchanges.
An extensive investigation will take place to determine the safety of DMAA in dietary supplement products, as well as an educational campaign to assist Warfighters and their families in making informed choices.
For more information, please see the Question and Answers fact sheet by the Directorate of Strategic Communications, Office of the Surgeon General.
The Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury (Resilience and Prevention Directorate), Uniformed Services University, and the Human Performance Resource Center ran a three-hour workshop introducing the Military Family Fitness Model at the DoD/USDA Family Resilience Conference last week (April 26-29) in Chicago, IL. The workshop focused on describing the newly developed process-oriented, multi-level model for total military family fitness, including how service members and their families, leaders, policy makers, and program managers can achieve and maintain family fitness (following the Total Force Fitness paradigm). Key aspects of the model were also described, such as family stressors, strengths, resources, and outcomes.
Deep breathing, guided imagery, mindfulness, and cognitive restructuring were taught as practical skills that can help control family members’ stress. Guidelines were also given for family communication and problem-solving skills designed to enhance family functioning and resilience. A military case study was presented to allow participants to practice the application of the Total Family Fitness model.
To see a copy of the workshop that was presented, click here; for more complete information, please read the abstract of the presentation.
To learn more integrative mind-body strategies, visit HPRC's Mind Tactics domain and the Defense Centers of Excellence newly published paper on Mind-Body Skills for Regulating the Autonomic Nervous System.
To learn more family strengthening strategies, visit HPRC's Family & Relationships domain.
Presenters of the model were COL Stephen Bowles, Ph.D. (USUHS), Colanda Cato, Ph.D. (DCoE), Monique Moore, Ph.D. (DCoE), and Liz Davenport Pollock, MS, LGMFT (HPRC).
Acknowledgements: Force Health Protection and Readiness, Psychological Health Strategic Operation; Military Community & Family Policy; Air Force Air Education and Training Command; Military Family Research Institute; and Defense Centers of Excellence.