Filed under: Op-Ed
The Federal Trade Commission (FTC) recently filed a complaint against POM Wonderful products due to deceptive advertising. POM Wonderful has claimed that its products will reduce (or treat) heart disease, prostate cancer and erectile dysfunction. The FTC says that these claims are not supported by scientific research.
So, what’s a health claim and what’s considered acceptable advertising as such?
A health claim statement has to have a food substance, food, or dietary ingredient, and a health condition or disease. The Food and Drug Administration (FDA) has approved certain health claims that, based on scientific evidence, show a link between a food or supplement and a health condition or disease. Health claims cannot state that a food product or supplement can treat or cure a disease. It may claim to minimize a disease risk; for example, a product advertised as low sodium can state the approved claim that “diets low in sodium may reduce the risk of high blood pressure, a disease associated with many factors.”
Health claims shouldn’t be confused with structure/function claims. These claims do not have to be approved and reviewed by the FDA, yet they must be truthful in stating that a substance maintains structures and/or functions of the body. We see these claims on many fiber-rich products, like “fiber maintains bowel regularity,” or a dairy product stating that “calcium builds strong bones.” Unlike health claims, structure/function claims cannot be linked to a health-related condition or disease. Also, an important point to keep in mind: if a dietary supplement label makes a structure/function claim, it must also state this disclaimer: “This statement has not been evaluated by the FDA. This product is not intended to diagnose, treat, cure, or prevent any disease.”
There are also nutrient content claims. These describe the amount of a nutrient in a product. Descriptions such as free, low, high, and rich in are used, or other terms that describe the nutrient content to that of the content in another product, such as reduced, lite, less, or more.
Manufacturing companies want consumers to buy their products. We, as consumers, must be savvy as we try to choose products that are healthy for our families and us. False health claims are used on food products as well as dietary supplements. They claim to help us lose weight, cure diseases, and prevent memory loss. The FDA has not approved claims that focus on the treatment of diseases. They have, however, set forth regulations to authorize health claims after the scientific evidence has been presented and reviewed.
Are PRTs still accurate assessments of physical fitness levels? The days of calisthenics and running several miles for exercise are gone. Comfort Zones and gyms on- or off-base are filled with exercise toys such as cable cross machines, Roman benches, kettlebells, and miles of cardiovascular equipment. Most military personnel are exercising with the latest technology, or at least with free weights. Shouldn’t PRTs utilize the most current knowledge of functional exercise and movement?
“Functional movement” is defined as real-world biomechanics of body movement. Sit-ups and push-ups are not functional; they show strength and/or flexibility, but not true overall fitness.
Gray Cook’s Functional Movement Screening (FMS), however, assesses the quality of seven functional movements to determine a persons’ symmetry, grading each movement (21 being a perfect score). FMS might be a better assessment in terms of a person’s total fitness level. Most studies using FMS have evaluated the prediction of injury rates based on the level of symmetry (for example: Military Joe shows rotary stability in the left shoulder but not in the right – the asymmetry of his shoulders most likely predicts injury when climbing walls in theater).
An unpublished study by COL Francis O’Connor, MD on injury prediction in Marine Corps Officer candidates (MC) found that those who scored 14 or higher (out of 21) had a lower injury rate. A study on NFL players also had similar findings.
Should the military re-evaluate its PRTs in terms of functional movement or should it stay with its current program? Contact us here at the HPRC if you have thoughts to share.
In 2008, the Journal of Medical Internet Research published an article titled Medicine 2.0: Social Networking,Collaboration, Participation, Apomediation, and Openness, in which the term “Web 2.0” is used. Web 2.0 refers to web applications that support collaboration and interactive information sharing online, a large part of which are the social media applications for blogging, wikis, and video streaming. The Journal article talks about the idea of a “Medicine 2.0” for web-based health and medical information, geared towards healthcare consumers, caregivers, patients, health professionals, and researchers.
Interestingly, all of this has given rise to a “Fitness 2.0” trend, allowing users to go beyond just the factual, static health information that exists and find more interactive information. It turns out that the internet can be a great resource for boosting one’s fitness level! YouTube, for example, has thousands of clips on exercise – proper techniques, expert advice – everything from the proper dead-lift technique to nutrition tips for weight loss.
These types of social media can also track fitness levels and goals of users by allowing them to enter in numbers and monitor their progress. Applications like Virtual Weight Loss, health networks like FitDay, and iPhone apps like “My Weight Loss Coach” are great ways to accomplish this. For an even simpler tracking method, use Twitter updates with a hash tag (i.e. #weightloss and #twit2fit) – a great way to get support while keeping a daily or weekly report of progress.
Another area where social media provides a bridge for exchanging health/medical information are online support/social communities. The sharing of experiences and struggles can help when things get tough or when motivation lags. With this level of personal interaction, users don't have to get healthy their own. Sites like Google Groups or DailyBurn, are easy ways to compare and discuss results with a community. When researching a health-related topic, however, keep in mind that blogs, videos, and social networks should not be primary sources of information. Look up multiple sources – no one source of information is ever perfect, so reduce the risk of bad information.
Social media is about creating connections and information, and healthy living is about consistency and knowledge. Together, they can be a great match. Social media can bring a lot of useful information and support to people looking to improve their health or fitness levels, and provides many innovative ways to stay motivated and well-informed.
Research from the Harvard School of Public Health showed many years ago that individuals who exercise regularly die less from all causes. Although vigorous exercise, like running, produces greater gains, all that’s needed for good health is regular exercise. Regular physical activity has a positive effect on all of your body systems – it improves your mood and decreases anxiety, improves cognitive function, makes you stronger, and reduces your risk for many diseases like stroke, cardiovascular disease, many types of cancer, and adult onset diabetes. Even so, public health data from the Centers for Disease Control still shows that obesity and physical inactivity among adults in our country is high.
We at the Human Performance Resource Center are not only concerned with the total fitness of our Warfighters, but of all Americans. And like in many offices across the country, we work at desks, and fitness is something we have to carve out time for. But still, we do, as one of our staff members reports.
A few weeks ago, I went running with my super-tough Airborne Army son, a jumpmaster and SSG who’s been deployed many months over the last four years. When we last ran several years ago prior to his initial boot camp experience, I could outdistance him. Fortunately, that didn’t last long – six years and many runs later, this is no longer the case. The stories abound, and are hilarious. Like when he returned from his first 15-month deployment to Iraq: I had been running a lot and wanted to impress him with what good shape I was in. We hadn’t even made it out of my neighborhood, or hit the hills yet, and I was sucking wind. At that point he looked over and said, “Hey, Ma…we walkin’ or runnin’ today?” Fast forward to our five-mile run a few weeks ago in the midday July heat. I straggled back, having taken only a couple of one-minute walk breaks to catch my breath. Of course, he beat me back, and his greeting was, “Ma, you can do better than that!” But I know that underneath the teasing, he’s proud that his 50-year old mother is out that running with him, eating his dust. My response is, “Why aren’t there more mothers, sisters, brothers, fathers, sons, and daughters out here running with their Warfighter?”
So I challenge you: if we expect our Warfighters to be in optimal condition because their role, protecting our country, demands it – don’t we also have a responsibility to ourselves, our loved ones, and our country, to improve our health and reduce our healthcare costs? It doesn’t matter what you do to stay fit, only that you do something. Walk the dog, play outside with the kids, join an adult sports league, or go for a run – the possibilities are endless.
The book Born to Run by Christopher McDougall has been a primary catalyst for the rapid expansion of the population of “barefoot runners” over the past year. Most barefoot running advocates are in reality minimalist runners – they wear as little on their feet as possible. In most cases they wear just enough to provide a little cushion on concrete or other hard surfaces or to provide a thin layer of protection from glass or other sharp objects. Minimalist footwear is referred to as “barefoot technology,” which, at some level, seems to be an oxymoron. The cynical side of me says the term was coined by those expecting to make money off a new trend.
It is important to first note that there is no evidence-based information to support either side of the debate on the efficacy of being either shod or unshod. The most interesting research pointing toward the possible advantages of the minimalist approach is outlined by a Harvard professor and his colleagues in a January 2010 edition of the journal “Nature.” A counter to the assertion that barefoot running is beneficial can be found on a website titled “Barefoot Running is Bad.” The pro barefoot running community points to initial research that indicates there is more force absorbed by the body by a runner wearing shoes than by barefoot runners. The greatest difference is that barefoot runners have a forefoot strike, while runners wearing modern running shoes tend to have a heel strike. The opposition community points to anecdotal information that there has been a rapid rise in the incidence of stress fractures in the feet of barefoot or minimalist runners.
For me, the jury is still out. I find the concept that we should allow our feet to function as designed intriguing. My advice to those in the military interested in transitioning to a barefoot regimen is to first consult their local provider for advice. In addition, anyone starting a barefoot running program should increase the barefoot component of their normal workout routine gradually. A good rule of thumb is to increase the barefoot part of the program by no more than 10 percent each week. Barefoot adherents should also listen to their bodies and stop any activity that leads to joint or soft tissue pain.
My closing concern: warriors, regardless of where they are assigned, will spend a considerable amount of time in some sort of boot technology while training or deployed. As the sports medicine community debates the value of being barefoot in contrast to lacing up the latest Nike technology, we need to determine if there is any advantage for warriors adopting a partial or full barefoot workout program. This research should include an assessment of the positive or negative effects of frequently transitioning between minimalist footwear and boots. As more warriors get the minimalist footwear bug, it is important that we provide them the best evidence-based information that supports or argues against the practice.