Nv Supplements Cme
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Transcript of Nv Supplements Cme
supplement science
Brian Lee RD
Alanine, anethole essential oil, apigenin, ascorbic acid, beta-carotene, caffeic acid, camphene, carvacrol, chlorogenic acid, chrysoeriol, derulic acid, eriodictyol, eugenol, 4-terpinol, gallic acid, gamma-terpinene, isichlorogenic acid, isoeugenol, isothymonin, kaemfero, labiatic acid, lauric acid, linalyl acetate lueolin, methionine, myrcene, myristic acid, naringenin, rosmarinic acid, selenium, tannin, thymol, tryptophan, usolic acid, vanillic acid.
Antioxidants...all found in a leaf of
thyme
get your
vitamins
foodfrom your
Multivitamins
Evidence is insufficient to prove the presence or absence of
benefits from use of multivitamin and mineral supplements to
prevent cancer and chronic disease.
Ann Intern Med. 2006;145(5):372-85
Antioxidants
Treatment with beta carotene, vitamin A, and vitamin E may increase mortality.
The potential roles of vitamin C and selenium on mortality need further study.
JAMA. 2007;297:842-857
Omega-3s
ALA intake is associated with
reduced risk of
CVD, fatal ischemic HD, all-cause mortality
EPA/DHA intake is associated with
reduced risk of
CHD mortality, breast and colorectal cancer,
cognitive decline
RecommendedIntakes:
ALA: 1300 - 2700 mg/d
EPA/DHA: 500 mg/d
Food Sources:
EPA: 700 mg
DHA: 1450 mg
4oz Salmon Steak
USDA Nutrient Database
Food Sources:
ALA: 1.3 g
1 Tbsp Canola Oil
USDA Nutrient Database
Vitamin D
“...studies strongly indicate that vitamin D may have anticancer
benefits, including against progression against a wide spectrum of cancers.”
Cancer Causes and Control 2005; 16:83-95.
“Improving calcium and vitamin D nutritional status substantially
Am J Clin Nutr 2007;85:1586–91.
reduces all-cancer risk in postmenopausal women”
“Vitamin D and calcium insufficiency may negatively influence glycemia, whereas
J Clin Endocrinol Metab 2007;92: 2017–2029
combined supplementation with both nutrients may be beneficial in optimizing
glucose metabolism”
“...current dietary recommendations for adults are not sufficient to maintain
J Nutr 2005; 135:317-322
circulating 25(OH)D levels at [sufficient levels], especially in pregnancy and lactation”
CURRENT RDIs Under 50: 200 IU vD 51-70: 400 IU vD 71+: 600 IU vD
ANTI-CANCER TRIAL1100 IU Vitamin D1450 mg Calcium
SAFE UPPER LIMIT2000 IU Vitamin D
Food Sources of Vitamin D
Dietitians of Canada Practice-Based Evidence in Nutrition
Coffee
“...coffee may improve fasting glucose,glucose tolerance and insulin sensitivity...”
Cent Eur J Med 2008; 3(1):9-19.
“...habitual coffee drinkershave a lower total and cardiovascular mortality rate among diabetic subjects.”
Cent Eur J Med 2008; 3(1):9-19.
“...some groups, includingpeople with hypertension, children, adolescents, and the elderly, may be more vulnerable to the adverse effects of caffeine.”
Critical Reviews in Food Science and Nutrition 2006; 46:101–123.
Health Canada (2003):
Health Canada: It’s Your Health - Caffeine
4-6 yrs: 45 mg caffeine
10-12 yrs: 85 mg caffeine
>12 yrs: 400 mg caffeine
Women of Childbearing Age:
300 mg caffeine
Dietitians, by performing an in-depth assessment of a patient’s food intake, can help determine whether or not there is a need for a nutritional supplement.