UNIT 9 SEMINAR NS 220Chapter 11 & 12: Supplements and CAM

Overview

Dietary Supplements DSHEA Supplement Claims Domains of CAM Discussion

Dietary Supplements

Product taken by mouth that contains a "dietary ingredient" intended to supplement the diet.

“Dietary Ingredients" may include: Vitamins, minerals Herbs or botanicals Amino acids Enzymes Glandulars Metabolites Extracts or concentrates

DSHEA

Dietary Supplement Health and Education Act of 1994

To help ensure that dietary supplements are safe and labels are truthful.

Manufacturer is responsible for ensuring that a dietary supplement is safe before it is marketed; do not have to be preapproved by FDA

FDA is responsible for taking action against any unsafe dietary supplement product after it reaches the market.

Supplement Claims

Claims may not be made about using dietary supplements to diagnose, prevent, treat, or cure a specific disease.

Manufacturers may make three types of claims: Health/disease claims: strong scientific evidence exists

that shows relationship; ex) folic acid & reduced risk of neural tube defects

Structure/function claims: ex) vitamin C & scurvy Nutrient content claims: ex) “excellent source of vitamin

C”= 12 mg/serving

Domains of CAM

1. Alternative Medical Systems2. Mind-Body Interventions3. Biological-Based Therapies4. Manipulative and Body-Based Methods5. Energy Therapies

Alternative Medical Systems

Belief that body has power to heal itself. Healing by techniques involving mind, body,

spirit. Examples:

Traditional Chinese Medicine Ayurvedic Homeopathy Naturopathy

Mind-Body Interventions

An approach to healing that uses power of thoughts and emotions to positively influence physical health.

Focuses on the interactions among the brain, mind, body, and behavior

Examples: Relaxation, hypnosis, visual imagery, meditation,

yoga, biofeedback, tai chi, cognitive-behavioral therapies, group support, and spirituality.

Biological-Based Therapies

Herbs Vitamins/minerals Functional Foods

Stanols/sterols: may reduce risk of CHD Probiotics: may improve GI health Lycopene: may contribute to maintenance of

prostate health Lutein: may contribute to maintenance of healthy

vision Dietary Supplements

Manipulative & Body-Based

Manipulation of movement of 1 or more body part

Chiropractic manipulation Massage Reflexology

Energy Therapies

Belief that imbalances in the body's energy fields result in illness

Biofield therapies: Reiki Acupuncture

Bioelectromagnetic-based therapies: Magnetic Therapy Light Therapy

Discussion Questions

What concerns do you have about CAM?

What advice would you give someone who is interested in CAM?

Resources

National Center for Complementary and Alternative Medicine (NCCAM) http://nccam.nih.gov/

Office of Dietary Supplementshttp://www.ods.od.nih.gov/