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Why Food Choices Matter
Alexandra Lacey MPH RDN LDHealth Promotion Dietitian alexandramlaceycivmailmil
Health Promotion Team48th Aerospace Medicine Squadron RAF Lakenheath UK DSN 314-226-2831Commercial +44 (0) 1638 52 2831
Health Triad
3
1 The learner will be able to state definitions for macronutrients and micronutrients and how they relate to dietary intake
2 The learner will be able to translate one micronutrient need concept into a school health education campaign
3 The learner will be able to state risks associated with supplement use and where to find information on supplement safety
Objectives
4
Macronutrients ndash are the basis of any diet
1 The three macronutrients or food groups are
Carbohydrates ndash fruits vegetables grains (whole grains vs refined grains)
Protein - meat poultry seafood eggs soy products nutsseeds beans
Fat ndash Butter shortening cooking oils animals meats (lard) nuts fish salad dressings
Macronutrients
WHAT IS A CALORIE
Obesity Map ndash Adults - 2017
6httpswwwcdcgovobesitydataprevalence-mapshtml
ObesityOverweight ndash Age gt 20
7
ObesityOverweight ndash Age gt 20
8
ObesityOverweight - Age 2-19
9
ObesityOverweight - Age 2-19
10
11
LIQUID CALORIES
12
Choose Nutrient Dense Foods
Foods that contain a large quantity of nutrients compared to the number of calories
13
VS
Nutrient Dense Foods
bull Fresh fruits and vegetables - with rich color
bull Baking seaming and sauteacuteing are best for nutrients
bull Whole grains
bull Dairy products without added sugar
bull US DHHSNIHNCI httpswwwcancergovpublicationsdictionariescancer-termsdefnutrient-dense-food
14
Micronutrients = vitamins and minerals Micronutrients get things done in the body
They include1 Iron = healthy blood2 Calcium = strong bones and muscle3 Vitamin D = allows calcium to be absorbed4 Vitamin A = eyesight5 Niacin = digestive system skin and nerves6 Riboflavin = energy production healthy skin and hair
Source National Institute of Health website httpsodsodnihgovfactsheetslist-all
Micronutrients
Calcium makes bones amp muscles strong
Health Promotion Nutrition Tips - Calcium
Health Promotion Team 48 AMDSSGPZ
226-8777 Find us on Facebook at
httpsmfacebookcomRAFHealthPromotion
Low dietary intake = weak muscles amp bones
Weak muscles amp bones = sports injuries and pain
Vitamin D strengthens bones and positive mood
Health Promotion Nutrition Tips ndash Vitamin D
Health Promotion Team 48 AMDSSGPZ
226-8777 Find us on Facebook at
httpsmfacebookcomRAFHealthPromotion
We get Vitamin D from sun exposure and foods
Vitamin D deficiency = weak bones (rickets) and ldquothe winter bluesrdquo
Only American dairy products are fortified with Vit D
Age-Related Macular Degeneration
bull Blindness
bull gt2000000 USA
bull No Cure
bull Macula - slowly deteriorates bull ldquoAlzheimerrsquos of the eyerdquobull gtage of 80 bull USA prevalence to double by 2050bull $$$$ will be needed to deal for social
services if a cure ndash or effective treatment is not found
This Photo by Unknown Author is licensed under CC BY-SA
Age-Related Macular Degeneration
Risk Factorsbull Cigarette Smoking
bull Sunlight exposure
bull Eye Color - low ocular melanin
bull Age
bull Genetics
bull body mass index
bull and nutritional status
This Photo by Unknown Author is licensed under CC BY-NC-ND
19
Vitamin A is required for and beneficial to eye heath
Global blindness - Vitamin A deficiency (Retinol)
Vitamin A is a general term for several groups of compounds
Pro-Vitamin A compounds = can be converted to retinol alpha-carotene beta-carotene and beta-cryptoxanthin
Lutein zeaxanthin and lycopene are nonpro-Vitamin A compounds and are not essential nutrients
High dietary intake is associated with decreased incidence of AMD
Absorb blue light protecting photoreceptors from sunlight induced damage
Vitamin A
20
Diet trends include-Atkins -South Beach Diet-Low Carbohydrate-High Protein-Fasting in various forms-Paleo
Diet Trends
21
If itrsquos too good to be truehellipLow Carb ndashAtkins South Beak Keto or Ketogenic diets
bull Positive Can lose weight
bull Negative Bad breath dizziness fatigue mental slowness constipation potential for low blood sugar events
So if you operate any heavy or potentially dangerous equipment this is NOT for you
bull Most people use this diet short term as a ldquobridgerdquo but struggle when adding carbs back into diet and regain weight that was lost (1)
Sources 1 Low-Carb Diets Sorting Out the Information Nutritiion411 31 Aug 2012 Web 03 Oct 20162 Dubost Joy PhD RD CSSD Intermittent Fasting A Good Approach Academy of Nutrition and Dietetics 02 Jun 2014 Web 03 Oct 20163 Kohn Jill MS RDN LDN Should We Eat Like Our Caveman Ancestors Academy of Nutrition and Dietetics 19 Jan 2015 Web 03 Oct 20164 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
22
Fad diets never diehellipIntermittent Fasting ndash long fasting periods at least 16 hours Popular with elite athletes or
fitness enthusiast Workouts usually suffer can get light-headed dizzy tired and nauseated (2)
Paleo ndash Eat like our ancestors did 10000 years ago
bull Typically falls short on carbohydrates very restrictive bull Difficult for some to reach fiber calcium and vitamin D bull Can you really only eat only wild caught fish grass-fed meat and organic fruits and veg(3) bull Can be very expensive (4)
Bottom line If a diet or product sounds too good to be true it probably is
Can you keep eating like this in 6 months 12 months
Sources 1 Low-Carb Diets Sorting Out the Information Nutritiion411 31 Aug 2012 Web 03 Oct 20162 Dubost Joy PhD RD CSSD Intermittent Fasting A Good Approach Academy of Nutrition and Dietetics 02 Jun 2014 Web 03 Oct 20163 Kohn Jill MS RDN LDN Should We Eat Like Our Caveman Ancestors Academy of Nutrition and Dietetics 19 Jan 2015 Web 03 Oct 20164 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
23
Diets that workThe DASH Diet ndash Dietary Approaches to Stop Hypertension ranked the best overall diet for the 6th year in a row by US News amp World Report Heart healthy and nutritionally sound easy to follow (1)
Weight Watchers Diet ndash Ranked 4 overall best diet Eat what you want no foods off-limits and flexibility to shape your own diet Highest ranked for easy to follow (1)
Whatever works for you as long as yoursquore eating a variety of foods and staying at your recommended calorie level
ChooseMyPlate food model ndash Free nutritionally sound easy to follow tons of online resources
Source1 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
Dairy Eggs Bakery BreadsMeat
Can
ned
Fo
od
s
Bak
ing
Item
s
Fro
zen
Fo
od
s
Cle
anin
g amp
Pap
er It
ems
Checkout
Fruits amp
Vegetab
lesPro
cess
ed F
oo
ds
Entrance
Shop The Store Perimeter
Eggsbull Low Cost High Quality Protein
bull Are a source of 18 vitamins and minerals
bull Vitamin A (Lutein and zeaxanthin) ndash for healthy eyes
bull Calcium ndash for strong bones
bull Vitamin D ndash for calcium absorption
The Incredible Edible Egg
OPSS
SUPPLEMENTS
27
bull Not regulated closely by the FDA due to the Dietary Supplement Health Education Act 19942004
bull Generally expensive
bull Little to no proven benefits
bull AF bans HempAnabolic steroids
bull FDA prohibits sale of Ephedra
BOTTOM LINE Food first supplement second Discuss with flight surgeon primary care physician andor
Registered Dietitian before using
httphprc-onlineorgdietary-supplementsopss
Supplement Resources
bull Operation Supplement Safety (OPSS) httpswwwopssorg
SEARCH
ASK THE EXPERT
Ratings based on product
safety effectiveness
amp quality
lowest ratings have greatest
safety concerns
OPSS
Energy Drinks
Concerns with Energy Drinksbull No FDA regulation caffeine amounts vary 80-500 mg
bull FDA and UK Govrsquot issued warnings ER visits deathsHeart palpitations caffeine overdose HTN dental caries Obesity Type 2 DM
STAY SAFE BY Checking ingredients for caffeine sugar additives
SELECTING SUPPLEMENTS
bull Step 1 Safety Assessment bull Evidence-based approachbull Avoid Supplements with long ingredient list or ldquoproprietary blendrdquo
bull Step 2 Effectiveness Assessmentbull Look for clinically studied brand names bull Ask yourself ldquoWhat do I want to accomplishrdquobull wwwnaturaldatabasecombull wwwhprc-onlineorgOPSS
bull Step 3 Product Quality Assessmentbull Audit by an outside 3rd party agency
bull USP NSF Consumer Lab Informed Choice bull The link below is to a video from USP on choosing safe supplementsbull httpwwwusporgsitesdefaultfilesvideouspvConsumerEducationind
exhtml
Abdel-Aal E S M Akhtar H Zaheer K amp Ali R (2013) Dietary sources of lutein and zeaxanthin carotenoids and their role in eye health Nutrients 5(4) 1169-1185 httpwwwmdpicom2072-6643541169htm
Camilleri G M Meacutejean C Bellisle F Hercberg S amp Peacuteneau S (2016) Mindminus body practice and body weight status in a large population-based sample of adults American journal of preventive medicine 50(4) e101-e109
Carneiro A and Andrade JP Nutritional and Lifestyle Interventions for Age-Related Macular Degeneration A Review (2017) Oxidative Medicine and Cellular Longevity 2017 Article ID 6469138 13 pages httpsdoiorg10115520176469138
Chung HY Rasmussen HM and Johnson EJ (2004) Lutein bioavailability is higher from lutein-enriched eggs than from supplements and spinach in men J Nutr 1341887-1893 httpjnnutritionorgcontent13481887full
Granado F Olmedilla B and Blanco I (2003) Nutritional and clinical relevance of lutein in human health British Journal of Nutrition 90(3) 487-502 httpswwwcambridgeorgcorejournalsbritish-journal-of-nutritionarticlenutritional-and-clinical-relevance-of-lutein-in-human-health27F42056D523DC78A8EE6135D500B338
Gruber M Chappell R Millen A LaRowe T Moeller SM Iannaccone A Kritchevsky SB and Mares J (2004) Correlates of serum lutein + zeaxanthin Findings from the Third National Health and Nutrition Examination Survey J Nutr 1342387ndash2394 httpjnnutritionorgcontent13492387fullpdf+html
References
Hawkes C Smith T G Jewell J Wardle J Hammond R A Friel S amp Kain J (2015) Smart food policies for obesity prevention The Lancet 385(9985) 2410-2421
Higdon J Drake VJ Delage B and Johnson EJ (2004-2016) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Carotenoids Accessed November 16-17 2017 httplpioregonstateedumicdietary-factorsphytochemicalscarotenoids
Higdon J Drake VJ Delage B Ross AC and Tan L (2000-2015) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Vitamin A Accessed November 16-17 2017 httplpioregonstateedumicvitaminsvitamin-A
Jacka F N OrsquoNeil A Opie R Itsiopoulos C Cotton S Mohebbi M amp Brazionis L (2017) A randomised controlled trial of dietary improvement for adults with major depression (the lsquoSMILESrsquotrial) BMC medicine 15(1) 23
Johnson EJ Maras JE Rasmussen HM Tucker KL (2010) Intake of lutein and zeaxanthin differ with age sex and ethnicity J Am Diet Assoc Sep110(9)1357-62 doi 101016jjada201006009
Lappe J Cullen D Haynatzki G Recker R Ahlf R amp Thompson K (2008) Calcium and vitamin D supplementation decreases incidence of stress fractures in female navy recruits Journal of Bone and Mineral Research 23(5) 741-749
Larson T and Coker J (2009) A descriptive study of lutein and zeaxanthin in optometric practice Optometry 80(10)579-86 doi 101016joptm200903015
References
Marx W Moseley G Berk M amp Jacka F (2017) Nutritional psychiatry the present state of the evidence Proceedings of the Nutrition Society 76(4) 427-436
McCusker MM Durrani K Payette PJ and Suchecki J (MarchndashApril 2016) An eye on nutrition The role of vitamins essential fatty acids and antioxidants in age-related macular degeneration dry eye syndrome and cataract Clinics in Dermatology Volume 34 (2) 276-285 httpsdoiorg101016jclindermatol201511009
Meegan A P Perry I J amp Phillips C M (2017) The association between dietary quality and dietary guideline adherence with mental health outcomes in adults a cross-sectional analysis Nutrients 9(3) 238
Merle B M Silver R E Rosner B amp Seddon J M (2015) Adherence to a Mediterranean diet genetic susceptibility and progression to advanced macular degeneration a prospective cohort study The American Journal of Clinical Nutrition 102(5) 1196ndash1206 httpdoiorg103945ajcn115111047
Natural Medicines Comprehensive Database (Updated July 3 2017) Natural medicines in the clinical management of eye disorders age-related degeneration cataracts and glaucoma httpnaturaldatabasetherapeuticresearchcomceCECourseaspxcs=amppm=5amps=ndamppc=09-23ampsearchid=61408260keywordanchor Accessed July 3 5 and 6 2017
Pennington K L amp DeAngelis M M (2016) Epidemiology of age-related macular degeneration (AMD) associations with cardiovascular disease phenotypes and lipid factors Eye and Vision 3 34 httpdoiorg101186s40662-016-0063-5
References
Sarris J Logan A C Akbaraly T N Amminger G P Balanzaacute-Martiacutenez V Freeman M P amp Nanri A (2015) Nutritional medicine as mainstream in psychiatry The Lancet Psychiatry 2(3) 271-274
Schleicher M Weikel K Garber C amp Taylor A (2013) Diminishing Risk for Age-Related Macular Degeneration with Nutrition A Current View Nutrients 5(7) 2405ndash2456 httpdoiorg103390nu5072405
Seddon JM Ajani UA Sperduto RD Hiller R Blair N Burton TC Farber MD Gragoudas ES Haller J Miller DT Yannuzzi LA Willett W Dietary Carotenoids Vitamins A C and E and Advanced Age-Related Macular Degeneration JAMA 1994272(18)1413-1420 doi101001jama199403520180037032
Wintermeyer E Ihle C Ehnert S Stoumlckle U Ochs G de Zwart P amp Nussler A K (2016) Crucial role of vitamin D in the musculoskeletal system Nutrients 8(6) 319
References
36
Thank you
Questions
Health Triad
3
1 The learner will be able to state definitions for macronutrients and micronutrients and how they relate to dietary intake
2 The learner will be able to translate one micronutrient need concept into a school health education campaign
3 The learner will be able to state risks associated with supplement use and where to find information on supplement safety
Objectives
4
Macronutrients ndash are the basis of any diet
1 The three macronutrients or food groups are
Carbohydrates ndash fruits vegetables grains (whole grains vs refined grains)
Protein - meat poultry seafood eggs soy products nutsseeds beans
Fat ndash Butter shortening cooking oils animals meats (lard) nuts fish salad dressings
Macronutrients
WHAT IS A CALORIE
Obesity Map ndash Adults - 2017
6httpswwwcdcgovobesitydataprevalence-mapshtml
ObesityOverweight ndash Age gt 20
7
ObesityOverweight ndash Age gt 20
8
ObesityOverweight - Age 2-19
9
ObesityOverweight - Age 2-19
10
11
LIQUID CALORIES
12
Choose Nutrient Dense Foods
Foods that contain a large quantity of nutrients compared to the number of calories
13
VS
Nutrient Dense Foods
bull Fresh fruits and vegetables - with rich color
bull Baking seaming and sauteacuteing are best for nutrients
bull Whole grains
bull Dairy products without added sugar
bull US DHHSNIHNCI httpswwwcancergovpublicationsdictionariescancer-termsdefnutrient-dense-food
14
Micronutrients = vitamins and minerals Micronutrients get things done in the body
They include1 Iron = healthy blood2 Calcium = strong bones and muscle3 Vitamin D = allows calcium to be absorbed4 Vitamin A = eyesight5 Niacin = digestive system skin and nerves6 Riboflavin = energy production healthy skin and hair
Source National Institute of Health website httpsodsodnihgovfactsheetslist-all
Micronutrients
Calcium makes bones amp muscles strong
Health Promotion Nutrition Tips - Calcium
Health Promotion Team 48 AMDSSGPZ
226-8777 Find us on Facebook at
httpsmfacebookcomRAFHealthPromotion
Low dietary intake = weak muscles amp bones
Weak muscles amp bones = sports injuries and pain
Vitamin D strengthens bones and positive mood
Health Promotion Nutrition Tips ndash Vitamin D
Health Promotion Team 48 AMDSSGPZ
226-8777 Find us on Facebook at
httpsmfacebookcomRAFHealthPromotion
We get Vitamin D from sun exposure and foods
Vitamin D deficiency = weak bones (rickets) and ldquothe winter bluesrdquo
Only American dairy products are fortified with Vit D
Age-Related Macular Degeneration
bull Blindness
bull gt2000000 USA
bull No Cure
bull Macula - slowly deteriorates bull ldquoAlzheimerrsquos of the eyerdquobull gtage of 80 bull USA prevalence to double by 2050bull $$$$ will be needed to deal for social
services if a cure ndash or effective treatment is not found
This Photo by Unknown Author is licensed under CC BY-SA
Age-Related Macular Degeneration
Risk Factorsbull Cigarette Smoking
bull Sunlight exposure
bull Eye Color - low ocular melanin
bull Age
bull Genetics
bull body mass index
bull and nutritional status
This Photo by Unknown Author is licensed under CC BY-NC-ND
19
Vitamin A is required for and beneficial to eye heath
Global blindness - Vitamin A deficiency (Retinol)
Vitamin A is a general term for several groups of compounds
Pro-Vitamin A compounds = can be converted to retinol alpha-carotene beta-carotene and beta-cryptoxanthin
Lutein zeaxanthin and lycopene are nonpro-Vitamin A compounds and are not essential nutrients
High dietary intake is associated with decreased incidence of AMD
Absorb blue light protecting photoreceptors from sunlight induced damage
Vitamin A
20
Diet trends include-Atkins -South Beach Diet-Low Carbohydrate-High Protein-Fasting in various forms-Paleo
Diet Trends
21
If itrsquos too good to be truehellipLow Carb ndashAtkins South Beak Keto or Ketogenic diets
bull Positive Can lose weight
bull Negative Bad breath dizziness fatigue mental slowness constipation potential for low blood sugar events
So if you operate any heavy or potentially dangerous equipment this is NOT for you
bull Most people use this diet short term as a ldquobridgerdquo but struggle when adding carbs back into diet and regain weight that was lost (1)
Sources 1 Low-Carb Diets Sorting Out the Information Nutritiion411 31 Aug 2012 Web 03 Oct 20162 Dubost Joy PhD RD CSSD Intermittent Fasting A Good Approach Academy of Nutrition and Dietetics 02 Jun 2014 Web 03 Oct 20163 Kohn Jill MS RDN LDN Should We Eat Like Our Caveman Ancestors Academy of Nutrition and Dietetics 19 Jan 2015 Web 03 Oct 20164 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
22
Fad diets never diehellipIntermittent Fasting ndash long fasting periods at least 16 hours Popular with elite athletes or
fitness enthusiast Workouts usually suffer can get light-headed dizzy tired and nauseated (2)
Paleo ndash Eat like our ancestors did 10000 years ago
bull Typically falls short on carbohydrates very restrictive bull Difficult for some to reach fiber calcium and vitamin D bull Can you really only eat only wild caught fish grass-fed meat and organic fruits and veg(3) bull Can be very expensive (4)
Bottom line If a diet or product sounds too good to be true it probably is
Can you keep eating like this in 6 months 12 months
Sources 1 Low-Carb Diets Sorting Out the Information Nutritiion411 31 Aug 2012 Web 03 Oct 20162 Dubost Joy PhD RD CSSD Intermittent Fasting A Good Approach Academy of Nutrition and Dietetics 02 Jun 2014 Web 03 Oct 20163 Kohn Jill MS RDN LDN Should We Eat Like Our Caveman Ancestors Academy of Nutrition and Dietetics 19 Jan 2015 Web 03 Oct 20164 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
23
Diets that workThe DASH Diet ndash Dietary Approaches to Stop Hypertension ranked the best overall diet for the 6th year in a row by US News amp World Report Heart healthy and nutritionally sound easy to follow (1)
Weight Watchers Diet ndash Ranked 4 overall best diet Eat what you want no foods off-limits and flexibility to shape your own diet Highest ranked for easy to follow (1)
Whatever works for you as long as yoursquore eating a variety of foods and staying at your recommended calorie level
ChooseMyPlate food model ndash Free nutritionally sound easy to follow tons of online resources
Source1 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
Dairy Eggs Bakery BreadsMeat
Can
ned
Fo
od
s
Bak
ing
Item
s
Fro
zen
Fo
od
s
Cle
anin
g amp
Pap
er It
ems
Checkout
Fruits amp
Vegetab
lesPro
cess
ed F
oo
ds
Entrance
Shop The Store Perimeter
Eggsbull Low Cost High Quality Protein
bull Are a source of 18 vitamins and minerals
bull Vitamin A (Lutein and zeaxanthin) ndash for healthy eyes
bull Calcium ndash for strong bones
bull Vitamin D ndash for calcium absorption
The Incredible Edible Egg
OPSS
SUPPLEMENTS
27
bull Not regulated closely by the FDA due to the Dietary Supplement Health Education Act 19942004
bull Generally expensive
bull Little to no proven benefits
bull AF bans HempAnabolic steroids
bull FDA prohibits sale of Ephedra
BOTTOM LINE Food first supplement second Discuss with flight surgeon primary care physician andor
Registered Dietitian before using
httphprc-onlineorgdietary-supplementsopss
Supplement Resources
bull Operation Supplement Safety (OPSS) httpswwwopssorg
SEARCH
ASK THE EXPERT
Ratings based on product
safety effectiveness
amp quality
lowest ratings have greatest
safety concerns
OPSS
Energy Drinks
Concerns with Energy Drinksbull No FDA regulation caffeine amounts vary 80-500 mg
bull FDA and UK Govrsquot issued warnings ER visits deathsHeart palpitations caffeine overdose HTN dental caries Obesity Type 2 DM
STAY SAFE BY Checking ingredients for caffeine sugar additives
SELECTING SUPPLEMENTS
bull Step 1 Safety Assessment bull Evidence-based approachbull Avoid Supplements with long ingredient list or ldquoproprietary blendrdquo
bull Step 2 Effectiveness Assessmentbull Look for clinically studied brand names bull Ask yourself ldquoWhat do I want to accomplishrdquobull wwwnaturaldatabasecombull wwwhprc-onlineorgOPSS
bull Step 3 Product Quality Assessmentbull Audit by an outside 3rd party agency
bull USP NSF Consumer Lab Informed Choice bull The link below is to a video from USP on choosing safe supplementsbull httpwwwusporgsitesdefaultfilesvideouspvConsumerEducationind
exhtml
Abdel-Aal E S M Akhtar H Zaheer K amp Ali R (2013) Dietary sources of lutein and zeaxanthin carotenoids and their role in eye health Nutrients 5(4) 1169-1185 httpwwwmdpicom2072-6643541169htm
Camilleri G M Meacutejean C Bellisle F Hercberg S amp Peacuteneau S (2016) Mindminus body practice and body weight status in a large population-based sample of adults American journal of preventive medicine 50(4) e101-e109
Carneiro A and Andrade JP Nutritional and Lifestyle Interventions for Age-Related Macular Degeneration A Review (2017) Oxidative Medicine and Cellular Longevity 2017 Article ID 6469138 13 pages httpsdoiorg10115520176469138
Chung HY Rasmussen HM and Johnson EJ (2004) Lutein bioavailability is higher from lutein-enriched eggs than from supplements and spinach in men J Nutr 1341887-1893 httpjnnutritionorgcontent13481887full
Granado F Olmedilla B and Blanco I (2003) Nutritional and clinical relevance of lutein in human health British Journal of Nutrition 90(3) 487-502 httpswwwcambridgeorgcorejournalsbritish-journal-of-nutritionarticlenutritional-and-clinical-relevance-of-lutein-in-human-health27F42056D523DC78A8EE6135D500B338
Gruber M Chappell R Millen A LaRowe T Moeller SM Iannaccone A Kritchevsky SB and Mares J (2004) Correlates of serum lutein + zeaxanthin Findings from the Third National Health and Nutrition Examination Survey J Nutr 1342387ndash2394 httpjnnutritionorgcontent13492387fullpdf+html
References
Hawkes C Smith T G Jewell J Wardle J Hammond R A Friel S amp Kain J (2015) Smart food policies for obesity prevention The Lancet 385(9985) 2410-2421
Higdon J Drake VJ Delage B and Johnson EJ (2004-2016) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Carotenoids Accessed November 16-17 2017 httplpioregonstateedumicdietary-factorsphytochemicalscarotenoids
Higdon J Drake VJ Delage B Ross AC and Tan L (2000-2015) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Vitamin A Accessed November 16-17 2017 httplpioregonstateedumicvitaminsvitamin-A
Jacka F N OrsquoNeil A Opie R Itsiopoulos C Cotton S Mohebbi M amp Brazionis L (2017) A randomised controlled trial of dietary improvement for adults with major depression (the lsquoSMILESrsquotrial) BMC medicine 15(1) 23
Johnson EJ Maras JE Rasmussen HM Tucker KL (2010) Intake of lutein and zeaxanthin differ with age sex and ethnicity J Am Diet Assoc Sep110(9)1357-62 doi 101016jjada201006009
Lappe J Cullen D Haynatzki G Recker R Ahlf R amp Thompson K (2008) Calcium and vitamin D supplementation decreases incidence of stress fractures in female navy recruits Journal of Bone and Mineral Research 23(5) 741-749
Larson T and Coker J (2009) A descriptive study of lutein and zeaxanthin in optometric practice Optometry 80(10)579-86 doi 101016joptm200903015
References
Marx W Moseley G Berk M amp Jacka F (2017) Nutritional psychiatry the present state of the evidence Proceedings of the Nutrition Society 76(4) 427-436
McCusker MM Durrani K Payette PJ and Suchecki J (MarchndashApril 2016) An eye on nutrition The role of vitamins essential fatty acids and antioxidants in age-related macular degeneration dry eye syndrome and cataract Clinics in Dermatology Volume 34 (2) 276-285 httpsdoiorg101016jclindermatol201511009
Meegan A P Perry I J amp Phillips C M (2017) The association between dietary quality and dietary guideline adherence with mental health outcomes in adults a cross-sectional analysis Nutrients 9(3) 238
Merle B M Silver R E Rosner B amp Seddon J M (2015) Adherence to a Mediterranean diet genetic susceptibility and progression to advanced macular degeneration a prospective cohort study The American Journal of Clinical Nutrition 102(5) 1196ndash1206 httpdoiorg103945ajcn115111047
Natural Medicines Comprehensive Database (Updated July 3 2017) Natural medicines in the clinical management of eye disorders age-related degeneration cataracts and glaucoma httpnaturaldatabasetherapeuticresearchcomceCECourseaspxcs=amppm=5amps=ndamppc=09-23ampsearchid=61408260keywordanchor Accessed July 3 5 and 6 2017
Pennington K L amp DeAngelis M M (2016) Epidemiology of age-related macular degeneration (AMD) associations with cardiovascular disease phenotypes and lipid factors Eye and Vision 3 34 httpdoiorg101186s40662-016-0063-5
References
Sarris J Logan A C Akbaraly T N Amminger G P Balanzaacute-Martiacutenez V Freeman M P amp Nanri A (2015) Nutritional medicine as mainstream in psychiatry The Lancet Psychiatry 2(3) 271-274
Schleicher M Weikel K Garber C amp Taylor A (2013) Diminishing Risk for Age-Related Macular Degeneration with Nutrition A Current View Nutrients 5(7) 2405ndash2456 httpdoiorg103390nu5072405
Seddon JM Ajani UA Sperduto RD Hiller R Blair N Burton TC Farber MD Gragoudas ES Haller J Miller DT Yannuzzi LA Willett W Dietary Carotenoids Vitamins A C and E and Advanced Age-Related Macular Degeneration JAMA 1994272(18)1413-1420 doi101001jama199403520180037032
Wintermeyer E Ihle C Ehnert S Stoumlckle U Ochs G de Zwart P amp Nussler A K (2016) Crucial role of vitamin D in the musculoskeletal system Nutrients 8(6) 319
References
36
Thank you
Questions
3
1 The learner will be able to state definitions for macronutrients and micronutrients and how they relate to dietary intake
2 The learner will be able to translate one micronutrient need concept into a school health education campaign
3 The learner will be able to state risks associated with supplement use and where to find information on supplement safety
Objectives
4
Macronutrients ndash are the basis of any diet
1 The three macronutrients or food groups are
Carbohydrates ndash fruits vegetables grains (whole grains vs refined grains)
Protein - meat poultry seafood eggs soy products nutsseeds beans
Fat ndash Butter shortening cooking oils animals meats (lard) nuts fish salad dressings
Macronutrients
WHAT IS A CALORIE
Obesity Map ndash Adults - 2017
6httpswwwcdcgovobesitydataprevalence-mapshtml
ObesityOverweight ndash Age gt 20
7
ObesityOverweight ndash Age gt 20
8
ObesityOverweight - Age 2-19
9
ObesityOverweight - Age 2-19
10
11
LIQUID CALORIES
12
Choose Nutrient Dense Foods
Foods that contain a large quantity of nutrients compared to the number of calories
13
VS
Nutrient Dense Foods
bull Fresh fruits and vegetables - with rich color
bull Baking seaming and sauteacuteing are best for nutrients
bull Whole grains
bull Dairy products without added sugar
bull US DHHSNIHNCI httpswwwcancergovpublicationsdictionariescancer-termsdefnutrient-dense-food
14
Micronutrients = vitamins and minerals Micronutrients get things done in the body
They include1 Iron = healthy blood2 Calcium = strong bones and muscle3 Vitamin D = allows calcium to be absorbed4 Vitamin A = eyesight5 Niacin = digestive system skin and nerves6 Riboflavin = energy production healthy skin and hair
Source National Institute of Health website httpsodsodnihgovfactsheetslist-all
Micronutrients
Calcium makes bones amp muscles strong
Health Promotion Nutrition Tips - Calcium
Health Promotion Team 48 AMDSSGPZ
226-8777 Find us on Facebook at
httpsmfacebookcomRAFHealthPromotion
Low dietary intake = weak muscles amp bones
Weak muscles amp bones = sports injuries and pain
Vitamin D strengthens bones and positive mood
Health Promotion Nutrition Tips ndash Vitamin D
Health Promotion Team 48 AMDSSGPZ
226-8777 Find us on Facebook at
httpsmfacebookcomRAFHealthPromotion
We get Vitamin D from sun exposure and foods
Vitamin D deficiency = weak bones (rickets) and ldquothe winter bluesrdquo
Only American dairy products are fortified with Vit D
Age-Related Macular Degeneration
bull Blindness
bull gt2000000 USA
bull No Cure
bull Macula - slowly deteriorates bull ldquoAlzheimerrsquos of the eyerdquobull gtage of 80 bull USA prevalence to double by 2050bull $$$$ will be needed to deal for social
services if a cure ndash or effective treatment is not found
This Photo by Unknown Author is licensed under CC BY-SA
Age-Related Macular Degeneration
Risk Factorsbull Cigarette Smoking
bull Sunlight exposure
bull Eye Color - low ocular melanin
bull Age
bull Genetics
bull body mass index
bull and nutritional status
This Photo by Unknown Author is licensed under CC BY-NC-ND
19
Vitamin A is required for and beneficial to eye heath
Global blindness - Vitamin A deficiency (Retinol)
Vitamin A is a general term for several groups of compounds
Pro-Vitamin A compounds = can be converted to retinol alpha-carotene beta-carotene and beta-cryptoxanthin
Lutein zeaxanthin and lycopene are nonpro-Vitamin A compounds and are not essential nutrients
High dietary intake is associated with decreased incidence of AMD
Absorb blue light protecting photoreceptors from sunlight induced damage
Vitamin A
20
Diet trends include-Atkins -South Beach Diet-Low Carbohydrate-High Protein-Fasting in various forms-Paleo
Diet Trends
21
If itrsquos too good to be truehellipLow Carb ndashAtkins South Beak Keto or Ketogenic diets
bull Positive Can lose weight
bull Negative Bad breath dizziness fatigue mental slowness constipation potential for low blood sugar events
So if you operate any heavy or potentially dangerous equipment this is NOT for you
bull Most people use this diet short term as a ldquobridgerdquo but struggle when adding carbs back into diet and regain weight that was lost (1)
Sources 1 Low-Carb Diets Sorting Out the Information Nutritiion411 31 Aug 2012 Web 03 Oct 20162 Dubost Joy PhD RD CSSD Intermittent Fasting A Good Approach Academy of Nutrition and Dietetics 02 Jun 2014 Web 03 Oct 20163 Kohn Jill MS RDN LDN Should We Eat Like Our Caveman Ancestors Academy of Nutrition and Dietetics 19 Jan 2015 Web 03 Oct 20164 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
22
Fad diets never diehellipIntermittent Fasting ndash long fasting periods at least 16 hours Popular with elite athletes or
fitness enthusiast Workouts usually suffer can get light-headed dizzy tired and nauseated (2)
Paleo ndash Eat like our ancestors did 10000 years ago
bull Typically falls short on carbohydrates very restrictive bull Difficult for some to reach fiber calcium and vitamin D bull Can you really only eat only wild caught fish grass-fed meat and organic fruits and veg(3) bull Can be very expensive (4)
Bottom line If a diet or product sounds too good to be true it probably is
Can you keep eating like this in 6 months 12 months
Sources 1 Low-Carb Diets Sorting Out the Information Nutritiion411 31 Aug 2012 Web 03 Oct 20162 Dubost Joy PhD RD CSSD Intermittent Fasting A Good Approach Academy of Nutrition and Dietetics 02 Jun 2014 Web 03 Oct 20163 Kohn Jill MS RDN LDN Should We Eat Like Our Caveman Ancestors Academy of Nutrition and Dietetics 19 Jan 2015 Web 03 Oct 20164 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
23
Diets that workThe DASH Diet ndash Dietary Approaches to Stop Hypertension ranked the best overall diet for the 6th year in a row by US News amp World Report Heart healthy and nutritionally sound easy to follow (1)
Weight Watchers Diet ndash Ranked 4 overall best diet Eat what you want no foods off-limits and flexibility to shape your own diet Highest ranked for easy to follow (1)
Whatever works for you as long as yoursquore eating a variety of foods and staying at your recommended calorie level
ChooseMyPlate food model ndash Free nutritionally sound easy to follow tons of online resources
Source1 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
Dairy Eggs Bakery BreadsMeat
Can
ned
Fo
od
s
Bak
ing
Item
s
Fro
zen
Fo
od
s
Cle
anin
g amp
Pap
er It
ems
Checkout
Fruits amp
Vegetab
lesPro
cess
ed F
oo
ds
Entrance
Shop The Store Perimeter
Eggsbull Low Cost High Quality Protein
bull Are a source of 18 vitamins and minerals
bull Vitamin A (Lutein and zeaxanthin) ndash for healthy eyes
bull Calcium ndash for strong bones
bull Vitamin D ndash for calcium absorption
The Incredible Edible Egg
OPSS
SUPPLEMENTS
27
bull Not regulated closely by the FDA due to the Dietary Supplement Health Education Act 19942004
bull Generally expensive
bull Little to no proven benefits
bull AF bans HempAnabolic steroids
bull FDA prohibits sale of Ephedra
BOTTOM LINE Food first supplement second Discuss with flight surgeon primary care physician andor
Registered Dietitian before using
httphprc-onlineorgdietary-supplementsopss
Supplement Resources
bull Operation Supplement Safety (OPSS) httpswwwopssorg
SEARCH
ASK THE EXPERT
Ratings based on product
safety effectiveness
amp quality
lowest ratings have greatest
safety concerns
OPSS
Energy Drinks
Concerns with Energy Drinksbull No FDA regulation caffeine amounts vary 80-500 mg
bull FDA and UK Govrsquot issued warnings ER visits deathsHeart palpitations caffeine overdose HTN dental caries Obesity Type 2 DM
STAY SAFE BY Checking ingredients for caffeine sugar additives
SELECTING SUPPLEMENTS
bull Step 1 Safety Assessment bull Evidence-based approachbull Avoid Supplements with long ingredient list or ldquoproprietary blendrdquo
bull Step 2 Effectiveness Assessmentbull Look for clinically studied brand names bull Ask yourself ldquoWhat do I want to accomplishrdquobull wwwnaturaldatabasecombull wwwhprc-onlineorgOPSS
bull Step 3 Product Quality Assessmentbull Audit by an outside 3rd party agency
bull USP NSF Consumer Lab Informed Choice bull The link below is to a video from USP on choosing safe supplementsbull httpwwwusporgsitesdefaultfilesvideouspvConsumerEducationind
exhtml
Abdel-Aal E S M Akhtar H Zaheer K amp Ali R (2013) Dietary sources of lutein and zeaxanthin carotenoids and their role in eye health Nutrients 5(4) 1169-1185 httpwwwmdpicom2072-6643541169htm
Camilleri G M Meacutejean C Bellisle F Hercberg S amp Peacuteneau S (2016) Mindminus body practice and body weight status in a large population-based sample of adults American journal of preventive medicine 50(4) e101-e109
Carneiro A and Andrade JP Nutritional and Lifestyle Interventions for Age-Related Macular Degeneration A Review (2017) Oxidative Medicine and Cellular Longevity 2017 Article ID 6469138 13 pages httpsdoiorg10115520176469138
Chung HY Rasmussen HM and Johnson EJ (2004) Lutein bioavailability is higher from lutein-enriched eggs than from supplements and spinach in men J Nutr 1341887-1893 httpjnnutritionorgcontent13481887full
Granado F Olmedilla B and Blanco I (2003) Nutritional and clinical relevance of lutein in human health British Journal of Nutrition 90(3) 487-502 httpswwwcambridgeorgcorejournalsbritish-journal-of-nutritionarticlenutritional-and-clinical-relevance-of-lutein-in-human-health27F42056D523DC78A8EE6135D500B338
Gruber M Chappell R Millen A LaRowe T Moeller SM Iannaccone A Kritchevsky SB and Mares J (2004) Correlates of serum lutein + zeaxanthin Findings from the Third National Health and Nutrition Examination Survey J Nutr 1342387ndash2394 httpjnnutritionorgcontent13492387fullpdf+html
References
Hawkes C Smith T G Jewell J Wardle J Hammond R A Friel S amp Kain J (2015) Smart food policies for obesity prevention The Lancet 385(9985) 2410-2421
Higdon J Drake VJ Delage B and Johnson EJ (2004-2016) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Carotenoids Accessed November 16-17 2017 httplpioregonstateedumicdietary-factorsphytochemicalscarotenoids
Higdon J Drake VJ Delage B Ross AC and Tan L (2000-2015) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Vitamin A Accessed November 16-17 2017 httplpioregonstateedumicvitaminsvitamin-A
Jacka F N OrsquoNeil A Opie R Itsiopoulos C Cotton S Mohebbi M amp Brazionis L (2017) A randomised controlled trial of dietary improvement for adults with major depression (the lsquoSMILESrsquotrial) BMC medicine 15(1) 23
Johnson EJ Maras JE Rasmussen HM Tucker KL (2010) Intake of lutein and zeaxanthin differ with age sex and ethnicity J Am Diet Assoc Sep110(9)1357-62 doi 101016jjada201006009
Lappe J Cullen D Haynatzki G Recker R Ahlf R amp Thompson K (2008) Calcium and vitamin D supplementation decreases incidence of stress fractures in female navy recruits Journal of Bone and Mineral Research 23(5) 741-749
Larson T and Coker J (2009) A descriptive study of lutein and zeaxanthin in optometric practice Optometry 80(10)579-86 doi 101016joptm200903015
References
Marx W Moseley G Berk M amp Jacka F (2017) Nutritional psychiatry the present state of the evidence Proceedings of the Nutrition Society 76(4) 427-436
McCusker MM Durrani K Payette PJ and Suchecki J (MarchndashApril 2016) An eye on nutrition The role of vitamins essential fatty acids and antioxidants in age-related macular degeneration dry eye syndrome and cataract Clinics in Dermatology Volume 34 (2) 276-285 httpsdoiorg101016jclindermatol201511009
Meegan A P Perry I J amp Phillips C M (2017) The association between dietary quality and dietary guideline adherence with mental health outcomes in adults a cross-sectional analysis Nutrients 9(3) 238
Merle B M Silver R E Rosner B amp Seddon J M (2015) Adherence to a Mediterranean diet genetic susceptibility and progression to advanced macular degeneration a prospective cohort study The American Journal of Clinical Nutrition 102(5) 1196ndash1206 httpdoiorg103945ajcn115111047
Natural Medicines Comprehensive Database (Updated July 3 2017) Natural medicines in the clinical management of eye disorders age-related degeneration cataracts and glaucoma httpnaturaldatabasetherapeuticresearchcomceCECourseaspxcs=amppm=5amps=ndamppc=09-23ampsearchid=61408260keywordanchor Accessed July 3 5 and 6 2017
Pennington K L amp DeAngelis M M (2016) Epidemiology of age-related macular degeneration (AMD) associations with cardiovascular disease phenotypes and lipid factors Eye and Vision 3 34 httpdoiorg101186s40662-016-0063-5
References
Sarris J Logan A C Akbaraly T N Amminger G P Balanzaacute-Martiacutenez V Freeman M P amp Nanri A (2015) Nutritional medicine as mainstream in psychiatry The Lancet Psychiatry 2(3) 271-274
Schleicher M Weikel K Garber C amp Taylor A (2013) Diminishing Risk for Age-Related Macular Degeneration with Nutrition A Current View Nutrients 5(7) 2405ndash2456 httpdoiorg103390nu5072405
Seddon JM Ajani UA Sperduto RD Hiller R Blair N Burton TC Farber MD Gragoudas ES Haller J Miller DT Yannuzzi LA Willett W Dietary Carotenoids Vitamins A C and E and Advanced Age-Related Macular Degeneration JAMA 1994272(18)1413-1420 doi101001jama199403520180037032
Wintermeyer E Ihle C Ehnert S Stoumlckle U Ochs G de Zwart P amp Nussler A K (2016) Crucial role of vitamin D in the musculoskeletal system Nutrients 8(6) 319
References
36
Thank you
Questions
4
Macronutrients ndash are the basis of any diet
1 The three macronutrients or food groups are
Carbohydrates ndash fruits vegetables grains (whole grains vs refined grains)
Protein - meat poultry seafood eggs soy products nutsseeds beans
Fat ndash Butter shortening cooking oils animals meats (lard) nuts fish salad dressings
Macronutrients
WHAT IS A CALORIE
Obesity Map ndash Adults - 2017
6httpswwwcdcgovobesitydataprevalence-mapshtml
ObesityOverweight ndash Age gt 20
7
ObesityOverweight ndash Age gt 20
8
ObesityOverweight - Age 2-19
9
ObesityOverweight - Age 2-19
10
11
LIQUID CALORIES
12
Choose Nutrient Dense Foods
Foods that contain a large quantity of nutrients compared to the number of calories
13
VS
Nutrient Dense Foods
bull Fresh fruits and vegetables - with rich color
bull Baking seaming and sauteacuteing are best for nutrients
bull Whole grains
bull Dairy products without added sugar
bull US DHHSNIHNCI httpswwwcancergovpublicationsdictionariescancer-termsdefnutrient-dense-food
14
Micronutrients = vitamins and minerals Micronutrients get things done in the body
They include1 Iron = healthy blood2 Calcium = strong bones and muscle3 Vitamin D = allows calcium to be absorbed4 Vitamin A = eyesight5 Niacin = digestive system skin and nerves6 Riboflavin = energy production healthy skin and hair
Source National Institute of Health website httpsodsodnihgovfactsheetslist-all
Micronutrients
Calcium makes bones amp muscles strong
Health Promotion Nutrition Tips - Calcium
Health Promotion Team 48 AMDSSGPZ
226-8777 Find us on Facebook at
httpsmfacebookcomRAFHealthPromotion
Low dietary intake = weak muscles amp bones
Weak muscles amp bones = sports injuries and pain
Vitamin D strengthens bones and positive mood
Health Promotion Nutrition Tips ndash Vitamin D
Health Promotion Team 48 AMDSSGPZ
226-8777 Find us on Facebook at
httpsmfacebookcomRAFHealthPromotion
We get Vitamin D from sun exposure and foods
Vitamin D deficiency = weak bones (rickets) and ldquothe winter bluesrdquo
Only American dairy products are fortified with Vit D
Age-Related Macular Degeneration
bull Blindness
bull gt2000000 USA
bull No Cure
bull Macula - slowly deteriorates bull ldquoAlzheimerrsquos of the eyerdquobull gtage of 80 bull USA prevalence to double by 2050bull $$$$ will be needed to deal for social
services if a cure ndash or effective treatment is not found
This Photo by Unknown Author is licensed under CC BY-SA
Age-Related Macular Degeneration
Risk Factorsbull Cigarette Smoking
bull Sunlight exposure
bull Eye Color - low ocular melanin
bull Age
bull Genetics
bull body mass index
bull and nutritional status
This Photo by Unknown Author is licensed under CC BY-NC-ND
19
Vitamin A is required for and beneficial to eye heath
Global blindness - Vitamin A deficiency (Retinol)
Vitamin A is a general term for several groups of compounds
Pro-Vitamin A compounds = can be converted to retinol alpha-carotene beta-carotene and beta-cryptoxanthin
Lutein zeaxanthin and lycopene are nonpro-Vitamin A compounds and are not essential nutrients
High dietary intake is associated with decreased incidence of AMD
Absorb blue light protecting photoreceptors from sunlight induced damage
Vitamin A
20
Diet trends include-Atkins -South Beach Diet-Low Carbohydrate-High Protein-Fasting in various forms-Paleo
Diet Trends
21
If itrsquos too good to be truehellipLow Carb ndashAtkins South Beak Keto or Ketogenic diets
bull Positive Can lose weight
bull Negative Bad breath dizziness fatigue mental slowness constipation potential for low blood sugar events
So if you operate any heavy or potentially dangerous equipment this is NOT for you
bull Most people use this diet short term as a ldquobridgerdquo but struggle when adding carbs back into diet and regain weight that was lost (1)
Sources 1 Low-Carb Diets Sorting Out the Information Nutritiion411 31 Aug 2012 Web 03 Oct 20162 Dubost Joy PhD RD CSSD Intermittent Fasting A Good Approach Academy of Nutrition and Dietetics 02 Jun 2014 Web 03 Oct 20163 Kohn Jill MS RDN LDN Should We Eat Like Our Caveman Ancestors Academy of Nutrition and Dietetics 19 Jan 2015 Web 03 Oct 20164 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
22
Fad diets never diehellipIntermittent Fasting ndash long fasting periods at least 16 hours Popular with elite athletes or
fitness enthusiast Workouts usually suffer can get light-headed dizzy tired and nauseated (2)
Paleo ndash Eat like our ancestors did 10000 years ago
bull Typically falls short on carbohydrates very restrictive bull Difficult for some to reach fiber calcium and vitamin D bull Can you really only eat only wild caught fish grass-fed meat and organic fruits and veg(3) bull Can be very expensive (4)
Bottom line If a diet or product sounds too good to be true it probably is
Can you keep eating like this in 6 months 12 months
Sources 1 Low-Carb Diets Sorting Out the Information Nutritiion411 31 Aug 2012 Web 03 Oct 20162 Dubost Joy PhD RD CSSD Intermittent Fasting A Good Approach Academy of Nutrition and Dietetics 02 Jun 2014 Web 03 Oct 20163 Kohn Jill MS RDN LDN Should We Eat Like Our Caveman Ancestors Academy of Nutrition and Dietetics 19 Jan 2015 Web 03 Oct 20164 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
23
Diets that workThe DASH Diet ndash Dietary Approaches to Stop Hypertension ranked the best overall diet for the 6th year in a row by US News amp World Report Heart healthy and nutritionally sound easy to follow (1)
Weight Watchers Diet ndash Ranked 4 overall best diet Eat what you want no foods off-limits and flexibility to shape your own diet Highest ranked for easy to follow (1)
Whatever works for you as long as yoursquore eating a variety of foods and staying at your recommended calorie level
ChooseMyPlate food model ndash Free nutritionally sound easy to follow tons of online resources
Source1 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
Dairy Eggs Bakery BreadsMeat
Can
ned
Fo
od
s
Bak
ing
Item
s
Fro
zen
Fo
od
s
Cle
anin
g amp
Pap
er It
ems
Checkout
Fruits amp
Vegetab
lesPro
cess
ed F
oo
ds
Entrance
Shop The Store Perimeter
Eggsbull Low Cost High Quality Protein
bull Are a source of 18 vitamins and minerals
bull Vitamin A (Lutein and zeaxanthin) ndash for healthy eyes
bull Calcium ndash for strong bones
bull Vitamin D ndash for calcium absorption
The Incredible Edible Egg
OPSS
SUPPLEMENTS
27
bull Not regulated closely by the FDA due to the Dietary Supplement Health Education Act 19942004
bull Generally expensive
bull Little to no proven benefits
bull AF bans HempAnabolic steroids
bull FDA prohibits sale of Ephedra
BOTTOM LINE Food first supplement second Discuss with flight surgeon primary care physician andor
Registered Dietitian before using
httphprc-onlineorgdietary-supplementsopss
Supplement Resources
bull Operation Supplement Safety (OPSS) httpswwwopssorg
SEARCH
ASK THE EXPERT
Ratings based on product
safety effectiveness
amp quality
lowest ratings have greatest
safety concerns
OPSS
Energy Drinks
Concerns with Energy Drinksbull No FDA regulation caffeine amounts vary 80-500 mg
bull FDA and UK Govrsquot issued warnings ER visits deathsHeart palpitations caffeine overdose HTN dental caries Obesity Type 2 DM
STAY SAFE BY Checking ingredients for caffeine sugar additives
SELECTING SUPPLEMENTS
bull Step 1 Safety Assessment bull Evidence-based approachbull Avoid Supplements with long ingredient list or ldquoproprietary blendrdquo
bull Step 2 Effectiveness Assessmentbull Look for clinically studied brand names bull Ask yourself ldquoWhat do I want to accomplishrdquobull wwwnaturaldatabasecombull wwwhprc-onlineorgOPSS
bull Step 3 Product Quality Assessmentbull Audit by an outside 3rd party agency
bull USP NSF Consumer Lab Informed Choice bull The link below is to a video from USP on choosing safe supplementsbull httpwwwusporgsitesdefaultfilesvideouspvConsumerEducationind
exhtml
Abdel-Aal E S M Akhtar H Zaheer K amp Ali R (2013) Dietary sources of lutein and zeaxanthin carotenoids and their role in eye health Nutrients 5(4) 1169-1185 httpwwwmdpicom2072-6643541169htm
Camilleri G M Meacutejean C Bellisle F Hercberg S amp Peacuteneau S (2016) Mindminus body practice and body weight status in a large population-based sample of adults American journal of preventive medicine 50(4) e101-e109
Carneiro A and Andrade JP Nutritional and Lifestyle Interventions for Age-Related Macular Degeneration A Review (2017) Oxidative Medicine and Cellular Longevity 2017 Article ID 6469138 13 pages httpsdoiorg10115520176469138
Chung HY Rasmussen HM and Johnson EJ (2004) Lutein bioavailability is higher from lutein-enriched eggs than from supplements and spinach in men J Nutr 1341887-1893 httpjnnutritionorgcontent13481887full
Granado F Olmedilla B and Blanco I (2003) Nutritional and clinical relevance of lutein in human health British Journal of Nutrition 90(3) 487-502 httpswwwcambridgeorgcorejournalsbritish-journal-of-nutritionarticlenutritional-and-clinical-relevance-of-lutein-in-human-health27F42056D523DC78A8EE6135D500B338
Gruber M Chappell R Millen A LaRowe T Moeller SM Iannaccone A Kritchevsky SB and Mares J (2004) Correlates of serum lutein + zeaxanthin Findings from the Third National Health and Nutrition Examination Survey J Nutr 1342387ndash2394 httpjnnutritionorgcontent13492387fullpdf+html
References
Hawkes C Smith T G Jewell J Wardle J Hammond R A Friel S amp Kain J (2015) Smart food policies for obesity prevention The Lancet 385(9985) 2410-2421
Higdon J Drake VJ Delage B and Johnson EJ (2004-2016) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Carotenoids Accessed November 16-17 2017 httplpioregonstateedumicdietary-factorsphytochemicalscarotenoids
Higdon J Drake VJ Delage B Ross AC and Tan L (2000-2015) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Vitamin A Accessed November 16-17 2017 httplpioregonstateedumicvitaminsvitamin-A
Jacka F N OrsquoNeil A Opie R Itsiopoulos C Cotton S Mohebbi M amp Brazionis L (2017) A randomised controlled trial of dietary improvement for adults with major depression (the lsquoSMILESrsquotrial) BMC medicine 15(1) 23
Johnson EJ Maras JE Rasmussen HM Tucker KL (2010) Intake of lutein and zeaxanthin differ with age sex and ethnicity J Am Diet Assoc Sep110(9)1357-62 doi 101016jjada201006009
Lappe J Cullen D Haynatzki G Recker R Ahlf R amp Thompson K (2008) Calcium and vitamin D supplementation decreases incidence of stress fractures in female navy recruits Journal of Bone and Mineral Research 23(5) 741-749
Larson T and Coker J (2009) A descriptive study of lutein and zeaxanthin in optometric practice Optometry 80(10)579-86 doi 101016joptm200903015
References
Marx W Moseley G Berk M amp Jacka F (2017) Nutritional psychiatry the present state of the evidence Proceedings of the Nutrition Society 76(4) 427-436
McCusker MM Durrani K Payette PJ and Suchecki J (MarchndashApril 2016) An eye on nutrition The role of vitamins essential fatty acids and antioxidants in age-related macular degeneration dry eye syndrome and cataract Clinics in Dermatology Volume 34 (2) 276-285 httpsdoiorg101016jclindermatol201511009
Meegan A P Perry I J amp Phillips C M (2017) The association between dietary quality and dietary guideline adherence with mental health outcomes in adults a cross-sectional analysis Nutrients 9(3) 238
Merle B M Silver R E Rosner B amp Seddon J M (2015) Adherence to a Mediterranean diet genetic susceptibility and progression to advanced macular degeneration a prospective cohort study The American Journal of Clinical Nutrition 102(5) 1196ndash1206 httpdoiorg103945ajcn115111047
Natural Medicines Comprehensive Database (Updated July 3 2017) Natural medicines in the clinical management of eye disorders age-related degeneration cataracts and glaucoma httpnaturaldatabasetherapeuticresearchcomceCECourseaspxcs=amppm=5amps=ndamppc=09-23ampsearchid=61408260keywordanchor Accessed July 3 5 and 6 2017
Pennington K L amp DeAngelis M M (2016) Epidemiology of age-related macular degeneration (AMD) associations with cardiovascular disease phenotypes and lipid factors Eye and Vision 3 34 httpdoiorg101186s40662-016-0063-5
References
Sarris J Logan A C Akbaraly T N Amminger G P Balanzaacute-Martiacutenez V Freeman M P amp Nanri A (2015) Nutritional medicine as mainstream in psychiatry The Lancet Psychiatry 2(3) 271-274
Schleicher M Weikel K Garber C amp Taylor A (2013) Diminishing Risk for Age-Related Macular Degeneration with Nutrition A Current View Nutrients 5(7) 2405ndash2456 httpdoiorg103390nu5072405
Seddon JM Ajani UA Sperduto RD Hiller R Blair N Burton TC Farber MD Gragoudas ES Haller J Miller DT Yannuzzi LA Willett W Dietary Carotenoids Vitamins A C and E and Advanced Age-Related Macular Degeneration JAMA 1994272(18)1413-1420 doi101001jama199403520180037032
Wintermeyer E Ihle C Ehnert S Stoumlckle U Ochs G de Zwart P amp Nussler A K (2016) Crucial role of vitamin D in the musculoskeletal system Nutrients 8(6) 319
References
36
Thank you
Questions
WHAT IS A CALORIE
Obesity Map ndash Adults - 2017
6httpswwwcdcgovobesitydataprevalence-mapshtml
ObesityOverweight ndash Age gt 20
7
ObesityOverweight ndash Age gt 20
8
ObesityOverweight - Age 2-19
9
ObesityOverweight - Age 2-19
10
11
LIQUID CALORIES
12
Choose Nutrient Dense Foods
Foods that contain a large quantity of nutrients compared to the number of calories
13
VS
Nutrient Dense Foods
bull Fresh fruits and vegetables - with rich color
bull Baking seaming and sauteacuteing are best for nutrients
bull Whole grains
bull Dairy products without added sugar
bull US DHHSNIHNCI httpswwwcancergovpublicationsdictionariescancer-termsdefnutrient-dense-food
14
Micronutrients = vitamins and minerals Micronutrients get things done in the body
They include1 Iron = healthy blood2 Calcium = strong bones and muscle3 Vitamin D = allows calcium to be absorbed4 Vitamin A = eyesight5 Niacin = digestive system skin and nerves6 Riboflavin = energy production healthy skin and hair
Source National Institute of Health website httpsodsodnihgovfactsheetslist-all
Micronutrients
Calcium makes bones amp muscles strong
Health Promotion Nutrition Tips - Calcium
Health Promotion Team 48 AMDSSGPZ
226-8777 Find us on Facebook at
httpsmfacebookcomRAFHealthPromotion
Low dietary intake = weak muscles amp bones
Weak muscles amp bones = sports injuries and pain
Vitamin D strengthens bones and positive mood
Health Promotion Nutrition Tips ndash Vitamin D
Health Promotion Team 48 AMDSSGPZ
226-8777 Find us on Facebook at
httpsmfacebookcomRAFHealthPromotion
We get Vitamin D from sun exposure and foods
Vitamin D deficiency = weak bones (rickets) and ldquothe winter bluesrdquo
Only American dairy products are fortified with Vit D
Age-Related Macular Degeneration
bull Blindness
bull gt2000000 USA
bull No Cure
bull Macula - slowly deteriorates bull ldquoAlzheimerrsquos of the eyerdquobull gtage of 80 bull USA prevalence to double by 2050bull $$$$ will be needed to deal for social
services if a cure ndash or effective treatment is not found
This Photo by Unknown Author is licensed under CC BY-SA
Age-Related Macular Degeneration
Risk Factorsbull Cigarette Smoking
bull Sunlight exposure
bull Eye Color - low ocular melanin
bull Age
bull Genetics
bull body mass index
bull and nutritional status
This Photo by Unknown Author is licensed under CC BY-NC-ND
19
Vitamin A is required for and beneficial to eye heath
Global blindness - Vitamin A deficiency (Retinol)
Vitamin A is a general term for several groups of compounds
Pro-Vitamin A compounds = can be converted to retinol alpha-carotene beta-carotene and beta-cryptoxanthin
Lutein zeaxanthin and lycopene are nonpro-Vitamin A compounds and are not essential nutrients
High dietary intake is associated with decreased incidence of AMD
Absorb blue light protecting photoreceptors from sunlight induced damage
Vitamin A
20
Diet trends include-Atkins -South Beach Diet-Low Carbohydrate-High Protein-Fasting in various forms-Paleo
Diet Trends
21
If itrsquos too good to be truehellipLow Carb ndashAtkins South Beak Keto or Ketogenic diets
bull Positive Can lose weight
bull Negative Bad breath dizziness fatigue mental slowness constipation potential for low blood sugar events
So if you operate any heavy or potentially dangerous equipment this is NOT for you
bull Most people use this diet short term as a ldquobridgerdquo but struggle when adding carbs back into diet and regain weight that was lost (1)
Sources 1 Low-Carb Diets Sorting Out the Information Nutritiion411 31 Aug 2012 Web 03 Oct 20162 Dubost Joy PhD RD CSSD Intermittent Fasting A Good Approach Academy of Nutrition and Dietetics 02 Jun 2014 Web 03 Oct 20163 Kohn Jill MS RDN LDN Should We Eat Like Our Caveman Ancestors Academy of Nutrition and Dietetics 19 Jan 2015 Web 03 Oct 20164 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
22
Fad diets never diehellipIntermittent Fasting ndash long fasting periods at least 16 hours Popular with elite athletes or
fitness enthusiast Workouts usually suffer can get light-headed dizzy tired and nauseated (2)
Paleo ndash Eat like our ancestors did 10000 years ago
bull Typically falls short on carbohydrates very restrictive bull Difficult for some to reach fiber calcium and vitamin D bull Can you really only eat only wild caught fish grass-fed meat and organic fruits and veg(3) bull Can be very expensive (4)
Bottom line If a diet or product sounds too good to be true it probably is
Can you keep eating like this in 6 months 12 months
Sources 1 Low-Carb Diets Sorting Out the Information Nutritiion411 31 Aug 2012 Web 03 Oct 20162 Dubost Joy PhD RD CSSD Intermittent Fasting A Good Approach Academy of Nutrition and Dietetics 02 Jun 2014 Web 03 Oct 20163 Kohn Jill MS RDN LDN Should We Eat Like Our Caveman Ancestors Academy of Nutrition and Dietetics 19 Jan 2015 Web 03 Oct 20164 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
23
Diets that workThe DASH Diet ndash Dietary Approaches to Stop Hypertension ranked the best overall diet for the 6th year in a row by US News amp World Report Heart healthy and nutritionally sound easy to follow (1)
Weight Watchers Diet ndash Ranked 4 overall best diet Eat what you want no foods off-limits and flexibility to shape your own diet Highest ranked for easy to follow (1)
Whatever works for you as long as yoursquore eating a variety of foods and staying at your recommended calorie level
ChooseMyPlate food model ndash Free nutritionally sound easy to follow tons of online resources
Source1 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
Dairy Eggs Bakery BreadsMeat
Can
ned
Fo
od
s
Bak
ing
Item
s
Fro
zen
Fo
od
s
Cle
anin
g amp
Pap
er It
ems
Checkout
Fruits amp
Vegetab
lesPro
cess
ed F
oo
ds
Entrance
Shop The Store Perimeter
Eggsbull Low Cost High Quality Protein
bull Are a source of 18 vitamins and minerals
bull Vitamin A (Lutein and zeaxanthin) ndash for healthy eyes
bull Calcium ndash for strong bones
bull Vitamin D ndash for calcium absorption
The Incredible Edible Egg
OPSS
SUPPLEMENTS
27
bull Not regulated closely by the FDA due to the Dietary Supplement Health Education Act 19942004
bull Generally expensive
bull Little to no proven benefits
bull AF bans HempAnabolic steroids
bull FDA prohibits sale of Ephedra
BOTTOM LINE Food first supplement second Discuss with flight surgeon primary care physician andor
Registered Dietitian before using
httphprc-onlineorgdietary-supplementsopss
Supplement Resources
bull Operation Supplement Safety (OPSS) httpswwwopssorg
SEARCH
ASK THE EXPERT
Ratings based on product
safety effectiveness
amp quality
lowest ratings have greatest
safety concerns
OPSS
Energy Drinks
Concerns with Energy Drinksbull No FDA regulation caffeine amounts vary 80-500 mg
bull FDA and UK Govrsquot issued warnings ER visits deathsHeart palpitations caffeine overdose HTN dental caries Obesity Type 2 DM
STAY SAFE BY Checking ingredients for caffeine sugar additives
SELECTING SUPPLEMENTS
bull Step 1 Safety Assessment bull Evidence-based approachbull Avoid Supplements with long ingredient list or ldquoproprietary blendrdquo
bull Step 2 Effectiveness Assessmentbull Look for clinically studied brand names bull Ask yourself ldquoWhat do I want to accomplishrdquobull wwwnaturaldatabasecombull wwwhprc-onlineorgOPSS
bull Step 3 Product Quality Assessmentbull Audit by an outside 3rd party agency
bull USP NSF Consumer Lab Informed Choice bull The link below is to a video from USP on choosing safe supplementsbull httpwwwusporgsitesdefaultfilesvideouspvConsumerEducationind
exhtml
Abdel-Aal E S M Akhtar H Zaheer K amp Ali R (2013) Dietary sources of lutein and zeaxanthin carotenoids and their role in eye health Nutrients 5(4) 1169-1185 httpwwwmdpicom2072-6643541169htm
Camilleri G M Meacutejean C Bellisle F Hercberg S amp Peacuteneau S (2016) Mindminus body practice and body weight status in a large population-based sample of adults American journal of preventive medicine 50(4) e101-e109
Carneiro A and Andrade JP Nutritional and Lifestyle Interventions for Age-Related Macular Degeneration A Review (2017) Oxidative Medicine and Cellular Longevity 2017 Article ID 6469138 13 pages httpsdoiorg10115520176469138
Chung HY Rasmussen HM and Johnson EJ (2004) Lutein bioavailability is higher from lutein-enriched eggs than from supplements and spinach in men J Nutr 1341887-1893 httpjnnutritionorgcontent13481887full
Granado F Olmedilla B and Blanco I (2003) Nutritional and clinical relevance of lutein in human health British Journal of Nutrition 90(3) 487-502 httpswwwcambridgeorgcorejournalsbritish-journal-of-nutritionarticlenutritional-and-clinical-relevance-of-lutein-in-human-health27F42056D523DC78A8EE6135D500B338
Gruber M Chappell R Millen A LaRowe T Moeller SM Iannaccone A Kritchevsky SB and Mares J (2004) Correlates of serum lutein + zeaxanthin Findings from the Third National Health and Nutrition Examination Survey J Nutr 1342387ndash2394 httpjnnutritionorgcontent13492387fullpdf+html
References
Hawkes C Smith T G Jewell J Wardle J Hammond R A Friel S amp Kain J (2015) Smart food policies for obesity prevention The Lancet 385(9985) 2410-2421
Higdon J Drake VJ Delage B and Johnson EJ (2004-2016) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Carotenoids Accessed November 16-17 2017 httplpioregonstateedumicdietary-factorsphytochemicalscarotenoids
Higdon J Drake VJ Delage B Ross AC and Tan L (2000-2015) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Vitamin A Accessed November 16-17 2017 httplpioregonstateedumicvitaminsvitamin-A
Jacka F N OrsquoNeil A Opie R Itsiopoulos C Cotton S Mohebbi M amp Brazionis L (2017) A randomised controlled trial of dietary improvement for adults with major depression (the lsquoSMILESrsquotrial) BMC medicine 15(1) 23
Johnson EJ Maras JE Rasmussen HM Tucker KL (2010) Intake of lutein and zeaxanthin differ with age sex and ethnicity J Am Diet Assoc Sep110(9)1357-62 doi 101016jjada201006009
Lappe J Cullen D Haynatzki G Recker R Ahlf R amp Thompson K (2008) Calcium and vitamin D supplementation decreases incidence of stress fractures in female navy recruits Journal of Bone and Mineral Research 23(5) 741-749
Larson T and Coker J (2009) A descriptive study of lutein and zeaxanthin in optometric practice Optometry 80(10)579-86 doi 101016joptm200903015
References
Marx W Moseley G Berk M amp Jacka F (2017) Nutritional psychiatry the present state of the evidence Proceedings of the Nutrition Society 76(4) 427-436
McCusker MM Durrani K Payette PJ and Suchecki J (MarchndashApril 2016) An eye on nutrition The role of vitamins essential fatty acids and antioxidants in age-related macular degeneration dry eye syndrome and cataract Clinics in Dermatology Volume 34 (2) 276-285 httpsdoiorg101016jclindermatol201511009
Meegan A P Perry I J amp Phillips C M (2017) The association between dietary quality and dietary guideline adherence with mental health outcomes in adults a cross-sectional analysis Nutrients 9(3) 238
Merle B M Silver R E Rosner B amp Seddon J M (2015) Adherence to a Mediterranean diet genetic susceptibility and progression to advanced macular degeneration a prospective cohort study The American Journal of Clinical Nutrition 102(5) 1196ndash1206 httpdoiorg103945ajcn115111047
Natural Medicines Comprehensive Database (Updated July 3 2017) Natural medicines in the clinical management of eye disorders age-related degeneration cataracts and glaucoma httpnaturaldatabasetherapeuticresearchcomceCECourseaspxcs=amppm=5amps=ndamppc=09-23ampsearchid=61408260keywordanchor Accessed July 3 5 and 6 2017
Pennington K L amp DeAngelis M M (2016) Epidemiology of age-related macular degeneration (AMD) associations with cardiovascular disease phenotypes and lipid factors Eye and Vision 3 34 httpdoiorg101186s40662-016-0063-5
References
Sarris J Logan A C Akbaraly T N Amminger G P Balanzaacute-Martiacutenez V Freeman M P amp Nanri A (2015) Nutritional medicine as mainstream in psychiatry The Lancet Psychiatry 2(3) 271-274
Schleicher M Weikel K Garber C amp Taylor A (2013) Diminishing Risk for Age-Related Macular Degeneration with Nutrition A Current View Nutrients 5(7) 2405ndash2456 httpdoiorg103390nu5072405
Seddon JM Ajani UA Sperduto RD Hiller R Blair N Burton TC Farber MD Gragoudas ES Haller J Miller DT Yannuzzi LA Willett W Dietary Carotenoids Vitamins A C and E and Advanced Age-Related Macular Degeneration JAMA 1994272(18)1413-1420 doi101001jama199403520180037032
Wintermeyer E Ihle C Ehnert S Stoumlckle U Ochs G de Zwart P amp Nussler A K (2016) Crucial role of vitamin D in the musculoskeletal system Nutrients 8(6) 319
References
36
Thank you
Questions
Obesity Map ndash Adults - 2017
6httpswwwcdcgovobesitydataprevalence-mapshtml
ObesityOverweight ndash Age gt 20
7
ObesityOverweight ndash Age gt 20
8
ObesityOverweight - Age 2-19
9
ObesityOverweight - Age 2-19
10
11
LIQUID CALORIES
12
Choose Nutrient Dense Foods
Foods that contain a large quantity of nutrients compared to the number of calories
13
VS
Nutrient Dense Foods
bull Fresh fruits and vegetables - with rich color
bull Baking seaming and sauteacuteing are best for nutrients
bull Whole grains
bull Dairy products without added sugar
bull US DHHSNIHNCI httpswwwcancergovpublicationsdictionariescancer-termsdefnutrient-dense-food
14
Micronutrients = vitamins and minerals Micronutrients get things done in the body
They include1 Iron = healthy blood2 Calcium = strong bones and muscle3 Vitamin D = allows calcium to be absorbed4 Vitamin A = eyesight5 Niacin = digestive system skin and nerves6 Riboflavin = energy production healthy skin and hair
Source National Institute of Health website httpsodsodnihgovfactsheetslist-all
Micronutrients
Calcium makes bones amp muscles strong
Health Promotion Nutrition Tips - Calcium
Health Promotion Team 48 AMDSSGPZ
226-8777 Find us on Facebook at
httpsmfacebookcomRAFHealthPromotion
Low dietary intake = weak muscles amp bones
Weak muscles amp bones = sports injuries and pain
Vitamin D strengthens bones and positive mood
Health Promotion Nutrition Tips ndash Vitamin D
Health Promotion Team 48 AMDSSGPZ
226-8777 Find us on Facebook at
httpsmfacebookcomRAFHealthPromotion
We get Vitamin D from sun exposure and foods
Vitamin D deficiency = weak bones (rickets) and ldquothe winter bluesrdquo
Only American dairy products are fortified with Vit D
Age-Related Macular Degeneration
bull Blindness
bull gt2000000 USA
bull No Cure
bull Macula - slowly deteriorates bull ldquoAlzheimerrsquos of the eyerdquobull gtage of 80 bull USA prevalence to double by 2050bull $$$$ will be needed to deal for social
services if a cure ndash or effective treatment is not found
This Photo by Unknown Author is licensed under CC BY-SA
Age-Related Macular Degeneration
Risk Factorsbull Cigarette Smoking
bull Sunlight exposure
bull Eye Color - low ocular melanin
bull Age
bull Genetics
bull body mass index
bull and nutritional status
This Photo by Unknown Author is licensed under CC BY-NC-ND
19
Vitamin A is required for and beneficial to eye heath
Global blindness - Vitamin A deficiency (Retinol)
Vitamin A is a general term for several groups of compounds
Pro-Vitamin A compounds = can be converted to retinol alpha-carotene beta-carotene and beta-cryptoxanthin
Lutein zeaxanthin and lycopene are nonpro-Vitamin A compounds and are not essential nutrients
High dietary intake is associated with decreased incidence of AMD
Absorb blue light protecting photoreceptors from sunlight induced damage
Vitamin A
20
Diet trends include-Atkins -South Beach Diet-Low Carbohydrate-High Protein-Fasting in various forms-Paleo
Diet Trends
21
If itrsquos too good to be truehellipLow Carb ndashAtkins South Beak Keto or Ketogenic diets
bull Positive Can lose weight
bull Negative Bad breath dizziness fatigue mental slowness constipation potential for low blood sugar events
So if you operate any heavy or potentially dangerous equipment this is NOT for you
bull Most people use this diet short term as a ldquobridgerdquo but struggle when adding carbs back into diet and regain weight that was lost (1)
Sources 1 Low-Carb Diets Sorting Out the Information Nutritiion411 31 Aug 2012 Web 03 Oct 20162 Dubost Joy PhD RD CSSD Intermittent Fasting A Good Approach Academy of Nutrition and Dietetics 02 Jun 2014 Web 03 Oct 20163 Kohn Jill MS RDN LDN Should We Eat Like Our Caveman Ancestors Academy of Nutrition and Dietetics 19 Jan 2015 Web 03 Oct 20164 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
22
Fad diets never diehellipIntermittent Fasting ndash long fasting periods at least 16 hours Popular with elite athletes or
fitness enthusiast Workouts usually suffer can get light-headed dizzy tired and nauseated (2)
Paleo ndash Eat like our ancestors did 10000 years ago
bull Typically falls short on carbohydrates very restrictive bull Difficult for some to reach fiber calcium and vitamin D bull Can you really only eat only wild caught fish grass-fed meat and organic fruits and veg(3) bull Can be very expensive (4)
Bottom line If a diet or product sounds too good to be true it probably is
Can you keep eating like this in 6 months 12 months
Sources 1 Low-Carb Diets Sorting Out the Information Nutritiion411 31 Aug 2012 Web 03 Oct 20162 Dubost Joy PhD RD CSSD Intermittent Fasting A Good Approach Academy of Nutrition and Dietetics 02 Jun 2014 Web 03 Oct 20163 Kohn Jill MS RDN LDN Should We Eat Like Our Caveman Ancestors Academy of Nutrition and Dietetics 19 Jan 2015 Web 03 Oct 20164 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
23
Diets that workThe DASH Diet ndash Dietary Approaches to Stop Hypertension ranked the best overall diet for the 6th year in a row by US News amp World Report Heart healthy and nutritionally sound easy to follow (1)
Weight Watchers Diet ndash Ranked 4 overall best diet Eat what you want no foods off-limits and flexibility to shape your own diet Highest ranked for easy to follow (1)
Whatever works for you as long as yoursquore eating a variety of foods and staying at your recommended calorie level
ChooseMyPlate food model ndash Free nutritionally sound easy to follow tons of online resources
Source1 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
Dairy Eggs Bakery BreadsMeat
Can
ned
Fo
od
s
Bak
ing
Item
s
Fro
zen
Fo
od
s
Cle
anin
g amp
Pap
er It
ems
Checkout
Fruits amp
Vegetab
lesPro
cess
ed F
oo
ds
Entrance
Shop The Store Perimeter
Eggsbull Low Cost High Quality Protein
bull Are a source of 18 vitamins and minerals
bull Vitamin A (Lutein and zeaxanthin) ndash for healthy eyes
bull Calcium ndash for strong bones
bull Vitamin D ndash for calcium absorption
The Incredible Edible Egg
OPSS
SUPPLEMENTS
27
bull Not regulated closely by the FDA due to the Dietary Supplement Health Education Act 19942004
bull Generally expensive
bull Little to no proven benefits
bull AF bans HempAnabolic steroids
bull FDA prohibits sale of Ephedra
BOTTOM LINE Food first supplement second Discuss with flight surgeon primary care physician andor
Registered Dietitian before using
httphprc-onlineorgdietary-supplementsopss
Supplement Resources
bull Operation Supplement Safety (OPSS) httpswwwopssorg
SEARCH
ASK THE EXPERT
Ratings based on product
safety effectiveness
amp quality
lowest ratings have greatest
safety concerns
OPSS
Energy Drinks
Concerns with Energy Drinksbull No FDA regulation caffeine amounts vary 80-500 mg
bull FDA and UK Govrsquot issued warnings ER visits deathsHeart palpitations caffeine overdose HTN dental caries Obesity Type 2 DM
STAY SAFE BY Checking ingredients for caffeine sugar additives
SELECTING SUPPLEMENTS
bull Step 1 Safety Assessment bull Evidence-based approachbull Avoid Supplements with long ingredient list or ldquoproprietary blendrdquo
bull Step 2 Effectiveness Assessmentbull Look for clinically studied brand names bull Ask yourself ldquoWhat do I want to accomplishrdquobull wwwnaturaldatabasecombull wwwhprc-onlineorgOPSS
bull Step 3 Product Quality Assessmentbull Audit by an outside 3rd party agency
bull USP NSF Consumer Lab Informed Choice bull The link below is to a video from USP on choosing safe supplementsbull httpwwwusporgsitesdefaultfilesvideouspvConsumerEducationind
exhtml
Abdel-Aal E S M Akhtar H Zaheer K amp Ali R (2013) Dietary sources of lutein and zeaxanthin carotenoids and their role in eye health Nutrients 5(4) 1169-1185 httpwwwmdpicom2072-6643541169htm
Camilleri G M Meacutejean C Bellisle F Hercberg S amp Peacuteneau S (2016) Mindminus body practice and body weight status in a large population-based sample of adults American journal of preventive medicine 50(4) e101-e109
Carneiro A and Andrade JP Nutritional and Lifestyle Interventions for Age-Related Macular Degeneration A Review (2017) Oxidative Medicine and Cellular Longevity 2017 Article ID 6469138 13 pages httpsdoiorg10115520176469138
Chung HY Rasmussen HM and Johnson EJ (2004) Lutein bioavailability is higher from lutein-enriched eggs than from supplements and spinach in men J Nutr 1341887-1893 httpjnnutritionorgcontent13481887full
Granado F Olmedilla B and Blanco I (2003) Nutritional and clinical relevance of lutein in human health British Journal of Nutrition 90(3) 487-502 httpswwwcambridgeorgcorejournalsbritish-journal-of-nutritionarticlenutritional-and-clinical-relevance-of-lutein-in-human-health27F42056D523DC78A8EE6135D500B338
Gruber M Chappell R Millen A LaRowe T Moeller SM Iannaccone A Kritchevsky SB and Mares J (2004) Correlates of serum lutein + zeaxanthin Findings from the Third National Health and Nutrition Examination Survey J Nutr 1342387ndash2394 httpjnnutritionorgcontent13492387fullpdf+html
References
Hawkes C Smith T G Jewell J Wardle J Hammond R A Friel S amp Kain J (2015) Smart food policies for obesity prevention The Lancet 385(9985) 2410-2421
Higdon J Drake VJ Delage B and Johnson EJ (2004-2016) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Carotenoids Accessed November 16-17 2017 httplpioregonstateedumicdietary-factorsphytochemicalscarotenoids
Higdon J Drake VJ Delage B Ross AC and Tan L (2000-2015) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Vitamin A Accessed November 16-17 2017 httplpioregonstateedumicvitaminsvitamin-A
Jacka F N OrsquoNeil A Opie R Itsiopoulos C Cotton S Mohebbi M amp Brazionis L (2017) A randomised controlled trial of dietary improvement for adults with major depression (the lsquoSMILESrsquotrial) BMC medicine 15(1) 23
Johnson EJ Maras JE Rasmussen HM Tucker KL (2010) Intake of lutein and zeaxanthin differ with age sex and ethnicity J Am Diet Assoc Sep110(9)1357-62 doi 101016jjada201006009
Lappe J Cullen D Haynatzki G Recker R Ahlf R amp Thompson K (2008) Calcium and vitamin D supplementation decreases incidence of stress fractures in female navy recruits Journal of Bone and Mineral Research 23(5) 741-749
Larson T and Coker J (2009) A descriptive study of lutein and zeaxanthin in optometric practice Optometry 80(10)579-86 doi 101016joptm200903015
References
Marx W Moseley G Berk M amp Jacka F (2017) Nutritional psychiatry the present state of the evidence Proceedings of the Nutrition Society 76(4) 427-436
McCusker MM Durrani K Payette PJ and Suchecki J (MarchndashApril 2016) An eye on nutrition The role of vitamins essential fatty acids and antioxidants in age-related macular degeneration dry eye syndrome and cataract Clinics in Dermatology Volume 34 (2) 276-285 httpsdoiorg101016jclindermatol201511009
Meegan A P Perry I J amp Phillips C M (2017) The association between dietary quality and dietary guideline adherence with mental health outcomes in adults a cross-sectional analysis Nutrients 9(3) 238
Merle B M Silver R E Rosner B amp Seddon J M (2015) Adherence to a Mediterranean diet genetic susceptibility and progression to advanced macular degeneration a prospective cohort study The American Journal of Clinical Nutrition 102(5) 1196ndash1206 httpdoiorg103945ajcn115111047
Natural Medicines Comprehensive Database (Updated July 3 2017) Natural medicines in the clinical management of eye disorders age-related degeneration cataracts and glaucoma httpnaturaldatabasetherapeuticresearchcomceCECourseaspxcs=amppm=5amps=ndamppc=09-23ampsearchid=61408260keywordanchor Accessed July 3 5 and 6 2017
Pennington K L amp DeAngelis M M (2016) Epidemiology of age-related macular degeneration (AMD) associations with cardiovascular disease phenotypes and lipid factors Eye and Vision 3 34 httpdoiorg101186s40662-016-0063-5
References
Sarris J Logan A C Akbaraly T N Amminger G P Balanzaacute-Martiacutenez V Freeman M P amp Nanri A (2015) Nutritional medicine as mainstream in psychiatry The Lancet Psychiatry 2(3) 271-274
Schleicher M Weikel K Garber C amp Taylor A (2013) Diminishing Risk for Age-Related Macular Degeneration with Nutrition A Current View Nutrients 5(7) 2405ndash2456 httpdoiorg103390nu5072405
Seddon JM Ajani UA Sperduto RD Hiller R Blair N Burton TC Farber MD Gragoudas ES Haller J Miller DT Yannuzzi LA Willett W Dietary Carotenoids Vitamins A C and E and Advanced Age-Related Macular Degeneration JAMA 1994272(18)1413-1420 doi101001jama199403520180037032
Wintermeyer E Ihle C Ehnert S Stoumlckle U Ochs G de Zwart P amp Nussler A K (2016) Crucial role of vitamin D in the musculoskeletal system Nutrients 8(6) 319
References
36
Thank you
Questions
ObesityOverweight ndash Age gt 20
7
ObesityOverweight ndash Age gt 20
8
ObesityOverweight - Age 2-19
9
ObesityOverweight - Age 2-19
10
11
LIQUID CALORIES
12
Choose Nutrient Dense Foods
Foods that contain a large quantity of nutrients compared to the number of calories
13
VS
Nutrient Dense Foods
bull Fresh fruits and vegetables - with rich color
bull Baking seaming and sauteacuteing are best for nutrients
bull Whole grains
bull Dairy products without added sugar
bull US DHHSNIHNCI httpswwwcancergovpublicationsdictionariescancer-termsdefnutrient-dense-food
14
Micronutrients = vitamins and minerals Micronutrients get things done in the body
They include1 Iron = healthy blood2 Calcium = strong bones and muscle3 Vitamin D = allows calcium to be absorbed4 Vitamin A = eyesight5 Niacin = digestive system skin and nerves6 Riboflavin = energy production healthy skin and hair
Source National Institute of Health website httpsodsodnihgovfactsheetslist-all
Micronutrients
Calcium makes bones amp muscles strong
Health Promotion Nutrition Tips - Calcium
Health Promotion Team 48 AMDSSGPZ
226-8777 Find us on Facebook at
httpsmfacebookcomRAFHealthPromotion
Low dietary intake = weak muscles amp bones
Weak muscles amp bones = sports injuries and pain
Vitamin D strengthens bones and positive mood
Health Promotion Nutrition Tips ndash Vitamin D
Health Promotion Team 48 AMDSSGPZ
226-8777 Find us on Facebook at
httpsmfacebookcomRAFHealthPromotion
We get Vitamin D from sun exposure and foods
Vitamin D deficiency = weak bones (rickets) and ldquothe winter bluesrdquo
Only American dairy products are fortified with Vit D
Age-Related Macular Degeneration
bull Blindness
bull gt2000000 USA
bull No Cure
bull Macula - slowly deteriorates bull ldquoAlzheimerrsquos of the eyerdquobull gtage of 80 bull USA prevalence to double by 2050bull $$$$ will be needed to deal for social
services if a cure ndash or effective treatment is not found
This Photo by Unknown Author is licensed under CC BY-SA
Age-Related Macular Degeneration
Risk Factorsbull Cigarette Smoking
bull Sunlight exposure
bull Eye Color - low ocular melanin
bull Age
bull Genetics
bull body mass index
bull and nutritional status
This Photo by Unknown Author is licensed under CC BY-NC-ND
19
Vitamin A is required for and beneficial to eye heath
Global blindness - Vitamin A deficiency (Retinol)
Vitamin A is a general term for several groups of compounds
Pro-Vitamin A compounds = can be converted to retinol alpha-carotene beta-carotene and beta-cryptoxanthin
Lutein zeaxanthin and lycopene are nonpro-Vitamin A compounds and are not essential nutrients
High dietary intake is associated with decreased incidence of AMD
Absorb blue light protecting photoreceptors from sunlight induced damage
Vitamin A
20
Diet trends include-Atkins -South Beach Diet-Low Carbohydrate-High Protein-Fasting in various forms-Paleo
Diet Trends
21
If itrsquos too good to be truehellipLow Carb ndashAtkins South Beak Keto or Ketogenic diets
bull Positive Can lose weight
bull Negative Bad breath dizziness fatigue mental slowness constipation potential for low blood sugar events
So if you operate any heavy or potentially dangerous equipment this is NOT for you
bull Most people use this diet short term as a ldquobridgerdquo but struggle when adding carbs back into diet and regain weight that was lost (1)
Sources 1 Low-Carb Diets Sorting Out the Information Nutritiion411 31 Aug 2012 Web 03 Oct 20162 Dubost Joy PhD RD CSSD Intermittent Fasting A Good Approach Academy of Nutrition and Dietetics 02 Jun 2014 Web 03 Oct 20163 Kohn Jill MS RDN LDN Should We Eat Like Our Caveman Ancestors Academy of Nutrition and Dietetics 19 Jan 2015 Web 03 Oct 20164 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
22
Fad diets never diehellipIntermittent Fasting ndash long fasting periods at least 16 hours Popular with elite athletes or
fitness enthusiast Workouts usually suffer can get light-headed dizzy tired and nauseated (2)
Paleo ndash Eat like our ancestors did 10000 years ago
bull Typically falls short on carbohydrates very restrictive bull Difficult for some to reach fiber calcium and vitamin D bull Can you really only eat only wild caught fish grass-fed meat and organic fruits and veg(3) bull Can be very expensive (4)
Bottom line If a diet or product sounds too good to be true it probably is
Can you keep eating like this in 6 months 12 months
Sources 1 Low-Carb Diets Sorting Out the Information Nutritiion411 31 Aug 2012 Web 03 Oct 20162 Dubost Joy PhD RD CSSD Intermittent Fasting A Good Approach Academy of Nutrition and Dietetics 02 Jun 2014 Web 03 Oct 20163 Kohn Jill MS RDN LDN Should We Eat Like Our Caveman Ancestors Academy of Nutrition and Dietetics 19 Jan 2015 Web 03 Oct 20164 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
23
Diets that workThe DASH Diet ndash Dietary Approaches to Stop Hypertension ranked the best overall diet for the 6th year in a row by US News amp World Report Heart healthy and nutritionally sound easy to follow (1)
Weight Watchers Diet ndash Ranked 4 overall best diet Eat what you want no foods off-limits and flexibility to shape your own diet Highest ranked for easy to follow (1)
Whatever works for you as long as yoursquore eating a variety of foods and staying at your recommended calorie level
ChooseMyPlate food model ndash Free nutritionally sound easy to follow tons of online resources
Source1 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
Dairy Eggs Bakery BreadsMeat
Can
ned
Fo
od
s
Bak
ing
Item
s
Fro
zen
Fo
od
s
Cle
anin
g amp
Pap
er It
ems
Checkout
Fruits amp
Vegetab
lesPro
cess
ed F
oo
ds
Entrance
Shop The Store Perimeter
Eggsbull Low Cost High Quality Protein
bull Are a source of 18 vitamins and minerals
bull Vitamin A (Lutein and zeaxanthin) ndash for healthy eyes
bull Calcium ndash for strong bones
bull Vitamin D ndash for calcium absorption
The Incredible Edible Egg
OPSS
SUPPLEMENTS
27
bull Not regulated closely by the FDA due to the Dietary Supplement Health Education Act 19942004
bull Generally expensive
bull Little to no proven benefits
bull AF bans HempAnabolic steroids
bull FDA prohibits sale of Ephedra
BOTTOM LINE Food first supplement second Discuss with flight surgeon primary care physician andor
Registered Dietitian before using
httphprc-onlineorgdietary-supplementsopss
Supplement Resources
bull Operation Supplement Safety (OPSS) httpswwwopssorg
SEARCH
ASK THE EXPERT
Ratings based on product
safety effectiveness
amp quality
lowest ratings have greatest
safety concerns
OPSS
Energy Drinks
Concerns with Energy Drinksbull No FDA regulation caffeine amounts vary 80-500 mg
bull FDA and UK Govrsquot issued warnings ER visits deathsHeart palpitations caffeine overdose HTN dental caries Obesity Type 2 DM
STAY SAFE BY Checking ingredients for caffeine sugar additives
SELECTING SUPPLEMENTS
bull Step 1 Safety Assessment bull Evidence-based approachbull Avoid Supplements with long ingredient list or ldquoproprietary blendrdquo
bull Step 2 Effectiveness Assessmentbull Look for clinically studied brand names bull Ask yourself ldquoWhat do I want to accomplishrdquobull wwwnaturaldatabasecombull wwwhprc-onlineorgOPSS
bull Step 3 Product Quality Assessmentbull Audit by an outside 3rd party agency
bull USP NSF Consumer Lab Informed Choice bull The link below is to a video from USP on choosing safe supplementsbull httpwwwusporgsitesdefaultfilesvideouspvConsumerEducationind
exhtml
Abdel-Aal E S M Akhtar H Zaheer K amp Ali R (2013) Dietary sources of lutein and zeaxanthin carotenoids and their role in eye health Nutrients 5(4) 1169-1185 httpwwwmdpicom2072-6643541169htm
Camilleri G M Meacutejean C Bellisle F Hercberg S amp Peacuteneau S (2016) Mindminus body practice and body weight status in a large population-based sample of adults American journal of preventive medicine 50(4) e101-e109
Carneiro A and Andrade JP Nutritional and Lifestyle Interventions for Age-Related Macular Degeneration A Review (2017) Oxidative Medicine and Cellular Longevity 2017 Article ID 6469138 13 pages httpsdoiorg10115520176469138
Chung HY Rasmussen HM and Johnson EJ (2004) Lutein bioavailability is higher from lutein-enriched eggs than from supplements and spinach in men J Nutr 1341887-1893 httpjnnutritionorgcontent13481887full
Granado F Olmedilla B and Blanco I (2003) Nutritional and clinical relevance of lutein in human health British Journal of Nutrition 90(3) 487-502 httpswwwcambridgeorgcorejournalsbritish-journal-of-nutritionarticlenutritional-and-clinical-relevance-of-lutein-in-human-health27F42056D523DC78A8EE6135D500B338
Gruber M Chappell R Millen A LaRowe T Moeller SM Iannaccone A Kritchevsky SB and Mares J (2004) Correlates of serum lutein + zeaxanthin Findings from the Third National Health and Nutrition Examination Survey J Nutr 1342387ndash2394 httpjnnutritionorgcontent13492387fullpdf+html
References
Hawkes C Smith T G Jewell J Wardle J Hammond R A Friel S amp Kain J (2015) Smart food policies for obesity prevention The Lancet 385(9985) 2410-2421
Higdon J Drake VJ Delage B and Johnson EJ (2004-2016) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Carotenoids Accessed November 16-17 2017 httplpioregonstateedumicdietary-factorsphytochemicalscarotenoids
Higdon J Drake VJ Delage B Ross AC and Tan L (2000-2015) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Vitamin A Accessed November 16-17 2017 httplpioregonstateedumicvitaminsvitamin-A
Jacka F N OrsquoNeil A Opie R Itsiopoulos C Cotton S Mohebbi M amp Brazionis L (2017) A randomised controlled trial of dietary improvement for adults with major depression (the lsquoSMILESrsquotrial) BMC medicine 15(1) 23
Johnson EJ Maras JE Rasmussen HM Tucker KL (2010) Intake of lutein and zeaxanthin differ with age sex and ethnicity J Am Diet Assoc Sep110(9)1357-62 doi 101016jjada201006009
Lappe J Cullen D Haynatzki G Recker R Ahlf R amp Thompson K (2008) Calcium and vitamin D supplementation decreases incidence of stress fractures in female navy recruits Journal of Bone and Mineral Research 23(5) 741-749
Larson T and Coker J (2009) A descriptive study of lutein and zeaxanthin in optometric practice Optometry 80(10)579-86 doi 101016joptm200903015
References
Marx W Moseley G Berk M amp Jacka F (2017) Nutritional psychiatry the present state of the evidence Proceedings of the Nutrition Society 76(4) 427-436
McCusker MM Durrani K Payette PJ and Suchecki J (MarchndashApril 2016) An eye on nutrition The role of vitamins essential fatty acids and antioxidants in age-related macular degeneration dry eye syndrome and cataract Clinics in Dermatology Volume 34 (2) 276-285 httpsdoiorg101016jclindermatol201511009
Meegan A P Perry I J amp Phillips C M (2017) The association between dietary quality and dietary guideline adherence with mental health outcomes in adults a cross-sectional analysis Nutrients 9(3) 238
Merle B M Silver R E Rosner B amp Seddon J M (2015) Adherence to a Mediterranean diet genetic susceptibility and progression to advanced macular degeneration a prospective cohort study The American Journal of Clinical Nutrition 102(5) 1196ndash1206 httpdoiorg103945ajcn115111047
Natural Medicines Comprehensive Database (Updated July 3 2017) Natural medicines in the clinical management of eye disorders age-related degeneration cataracts and glaucoma httpnaturaldatabasetherapeuticresearchcomceCECourseaspxcs=amppm=5amps=ndamppc=09-23ampsearchid=61408260keywordanchor Accessed July 3 5 and 6 2017
Pennington K L amp DeAngelis M M (2016) Epidemiology of age-related macular degeneration (AMD) associations with cardiovascular disease phenotypes and lipid factors Eye and Vision 3 34 httpdoiorg101186s40662-016-0063-5
References
Sarris J Logan A C Akbaraly T N Amminger G P Balanzaacute-Martiacutenez V Freeman M P amp Nanri A (2015) Nutritional medicine as mainstream in psychiatry The Lancet Psychiatry 2(3) 271-274
Schleicher M Weikel K Garber C amp Taylor A (2013) Diminishing Risk for Age-Related Macular Degeneration with Nutrition A Current View Nutrients 5(7) 2405ndash2456 httpdoiorg103390nu5072405
Seddon JM Ajani UA Sperduto RD Hiller R Blair N Burton TC Farber MD Gragoudas ES Haller J Miller DT Yannuzzi LA Willett W Dietary Carotenoids Vitamins A C and E and Advanced Age-Related Macular Degeneration JAMA 1994272(18)1413-1420 doi101001jama199403520180037032
Wintermeyer E Ihle C Ehnert S Stoumlckle U Ochs G de Zwart P amp Nussler A K (2016) Crucial role of vitamin D in the musculoskeletal system Nutrients 8(6) 319
References
36
Thank you
Questions
ObesityOverweight ndash Age gt 20
8
ObesityOverweight - Age 2-19
9
ObesityOverweight - Age 2-19
10
11
LIQUID CALORIES
12
Choose Nutrient Dense Foods
Foods that contain a large quantity of nutrients compared to the number of calories
13
VS
Nutrient Dense Foods
bull Fresh fruits and vegetables - with rich color
bull Baking seaming and sauteacuteing are best for nutrients
bull Whole grains
bull Dairy products without added sugar
bull US DHHSNIHNCI httpswwwcancergovpublicationsdictionariescancer-termsdefnutrient-dense-food
14
Micronutrients = vitamins and minerals Micronutrients get things done in the body
They include1 Iron = healthy blood2 Calcium = strong bones and muscle3 Vitamin D = allows calcium to be absorbed4 Vitamin A = eyesight5 Niacin = digestive system skin and nerves6 Riboflavin = energy production healthy skin and hair
Source National Institute of Health website httpsodsodnihgovfactsheetslist-all
Micronutrients
Calcium makes bones amp muscles strong
Health Promotion Nutrition Tips - Calcium
Health Promotion Team 48 AMDSSGPZ
226-8777 Find us on Facebook at
httpsmfacebookcomRAFHealthPromotion
Low dietary intake = weak muscles amp bones
Weak muscles amp bones = sports injuries and pain
Vitamin D strengthens bones and positive mood
Health Promotion Nutrition Tips ndash Vitamin D
Health Promotion Team 48 AMDSSGPZ
226-8777 Find us on Facebook at
httpsmfacebookcomRAFHealthPromotion
We get Vitamin D from sun exposure and foods
Vitamin D deficiency = weak bones (rickets) and ldquothe winter bluesrdquo
Only American dairy products are fortified with Vit D
Age-Related Macular Degeneration
bull Blindness
bull gt2000000 USA
bull No Cure
bull Macula - slowly deteriorates bull ldquoAlzheimerrsquos of the eyerdquobull gtage of 80 bull USA prevalence to double by 2050bull $$$$ will be needed to deal for social
services if a cure ndash or effective treatment is not found
This Photo by Unknown Author is licensed under CC BY-SA
Age-Related Macular Degeneration
Risk Factorsbull Cigarette Smoking
bull Sunlight exposure
bull Eye Color - low ocular melanin
bull Age
bull Genetics
bull body mass index
bull and nutritional status
This Photo by Unknown Author is licensed under CC BY-NC-ND
19
Vitamin A is required for and beneficial to eye heath
Global blindness - Vitamin A deficiency (Retinol)
Vitamin A is a general term for several groups of compounds
Pro-Vitamin A compounds = can be converted to retinol alpha-carotene beta-carotene and beta-cryptoxanthin
Lutein zeaxanthin and lycopene are nonpro-Vitamin A compounds and are not essential nutrients
High dietary intake is associated with decreased incidence of AMD
Absorb blue light protecting photoreceptors from sunlight induced damage
Vitamin A
20
Diet trends include-Atkins -South Beach Diet-Low Carbohydrate-High Protein-Fasting in various forms-Paleo
Diet Trends
21
If itrsquos too good to be truehellipLow Carb ndashAtkins South Beak Keto or Ketogenic diets
bull Positive Can lose weight
bull Negative Bad breath dizziness fatigue mental slowness constipation potential for low blood sugar events
So if you operate any heavy or potentially dangerous equipment this is NOT for you
bull Most people use this diet short term as a ldquobridgerdquo but struggle when adding carbs back into diet and regain weight that was lost (1)
Sources 1 Low-Carb Diets Sorting Out the Information Nutritiion411 31 Aug 2012 Web 03 Oct 20162 Dubost Joy PhD RD CSSD Intermittent Fasting A Good Approach Academy of Nutrition and Dietetics 02 Jun 2014 Web 03 Oct 20163 Kohn Jill MS RDN LDN Should We Eat Like Our Caveman Ancestors Academy of Nutrition and Dietetics 19 Jan 2015 Web 03 Oct 20164 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
22
Fad diets never diehellipIntermittent Fasting ndash long fasting periods at least 16 hours Popular with elite athletes or
fitness enthusiast Workouts usually suffer can get light-headed dizzy tired and nauseated (2)
Paleo ndash Eat like our ancestors did 10000 years ago
bull Typically falls short on carbohydrates very restrictive bull Difficult for some to reach fiber calcium and vitamin D bull Can you really only eat only wild caught fish grass-fed meat and organic fruits and veg(3) bull Can be very expensive (4)
Bottom line If a diet or product sounds too good to be true it probably is
Can you keep eating like this in 6 months 12 months
Sources 1 Low-Carb Diets Sorting Out the Information Nutritiion411 31 Aug 2012 Web 03 Oct 20162 Dubost Joy PhD RD CSSD Intermittent Fasting A Good Approach Academy of Nutrition and Dietetics 02 Jun 2014 Web 03 Oct 20163 Kohn Jill MS RDN LDN Should We Eat Like Our Caveman Ancestors Academy of Nutrition and Dietetics 19 Jan 2015 Web 03 Oct 20164 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
23
Diets that workThe DASH Diet ndash Dietary Approaches to Stop Hypertension ranked the best overall diet for the 6th year in a row by US News amp World Report Heart healthy and nutritionally sound easy to follow (1)
Weight Watchers Diet ndash Ranked 4 overall best diet Eat what you want no foods off-limits and flexibility to shape your own diet Highest ranked for easy to follow (1)
Whatever works for you as long as yoursquore eating a variety of foods and staying at your recommended calorie level
ChooseMyPlate food model ndash Free nutritionally sound easy to follow tons of online resources
Source1 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
Dairy Eggs Bakery BreadsMeat
Can
ned
Fo
od
s
Bak
ing
Item
s
Fro
zen
Fo
od
s
Cle
anin
g amp
Pap
er It
ems
Checkout
Fruits amp
Vegetab
lesPro
cess
ed F
oo
ds
Entrance
Shop The Store Perimeter
Eggsbull Low Cost High Quality Protein
bull Are a source of 18 vitamins and minerals
bull Vitamin A (Lutein and zeaxanthin) ndash for healthy eyes
bull Calcium ndash for strong bones
bull Vitamin D ndash for calcium absorption
The Incredible Edible Egg
OPSS
SUPPLEMENTS
27
bull Not regulated closely by the FDA due to the Dietary Supplement Health Education Act 19942004
bull Generally expensive
bull Little to no proven benefits
bull AF bans HempAnabolic steroids
bull FDA prohibits sale of Ephedra
BOTTOM LINE Food first supplement second Discuss with flight surgeon primary care physician andor
Registered Dietitian before using
httphprc-onlineorgdietary-supplementsopss
Supplement Resources
bull Operation Supplement Safety (OPSS) httpswwwopssorg
SEARCH
ASK THE EXPERT
Ratings based on product
safety effectiveness
amp quality
lowest ratings have greatest
safety concerns
OPSS
Energy Drinks
Concerns with Energy Drinksbull No FDA regulation caffeine amounts vary 80-500 mg
bull FDA and UK Govrsquot issued warnings ER visits deathsHeart palpitations caffeine overdose HTN dental caries Obesity Type 2 DM
STAY SAFE BY Checking ingredients for caffeine sugar additives
SELECTING SUPPLEMENTS
bull Step 1 Safety Assessment bull Evidence-based approachbull Avoid Supplements with long ingredient list or ldquoproprietary blendrdquo
bull Step 2 Effectiveness Assessmentbull Look for clinically studied brand names bull Ask yourself ldquoWhat do I want to accomplishrdquobull wwwnaturaldatabasecombull wwwhprc-onlineorgOPSS
bull Step 3 Product Quality Assessmentbull Audit by an outside 3rd party agency
bull USP NSF Consumer Lab Informed Choice bull The link below is to a video from USP on choosing safe supplementsbull httpwwwusporgsitesdefaultfilesvideouspvConsumerEducationind
exhtml
Abdel-Aal E S M Akhtar H Zaheer K amp Ali R (2013) Dietary sources of lutein and zeaxanthin carotenoids and their role in eye health Nutrients 5(4) 1169-1185 httpwwwmdpicom2072-6643541169htm
Camilleri G M Meacutejean C Bellisle F Hercberg S amp Peacuteneau S (2016) Mindminus body practice and body weight status in a large population-based sample of adults American journal of preventive medicine 50(4) e101-e109
Carneiro A and Andrade JP Nutritional and Lifestyle Interventions for Age-Related Macular Degeneration A Review (2017) Oxidative Medicine and Cellular Longevity 2017 Article ID 6469138 13 pages httpsdoiorg10115520176469138
Chung HY Rasmussen HM and Johnson EJ (2004) Lutein bioavailability is higher from lutein-enriched eggs than from supplements and spinach in men J Nutr 1341887-1893 httpjnnutritionorgcontent13481887full
Granado F Olmedilla B and Blanco I (2003) Nutritional and clinical relevance of lutein in human health British Journal of Nutrition 90(3) 487-502 httpswwwcambridgeorgcorejournalsbritish-journal-of-nutritionarticlenutritional-and-clinical-relevance-of-lutein-in-human-health27F42056D523DC78A8EE6135D500B338
Gruber M Chappell R Millen A LaRowe T Moeller SM Iannaccone A Kritchevsky SB and Mares J (2004) Correlates of serum lutein + zeaxanthin Findings from the Third National Health and Nutrition Examination Survey J Nutr 1342387ndash2394 httpjnnutritionorgcontent13492387fullpdf+html
References
Hawkes C Smith T G Jewell J Wardle J Hammond R A Friel S amp Kain J (2015) Smart food policies for obesity prevention The Lancet 385(9985) 2410-2421
Higdon J Drake VJ Delage B and Johnson EJ (2004-2016) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Carotenoids Accessed November 16-17 2017 httplpioregonstateedumicdietary-factorsphytochemicalscarotenoids
Higdon J Drake VJ Delage B Ross AC and Tan L (2000-2015) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Vitamin A Accessed November 16-17 2017 httplpioregonstateedumicvitaminsvitamin-A
Jacka F N OrsquoNeil A Opie R Itsiopoulos C Cotton S Mohebbi M amp Brazionis L (2017) A randomised controlled trial of dietary improvement for adults with major depression (the lsquoSMILESrsquotrial) BMC medicine 15(1) 23
Johnson EJ Maras JE Rasmussen HM Tucker KL (2010) Intake of lutein and zeaxanthin differ with age sex and ethnicity J Am Diet Assoc Sep110(9)1357-62 doi 101016jjada201006009
Lappe J Cullen D Haynatzki G Recker R Ahlf R amp Thompson K (2008) Calcium and vitamin D supplementation decreases incidence of stress fractures in female navy recruits Journal of Bone and Mineral Research 23(5) 741-749
Larson T and Coker J (2009) A descriptive study of lutein and zeaxanthin in optometric practice Optometry 80(10)579-86 doi 101016joptm200903015
References
Marx W Moseley G Berk M amp Jacka F (2017) Nutritional psychiatry the present state of the evidence Proceedings of the Nutrition Society 76(4) 427-436
McCusker MM Durrani K Payette PJ and Suchecki J (MarchndashApril 2016) An eye on nutrition The role of vitamins essential fatty acids and antioxidants in age-related macular degeneration dry eye syndrome and cataract Clinics in Dermatology Volume 34 (2) 276-285 httpsdoiorg101016jclindermatol201511009
Meegan A P Perry I J amp Phillips C M (2017) The association between dietary quality and dietary guideline adherence with mental health outcomes in adults a cross-sectional analysis Nutrients 9(3) 238
Merle B M Silver R E Rosner B amp Seddon J M (2015) Adherence to a Mediterranean diet genetic susceptibility and progression to advanced macular degeneration a prospective cohort study The American Journal of Clinical Nutrition 102(5) 1196ndash1206 httpdoiorg103945ajcn115111047
Natural Medicines Comprehensive Database (Updated July 3 2017) Natural medicines in the clinical management of eye disorders age-related degeneration cataracts and glaucoma httpnaturaldatabasetherapeuticresearchcomceCECourseaspxcs=amppm=5amps=ndamppc=09-23ampsearchid=61408260keywordanchor Accessed July 3 5 and 6 2017
Pennington K L amp DeAngelis M M (2016) Epidemiology of age-related macular degeneration (AMD) associations with cardiovascular disease phenotypes and lipid factors Eye and Vision 3 34 httpdoiorg101186s40662-016-0063-5
References
Sarris J Logan A C Akbaraly T N Amminger G P Balanzaacute-Martiacutenez V Freeman M P amp Nanri A (2015) Nutritional medicine as mainstream in psychiatry The Lancet Psychiatry 2(3) 271-274
Schleicher M Weikel K Garber C amp Taylor A (2013) Diminishing Risk for Age-Related Macular Degeneration with Nutrition A Current View Nutrients 5(7) 2405ndash2456 httpdoiorg103390nu5072405
Seddon JM Ajani UA Sperduto RD Hiller R Blair N Burton TC Farber MD Gragoudas ES Haller J Miller DT Yannuzzi LA Willett W Dietary Carotenoids Vitamins A C and E and Advanced Age-Related Macular Degeneration JAMA 1994272(18)1413-1420 doi101001jama199403520180037032
Wintermeyer E Ihle C Ehnert S Stoumlckle U Ochs G de Zwart P amp Nussler A K (2016) Crucial role of vitamin D in the musculoskeletal system Nutrients 8(6) 319
References
36
Thank you
Questions
ObesityOverweight - Age 2-19
9
ObesityOverweight - Age 2-19
10
11
LIQUID CALORIES
12
Choose Nutrient Dense Foods
Foods that contain a large quantity of nutrients compared to the number of calories
13
VS
Nutrient Dense Foods
bull Fresh fruits and vegetables - with rich color
bull Baking seaming and sauteacuteing are best for nutrients
bull Whole grains
bull Dairy products without added sugar
bull US DHHSNIHNCI httpswwwcancergovpublicationsdictionariescancer-termsdefnutrient-dense-food
14
Micronutrients = vitamins and minerals Micronutrients get things done in the body
They include1 Iron = healthy blood2 Calcium = strong bones and muscle3 Vitamin D = allows calcium to be absorbed4 Vitamin A = eyesight5 Niacin = digestive system skin and nerves6 Riboflavin = energy production healthy skin and hair
Source National Institute of Health website httpsodsodnihgovfactsheetslist-all
Micronutrients
Calcium makes bones amp muscles strong
Health Promotion Nutrition Tips - Calcium
Health Promotion Team 48 AMDSSGPZ
226-8777 Find us on Facebook at
httpsmfacebookcomRAFHealthPromotion
Low dietary intake = weak muscles amp bones
Weak muscles amp bones = sports injuries and pain
Vitamin D strengthens bones and positive mood
Health Promotion Nutrition Tips ndash Vitamin D
Health Promotion Team 48 AMDSSGPZ
226-8777 Find us on Facebook at
httpsmfacebookcomRAFHealthPromotion
We get Vitamin D from sun exposure and foods
Vitamin D deficiency = weak bones (rickets) and ldquothe winter bluesrdquo
Only American dairy products are fortified with Vit D
Age-Related Macular Degeneration
bull Blindness
bull gt2000000 USA
bull No Cure
bull Macula - slowly deteriorates bull ldquoAlzheimerrsquos of the eyerdquobull gtage of 80 bull USA prevalence to double by 2050bull $$$$ will be needed to deal for social
services if a cure ndash or effective treatment is not found
This Photo by Unknown Author is licensed under CC BY-SA
Age-Related Macular Degeneration
Risk Factorsbull Cigarette Smoking
bull Sunlight exposure
bull Eye Color - low ocular melanin
bull Age
bull Genetics
bull body mass index
bull and nutritional status
This Photo by Unknown Author is licensed under CC BY-NC-ND
19
Vitamin A is required for and beneficial to eye heath
Global blindness - Vitamin A deficiency (Retinol)
Vitamin A is a general term for several groups of compounds
Pro-Vitamin A compounds = can be converted to retinol alpha-carotene beta-carotene and beta-cryptoxanthin
Lutein zeaxanthin and lycopene are nonpro-Vitamin A compounds and are not essential nutrients
High dietary intake is associated with decreased incidence of AMD
Absorb blue light protecting photoreceptors from sunlight induced damage
Vitamin A
20
Diet trends include-Atkins -South Beach Diet-Low Carbohydrate-High Protein-Fasting in various forms-Paleo
Diet Trends
21
If itrsquos too good to be truehellipLow Carb ndashAtkins South Beak Keto or Ketogenic diets
bull Positive Can lose weight
bull Negative Bad breath dizziness fatigue mental slowness constipation potential for low blood sugar events
So if you operate any heavy or potentially dangerous equipment this is NOT for you
bull Most people use this diet short term as a ldquobridgerdquo but struggle when adding carbs back into diet and regain weight that was lost (1)
Sources 1 Low-Carb Diets Sorting Out the Information Nutritiion411 31 Aug 2012 Web 03 Oct 20162 Dubost Joy PhD RD CSSD Intermittent Fasting A Good Approach Academy of Nutrition and Dietetics 02 Jun 2014 Web 03 Oct 20163 Kohn Jill MS RDN LDN Should We Eat Like Our Caveman Ancestors Academy of Nutrition and Dietetics 19 Jan 2015 Web 03 Oct 20164 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
22
Fad diets never diehellipIntermittent Fasting ndash long fasting periods at least 16 hours Popular with elite athletes or
fitness enthusiast Workouts usually suffer can get light-headed dizzy tired and nauseated (2)
Paleo ndash Eat like our ancestors did 10000 years ago
bull Typically falls short on carbohydrates very restrictive bull Difficult for some to reach fiber calcium and vitamin D bull Can you really only eat only wild caught fish grass-fed meat and organic fruits and veg(3) bull Can be very expensive (4)
Bottom line If a diet or product sounds too good to be true it probably is
Can you keep eating like this in 6 months 12 months
Sources 1 Low-Carb Diets Sorting Out the Information Nutritiion411 31 Aug 2012 Web 03 Oct 20162 Dubost Joy PhD RD CSSD Intermittent Fasting A Good Approach Academy of Nutrition and Dietetics 02 Jun 2014 Web 03 Oct 20163 Kohn Jill MS RDN LDN Should We Eat Like Our Caveman Ancestors Academy of Nutrition and Dietetics 19 Jan 2015 Web 03 Oct 20164 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
23
Diets that workThe DASH Diet ndash Dietary Approaches to Stop Hypertension ranked the best overall diet for the 6th year in a row by US News amp World Report Heart healthy and nutritionally sound easy to follow (1)
Weight Watchers Diet ndash Ranked 4 overall best diet Eat what you want no foods off-limits and flexibility to shape your own diet Highest ranked for easy to follow (1)
Whatever works for you as long as yoursquore eating a variety of foods and staying at your recommended calorie level
ChooseMyPlate food model ndash Free nutritionally sound easy to follow tons of online resources
Source1 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
Dairy Eggs Bakery BreadsMeat
Can
ned
Fo
od
s
Bak
ing
Item
s
Fro
zen
Fo
od
s
Cle
anin
g amp
Pap
er It
ems
Checkout
Fruits amp
Vegetab
lesPro
cess
ed F
oo
ds
Entrance
Shop The Store Perimeter
Eggsbull Low Cost High Quality Protein
bull Are a source of 18 vitamins and minerals
bull Vitamin A (Lutein and zeaxanthin) ndash for healthy eyes
bull Calcium ndash for strong bones
bull Vitamin D ndash for calcium absorption
The Incredible Edible Egg
OPSS
SUPPLEMENTS
27
bull Not regulated closely by the FDA due to the Dietary Supplement Health Education Act 19942004
bull Generally expensive
bull Little to no proven benefits
bull AF bans HempAnabolic steroids
bull FDA prohibits sale of Ephedra
BOTTOM LINE Food first supplement second Discuss with flight surgeon primary care physician andor
Registered Dietitian before using
httphprc-onlineorgdietary-supplementsopss
Supplement Resources
bull Operation Supplement Safety (OPSS) httpswwwopssorg
SEARCH
ASK THE EXPERT
Ratings based on product
safety effectiveness
amp quality
lowest ratings have greatest
safety concerns
OPSS
Energy Drinks
Concerns with Energy Drinksbull No FDA regulation caffeine amounts vary 80-500 mg
bull FDA and UK Govrsquot issued warnings ER visits deathsHeart palpitations caffeine overdose HTN dental caries Obesity Type 2 DM
STAY SAFE BY Checking ingredients for caffeine sugar additives
SELECTING SUPPLEMENTS
bull Step 1 Safety Assessment bull Evidence-based approachbull Avoid Supplements with long ingredient list or ldquoproprietary blendrdquo
bull Step 2 Effectiveness Assessmentbull Look for clinically studied brand names bull Ask yourself ldquoWhat do I want to accomplishrdquobull wwwnaturaldatabasecombull wwwhprc-onlineorgOPSS
bull Step 3 Product Quality Assessmentbull Audit by an outside 3rd party agency
bull USP NSF Consumer Lab Informed Choice bull The link below is to a video from USP on choosing safe supplementsbull httpwwwusporgsitesdefaultfilesvideouspvConsumerEducationind
exhtml
Abdel-Aal E S M Akhtar H Zaheer K amp Ali R (2013) Dietary sources of lutein and zeaxanthin carotenoids and their role in eye health Nutrients 5(4) 1169-1185 httpwwwmdpicom2072-6643541169htm
Camilleri G M Meacutejean C Bellisle F Hercberg S amp Peacuteneau S (2016) Mindminus body practice and body weight status in a large population-based sample of adults American journal of preventive medicine 50(4) e101-e109
Carneiro A and Andrade JP Nutritional and Lifestyle Interventions for Age-Related Macular Degeneration A Review (2017) Oxidative Medicine and Cellular Longevity 2017 Article ID 6469138 13 pages httpsdoiorg10115520176469138
Chung HY Rasmussen HM and Johnson EJ (2004) Lutein bioavailability is higher from lutein-enriched eggs than from supplements and spinach in men J Nutr 1341887-1893 httpjnnutritionorgcontent13481887full
Granado F Olmedilla B and Blanco I (2003) Nutritional and clinical relevance of lutein in human health British Journal of Nutrition 90(3) 487-502 httpswwwcambridgeorgcorejournalsbritish-journal-of-nutritionarticlenutritional-and-clinical-relevance-of-lutein-in-human-health27F42056D523DC78A8EE6135D500B338
Gruber M Chappell R Millen A LaRowe T Moeller SM Iannaccone A Kritchevsky SB and Mares J (2004) Correlates of serum lutein + zeaxanthin Findings from the Third National Health and Nutrition Examination Survey J Nutr 1342387ndash2394 httpjnnutritionorgcontent13492387fullpdf+html
References
Hawkes C Smith T G Jewell J Wardle J Hammond R A Friel S amp Kain J (2015) Smart food policies for obesity prevention The Lancet 385(9985) 2410-2421
Higdon J Drake VJ Delage B and Johnson EJ (2004-2016) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Carotenoids Accessed November 16-17 2017 httplpioregonstateedumicdietary-factorsphytochemicalscarotenoids
Higdon J Drake VJ Delage B Ross AC and Tan L (2000-2015) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Vitamin A Accessed November 16-17 2017 httplpioregonstateedumicvitaminsvitamin-A
Jacka F N OrsquoNeil A Opie R Itsiopoulos C Cotton S Mohebbi M amp Brazionis L (2017) A randomised controlled trial of dietary improvement for adults with major depression (the lsquoSMILESrsquotrial) BMC medicine 15(1) 23
Johnson EJ Maras JE Rasmussen HM Tucker KL (2010) Intake of lutein and zeaxanthin differ with age sex and ethnicity J Am Diet Assoc Sep110(9)1357-62 doi 101016jjada201006009
Lappe J Cullen D Haynatzki G Recker R Ahlf R amp Thompson K (2008) Calcium and vitamin D supplementation decreases incidence of stress fractures in female navy recruits Journal of Bone and Mineral Research 23(5) 741-749
Larson T and Coker J (2009) A descriptive study of lutein and zeaxanthin in optometric practice Optometry 80(10)579-86 doi 101016joptm200903015
References
Marx W Moseley G Berk M amp Jacka F (2017) Nutritional psychiatry the present state of the evidence Proceedings of the Nutrition Society 76(4) 427-436
McCusker MM Durrani K Payette PJ and Suchecki J (MarchndashApril 2016) An eye on nutrition The role of vitamins essential fatty acids and antioxidants in age-related macular degeneration dry eye syndrome and cataract Clinics in Dermatology Volume 34 (2) 276-285 httpsdoiorg101016jclindermatol201511009
Meegan A P Perry I J amp Phillips C M (2017) The association between dietary quality and dietary guideline adherence with mental health outcomes in adults a cross-sectional analysis Nutrients 9(3) 238
Merle B M Silver R E Rosner B amp Seddon J M (2015) Adherence to a Mediterranean diet genetic susceptibility and progression to advanced macular degeneration a prospective cohort study The American Journal of Clinical Nutrition 102(5) 1196ndash1206 httpdoiorg103945ajcn115111047
Natural Medicines Comprehensive Database (Updated July 3 2017) Natural medicines in the clinical management of eye disorders age-related degeneration cataracts and glaucoma httpnaturaldatabasetherapeuticresearchcomceCECourseaspxcs=amppm=5amps=ndamppc=09-23ampsearchid=61408260keywordanchor Accessed July 3 5 and 6 2017
Pennington K L amp DeAngelis M M (2016) Epidemiology of age-related macular degeneration (AMD) associations with cardiovascular disease phenotypes and lipid factors Eye and Vision 3 34 httpdoiorg101186s40662-016-0063-5
References
Sarris J Logan A C Akbaraly T N Amminger G P Balanzaacute-Martiacutenez V Freeman M P amp Nanri A (2015) Nutritional medicine as mainstream in psychiatry The Lancet Psychiatry 2(3) 271-274
Schleicher M Weikel K Garber C amp Taylor A (2013) Diminishing Risk for Age-Related Macular Degeneration with Nutrition A Current View Nutrients 5(7) 2405ndash2456 httpdoiorg103390nu5072405
Seddon JM Ajani UA Sperduto RD Hiller R Blair N Burton TC Farber MD Gragoudas ES Haller J Miller DT Yannuzzi LA Willett W Dietary Carotenoids Vitamins A C and E and Advanced Age-Related Macular Degeneration JAMA 1994272(18)1413-1420 doi101001jama199403520180037032
Wintermeyer E Ihle C Ehnert S Stoumlckle U Ochs G de Zwart P amp Nussler A K (2016) Crucial role of vitamin D in the musculoskeletal system Nutrients 8(6) 319
References
36
Thank you
Questions
ObesityOverweight - Age 2-19
10
11
LIQUID CALORIES
12
Choose Nutrient Dense Foods
Foods that contain a large quantity of nutrients compared to the number of calories
13
VS
Nutrient Dense Foods
bull Fresh fruits and vegetables - with rich color
bull Baking seaming and sauteacuteing are best for nutrients
bull Whole grains
bull Dairy products without added sugar
bull US DHHSNIHNCI httpswwwcancergovpublicationsdictionariescancer-termsdefnutrient-dense-food
14
Micronutrients = vitamins and minerals Micronutrients get things done in the body
They include1 Iron = healthy blood2 Calcium = strong bones and muscle3 Vitamin D = allows calcium to be absorbed4 Vitamin A = eyesight5 Niacin = digestive system skin and nerves6 Riboflavin = energy production healthy skin and hair
Source National Institute of Health website httpsodsodnihgovfactsheetslist-all
Micronutrients
Calcium makes bones amp muscles strong
Health Promotion Nutrition Tips - Calcium
Health Promotion Team 48 AMDSSGPZ
226-8777 Find us on Facebook at
httpsmfacebookcomRAFHealthPromotion
Low dietary intake = weak muscles amp bones
Weak muscles amp bones = sports injuries and pain
Vitamin D strengthens bones and positive mood
Health Promotion Nutrition Tips ndash Vitamin D
Health Promotion Team 48 AMDSSGPZ
226-8777 Find us on Facebook at
httpsmfacebookcomRAFHealthPromotion
We get Vitamin D from sun exposure and foods
Vitamin D deficiency = weak bones (rickets) and ldquothe winter bluesrdquo
Only American dairy products are fortified with Vit D
Age-Related Macular Degeneration
bull Blindness
bull gt2000000 USA
bull No Cure
bull Macula - slowly deteriorates bull ldquoAlzheimerrsquos of the eyerdquobull gtage of 80 bull USA prevalence to double by 2050bull $$$$ will be needed to deal for social
services if a cure ndash or effective treatment is not found
This Photo by Unknown Author is licensed under CC BY-SA
Age-Related Macular Degeneration
Risk Factorsbull Cigarette Smoking
bull Sunlight exposure
bull Eye Color - low ocular melanin
bull Age
bull Genetics
bull body mass index
bull and nutritional status
This Photo by Unknown Author is licensed under CC BY-NC-ND
19
Vitamin A is required for and beneficial to eye heath
Global blindness - Vitamin A deficiency (Retinol)
Vitamin A is a general term for several groups of compounds
Pro-Vitamin A compounds = can be converted to retinol alpha-carotene beta-carotene and beta-cryptoxanthin
Lutein zeaxanthin and lycopene are nonpro-Vitamin A compounds and are not essential nutrients
High dietary intake is associated with decreased incidence of AMD
Absorb blue light protecting photoreceptors from sunlight induced damage
Vitamin A
20
Diet trends include-Atkins -South Beach Diet-Low Carbohydrate-High Protein-Fasting in various forms-Paleo
Diet Trends
21
If itrsquos too good to be truehellipLow Carb ndashAtkins South Beak Keto or Ketogenic diets
bull Positive Can lose weight
bull Negative Bad breath dizziness fatigue mental slowness constipation potential for low blood sugar events
So if you operate any heavy or potentially dangerous equipment this is NOT for you
bull Most people use this diet short term as a ldquobridgerdquo but struggle when adding carbs back into diet and regain weight that was lost (1)
Sources 1 Low-Carb Diets Sorting Out the Information Nutritiion411 31 Aug 2012 Web 03 Oct 20162 Dubost Joy PhD RD CSSD Intermittent Fasting A Good Approach Academy of Nutrition and Dietetics 02 Jun 2014 Web 03 Oct 20163 Kohn Jill MS RDN LDN Should We Eat Like Our Caveman Ancestors Academy of Nutrition and Dietetics 19 Jan 2015 Web 03 Oct 20164 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
22
Fad diets never diehellipIntermittent Fasting ndash long fasting periods at least 16 hours Popular with elite athletes or
fitness enthusiast Workouts usually suffer can get light-headed dizzy tired and nauseated (2)
Paleo ndash Eat like our ancestors did 10000 years ago
bull Typically falls short on carbohydrates very restrictive bull Difficult for some to reach fiber calcium and vitamin D bull Can you really only eat only wild caught fish grass-fed meat and organic fruits and veg(3) bull Can be very expensive (4)
Bottom line If a diet or product sounds too good to be true it probably is
Can you keep eating like this in 6 months 12 months
Sources 1 Low-Carb Diets Sorting Out the Information Nutritiion411 31 Aug 2012 Web 03 Oct 20162 Dubost Joy PhD RD CSSD Intermittent Fasting A Good Approach Academy of Nutrition and Dietetics 02 Jun 2014 Web 03 Oct 20163 Kohn Jill MS RDN LDN Should We Eat Like Our Caveman Ancestors Academy of Nutrition and Dietetics 19 Jan 2015 Web 03 Oct 20164 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
23
Diets that workThe DASH Diet ndash Dietary Approaches to Stop Hypertension ranked the best overall diet for the 6th year in a row by US News amp World Report Heart healthy and nutritionally sound easy to follow (1)
Weight Watchers Diet ndash Ranked 4 overall best diet Eat what you want no foods off-limits and flexibility to shape your own diet Highest ranked for easy to follow (1)
Whatever works for you as long as yoursquore eating a variety of foods and staying at your recommended calorie level
ChooseMyPlate food model ndash Free nutritionally sound easy to follow tons of online resources
Source1 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
Dairy Eggs Bakery BreadsMeat
Can
ned
Fo
od
s
Bak
ing
Item
s
Fro
zen
Fo
od
s
Cle
anin
g amp
Pap
er It
ems
Checkout
Fruits amp
Vegetab
lesPro
cess
ed F
oo
ds
Entrance
Shop The Store Perimeter
Eggsbull Low Cost High Quality Protein
bull Are a source of 18 vitamins and minerals
bull Vitamin A (Lutein and zeaxanthin) ndash for healthy eyes
bull Calcium ndash for strong bones
bull Vitamin D ndash for calcium absorption
The Incredible Edible Egg
OPSS
SUPPLEMENTS
27
bull Not regulated closely by the FDA due to the Dietary Supplement Health Education Act 19942004
bull Generally expensive
bull Little to no proven benefits
bull AF bans HempAnabolic steroids
bull FDA prohibits sale of Ephedra
BOTTOM LINE Food first supplement second Discuss with flight surgeon primary care physician andor
Registered Dietitian before using
httphprc-onlineorgdietary-supplementsopss
Supplement Resources
bull Operation Supplement Safety (OPSS) httpswwwopssorg
SEARCH
ASK THE EXPERT
Ratings based on product
safety effectiveness
amp quality
lowest ratings have greatest
safety concerns
OPSS
Energy Drinks
Concerns with Energy Drinksbull No FDA regulation caffeine amounts vary 80-500 mg
bull FDA and UK Govrsquot issued warnings ER visits deathsHeart palpitations caffeine overdose HTN dental caries Obesity Type 2 DM
STAY SAFE BY Checking ingredients for caffeine sugar additives
SELECTING SUPPLEMENTS
bull Step 1 Safety Assessment bull Evidence-based approachbull Avoid Supplements with long ingredient list or ldquoproprietary blendrdquo
bull Step 2 Effectiveness Assessmentbull Look for clinically studied brand names bull Ask yourself ldquoWhat do I want to accomplishrdquobull wwwnaturaldatabasecombull wwwhprc-onlineorgOPSS
bull Step 3 Product Quality Assessmentbull Audit by an outside 3rd party agency
bull USP NSF Consumer Lab Informed Choice bull The link below is to a video from USP on choosing safe supplementsbull httpwwwusporgsitesdefaultfilesvideouspvConsumerEducationind
exhtml
Abdel-Aal E S M Akhtar H Zaheer K amp Ali R (2013) Dietary sources of lutein and zeaxanthin carotenoids and their role in eye health Nutrients 5(4) 1169-1185 httpwwwmdpicom2072-6643541169htm
Camilleri G M Meacutejean C Bellisle F Hercberg S amp Peacuteneau S (2016) Mindminus body practice and body weight status in a large population-based sample of adults American journal of preventive medicine 50(4) e101-e109
Carneiro A and Andrade JP Nutritional and Lifestyle Interventions for Age-Related Macular Degeneration A Review (2017) Oxidative Medicine and Cellular Longevity 2017 Article ID 6469138 13 pages httpsdoiorg10115520176469138
Chung HY Rasmussen HM and Johnson EJ (2004) Lutein bioavailability is higher from lutein-enriched eggs than from supplements and spinach in men J Nutr 1341887-1893 httpjnnutritionorgcontent13481887full
Granado F Olmedilla B and Blanco I (2003) Nutritional and clinical relevance of lutein in human health British Journal of Nutrition 90(3) 487-502 httpswwwcambridgeorgcorejournalsbritish-journal-of-nutritionarticlenutritional-and-clinical-relevance-of-lutein-in-human-health27F42056D523DC78A8EE6135D500B338
Gruber M Chappell R Millen A LaRowe T Moeller SM Iannaccone A Kritchevsky SB and Mares J (2004) Correlates of serum lutein + zeaxanthin Findings from the Third National Health and Nutrition Examination Survey J Nutr 1342387ndash2394 httpjnnutritionorgcontent13492387fullpdf+html
References
Hawkes C Smith T G Jewell J Wardle J Hammond R A Friel S amp Kain J (2015) Smart food policies for obesity prevention The Lancet 385(9985) 2410-2421
Higdon J Drake VJ Delage B and Johnson EJ (2004-2016) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Carotenoids Accessed November 16-17 2017 httplpioregonstateedumicdietary-factorsphytochemicalscarotenoids
Higdon J Drake VJ Delage B Ross AC and Tan L (2000-2015) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Vitamin A Accessed November 16-17 2017 httplpioregonstateedumicvitaminsvitamin-A
Jacka F N OrsquoNeil A Opie R Itsiopoulos C Cotton S Mohebbi M amp Brazionis L (2017) A randomised controlled trial of dietary improvement for adults with major depression (the lsquoSMILESrsquotrial) BMC medicine 15(1) 23
Johnson EJ Maras JE Rasmussen HM Tucker KL (2010) Intake of lutein and zeaxanthin differ with age sex and ethnicity J Am Diet Assoc Sep110(9)1357-62 doi 101016jjada201006009
Lappe J Cullen D Haynatzki G Recker R Ahlf R amp Thompson K (2008) Calcium and vitamin D supplementation decreases incidence of stress fractures in female navy recruits Journal of Bone and Mineral Research 23(5) 741-749
Larson T and Coker J (2009) A descriptive study of lutein and zeaxanthin in optometric practice Optometry 80(10)579-86 doi 101016joptm200903015
References
Marx W Moseley G Berk M amp Jacka F (2017) Nutritional psychiatry the present state of the evidence Proceedings of the Nutrition Society 76(4) 427-436
McCusker MM Durrani K Payette PJ and Suchecki J (MarchndashApril 2016) An eye on nutrition The role of vitamins essential fatty acids and antioxidants in age-related macular degeneration dry eye syndrome and cataract Clinics in Dermatology Volume 34 (2) 276-285 httpsdoiorg101016jclindermatol201511009
Meegan A P Perry I J amp Phillips C M (2017) The association between dietary quality and dietary guideline adherence with mental health outcomes in adults a cross-sectional analysis Nutrients 9(3) 238
Merle B M Silver R E Rosner B amp Seddon J M (2015) Adherence to a Mediterranean diet genetic susceptibility and progression to advanced macular degeneration a prospective cohort study The American Journal of Clinical Nutrition 102(5) 1196ndash1206 httpdoiorg103945ajcn115111047
Natural Medicines Comprehensive Database (Updated July 3 2017) Natural medicines in the clinical management of eye disorders age-related degeneration cataracts and glaucoma httpnaturaldatabasetherapeuticresearchcomceCECourseaspxcs=amppm=5amps=ndamppc=09-23ampsearchid=61408260keywordanchor Accessed July 3 5 and 6 2017
Pennington K L amp DeAngelis M M (2016) Epidemiology of age-related macular degeneration (AMD) associations with cardiovascular disease phenotypes and lipid factors Eye and Vision 3 34 httpdoiorg101186s40662-016-0063-5
References
Sarris J Logan A C Akbaraly T N Amminger G P Balanzaacute-Martiacutenez V Freeman M P amp Nanri A (2015) Nutritional medicine as mainstream in psychiatry The Lancet Psychiatry 2(3) 271-274
Schleicher M Weikel K Garber C amp Taylor A (2013) Diminishing Risk for Age-Related Macular Degeneration with Nutrition A Current View Nutrients 5(7) 2405ndash2456 httpdoiorg103390nu5072405
Seddon JM Ajani UA Sperduto RD Hiller R Blair N Burton TC Farber MD Gragoudas ES Haller J Miller DT Yannuzzi LA Willett W Dietary Carotenoids Vitamins A C and E and Advanced Age-Related Macular Degeneration JAMA 1994272(18)1413-1420 doi101001jama199403520180037032
Wintermeyer E Ihle C Ehnert S Stoumlckle U Ochs G de Zwart P amp Nussler A K (2016) Crucial role of vitamin D in the musculoskeletal system Nutrients 8(6) 319
References
36
Thank you
Questions
11
LIQUID CALORIES
12
Choose Nutrient Dense Foods
Foods that contain a large quantity of nutrients compared to the number of calories
13
VS
Nutrient Dense Foods
bull Fresh fruits and vegetables - with rich color
bull Baking seaming and sauteacuteing are best for nutrients
bull Whole grains
bull Dairy products without added sugar
bull US DHHSNIHNCI httpswwwcancergovpublicationsdictionariescancer-termsdefnutrient-dense-food
14
Micronutrients = vitamins and minerals Micronutrients get things done in the body
They include1 Iron = healthy blood2 Calcium = strong bones and muscle3 Vitamin D = allows calcium to be absorbed4 Vitamin A = eyesight5 Niacin = digestive system skin and nerves6 Riboflavin = energy production healthy skin and hair
Source National Institute of Health website httpsodsodnihgovfactsheetslist-all
Micronutrients
Calcium makes bones amp muscles strong
Health Promotion Nutrition Tips - Calcium
Health Promotion Team 48 AMDSSGPZ
226-8777 Find us on Facebook at
httpsmfacebookcomRAFHealthPromotion
Low dietary intake = weak muscles amp bones
Weak muscles amp bones = sports injuries and pain
Vitamin D strengthens bones and positive mood
Health Promotion Nutrition Tips ndash Vitamin D
Health Promotion Team 48 AMDSSGPZ
226-8777 Find us on Facebook at
httpsmfacebookcomRAFHealthPromotion
We get Vitamin D from sun exposure and foods
Vitamin D deficiency = weak bones (rickets) and ldquothe winter bluesrdquo
Only American dairy products are fortified with Vit D
Age-Related Macular Degeneration
bull Blindness
bull gt2000000 USA
bull No Cure
bull Macula - slowly deteriorates bull ldquoAlzheimerrsquos of the eyerdquobull gtage of 80 bull USA prevalence to double by 2050bull $$$$ will be needed to deal for social
services if a cure ndash or effective treatment is not found
This Photo by Unknown Author is licensed under CC BY-SA
Age-Related Macular Degeneration
Risk Factorsbull Cigarette Smoking
bull Sunlight exposure
bull Eye Color - low ocular melanin
bull Age
bull Genetics
bull body mass index
bull and nutritional status
This Photo by Unknown Author is licensed under CC BY-NC-ND
19
Vitamin A is required for and beneficial to eye heath
Global blindness - Vitamin A deficiency (Retinol)
Vitamin A is a general term for several groups of compounds
Pro-Vitamin A compounds = can be converted to retinol alpha-carotene beta-carotene and beta-cryptoxanthin
Lutein zeaxanthin and lycopene are nonpro-Vitamin A compounds and are not essential nutrients
High dietary intake is associated with decreased incidence of AMD
Absorb blue light protecting photoreceptors from sunlight induced damage
Vitamin A
20
Diet trends include-Atkins -South Beach Diet-Low Carbohydrate-High Protein-Fasting in various forms-Paleo
Diet Trends
21
If itrsquos too good to be truehellipLow Carb ndashAtkins South Beak Keto or Ketogenic diets
bull Positive Can lose weight
bull Negative Bad breath dizziness fatigue mental slowness constipation potential for low blood sugar events
So if you operate any heavy or potentially dangerous equipment this is NOT for you
bull Most people use this diet short term as a ldquobridgerdquo but struggle when adding carbs back into diet and regain weight that was lost (1)
Sources 1 Low-Carb Diets Sorting Out the Information Nutritiion411 31 Aug 2012 Web 03 Oct 20162 Dubost Joy PhD RD CSSD Intermittent Fasting A Good Approach Academy of Nutrition and Dietetics 02 Jun 2014 Web 03 Oct 20163 Kohn Jill MS RDN LDN Should We Eat Like Our Caveman Ancestors Academy of Nutrition and Dietetics 19 Jan 2015 Web 03 Oct 20164 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
22
Fad diets never diehellipIntermittent Fasting ndash long fasting periods at least 16 hours Popular with elite athletes or
fitness enthusiast Workouts usually suffer can get light-headed dizzy tired and nauseated (2)
Paleo ndash Eat like our ancestors did 10000 years ago
bull Typically falls short on carbohydrates very restrictive bull Difficult for some to reach fiber calcium and vitamin D bull Can you really only eat only wild caught fish grass-fed meat and organic fruits and veg(3) bull Can be very expensive (4)
Bottom line If a diet or product sounds too good to be true it probably is
Can you keep eating like this in 6 months 12 months
Sources 1 Low-Carb Diets Sorting Out the Information Nutritiion411 31 Aug 2012 Web 03 Oct 20162 Dubost Joy PhD RD CSSD Intermittent Fasting A Good Approach Academy of Nutrition and Dietetics 02 Jun 2014 Web 03 Oct 20163 Kohn Jill MS RDN LDN Should We Eat Like Our Caveman Ancestors Academy of Nutrition and Dietetics 19 Jan 2015 Web 03 Oct 20164 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
23
Diets that workThe DASH Diet ndash Dietary Approaches to Stop Hypertension ranked the best overall diet for the 6th year in a row by US News amp World Report Heart healthy and nutritionally sound easy to follow (1)
Weight Watchers Diet ndash Ranked 4 overall best diet Eat what you want no foods off-limits and flexibility to shape your own diet Highest ranked for easy to follow (1)
Whatever works for you as long as yoursquore eating a variety of foods and staying at your recommended calorie level
ChooseMyPlate food model ndash Free nutritionally sound easy to follow tons of online resources
Source1 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
Dairy Eggs Bakery BreadsMeat
Can
ned
Fo
od
s
Bak
ing
Item
s
Fro
zen
Fo
od
s
Cle
anin
g amp
Pap
er It
ems
Checkout
Fruits amp
Vegetab
lesPro
cess
ed F
oo
ds
Entrance
Shop The Store Perimeter
Eggsbull Low Cost High Quality Protein
bull Are a source of 18 vitamins and minerals
bull Vitamin A (Lutein and zeaxanthin) ndash for healthy eyes
bull Calcium ndash for strong bones
bull Vitamin D ndash for calcium absorption
The Incredible Edible Egg
OPSS
SUPPLEMENTS
27
bull Not regulated closely by the FDA due to the Dietary Supplement Health Education Act 19942004
bull Generally expensive
bull Little to no proven benefits
bull AF bans HempAnabolic steroids
bull FDA prohibits sale of Ephedra
BOTTOM LINE Food first supplement second Discuss with flight surgeon primary care physician andor
Registered Dietitian before using
httphprc-onlineorgdietary-supplementsopss
Supplement Resources
bull Operation Supplement Safety (OPSS) httpswwwopssorg
SEARCH
ASK THE EXPERT
Ratings based on product
safety effectiveness
amp quality
lowest ratings have greatest
safety concerns
OPSS
Energy Drinks
Concerns with Energy Drinksbull No FDA regulation caffeine amounts vary 80-500 mg
bull FDA and UK Govrsquot issued warnings ER visits deathsHeart palpitations caffeine overdose HTN dental caries Obesity Type 2 DM
STAY SAFE BY Checking ingredients for caffeine sugar additives
SELECTING SUPPLEMENTS
bull Step 1 Safety Assessment bull Evidence-based approachbull Avoid Supplements with long ingredient list or ldquoproprietary blendrdquo
bull Step 2 Effectiveness Assessmentbull Look for clinically studied brand names bull Ask yourself ldquoWhat do I want to accomplishrdquobull wwwnaturaldatabasecombull wwwhprc-onlineorgOPSS
bull Step 3 Product Quality Assessmentbull Audit by an outside 3rd party agency
bull USP NSF Consumer Lab Informed Choice bull The link below is to a video from USP on choosing safe supplementsbull httpwwwusporgsitesdefaultfilesvideouspvConsumerEducationind
exhtml
Abdel-Aal E S M Akhtar H Zaheer K amp Ali R (2013) Dietary sources of lutein and zeaxanthin carotenoids and their role in eye health Nutrients 5(4) 1169-1185 httpwwwmdpicom2072-6643541169htm
Camilleri G M Meacutejean C Bellisle F Hercberg S amp Peacuteneau S (2016) Mindminus body practice and body weight status in a large population-based sample of adults American journal of preventive medicine 50(4) e101-e109
Carneiro A and Andrade JP Nutritional and Lifestyle Interventions for Age-Related Macular Degeneration A Review (2017) Oxidative Medicine and Cellular Longevity 2017 Article ID 6469138 13 pages httpsdoiorg10115520176469138
Chung HY Rasmussen HM and Johnson EJ (2004) Lutein bioavailability is higher from lutein-enriched eggs than from supplements and spinach in men J Nutr 1341887-1893 httpjnnutritionorgcontent13481887full
Granado F Olmedilla B and Blanco I (2003) Nutritional and clinical relevance of lutein in human health British Journal of Nutrition 90(3) 487-502 httpswwwcambridgeorgcorejournalsbritish-journal-of-nutritionarticlenutritional-and-clinical-relevance-of-lutein-in-human-health27F42056D523DC78A8EE6135D500B338
Gruber M Chappell R Millen A LaRowe T Moeller SM Iannaccone A Kritchevsky SB and Mares J (2004) Correlates of serum lutein + zeaxanthin Findings from the Third National Health and Nutrition Examination Survey J Nutr 1342387ndash2394 httpjnnutritionorgcontent13492387fullpdf+html
References
Hawkes C Smith T G Jewell J Wardle J Hammond R A Friel S amp Kain J (2015) Smart food policies for obesity prevention The Lancet 385(9985) 2410-2421
Higdon J Drake VJ Delage B and Johnson EJ (2004-2016) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Carotenoids Accessed November 16-17 2017 httplpioregonstateedumicdietary-factorsphytochemicalscarotenoids
Higdon J Drake VJ Delage B Ross AC and Tan L (2000-2015) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Vitamin A Accessed November 16-17 2017 httplpioregonstateedumicvitaminsvitamin-A
Jacka F N OrsquoNeil A Opie R Itsiopoulos C Cotton S Mohebbi M amp Brazionis L (2017) A randomised controlled trial of dietary improvement for adults with major depression (the lsquoSMILESrsquotrial) BMC medicine 15(1) 23
Johnson EJ Maras JE Rasmussen HM Tucker KL (2010) Intake of lutein and zeaxanthin differ with age sex and ethnicity J Am Diet Assoc Sep110(9)1357-62 doi 101016jjada201006009
Lappe J Cullen D Haynatzki G Recker R Ahlf R amp Thompson K (2008) Calcium and vitamin D supplementation decreases incidence of stress fractures in female navy recruits Journal of Bone and Mineral Research 23(5) 741-749
Larson T and Coker J (2009) A descriptive study of lutein and zeaxanthin in optometric practice Optometry 80(10)579-86 doi 101016joptm200903015
References
Marx W Moseley G Berk M amp Jacka F (2017) Nutritional psychiatry the present state of the evidence Proceedings of the Nutrition Society 76(4) 427-436
McCusker MM Durrani K Payette PJ and Suchecki J (MarchndashApril 2016) An eye on nutrition The role of vitamins essential fatty acids and antioxidants in age-related macular degeneration dry eye syndrome and cataract Clinics in Dermatology Volume 34 (2) 276-285 httpsdoiorg101016jclindermatol201511009
Meegan A P Perry I J amp Phillips C M (2017) The association between dietary quality and dietary guideline adherence with mental health outcomes in adults a cross-sectional analysis Nutrients 9(3) 238
Merle B M Silver R E Rosner B amp Seddon J M (2015) Adherence to a Mediterranean diet genetic susceptibility and progression to advanced macular degeneration a prospective cohort study The American Journal of Clinical Nutrition 102(5) 1196ndash1206 httpdoiorg103945ajcn115111047
Natural Medicines Comprehensive Database (Updated July 3 2017) Natural medicines in the clinical management of eye disorders age-related degeneration cataracts and glaucoma httpnaturaldatabasetherapeuticresearchcomceCECourseaspxcs=amppm=5amps=ndamppc=09-23ampsearchid=61408260keywordanchor Accessed July 3 5 and 6 2017
Pennington K L amp DeAngelis M M (2016) Epidemiology of age-related macular degeneration (AMD) associations with cardiovascular disease phenotypes and lipid factors Eye and Vision 3 34 httpdoiorg101186s40662-016-0063-5
References
Sarris J Logan A C Akbaraly T N Amminger G P Balanzaacute-Martiacutenez V Freeman M P amp Nanri A (2015) Nutritional medicine as mainstream in psychiatry The Lancet Psychiatry 2(3) 271-274
Schleicher M Weikel K Garber C amp Taylor A (2013) Diminishing Risk for Age-Related Macular Degeneration with Nutrition A Current View Nutrients 5(7) 2405ndash2456 httpdoiorg103390nu5072405
Seddon JM Ajani UA Sperduto RD Hiller R Blair N Burton TC Farber MD Gragoudas ES Haller J Miller DT Yannuzzi LA Willett W Dietary Carotenoids Vitamins A C and E and Advanced Age-Related Macular Degeneration JAMA 1994272(18)1413-1420 doi101001jama199403520180037032
Wintermeyer E Ihle C Ehnert S Stoumlckle U Ochs G de Zwart P amp Nussler A K (2016) Crucial role of vitamin D in the musculoskeletal system Nutrients 8(6) 319
References
36
Thank you
Questions
LIQUID CALORIES
12
Choose Nutrient Dense Foods
Foods that contain a large quantity of nutrients compared to the number of calories
13
VS
Nutrient Dense Foods
bull Fresh fruits and vegetables - with rich color
bull Baking seaming and sauteacuteing are best for nutrients
bull Whole grains
bull Dairy products without added sugar
bull US DHHSNIHNCI httpswwwcancergovpublicationsdictionariescancer-termsdefnutrient-dense-food
14
Micronutrients = vitamins and minerals Micronutrients get things done in the body
They include1 Iron = healthy blood2 Calcium = strong bones and muscle3 Vitamin D = allows calcium to be absorbed4 Vitamin A = eyesight5 Niacin = digestive system skin and nerves6 Riboflavin = energy production healthy skin and hair
Source National Institute of Health website httpsodsodnihgovfactsheetslist-all
Micronutrients
Calcium makes bones amp muscles strong
Health Promotion Nutrition Tips - Calcium
Health Promotion Team 48 AMDSSGPZ
226-8777 Find us on Facebook at
httpsmfacebookcomRAFHealthPromotion
Low dietary intake = weak muscles amp bones
Weak muscles amp bones = sports injuries and pain
Vitamin D strengthens bones and positive mood
Health Promotion Nutrition Tips ndash Vitamin D
Health Promotion Team 48 AMDSSGPZ
226-8777 Find us on Facebook at
httpsmfacebookcomRAFHealthPromotion
We get Vitamin D from sun exposure and foods
Vitamin D deficiency = weak bones (rickets) and ldquothe winter bluesrdquo
Only American dairy products are fortified with Vit D
Age-Related Macular Degeneration
bull Blindness
bull gt2000000 USA
bull No Cure
bull Macula - slowly deteriorates bull ldquoAlzheimerrsquos of the eyerdquobull gtage of 80 bull USA prevalence to double by 2050bull $$$$ will be needed to deal for social
services if a cure ndash or effective treatment is not found
This Photo by Unknown Author is licensed under CC BY-SA
Age-Related Macular Degeneration
Risk Factorsbull Cigarette Smoking
bull Sunlight exposure
bull Eye Color - low ocular melanin
bull Age
bull Genetics
bull body mass index
bull and nutritional status
This Photo by Unknown Author is licensed under CC BY-NC-ND
19
Vitamin A is required for and beneficial to eye heath
Global blindness - Vitamin A deficiency (Retinol)
Vitamin A is a general term for several groups of compounds
Pro-Vitamin A compounds = can be converted to retinol alpha-carotene beta-carotene and beta-cryptoxanthin
Lutein zeaxanthin and lycopene are nonpro-Vitamin A compounds and are not essential nutrients
High dietary intake is associated with decreased incidence of AMD
Absorb blue light protecting photoreceptors from sunlight induced damage
Vitamin A
20
Diet trends include-Atkins -South Beach Diet-Low Carbohydrate-High Protein-Fasting in various forms-Paleo
Diet Trends
21
If itrsquos too good to be truehellipLow Carb ndashAtkins South Beak Keto or Ketogenic diets
bull Positive Can lose weight
bull Negative Bad breath dizziness fatigue mental slowness constipation potential for low blood sugar events
So if you operate any heavy or potentially dangerous equipment this is NOT for you
bull Most people use this diet short term as a ldquobridgerdquo but struggle when adding carbs back into diet and regain weight that was lost (1)
Sources 1 Low-Carb Diets Sorting Out the Information Nutritiion411 31 Aug 2012 Web 03 Oct 20162 Dubost Joy PhD RD CSSD Intermittent Fasting A Good Approach Academy of Nutrition and Dietetics 02 Jun 2014 Web 03 Oct 20163 Kohn Jill MS RDN LDN Should We Eat Like Our Caveman Ancestors Academy of Nutrition and Dietetics 19 Jan 2015 Web 03 Oct 20164 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
22
Fad diets never diehellipIntermittent Fasting ndash long fasting periods at least 16 hours Popular with elite athletes or
fitness enthusiast Workouts usually suffer can get light-headed dizzy tired and nauseated (2)
Paleo ndash Eat like our ancestors did 10000 years ago
bull Typically falls short on carbohydrates very restrictive bull Difficult for some to reach fiber calcium and vitamin D bull Can you really only eat only wild caught fish grass-fed meat and organic fruits and veg(3) bull Can be very expensive (4)
Bottom line If a diet or product sounds too good to be true it probably is
Can you keep eating like this in 6 months 12 months
Sources 1 Low-Carb Diets Sorting Out the Information Nutritiion411 31 Aug 2012 Web 03 Oct 20162 Dubost Joy PhD RD CSSD Intermittent Fasting A Good Approach Academy of Nutrition and Dietetics 02 Jun 2014 Web 03 Oct 20163 Kohn Jill MS RDN LDN Should We Eat Like Our Caveman Ancestors Academy of Nutrition and Dietetics 19 Jan 2015 Web 03 Oct 20164 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
23
Diets that workThe DASH Diet ndash Dietary Approaches to Stop Hypertension ranked the best overall diet for the 6th year in a row by US News amp World Report Heart healthy and nutritionally sound easy to follow (1)
Weight Watchers Diet ndash Ranked 4 overall best diet Eat what you want no foods off-limits and flexibility to shape your own diet Highest ranked for easy to follow (1)
Whatever works for you as long as yoursquore eating a variety of foods and staying at your recommended calorie level
ChooseMyPlate food model ndash Free nutritionally sound easy to follow tons of online resources
Source1 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
Dairy Eggs Bakery BreadsMeat
Can
ned
Fo
od
s
Bak
ing
Item
s
Fro
zen
Fo
od
s
Cle
anin
g amp
Pap
er It
ems
Checkout
Fruits amp
Vegetab
lesPro
cess
ed F
oo
ds
Entrance
Shop The Store Perimeter
Eggsbull Low Cost High Quality Protein
bull Are a source of 18 vitamins and minerals
bull Vitamin A (Lutein and zeaxanthin) ndash for healthy eyes
bull Calcium ndash for strong bones
bull Vitamin D ndash for calcium absorption
The Incredible Edible Egg
OPSS
SUPPLEMENTS
27
bull Not regulated closely by the FDA due to the Dietary Supplement Health Education Act 19942004
bull Generally expensive
bull Little to no proven benefits
bull AF bans HempAnabolic steroids
bull FDA prohibits sale of Ephedra
BOTTOM LINE Food first supplement second Discuss with flight surgeon primary care physician andor
Registered Dietitian before using
httphprc-onlineorgdietary-supplementsopss
Supplement Resources
bull Operation Supplement Safety (OPSS) httpswwwopssorg
SEARCH
ASK THE EXPERT
Ratings based on product
safety effectiveness
amp quality
lowest ratings have greatest
safety concerns
OPSS
Energy Drinks
Concerns with Energy Drinksbull No FDA regulation caffeine amounts vary 80-500 mg
bull FDA and UK Govrsquot issued warnings ER visits deathsHeart palpitations caffeine overdose HTN dental caries Obesity Type 2 DM
STAY SAFE BY Checking ingredients for caffeine sugar additives
SELECTING SUPPLEMENTS
bull Step 1 Safety Assessment bull Evidence-based approachbull Avoid Supplements with long ingredient list or ldquoproprietary blendrdquo
bull Step 2 Effectiveness Assessmentbull Look for clinically studied brand names bull Ask yourself ldquoWhat do I want to accomplishrdquobull wwwnaturaldatabasecombull wwwhprc-onlineorgOPSS
bull Step 3 Product Quality Assessmentbull Audit by an outside 3rd party agency
bull USP NSF Consumer Lab Informed Choice bull The link below is to a video from USP on choosing safe supplementsbull httpwwwusporgsitesdefaultfilesvideouspvConsumerEducationind
exhtml
Abdel-Aal E S M Akhtar H Zaheer K amp Ali R (2013) Dietary sources of lutein and zeaxanthin carotenoids and their role in eye health Nutrients 5(4) 1169-1185 httpwwwmdpicom2072-6643541169htm
Camilleri G M Meacutejean C Bellisle F Hercberg S amp Peacuteneau S (2016) Mindminus body practice and body weight status in a large population-based sample of adults American journal of preventive medicine 50(4) e101-e109
Carneiro A and Andrade JP Nutritional and Lifestyle Interventions for Age-Related Macular Degeneration A Review (2017) Oxidative Medicine and Cellular Longevity 2017 Article ID 6469138 13 pages httpsdoiorg10115520176469138
Chung HY Rasmussen HM and Johnson EJ (2004) Lutein bioavailability is higher from lutein-enriched eggs than from supplements and spinach in men J Nutr 1341887-1893 httpjnnutritionorgcontent13481887full
Granado F Olmedilla B and Blanco I (2003) Nutritional and clinical relevance of lutein in human health British Journal of Nutrition 90(3) 487-502 httpswwwcambridgeorgcorejournalsbritish-journal-of-nutritionarticlenutritional-and-clinical-relevance-of-lutein-in-human-health27F42056D523DC78A8EE6135D500B338
Gruber M Chappell R Millen A LaRowe T Moeller SM Iannaccone A Kritchevsky SB and Mares J (2004) Correlates of serum lutein + zeaxanthin Findings from the Third National Health and Nutrition Examination Survey J Nutr 1342387ndash2394 httpjnnutritionorgcontent13492387fullpdf+html
References
Hawkes C Smith T G Jewell J Wardle J Hammond R A Friel S amp Kain J (2015) Smart food policies for obesity prevention The Lancet 385(9985) 2410-2421
Higdon J Drake VJ Delage B and Johnson EJ (2004-2016) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Carotenoids Accessed November 16-17 2017 httplpioregonstateedumicdietary-factorsphytochemicalscarotenoids
Higdon J Drake VJ Delage B Ross AC and Tan L (2000-2015) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Vitamin A Accessed November 16-17 2017 httplpioregonstateedumicvitaminsvitamin-A
Jacka F N OrsquoNeil A Opie R Itsiopoulos C Cotton S Mohebbi M amp Brazionis L (2017) A randomised controlled trial of dietary improvement for adults with major depression (the lsquoSMILESrsquotrial) BMC medicine 15(1) 23
Johnson EJ Maras JE Rasmussen HM Tucker KL (2010) Intake of lutein and zeaxanthin differ with age sex and ethnicity J Am Diet Assoc Sep110(9)1357-62 doi 101016jjada201006009
Lappe J Cullen D Haynatzki G Recker R Ahlf R amp Thompson K (2008) Calcium and vitamin D supplementation decreases incidence of stress fractures in female navy recruits Journal of Bone and Mineral Research 23(5) 741-749
Larson T and Coker J (2009) A descriptive study of lutein and zeaxanthin in optometric practice Optometry 80(10)579-86 doi 101016joptm200903015
References
Marx W Moseley G Berk M amp Jacka F (2017) Nutritional psychiatry the present state of the evidence Proceedings of the Nutrition Society 76(4) 427-436
McCusker MM Durrani K Payette PJ and Suchecki J (MarchndashApril 2016) An eye on nutrition The role of vitamins essential fatty acids and antioxidants in age-related macular degeneration dry eye syndrome and cataract Clinics in Dermatology Volume 34 (2) 276-285 httpsdoiorg101016jclindermatol201511009
Meegan A P Perry I J amp Phillips C M (2017) The association between dietary quality and dietary guideline adherence with mental health outcomes in adults a cross-sectional analysis Nutrients 9(3) 238
Merle B M Silver R E Rosner B amp Seddon J M (2015) Adherence to a Mediterranean diet genetic susceptibility and progression to advanced macular degeneration a prospective cohort study The American Journal of Clinical Nutrition 102(5) 1196ndash1206 httpdoiorg103945ajcn115111047
Natural Medicines Comprehensive Database (Updated July 3 2017) Natural medicines in the clinical management of eye disorders age-related degeneration cataracts and glaucoma httpnaturaldatabasetherapeuticresearchcomceCECourseaspxcs=amppm=5amps=ndamppc=09-23ampsearchid=61408260keywordanchor Accessed July 3 5 and 6 2017
Pennington K L amp DeAngelis M M (2016) Epidemiology of age-related macular degeneration (AMD) associations with cardiovascular disease phenotypes and lipid factors Eye and Vision 3 34 httpdoiorg101186s40662-016-0063-5
References
Sarris J Logan A C Akbaraly T N Amminger G P Balanzaacute-Martiacutenez V Freeman M P amp Nanri A (2015) Nutritional medicine as mainstream in psychiatry The Lancet Psychiatry 2(3) 271-274
Schleicher M Weikel K Garber C amp Taylor A (2013) Diminishing Risk for Age-Related Macular Degeneration with Nutrition A Current View Nutrients 5(7) 2405ndash2456 httpdoiorg103390nu5072405
Seddon JM Ajani UA Sperduto RD Hiller R Blair N Burton TC Farber MD Gragoudas ES Haller J Miller DT Yannuzzi LA Willett W Dietary Carotenoids Vitamins A C and E and Advanced Age-Related Macular Degeneration JAMA 1994272(18)1413-1420 doi101001jama199403520180037032
Wintermeyer E Ihle C Ehnert S Stoumlckle U Ochs G de Zwart P amp Nussler A K (2016) Crucial role of vitamin D in the musculoskeletal system Nutrients 8(6) 319
References
36
Thank you
Questions
Choose Nutrient Dense Foods
Foods that contain a large quantity of nutrients compared to the number of calories
13
VS
Nutrient Dense Foods
bull Fresh fruits and vegetables - with rich color
bull Baking seaming and sauteacuteing are best for nutrients
bull Whole grains
bull Dairy products without added sugar
bull US DHHSNIHNCI httpswwwcancergovpublicationsdictionariescancer-termsdefnutrient-dense-food
14
Micronutrients = vitamins and minerals Micronutrients get things done in the body
They include1 Iron = healthy blood2 Calcium = strong bones and muscle3 Vitamin D = allows calcium to be absorbed4 Vitamin A = eyesight5 Niacin = digestive system skin and nerves6 Riboflavin = energy production healthy skin and hair
Source National Institute of Health website httpsodsodnihgovfactsheetslist-all
Micronutrients
Calcium makes bones amp muscles strong
Health Promotion Nutrition Tips - Calcium
Health Promotion Team 48 AMDSSGPZ
226-8777 Find us on Facebook at
httpsmfacebookcomRAFHealthPromotion
Low dietary intake = weak muscles amp bones
Weak muscles amp bones = sports injuries and pain
Vitamin D strengthens bones and positive mood
Health Promotion Nutrition Tips ndash Vitamin D
Health Promotion Team 48 AMDSSGPZ
226-8777 Find us on Facebook at
httpsmfacebookcomRAFHealthPromotion
We get Vitamin D from sun exposure and foods
Vitamin D deficiency = weak bones (rickets) and ldquothe winter bluesrdquo
Only American dairy products are fortified with Vit D
Age-Related Macular Degeneration
bull Blindness
bull gt2000000 USA
bull No Cure
bull Macula - slowly deteriorates bull ldquoAlzheimerrsquos of the eyerdquobull gtage of 80 bull USA prevalence to double by 2050bull $$$$ will be needed to deal for social
services if a cure ndash or effective treatment is not found
This Photo by Unknown Author is licensed under CC BY-SA
Age-Related Macular Degeneration
Risk Factorsbull Cigarette Smoking
bull Sunlight exposure
bull Eye Color - low ocular melanin
bull Age
bull Genetics
bull body mass index
bull and nutritional status
This Photo by Unknown Author is licensed under CC BY-NC-ND
19
Vitamin A is required for and beneficial to eye heath
Global blindness - Vitamin A deficiency (Retinol)
Vitamin A is a general term for several groups of compounds
Pro-Vitamin A compounds = can be converted to retinol alpha-carotene beta-carotene and beta-cryptoxanthin
Lutein zeaxanthin and lycopene are nonpro-Vitamin A compounds and are not essential nutrients
High dietary intake is associated with decreased incidence of AMD
Absorb blue light protecting photoreceptors from sunlight induced damage
Vitamin A
20
Diet trends include-Atkins -South Beach Diet-Low Carbohydrate-High Protein-Fasting in various forms-Paleo
Diet Trends
21
If itrsquos too good to be truehellipLow Carb ndashAtkins South Beak Keto or Ketogenic diets
bull Positive Can lose weight
bull Negative Bad breath dizziness fatigue mental slowness constipation potential for low blood sugar events
So if you operate any heavy or potentially dangerous equipment this is NOT for you
bull Most people use this diet short term as a ldquobridgerdquo but struggle when adding carbs back into diet and regain weight that was lost (1)
Sources 1 Low-Carb Diets Sorting Out the Information Nutritiion411 31 Aug 2012 Web 03 Oct 20162 Dubost Joy PhD RD CSSD Intermittent Fasting A Good Approach Academy of Nutrition and Dietetics 02 Jun 2014 Web 03 Oct 20163 Kohn Jill MS RDN LDN Should We Eat Like Our Caveman Ancestors Academy of Nutrition and Dietetics 19 Jan 2015 Web 03 Oct 20164 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
22
Fad diets never diehellipIntermittent Fasting ndash long fasting periods at least 16 hours Popular with elite athletes or
fitness enthusiast Workouts usually suffer can get light-headed dizzy tired and nauseated (2)
Paleo ndash Eat like our ancestors did 10000 years ago
bull Typically falls short on carbohydrates very restrictive bull Difficult for some to reach fiber calcium and vitamin D bull Can you really only eat only wild caught fish grass-fed meat and organic fruits and veg(3) bull Can be very expensive (4)
Bottom line If a diet or product sounds too good to be true it probably is
Can you keep eating like this in 6 months 12 months
Sources 1 Low-Carb Diets Sorting Out the Information Nutritiion411 31 Aug 2012 Web 03 Oct 20162 Dubost Joy PhD RD CSSD Intermittent Fasting A Good Approach Academy of Nutrition and Dietetics 02 Jun 2014 Web 03 Oct 20163 Kohn Jill MS RDN LDN Should We Eat Like Our Caveman Ancestors Academy of Nutrition and Dietetics 19 Jan 2015 Web 03 Oct 20164 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
23
Diets that workThe DASH Diet ndash Dietary Approaches to Stop Hypertension ranked the best overall diet for the 6th year in a row by US News amp World Report Heart healthy and nutritionally sound easy to follow (1)
Weight Watchers Diet ndash Ranked 4 overall best diet Eat what you want no foods off-limits and flexibility to shape your own diet Highest ranked for easy to follow (1)
Whatever works for you as long as yoursquore eating a variety of foods and staying at your recommended calorie level
ChooseMyPlate food model ndash Free nutritionally sound easy to follow tons of online resources
Source1 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
Dairy Eggs Bakery BreadsMeat
Can
ned
Fo
od
s
Bak
ing
Item
s
Fro
zen
Fo
od
s
Cle
anin
g amp
Pap
er It
ems
Checkout
Fruits amp
Vegetab
lesPro
cess
ed F
oo
ds
Entrance
Shop The Store Perimeter
Eggsbull Low Cost High Quality Protein
bull Are a source of 18 vitamins and minerals
bull Vitamin A (Lutein and zeaxanthin) ndash for healthy eyes
bull Calcium ndash for strong bones
bull Vitamin D ndash for calcium absorption
The Incredible Edible Egg
OPSS
SUPPLEMENTS
27
bull Not regulated closely by the FDA due to the Dietary Supplement Health Education Act 19942004
bull Generally expensive
bull Little to no proven benefits
bull AF bans HempAnabolic steroids
bull FDA prohibits sale of Ephedra
BOTTOM LINE Food first supplement second Discuss with flight surgeon primary care physician andor
Registered Dietitian before using
httphprc-onlineorgdietary-supplementsopss
Supplement Resources
bull Operation Supplement Safety (OPSS) httpswwwopssorg
SEARCH
ASK THE EXPERT
Ratings based on product
safety effectiveness
amp quality
lowest ratings have greatest
safety concerns
OPSS
Energy Drinks
Concerns with Energy Drinksbull No FDA regulation caffeine amounts vary 80-500 mg
bull FDA and UK Govrsquot issued warnings ER visits deathsHeart palpitations caffeine overdose HTN dental caries Obesity Type 2 DM
STAY SAFE BY Checking ingredients for caffeine sugar additives
SELECTING SUPPLEMENTS
bull Step 1 Safety Assessment bull Evidence-based approachbull Avoid Supplements with long ingredient list or ldquoproprietary blendrdquo
bull Step 2 Effectiveness Assessmentbull Look for clinically studied brand names bull Ask yourself ldquoWhat do I want to accomplishrdquobull wwwnaturaldatabasecombull wwwhprc-onlineorgOPSS
bull Step 3 Product Quality Assessmentbull Audit by an outside 3rd party agency
bull USP NSF Consumer Lab Informed Choice bull The link below is to a video from USP on choosing safe supplementsbull httpwwwusporgsitesdefaultfilesvideouspvConsumerEducationind
exhtml
Abdel-Aal E S M Akhtar H Zaheer K amp Ali R (2013) Dietary sources of lutein and zeaxanthin carotenoids and their role in eye health Nutrients 5(4) 1169-1185 httpwwwmdpicom2072-6643541169htm
Camilleri G M Meacutejean C Bellisle F Hercberg S amp Peacuteneau S (2016) Mindminus body practice and body weight status in a large population-based sample of adults American journal of preventive medicine 50(4) e101-e109
Carneiro A and Andrade JP Nutritional and Lifestyle Interventions for Age-Related Macular Degeneration A Review (2017) Oxidative Medicine and Cellular Longevity 2017 Article ID 6469138 13 pages httpsdoiorg10115520176469138
Chung HY Rasmussen HM and Johnson EJ (2004) Lutein bioavailability is higher from lutein-enriched eggs than from supplements and spinach in men J Nutr 1341887-1893 httpjnnutritionorgcontent13481887full
Granado F Olmedilla B and Blanco I (2003) Nutritional and clinical relevance of lutein in human health British Journal of Nutrition 90(3) 487-502 httpswwwcambridgeorgcorejournalsbritish-journal-of-nutritionarticlenutritional-and-clinical-relevance-of-lutein-in-human-health27F42056D523DC78A8EE6135D500B338
Gruber M Chappell R Millen A LaRowe T Moeller SM Iannaccone A Kritchevsky SB and Mares J (2004) Correlates of serum lutein + zeaxanthin Findings from the Third National Health and Nutrition Examination Survey J Nutr 1342387ndash2394 httpjnnutritionorgcontent13492387fullpdf+html
References
Hawkes C Smith T G Jewell J Wardle J Hammond R A Friel S amp Kain J (2015) Smart food policies for obesity prevention The Lancet 385(9985) 2410-2421
Higdon J Drake VJ Delage B and Johnson EJ (2004-2016) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Carotenoids Accessed November 16-17 2017 httplpioregonstateedumicdietary-factorsphytochemicalscarotenoids
Higdon J Drake VJ Delage B Ross AC and Tan L (2000-2015) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Vitamin A Accessed November 16-17 2017 httplpioregonstateedumicvitaminsvitamin-A
Jacka F N OrsquoNeil A Opie R Itsiopoulos C Cotton S Mohebbi M amp Brazionis L (2017) A randomised controlled trial of dietary improvement for adults with major depression (the lsquoSMILESrsquotrial) BMC medicine 15(1) 23
Johnson EJ Maras JE Rasmussen HM Tucker KL (2010) Intake of lutein and zeaxanthin differ with age sex and ethnicity J Am Diet Assoc Sep110(9)1357-62 doi 101016jjada201006009
Lappe J Cullen D Haynatzki G Recker R Ahlf R amp Thompson K (2008) Calcium and vitamin D supplementation decreases incidence of stress fractures in female navy recruits Journal of Bone and Mineral Research 23(5) 741-749
Larson T and Coker J (2009) A descriptive study of lutein and zeaxanthin in optometric practice Optometry 80(10)579-86 doi 101016joptm200903015
References
Marx W Moseley G Berk M amp Jacka F (2017) Nutritional psychiatry the present state of the evidence Proceedings of the Nutrition Society 76(4) 427-436
McCusker MM Durrani K Payette PJ and Suchecki J (MarchndashApril 2016) An eye on nutrition The role of vitamins essential fatty acids and antioxidants in age-related macular degeneration dry eye syndrome and cataract Clinics in Dermatology Volume 34 (2) 276-285 httpsdoiorg101016jclindermatol201511009
Meegan A P Perry I J amp Phillips C M (2017) The association between dietary quality and dietary guideline adherence with mental health outcomes in adults a cross-sectional analysis Nutrients 9(3) 238
Merle B M Silver R E Rosner B amp Seddon J M (2015) Adherence to a Mediterranean diet genetic susceptibility and progression to advanced macular degeneration a prospective cohort study The American Journal of Clinical Nutrition 102(5) 1196ndash1206 httpdoiorg103945ajcn115111047
Natural Medicines Comprehensive Database (Updated July 3 2017) Natural medicines in the clinical management of eye disorders age-related degeneration cataracts and glaucoma httpnaturaldatabasetherapeuticresearchcomceCECourseaspxcs=amppm=5amps=ndamppc=09-23ampsearchid=61408260keywordanchor Accessed July 3 5 and 6 2017
Pennington K L amp DeAngelis M M (2016) Epidemiology of age-related macular degeneration (AMD) associations with cardiovascular disease phenotypes and lipid factors Eye and Vision 3 34 httpdoiorg101186s40662-016-0063-5
References
Sarris J Logan A C Akbaraly T N Amminger G P Balanzaacute-Martiacutenez V Freeman M P amp Nanri A (2015) Nutritional medicine as mainstream in psychiatry The Lancet Psychiatry 2(3) 271-274
Schleicher M Weikel K Garber C amp Taylor A (2013) Diminishing Risk for Age-Related Macular Degeneration with Nutrition A Current View Nutrients 5(7) 2405ndash2456 httpdoiorg103390nu5072405
Seddon JM Ajani UA Sperduto RD Hiller R Blair N Burton TC Farber MD Gragoudas ES Haller J Miller DT Yannuzzi LA Willett W Dietary Carotenoids Vitamins A C and E and Advanced Age-Related Macular Degeneration JAMA 1994272(18)1413-1420 doi101001jama199403520180037032
Wintermeyer E Ihle C Ehnert S Stoumlckle U Ochs G de Zwart P amp Nussler A K (2016) Crucial role of vitamin D in the musculoskeletal system Nutrients 8(6) 319
References
36
Thank you
Questions
14
Micronutrients = vitamins and minerals Micronutrients get things done in the body
They include1 Iron = healthy blood2 Calcium = strong bones and muscle3 Vitamin D = allows calcium to be absorbed4 Vitamin A = eyesight5 Niacin = digestive system skin and nerves6 Riboflavin = energy production healthy skin and hair
Source National Institute of Health website httpsodsodnihgovfactsheetslist-all
Micronutrients
Calcium makes bones amp muscles strong
Health Promotion Nutrition Tips - Calcium
Health Promotion Team 48 AMDSSGPZ
226-8777 Find us on Facebook at
httpsmfacebookcomRAFHealthPromotion
Low dietary intake = weak muscles amp bones
Weak muscles amp bones = sports injuries and pain
Vitamin D strengthens bones and positive mood
Health Promotion Nutrition Tips ndash Vitamin D
Health Promotion Team 48 AMDSSGPZ
226-8777 Find us on Facebook at
httpsmfacebookcomRAFHealthPromotion
We get Vitamin D from sun exposure and foods
Vitamin D deficiency = weak bones (rickets) and ldquothe winter bluesrdquo
Only American dairy products are fortified with Vit D
Age-Related Macular Degeneration
bull Blindness
bull gt2000000 USA
bull No Cure
bull Macula - slowly deteriorates bull ldquoAlzheimerrsquos of the eyerdquobull gtage of 80 bull USA prevalence to double by 2050bull $$$$ will be needed to deal for social
services if a cure ndash or effective treatment is not found
This Photo by Unknown Author is licensed under CC BY-SA
Age-Related Macular Degeneration
Risk Factorsbull Cigarette Smoking
bull Sunlight exposure
bull Eye Color - low ocular melanin
bull Age
bull Genetics
bull body mass index
bull and nutritional status
This Photo by Unknown Author is licensed under CC BY-NC-ND
19
Vitamin A is required for and beneficial to eye heath
Global blindness - Vitamin A deficiency (Retinol)
Vitamin A is a general term for several groups of compounds
Pro-Vitamin A compounds = can be converted to retinol alpha-carotene beta-carotene and beta-cryptoxanthin
Lutein zeaxanthin and lycopene are nonpro-Vitamin A compounds and are not essential nutrients
High dietary intake is associated with decreased incidence of AMD
Absorb blue light protecting photoreceptors from sunlight induced damage
Vitamin A
20
Diet trends include-Atkins -South Beach Diet-Low Carbohydrate-High Protein-Fasting in various forms-Paleo
Diet Trends
21
If itrsquos too good to be truehellipLow Carb ndashAtkins South Beak Keto or Ketogenic diets
bull Positive Can lose weight
bull Negative Bad breath dizziness fatigue mental slowness constipation potential for low blood sugar events
So if you operate any heavy or potentially dangerous equipment this is NOT for you
bull Most people use this diet short term as a ldquobridgerdquo but struggle when adding carbs back into diet and regain weight that was lost (1)
Sources 1 Low-Carb Diets Sorting Out the Information Nutritiion411 31 Aug 2012 Web 03 Oct 20162 Dubost Joy PhD RD CSSD Intermittent Fasting A Good Approach Academy of Nutrition and Dietetics 02 Jun 2014 Web 03 Oct 20163 Kohn Jill MS RDN LDN Should We Eat Like Our Caveman Ancestors Academy of Nutrition and Dietetics 19 Jan 2015 Web 03 Oct 20164 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
22
Fad diets never diehellipIntermittent Fasting ndash long fasting periods at least 16 hours Popular with elite athletes or
fitness enthusiast Workouts usually suffer can get light-headed dizzy tired and nauseated (2)
Paleo ndash Eat like our ancestors did 10000 years ago
bull Typically falls short on carbohydrates very restrictive bull Difficult for some to reach fiber calcium and vitamin D bull Can you really only eat only wild caught fish grass-fed meat and organic fruits and veg(3) bull Can be very expensive (4)
Bottom line If a diet or product sounds too good to be true it probably is
Can you keep eating like this in 6 months 12 months
Sources 1 Low-Carb Diets Sorting Out the Information Nutritiion411 31 Aug 2012 Web 03 Oct 20162 Dubost Joy PhD RD CSSD Intermittent Fasting A Good Approach Academy of Nutrition and Dietetics 02 Jun 2014 Web 03 Oct 20163 Kohn Jill MS RDN LDN Should We Eat Like Our Caveman Ancestors Academy of Nutrition and Dietetics 19 Jan 2015 Web 03 Oct 20164 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
23
Diets that workThe DASH Diet ndash Dietary Approaches to Stop Hypertension ranked the best overall diet for the 6th year in a row by US News amp World Report Heart healthy and nutritionally sound easy to follow (1)
Weight Watchers Diet ndash Ranked 4 overall best diet Eat what you want no foods off-limits and flexibility to shape your own diet Highest ranked for easy to follow (1)
Whatever works for you as long as yoursquore eating a variety of foods and staying at your recommended calorie level
ChooseMyPlate food model ndash Free nutritionally sound easy to follow tons of online resources
Source1 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
Dairy Eggs Bakery BreadsMeat
Can
ned
Fo
od
s
Bak
ing
Item
s
Fro
zen
Fo
od
s
Cle
anin
g amp
Pap
er It
ems
Checkout
Fruits amp
Vegetab
lesPro
cess
ed F
oo
ds
Entrance
Shop The Store Perimeter
Eggsbull Low Cost High Quality Protein
bull Are a source of 18 vitamins and minerals
bull Vitamin A (Lutein and zeaxanthin) ndash for healthy eyes
bull Calcium ndash for strong bones
bull Vitamin D ndash for calcium absorption
The Incredible Edible Egg
OPSS
SUPPLEMENTS
27
bull Not regulated closely by the FDA due to the Dietary Supplement Health Education Act 19942004
bull Generally expensive
bull Little to no proven benefits
bull AF bans HempAnabolic steroids
bull FDA prohibits sale of Ephedra
BOTTOM LINE Food first supplement second Discuss with flight surgeon primary care physician andor
Registered Dietitian before using
httphprc-onlineorgdietary-supplementsopss
Supplement Resources
bull Operation Supplement Safety (OPSS) httpswwwopssorg
SEARCH
ASK THE EXPERT
Ratings based on product
safety effectiveness
amp quality
lowest ratings have greatest
safety concerns
OPSS
Energy Drinks
Concerns with Energy Drinksbull No FDA regulation caffeine amounts vary 80-500 mg
bull FDA and UK Govrsquot issued warnings ER visits deathsHeart palpitations caffeine overdose HTN dental caries Obesity Type 2 DM
STAY SAFE BY Checking ingredients for caffeine sugar additives
SELECTING SUPPLEMENTS
bull Step 1 Safety Assessment bull Evidence-based approachbull Avoid Supplements with long ingredient list or ldquoproprietary blendrdquo
bull Step 2 Effectiveness Assessmentbull Look for clinically studied brand names bull Ask yourself ldquoWhat do I want to accomplishrdquobull wwwnaturaldatabasecombull wwwhprc-onlineorgOPSS
bull Step 3 Product Quality Assessmentbull Audit by an outside 3rd party agency
bull USP NSF Consumer Lab Informed Choice bull The link below is to a video from USP on choosing safe supplementsbull httpwwwusporgsitesdefaultfilesvideouspvConsumerEducationind
exhtml
Abdel-Aal E S M Akhtar H Zaheer K amp Ali R (2013) Dietary sources of lutein and zeaxanthin carotenoids and their role in eye health Nutrients 5(4) 1169-1185 httpwwwmdpicom2072-6643541169htm
Camilleri G M Meacutejean C Bellisle F Hercberg S amp Peacuteneau S (2016) Mindminus body practice and body weight status in a large population-based sample of adults American journal of preventive medicine 50(4) e101-e109
Carneiro A and Andrade JP Nutritional and Lifestyle Interventions for Age-Related Macular Degeneration A Review (2017) Oxidative Medicine and Cellular Longevity 2017 Article ID 6469138 13 pages httpsdoiorg10115520176469138
Chung HY Rasmussen HM and Johnson EJ (2004) Lutein bioavailability is higher from lutein-enriched eggs than from supplements and spinach in men J Nutr 1341887-1893 httpjnnutritionorgcontent13481887full
Granado F Olmedilla B and Blanco I (2003) Nutritional and clinical relevance of lutein in human health British Journal of Nutrition 90(3) 487-502 httpswwwcambridgeorgcorejournalsbritish-journal-of-nutritionarticlenutritional-and-clinical-relevance-of-lutein-in-human-health27F42056D523DC78A8EE6135D500B338
Gruber M Chappell R Millen A LaRowe T Moeller SM Iannaccone A Kritchevsky SB and Mares J (2004) Correlates of serum lutein + zeaxanthin Findings from the Third National Health and Nutrition Examination Survey J Nutr 1342387ndash2394 httpjnnutritionorgcontent13492387fullpdf+html
References
Hawkes C Smith T G Jewell J Wardle J Hammond R A Friel S amp Kain J (2015) Smart food policies for obesity prevention The Lancet 385(9985) 2410-2421
Higdon J Drake VJ Delage B and Johnson EJ (2004-2016) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Carotenoids Accessed November 16-17 2017 httplpioregonstateedumicdietary-factorsphytochemicalscarotenoids
Higdon J Drake VJ Delage B Ross AC and Tan L (2000-2015) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Vitamin A Accessed November 16-17 2017 httplpioregonstateedumicvitaminsvitamin-A
Jacka F N OrsquoNeil A Opie R Itsiopoulos C Cotton S Mohebbi M amp Brazionis L (2017) A randomised controlled trial of dietary improvement for adults with major depression (the lsquoSMILESrsquotrial) BMC medicine 15(1) 23
Johnson EJ Maras JE Rasmussen HM Tucker KL (2010) Intake of lutein and zeaxanthin differ with age sex and ethnicity J Am Diet Assoc Sep110(9)1357-62 doi 101016jjada201006009
Lappe J Cullen D Haynatzki G Recker R Ahlf R amp Thompson K (2008) Calcium and vitamin D supplementation decreases incidence of stress fractures in female navy recruits Journal of Bone and Mineral Research 23(5) 741-749
Larson T and Coker J (2009) A descriptive study of lutein and zeaxanthin in optometric practice Optometry 80(10)579-86 doi 101016joptm200903015
References
Marx W Moseley G Berk M amp Jacka F (2017) Nutritional psychiatry the present state of the evidence Proceedings of the Nutrition Society 76(4) 427-436
McCusker MM Durrani K Payette PJ and Suchecki J (MarchndashApril 2016) An eye on nutrition The role of vitamins essential fatty acids and antioxidants in age-related macular degeneration dry eye syndrome and cataract Clinics in Dermatology Volume 34 (2) 276-285 httpsdoiorg101016jclindermatol201511009
Meegan A P Perry I J amp Phillips C M (2017) The association between dietary quality and dietary guideline adherence with mental health outcomes in adults a cross-sectional analysis Nutrients 9(3) 238
Merle B M Silver R E Rosner B amp Seddon J M (2015) Adherence to a Mediterranean diet genetic susceptibility and progression to advanced macular degeneration a prospective cohort study The American Journal of Clinical Nutrition 102(5) 1196ndash1206 httpdoiorg103945ajcn115111047
Natural Medicines Comprehensive Database (Updated July 3 2017) Natural medicines in the clinical management of eye disorders age-related degeneration cataracts and glaucoma httpnaturaldatabasetherapeuticresearchcomceCECourseaspxcs=amppm=5amps=ndamppc=09-23ampsearchid=61408260keywordanchor Accessed July 3 5 and 6 2017
Pennington K L amp DeAngelis M M (2016) Epidemiology of age-related macular degeneration (AMD) associations with cardiovascular disease phenotypes and lipid factors Eye and Vision 3 34 httpdoiorg101186s40662-016-0063-5
References
Sarris J Logan A C Akbaraly T N Amminger G P Balanzaacute-Martiacutenez V Freeman M P amp Nanri A (2015) Nutritional medicine as mainstream in psychiatry The Lancet Psychiatry 2(3) 271-274
Schleicher M Weikel K Garber C amp Taylor A (2013) Diminishing Risk for Age-Related Macular Degeneration with Nutrition A Current View Nutrients 5(7) 2405ndash2456 httpdoiorg103390nu5072405
Seddon JM Ajani UA Sperduto RD Hiller R Blair N Burton TC Farber MD Gragoudas ES Haller J Miller DT Yannuzzi LA Willett W Dietary Carotenoids Vitamins A C and E and Advanced Age-Related Macular Degeneration JAMA 1994272(18)1413-1420 doi101001jama199403520180037032
Wintermeyer E Ihle C Ehnert S Stoumlckle U Ochs G de Zwart P amp Nussler A K (2016) Crucial role of vitamin D in the musculoskeletal system Nutrients 8(6) 319
References
36
Thank you
Questions
Calcium makes bones amp muscles strong
Health Promotion Nutrition Tips - Calcium
Health Promotion Team 48 AMDSSGPZ
226-8777 Find us on Facebook at
httpsmfacebookcomRAFHealthPromotion
Low dietary intake = weak muscles amp bones
Weak muscles amp bones = sports injuries and pain
Vitamin D strengthens bones and positive mood
Health Promotion Nutrition Tips ndash Vitamin D
Health Promotion Team 48 AMDSSGPZ
226-8777 Find us on Facebook at
httpsmfacebookcomRAFHealthPromotion
We get Vitamin D from sun exposure and foods
Vitamin D deficiency = weak bones (rickets) and ldquothe winter bluesrdquo
Only American dairy products are fortified with Vit D
Age-Related Macular Degeneration
bull Blindness
bull gt2000000 USA
bull No Cure
bull Macula - slowly deteriorates bull ldquoAlzheimerrsquos of the eyerdquobull gtage of 80 bull USA prevalence to double by 2050bull $$$$ will be needed to deal for social
services if a cure ndash or effective treatment is not found
This Photo by Unknown Author is licensed under CC BY-SA
Age-Related Macular Degeneration
Risk Factorsbull Cigarette Smoking
bull Sunlight exposure
bull Eye Color - low ocular melanin
bull Age
bull Genetics
bull body mass index
bull and nutritional status
This Photo by Unknown Author is licensed under CC BY-NC-ND
19
Vitamin A is required for and beneficial to eye heath
Global blindness - Vitamin A deficiency (Retinol)
Vitamin A is a general term for several groups of compounds
Pro-Vitamin A compounds = can be converted to retinol alpha-carotene beta-carotene and beta-cryptoxanthin
Lutein zeaxanthin and lycopene are nonpro-Vitamin A compounds and are not essential nutrients
High dietary intake is associated with decreased incidence of AMD
Absorb blue light protecting photoreceptors from sunlight induced damage
Vitamin A
20
Diet trends include-Atkins -South Beach Diet-Low Carbohydrate-High Protein-Fasting in various forms-Paleo
Diet Trends
21
If itrsquos too good to be truehellipLow Carb ndashAtkins South Beak Keto or Ketogenic diets
bull Positive Can lose weight
bull Negative Bad breath dizziness fatigue mental slowness constipation potential for low blood sugar events
So if you operate any heavy or potentially dangerous equipment this is NOT for you
bull Most people use this diet short term as a ldquobridgerdquo but struggle when adding carbs back into diet and regain weight that was lost (1)
Sources 1 Low-Carb Diets Sorting Out the Information Nutritiion411 31 Aug 2012 Web 03 Oct 20162 Dubost Joy PhD RD CSSD Intermittent Fasting A Good Approach Academy of Nutrition and Dietetics 02 Jun 2014 Web 03 Oct 20163 Kohn Jill MS RDN LDN Should We Eat Like Our Caveman Ancestors Academy of Nutrition and Dietetics 19 Jan 2015 Web 03 Oct 20164 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
22
Fad diets never diehellipIntermittent Fasting ndash long fasting periods at least 16 hours Popular with elite athletes or
fitness enthusiast Workouts usually suffer can get light-headed dizzy tired and nauseated (2)
Paleo ndash Eat like our ancestors did 10000 years ago
bull Typically falls short on carbohydrates very restrictive bull Difficult for some to reach fiber calcium and vitamin D bull Can you really only eat only wild caught fish grass-fed meat and organic fruits and veg(3) bull Can be very expensive (4)
Bottom line If a diet or product sounds too good to be true it probably is
Can you keep eating like this in 6 months 12 months
Sources 1 Low-Carb Diets Sorting Out the Information Nutritiion411 31 Aug 2012 Web 03 Oct 20162 Dubost Joy PhD RD CSSD Intermittent Fasting A Good Approach Academy of Nutrition and Dietetics 02 Jun 2014 Web 03 Oct 20163 Kohn Jill MS RDN LDN Should We Eat Like Our Caveman Ancestors Academy of Nutrition and Dietetics 19 Jan 2015 Web 03 Oct 20164 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
23
Diets that workThe DASH Diet ndash Dietary Approaches to Stop Hypertension ranked the best overall diet for the 6th year in a row by US News amp World Report Heart healthy and nutritionally sound easy to follow (1)
Weight Watchers Diet ndash Ranked 4 overall best diet Eat what you want no foods off-limits and flexibility to shape your own diet Highest ranked for easy to follow (1)
Whatever works for you as long as yoursquore eating a variety of foods and staying at your recommended calorie level
ChooseMyPlate food model ndash Free nutritionally sound easy to follow tons of online resources
Source1 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
Dairy Eggs Bakery BreadsMeat
Can
ned
Fo
od
s
Bak
ing
Item
s
Fro
zen
Fo
od
s
Cle
anin
g amp
Pap
er It
ems
Checkout
Fruits amp
Vegetab
lesPro
cess
ed F
oo
ds
Entrance
Shop The Store Perimeter
Eggsbull Low Cost High Quality Protein
bull Are a source of 18 vitamins and minerals
bull Vitamin A (Lutein and zeaxanthin) ndash for healthy eyes
bull Calcium ndash for strong bones
bull Vitamin D ndash for calcium absorption
The Incredible Edible Egg
OPSS
SUPPLEMENTS
27
bull Not regulated closely by the FDA due to the Dietary Supplement Health Education Act 19942004
bull Generally expensive
bull Little to no proven benefits
bull AF bans HempAnabolic steroids
bull FDA prohibits sale of Ephedra
BOTTOM LINE Food first supplement second Discuss with flight surgeon primary care physician andor
Registered Dietitian before using
httphprc-onlineorgdietary-supplementsopss
Supplement Resources
bull Operation Supplement Safety (OPSS) httpswwwopssorg
SEARCH
ASK THE EXPERT
Ratings based on product
safety effectiveness
amp quality
lowest ratings have greatest
safety concerns
OPSS
Energy Drinks
Concerns with Energy Drinksbull No FDA regulation caffeine amounts vary 80-500 mg
bull FDA and UK Govrsquot issued warnings ER visits deathsHeart palpitations caffeine overdose HTN dental caries Obesity Type 2 DM
STAY SAFE BY Checking ingredients for caffeine sugar additives
SELECTING SUPPLEMENTS
bull Step 1 Safety Assessment bull Evidence-based approachbull Avoid Supplements with long ingredient list or ldquoproprietary blendrdquo
bull Step 2 Effectiveness Assessmentbull Look for clinically studied brand names bull Ask yourself ldquoWhat do I want to accomplishrdquobull wwwnaturaldatabasecombull wwwhprc-onlineorgOPSS
bull Step 3 Product Quality Assessmentbull Audit by an outside 3rd party agency
bull USP NSF Consumer Lab Informed Choice bull The link below is to a video from USP on choosing safe supplementsbull httpwwwusporgsitesdefaultfilesvideouspvConsumerEducationind
exhtml
Abdel-Aal E S M Akhtar H Zaheer K amp Ali R (2013) Dietary sources of lutein and zeaxanthin carotenoids and their role in eye health Nutrients 5(4) 1169-1185 httpwwwmdpicom2072-6643541169htm
Camilleri G M Meacutejean C Bellisle F Hercberg S amp Peacuteneau S (2016) Mindminus body practice and body weight status in a large population-based sample of adults American journal of preventive medicine 50(4) e101-e109
Carneiro A and Andrade JP Nutritional and Lifestyle Interventions for Age-Related Macular Degeneration A Review (2017) Oxidative Medicine and Cellular Longevity 2017 Article ID 6469138 13 pages httpsdoiorg10115520176469138
Chung HY Rasmussen HM and Johnson EJ (2004) Lutein bioavailability is higher from lutein-enriched eggs than from supplements and spinach in men J Nutr 1341887-1893 httpjnnutritionorgcontent13481887full
Granado F Olmedilla B and Blanco I (2003) Nutritional and clinical relevance of lutein in human health British Journal of Nutrition 90(3) 487-502 httpswwwcambridgeorgcorejournalsbritish-journal-of-nutritionarticlenutritional-and-clinical-relevance-of-lutein-in-human-health27F42056D523DC78A8EE6135D500B338
Gruber M Chappell R Millen A LaRowe T Moeller SM Iannaccone A Kritchevsky SB and Mares J (2004) Correlates of serum lutein + zeaxanthin Findings from the Third National Health and Nutrition Examination Survey J Nutr 1342387ndash2394 httpjnnutritionorgcontent13492387fullpdf+html
References
Hawkes C Smith T G Jewell J Wardle J Hammond R A Friel S amp Kain J (2015) Smart food policies for obesity prevention The Lancet 385(9985) 2410-2421
Higdon J Drake VJ Delage B and Johnson EJ (2004-2016) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Carotenoids Accessed November 16-17 2017 httplpioregonstateedumicdietary-factorsphytochemicalscarotenoids
Higdon J Drake VJ Delage B Ross AC and Tan L (2000-2015) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Vitamin A Accessed November 16-17 2017 httplpioregonstateedumicvitaminsvitamin-A
Jacka F N OrsquoNeil A Opie R Itsiopoulos C Cotton S Mohebbi M amp Brazionis L (2017) A randomised controlled trial of dietary improvement for adults with major depression (the lsquoSMILESrsquotrial) BMC medicine 15(1) 23
Johnson EJ Maras JE Rasmussen HM Tucker KL (2010) Intake of lutein and zeaxanthin differ with age sex and ethnicity J Am Diet Assoc Sep110(9)1357-62 doi 101016jjada201006009
Lappe J Cullen D Haynatzki G Recker R Ahlf R amp Thompson K (2008) Calcium and vitamin D supplementation decreases incidence of stress fractures in female navy recruits Journal of Bone and Mineral Research 23(5) 741-749
Larson T and Coker J (2009) A descriptive study of lutein and zeaxanthin in optometric practice Optometry 80(10)579-86 doi 101016joptm200903015
References
Marx W Moseley G Berk M amp Jacka F (2017) Nutritional psychiatry the present state of the evidence Proceedings of the Nutrition Society 76(4) 427-436
McCusker MM Durrani K Payette PJ and Suchecki J (MarchndashApril 2016) An eye on nutrition The role of vitamins essential fatty acids and antioxidants in age-related macular degeneration dry eye syndrome and cataract Clinics in Dermatology Volume 34 (2) 276-285 httpsdoiorg101016jclindermatol201511009
Meegan A P Perry I J amp Phillips C M (2017) The association between dietary quality and dietary guideline adherence with mental health outcomes in adults a cross-sectional analysis Nutrients 9(3) 238
Merle B M Silver R E Rosner B amp Seddon J M (2015) Adherence to a Mediterranean diet genetic susceptibility and progression to advanced macular degeneration a prospective cohort study The American Journal of Clinical Nutrition 102(5) 1196ndash1206 httpdoiorg103945ajcn115111047
Natural Medicines Comprehensive Database (Updated July 3 2017) Natural medicines in the clinical management of eye disorders age-related degeneration cataracts and glaucoma httpnaturaldatabasetherapeuticresearchcomceCECourseaspxcs=amppm=5amps=ndamppc=09-23ampsearchid=61408260keywordanchor Accessed July 3 5 and 6 2017
Pennington K L amp DeAngelis M M (2016) Epidemiology of age-related macular degeneration (AMD) associations with cardiovascular disease phenotypes and lipid factors Eye and Vision 3 34 httpdoiorg101186s40662-016-0063-5
References
Sarris J Logan A C Akbaraly T N Amminger G P Balanzaacute-Martiacutenez V Freeman M P amp Nanri A (2015) Nutritional medicine as mainstream in psychiatry The Lancet Psychiatry 2(3) 271-274
Schleicher M Weikel K Garber C amp Taylor A (2013) Diminishing Risk for Age-Related Macular Degeneration with Nutrition A Current View Nutrients 5(7) 2405ndash2456 httpdoiorg103390nu5072405
Seddon JM Ajani UA Sperduto RD Hiller R Blair N Burton TC Farber MD Gragoudas ES Haller J Miller DT Yannuzzi LA Willett W Dietary Carotenoids Vitamins A C and E and Advanced Age-Related Macular Degeneration JAMA 1994272(18)1413-1420 doi101001jama199403520180037032
Wintermeyer E Ihle C Ehnert S Stoumlckle U Ochs G de Zwart P amp Nussler A K (2016) Crucial role of vitamin D in the musculoskeletal system Nutrients 8(6) 319
References
36
Thank you
Questions
Vitamin D strengthens bones and positive mood
Health Promotion Nutrition Tips ndash Vitamin D
Health Promotion Team 48 AMDSSGPZ
226-8777 Find us on Facebook at
httpsmfacebookcomRAFHealthPromotion
We get Vitamin D from sun exposure and foods
Vitamin D deficiency = weak bones (rickets) and ldquothe winter bluesrdquo
Only American dairy products are fortified with Vit D
Age-Related Macular Degeneration
bull Blindness
bull gt2000000 USA
bull No Cure
bull Macula - slowly deteriorates bull ldquoAlzheimerrsquos of the eyerdquobull gtage of 80 bull USA prevalence to double by 2050bull $$$$ will be needed to deal for social
services if a cure ndash or effective treatment is not found
This Photo by Unknown Author is licensed under CC BY-SA
Age-Related Macular Degeneration
Risk Factorsbull Cigarette Smoking
bull Sunlight exposure
bull Eye Color - low ocular melanin
bull Age
bull Genetics
bull body mass index
bull and nutritional status
This Photo by Unknown Author is licensed under CC BY-NC-ND
19
Vitamin A is required for and beneficial to eye heath
Global blindness - Vitamin A deficiency (Retinol)
Vitamin A is a general term for several groups of compounds
Pro-Vitamin A compounds = can be converted to retinol alpha-carotene beta-carotene and beta-cryptoxanthin
Lutein zeaxanthin and lycopene are nonpro-Vitamin A compounds and are not essential nutrients
High dietary intake is associated with decreased incidence of AMD
Absorb blue light protecting photoreceptors from sunlight induced damage
Vitamin A
20
Diet trends include-Atkins -South Beach Diet-Low Carbohydrate-High Protein-Fasting in various forms-Paleo
Diet Trends
21
If itrsquos too good to be truehellipLow Carb ndashAtkins South Beak Keto or Ketogenic diets
bull Positive Can lose weight
bull Negative Bad breath dizziness fatigue mental slowness constipation potential for low blood sugar events
So if you operate any heavy or potentially dangerous equipment this is NOT for you
bull Most people use this diet short term as a ldquobridgerdquo but struggle when adding carbs back into diet and regain weight that was lost (1)
Sources 1 Low-Carb Diets Sorting Out the Information Nutritiion411 31 Aug 2012 Web 03 Oct 20162 Dubost Joy PhD RD CSSD Intermittent Fasting A Good Approach Academy of Nutrition and Dietetics 02 Jun 2014 Web 03 Oct 20163 Kohn Jill MS RDN LDN Should We Eat Like Our Caveman Ancestors Academy of Nutrition and Dietetics 19 Jan 2015 Web 03 Oct 20164 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
22
Fad diets never diehellipIntermittent Fasting ndash long fasting periods at least 16 hours Popular with elite athletes or
fitness enthusiast Workouts usually suffer can get light-headed dizzy tired and nauseated (2)
Paleo ndash Eat like our ancestors did 10000 years ago
bull Typically falls short on carbohydrates very restrictive bull Difficult for some to reach fiber calcium and vitamin D bull Can you really only eat only wild caught fish grass-fed meat and organic fruits and veg(3) bull Can be very expensive (4)
Bottom line If a diet or product sounds too good to be true it probably is
Can you keep eating like this in 6 months 12 months
Sources 1 Low-Carb Diets Sorting Out the Information Nutritiion411 31 Aug 2012 Web 03 Oct 20162 Dubost Joy PhD RD CSSD Intermittent Fasting A Good Approach Academy of Nutrition and Dietetics 02 Jun 2014 Web 03 Oct 20163 Kohn Jill MS RDN LDN Should We Eat Like Our Caveman Ancestors Academy of Nutrition and Dietetics 19 Jan 2015 Web 03 Oct 20164 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
23
Diets that workThe DASH Diet ndash Dietary Approaches to Stop Hypertension ranked the best overall diet for the 6th year in a row by US News amp World Report Heart healthy and nutritionally sound easy to follow (1)
Weight Watchers Diet ndash Ranked 4 overall best diet Eat what you want no foods off-limits and flexibility to shape your own diet Highest ranked for easy to follow (1)
Whatever works for you as long as yoursquore eating a variety of foods and staying at your recommended calorie level
ChooseMyPlate food model ndash Free nutritionally sound easy to follow tons of online resources
Source1 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
Dairy Eggs Bakery BreadsMeat
Can
ned
Fo
od
s
Bak
ing
Item
s
Fro
zen
Fo
od
s
Cle
anin
g amp
Pap
er It
ems
Checkout
Fruits amp
Vegetab
lesPro
cess
ed F
oo
ds
Entrance
Shop The Store Perimeter
Eggsbull Low Cost High Quality Protein
bull Are a source of 18 vitamins and minerals
bull Vitamin A (Lutein and zeaxanthin) ndash for healthy eyes
bull Calcium ndash for strong bones
bull Vitamin D ndash for calcium absorption
The Incredible Edible Egg
OPSS
SUPPLEMENTS
27
bull Not regulated closely by the FDA due to the Dietary Supplement Health Education Act 19942004
bull Generally expensive
bull Little to no proven benefits
bull AF bans HempAnabolic steroids
bull FDA prohibits sale of Ephedra
BOTTOM LINE Food first supplement second Discuss with flight surgeon primary care physician andor
Registered Dietitian before using
httphprc-onlineorgdietary-supplementsopss
Supplement Resources
bull Operation Supplement Safety (OPSS) httpswwwopssorg
SEARCH
ASK THE EXPERT
Ratings based on product
safety effectiveness
amp quality
lowest ratings have greatest
safety concerns
OPSS
Energy Drinks
Concerns with Energy Drinksbull No FDA regulation caffeine amounts vary 80-500 mg
bull FDA and UK Govrsquot issued warnings ER visits deathsHeart palpitations caffeine overdose HTN dental caries Obesity Type 2 DM
STAY SAFE BY Checking ingredients for caffeine sugar additives
SELECTING SUPPLEMENTS
bull Step 1 Safety Assessment bull Evidence-based approachbull Avoid Supplements with long ingredient list or ldquoproprietary blendrdquo
bull Step 2 Effectiveness Assessmentbull Look for clinically studied brand names bull Ask yourself ldquoWhat do I want to accomplishrdquobull wwwnaturaldatabasecombull wwwhprc-onlineorgOPSS
bull Step 3 Product Quality Assessmentbull Audit by an outside 3rd party agency
bull USP NSF Consumer Lab Informed Choice bull The link below is to a video from USP on choosing safe supplementsbull httpwwwusporgsitesdefaultfilesvideouspvConsumerEducationind
exhtml
Abdel-Aal E S M Akhtar H Zaheer K amp Ali R (2013) Dietary sources of lutein and zeaxanthin carotenoids and their role in eye health Nutrients 5(4) 1169-1185 httpwwwmdpicom2072-6643541169htm
Camilleri G M Meacutejean C Bellisle F Hercberg S amp Peacuteneau S (2016) Mindminus body practice and body weight status in a large population-based sample of adults American journal of preventive medicine 50(4) e101-e109
Carneiro A and Andrade JP Nutritional and Lifestyle Interventions for Age-Related Macular Degeneration A Review (2017) Oxidative Medicine and Cellular Longevity 2017 Article ID 6469138 13 pages httpsdoiorg10115520176469138
Chung HY Rasmussen HM and Johnson EJ (2004) Lutein bioavailability is higher from lutein-enriched eggs than from supplements and spinach in men J Nutr 1341887-1893 httpjnnutritionorgcontent13481887full
Granado F Olmedilla B and Blanco I (2003) Nutritional and clinical relevance of lutein in human health British Journal of Nutrition 90(3) 487-502 httpswwwcambridgeorgcorejournalsbritish-journal-of-nutritionarticlenutritional-and-clinical-relevance-of-lutein-in-human-health27F42056D523DC78A8EE6135D500B338
Gruber M Chappell R Millen A LaRowe T Moeller SM Iannaccone A Kritchevsky SB and Mares J (2004) Correlates of serum lutein + zeaxanthin Findings from the Third National Health and Nutrition Examination Survey J Nutr 1342387ndash2394 httpjnnutritionorgcontent13492387fullpdf+html
References
Hawkes C Smith T G Jewell J Wardle J Hammond R A Friel S amp Kain J (2015) Smart food policies for obesity prevention The Lancet 385(9985) 2410-2421
Higdon J Drake VJ Delage B and Johnson EJ (2004-2016) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Carotenoids Accessed November 16-17 2017 httplpioregonstateedumicdietary-factorsphytochemicalscarotenoids
Higdon J Drake VJ Delage B Ross AC and Tan L (2000-2015) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Vitamin A Accessed November 16-17 2017 httplpioregonstateedumicvitaminsvitamin-A
Jacka F N OrsquoNeil A Opie R Itsiopoulos C Cotton S Mohebbi M amp Brazionis L (2017) A randomised controlled trial of dietary improvement for adults with major depression (the lsquoSMILESrsquotrial) BMC medicine 15(1) 23
Johnson EJ Maras JE Rasmussen HM Tucker KL (2010) Intake of lutein and zeaxanthin differ with age sex and ethnicity J Am Diet Assoc Sep110(9)1357-62 doi 101016jjada201006009
Lappe J Cullen D Haynatzki G Recker R Ahlf R amp Thompson K (2008) Calcium and vitamin D supplementation decreases incidence of stress fractures in female navy recruits Journal of Bone and Mineral Research 23(5) 741-749
Larson T and Coker J (2009) A descriptive study of lutein and zeaxanthin in optometric practice Optometry 80(10)579-86 doi 101016joptm200903015
References
Marx W Moseley G Berk M amp Jacka F (2017) Nutritional psychiatry the present state of the evidence Proceedings of the Nutrition Society 76(4) 427-436
McCusker MM Durrani K Payette PJ and Suchecki J (MarchndashApril 2016) An eye on nutrition The role of vitamins essential fatty acids and antioxidants in age-related macular degeneration dry eye syndrome and cataract Clinics in Dermatology Volume 34 (2) 276-285 httpsdoiorg101016jclindermatol201511009
Meegan A P Perry I J amp Phillips C M (2017) The association between dietary quality and dietary guideline adherence with mental health outcomes in adults a cross-sectional analysis Nutrients 9(3) 238
Merle B M Silver R E Rosner B amp Seddon J M (2015) Adherence to a Mediterranean diet genetic susceptibility and progression to advanced macular degeneration a prospective cohort study The American Journal of Clinical Nutrition 102(5) 1196ndash1206 httpdoiorg103945ajcn115111047
Natural Medicines Comprehensive Database (Updated July 3 2017) Natural medicines in the clinical management of eye disorders age-related degeneration cataracts and glaucoma httpnaturaldatabasetherapeuticresearchcomceCECourseaspxcs=amppm=5amps=ndamppc=09-23ampsearchid=61408260keywordanchor Accessed July 3 5 and 6 2017
Pennington K L amp DeAngelis M M (2016) Epidemiology of age-related macular degeneration (AMD) associations with cardiovascular disease phenotypes and lipid factors Eye and Vision 3 34 httpdoiorg101186s40662-016-0063-5
References
Sarris J Logan A C Akbaraly T N Amminger G P Balanzaacute-Martiacutenez V Freeman M P amp Nanri A (2015) Nutritional medicine as mainstream in psychiatry The Lancet Psychiatry 2(3) 271-274
Schleicher M Weikel K Garber C amp Taylor A (2013) Diminishing Risk for Age-Related Macular Degeneration with Nutrition A Current View Nutrients 5(7) 2405ndash2456 httpdoiorg103390nu5072405
Seddon JM Ajani UA Sperduto RD Hiller R Blair N Burton TC Farber MD Gragoudas ES Haller J Miller DT Yannuzzi LA Willett W Dietary Carotenoids Vitamins A C and E and Advanced Age-Related Macular Degeneration JAMA 1994272(18)1413-1420 doi101001jama199403520180037032
Wintermeyer E Ihle C Ehnert S Stoumlckle U Ochs G de Zwart P amp Nussler A K (2016) Crucial role of vitamin D in the musculoskeletal system Nutrients 8(6) 319
References
36
Thank you
Questions
Age-Related Macular Degeneration
bull Blindness
bull gt2000000 USA
bull No Cure
bull Macula - slowly deteriorates bull ldquoAlzheimerrsquos of the eyerdquobull gtage of 80 bull USA prevalence to double by 2050bull $$$$ will be needed to deal for social
services if a cure ndash or effective treatment is not found
This Photo by Unknown Author is licensed under CC BY-SA
Age-Related Macular Degeneration
Risk Factorsbull Cigarette Smoking
bull Sunlight exposure
bull Eye Color - low ocular melanin
bull Age
bull Genetics
bull body mass index
bull and nutritional status
This Photo by Unknown Author is licensed under CC BY-NC-ND
19
Vitamin A is required for and beneficial to eye heath
Global blindness - Vitamin A deficiency (Retinol)
Vitamin A is a general term for several groups of compounds
Pro-Vitamin A compounds = can be converted to retinol alpha-carotene beta-carotene and beta-cryptoxanthin
Lutein zeaxanthin and lycopene are nonpro-Vitamin A compounds and are not essential nutrients
High dietary intake is associated with decreased incidence of AMD
Absorb blue light protecting photoreceptors from sunlight induced damage
Vitamin A
20
Diet trends include-Atkins -South Beach Diet-Low Carbohydrate-High Protein-Fasting in various forms-Paleo
Diet Trends
21
If itrsquos too good to be truehellipLow Carb ndashAtkins South Beak Keto or Ketogenic diets
bull Positive Can lose weight
bull Negative Bad breath dizziness fatigue mental slowness constipation potential for low blood sugar events
So if you operate any heavy or potentially dangerous equipment this is NOT for you
bull Most people use this diet short term as a ldquobridgerdquo but struggle when adding carbs back into diet and regain weight that was lost (1)
Sources 1 Low-Carb Diets Sorting Out the Information Nutritiion411 31 Aug 2012 Web 03 Oct 20162 Dubost Joy PhD RD CSSD Intermittent Fasting A Good Approach Academy of Nutrition and Dietetics 02 Jun 2014 Web 03 Oct 20163 Kohn Jill MS RDN LDN Should We Eat Like Our Caveman Ancestors Academy of Nutrition and Dietetics 19 Jan 2015 Web 03 Oct 20164 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
22
Fad diets never diehellipIntermittent Fasting ndash long fasting periods at least 16 hours Popular with elite athletes or
fitness enthusiast Workouts usually suffer can get light-headed dizzy tired and nauseated (2)
Paleo ndash Eat like our ancestors did 10000 years ago
bull Typically falls short on carbohydrates very restrictive bull Difficult for some to reach fiber calcium and vitamin D bull Can you really only eat only wild caught fish grass-fed meat and organic fruits and veg(3) bull Can be very expensive (4)
Bottom line If a diet or product sounds too good to be true it probably is
Can you keep eating like this in 6 months 12 months
Sources 1 Low-Carb Diets Sorting Out the Information Nutritiion411 31 Aug 2012 Web 03 Oct 20162 Dubost Joy PhD RD CSSD Intermittent Fasting A Good Approach Academy of Nutrition and Dietetics 02 Jun 2014 Web 03 Oct 20163 Kohn Jill MS RDN LDN Should We Eat Like Our Caveman Ancestors Academy of Nutrition and Dietetics 19 Jan 2015 Web 03 Oct 20164 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
23
Diets that workThe DASH Diet ndash Dietary Approaches to Stop Hypertension ranked the best overall diet for the 6th year in a row by US News amp World Report Heart healthy and nutritionally sound easy to follow (1)
Weight Watchers Diet ndash Ranked 4 overall best diet Eat what you want no foods off-limits and flexibility to shape your own diet Highest ranked for easy to follow (1)
Whatever works for you as long as yoursquore eating a variety of foods and staying at your recommended calorie level
ChooseMyPlate food model ndash Free nutritionally sound easy to follow tons of online resources
Source1 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
Dairy Eggs Bakery BreadsMeat
Can
ned
Fo
od
s
Bak
ing
Item
s
Fro
zen
Fo
od
s
Cle
anin
g amp
Pap
er It
ems
Checkout
Fruits amp
Vegetab
lesPro
cess
ed F
oo
ds
Entrance
Shop The Store Perimeter
Eggsbull Low Cost High Quality Protein
bull Are a source of 18 vitamins and minerals
bull Vitamin A (Lutein and zeaxanthin) ndash for healthy eyes
bull Calcium ndash for strong bones
bull Vitamin D ndash for calcium absorption
The Incredible Edible Egg
OPSS
SUPPLEMENTS
27
bull Not regulated closely by the FDA due to the Dietary Supplement Health Education Act 19942004
bull Generally expensive
bull Little to no proven benefits
bull AF bans HempAnabolic steroids
bull FDA prohibits sale of Ephedra
BOTTOM LINE Food first supplement second Discuss with flight surgeon primary care physician andor
Registered Dietitian before using
httphprc-onlineorgdietary-supplementsopss
Supplement Resources
bull Operation Supplement Safety (OPSS) httpswwwopssorg
SEARCH
ASK THE EXPERT
Ratings based on product
safety effectiveness
amp quality
lowest ratings have greatest
safety concerns
OPSS
Energy Drinks
Concerns with Energy Drinksbull No FDA regulation caffeine amounts vary 80-500 mg
bull FDA and UK Govrsquot issued warnings ER visits deathsHeart palpitations caffeine overdose HTN dental caries Obesity Type 2 DM
STAY SAFE BY Checking ingredients for caffeine sugar additives
SELECTING SUPPLEMENTS
bull Step 1 Safety Assessment bull Evidence-based approachbull Avoid Supplements with long ingredient list or ldquoproprietary blendrdquo
bull Step 2 Effectiveness Assessmentbull Look for clinically studied brand names bull Ask yourself ldquoWhat do I want to accomplishrdquobull wwwnaturaldatabasecombull wwwhprc-onlineorgOPSS
bull Step 3 Product Quality Assessmentbull Audit by an outside 3rd party agency
bull USP NSF Consumer Lab Informed Choice bull The link below is to a video from USP on choosing safe supplementsbull httpwwwusporgsitesdefaultfilesvideouspvConsumerEducationind
exhtml
Abdel-Aal E S M Akhtar H Zaheer K amp Ali R (2013) Dietary sources of lutein and zeaxanthin carotenoids and their role in eye health Nutrients 5(4) 1169-1185 httpwwwmdpicom2072-6643541169htm
Camilleri G M Meacutejean C Bellisle F Hercberg S amp Peacuteneau S (2016) Mindminus body practice and body weight status in a large population-based sample of adults American journal of preventive medicine 50(4) e101-e109
Carneiro A and Andrade JP Nutritional and Lifestyle Interventions for Age-Related Macular Degeneration A Review (2017) Oxidative Medicine and Cellular Longevity 2017 Article ID 6469138 13 pages httpsdoiorg10115520176469138
Chung HY Rasmussen HM and Johnson EJ (2004) Lutein bioavailability is higher from lutein-enriched eggs than from supplements and spinach in men J Nutr 1341887-1893 httpjnnutritionorgcontent13481887full
Granado F Olmedilla B and Blanco I (2003) Nutritional and clinical relevance of lutein in human health British Journal of Nutrition 90(3) 487-502 httpswwwcambridgeorgcorejournalsbritish-journal-of-nutritionarticlenutritional-and-clinical-relevance-of-lutein-in-human-health27F42056D523DC78A8EE6135D500B338
Gruber M Chappell R Millen A LaRowe T Moeller SM Iannaccone A Kritchevsky SB and Mares J (2004) Correlates of serum lutein + zeaxanthin Findings from the Third National Health and Nutrition Examination Survey J Nutr 1342387ndash2394 httpjnnutritionorgcontent13492387fullpdf+html
References
Hawkes C Smith T G Jewell J Wardle J Hammond R A Friel S amp Kain J (2015) Smart food policies for obesity prevention The Lancet 385(9985) 2410-2421
Higdon J Drake VJ Delage B and Johnson EJ (2004-2016) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Carotenoids Accessed November 16-17 2017 httplpioregonstateedumicdietary-factorsphytochemicalscarotenoids
Higdon J Drake VJ Delage B Ross AC and Tan L (2000-2015) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Vitamin A Accessed November 16-17 2017 httplpioregonstateedumicvitaminsvitamin-A
Jacka F N OrsquoNeil A Opie R Itsiopoulos C Cotton S Mohebbi M amp Brazionis L (2017) A randomised controlled trial of dietary improvement for adults with major depression (the lsquoSMILESrsquotrial) BMC medicine 15(1) 23
Johnson EJ Maras JE Rasmussen HM Tucker KL (2010) Intake of lutein and zeaxanthin differ with age sex and ethnicity J Am Diet Assoc Sep110(9)1357-62 doi 101016jjada201006009
Lappe J Cullen D Haynatzki G Recker R Ahlf R amp Thompson K (2008) Calcium and vitamin D supplementation decreases incidence of stress fractures in female navy recruits Journal of Bone and Mineral Research 23(5) 741-749
Larson T and Coker J (2009) A descriptive study of lutein and zeaxanthin in optometric practice Optometry 80(10)579-86 doi 101016joptm200903015
References
Marx W Moseley G Berk M amp Jacka F (2017) Nutritional psychiatry the present state of the evidence Proceedings of the Nutrition Society 76(4) 427-436
McCusker MM Durrani K Payette PJ and Suchecki J (MarchndashApril 2016) An eye on nutrition The role of vitamins essential fatty acids and antioxidants in age-related macular degeneration dry eye syndrome and cataract Clinics in Dermatology Volume 34 (2) 276-285 httpsdoiorg101016jclindermatol201511009
Meegan A P Perry I J amp Phillips C M (2017) The association between dietary quality and dietary guideline adherence with mental health outcomes in adults a cross-sectional analysis Nutrients 9(3) 238
Merle B M Silver R E Rosner B amp Seddon J M (2015) Adherence to a Mediterranean diet genetic susceptibility and progression to advanced macular degeneration a prospective cohort study The American Journal of Clinical Nutrition 102(5) 1196ndash1206 httpdoiorg103945ajcn115111047
Natural Medicines Comprehensive Database (Updated July 3 2017) Natural medicines in the clinical management of eye disorders age-related degeneration cataracts and glaucoma httpnaturaldatabasetherapeuticresearchcomceCECourseaspxcs=amppm=5amps=ndamppc=09-23ampsearchid=61408260keywordanchor Accessed July 3 5 and 6 2017
Pennington K L amp DeAngelis M M (2016) Epidemiology of age-related macular degeneration (AMD) associations with cardiovascular disease phenotypes and lipid factors Eye and Vision 3 34 httpdoiorg101186s40662-016-0063-5
References
Sarris J Logan A C Akbaraly T N Amminger G P Balanzaacute-Martiacutenez V Freeman M P amp Nanri A (2015) Nutritional medicine as mainstream in psychiatry The Lancet Psychiatry 2(3) 271-274
Schleicher M Weikel K Garber C amp Taylor A (2013) Diminishing Risk for Age-Related Macular Degeneration with Nutrition A Current View Nutrients 5(7) 2405ndash2456 httpdoiorg103390nu5072405
Seddon JM Ajani UA Sperduto RD Hiller R Blair N Burton TC Farber MD Gragoudas ES Haller J Miller DT Yannuzzi LA Willett W Dietary Carotenoids Vitamins A C and E and Advanced Age-Related Macular Degeneration JAMA 1994272(18)1413-1420 doi101001jama199403520180037032
Wintermeyer E Ihle C Ehnert S Stoumlckle U Ochs G de Zwart P amp Nussler A K (2016) Crucial role of vitamin D in the musculoskeletal system Nutrients 8(6) 319
References
36
Thank you
Questions
Age-Related Macular Degeneration
Risk Factorsbull Cigarette Smoking
bull Sunlight exposure
bull Eye Color - low ocular melanin
bull Age
bull Genetics
bull body mass index
bull and nutritional status
This Photo by Unknown Author is licensed under CC BY-NC-ND
19
Vitamin A is required for and beneficial to eye heath
Global blindness - Vitamin A deficiency (Retinol)
Vitamin A is a general term for several groups of compounds
Pro-Vitamin A compounds = can be converted to retinol alpha-carotene beta-carotene and beta-cryptoxanthin
Lutein zeaxanthin and lycopene are nonpro-Vitamin A compounds and are not essential nutrients
High dietary intake is associated with decreased incidence of AMD
Absorb blue light protecting photoreceptors from sunlight induced damage
Vitamin A
20
Diet trends include-Atkins -South Beach Diet-Low Carbohydrate-High Protein-Fasting in various forms-Paleo
Diet Trends
21
If itrsquos too good to be truehellipLow Carb ndashAtkins South Beak Keto or Ketogenic diets
bull Positive Can lose weight
bull Negative Bad breath dizziness fatigue mental slowness constipation potential for low blood sugar events
So if you operate any heavy or potentially dangerous equipment this is NOT for you
bull Most people use this diet short term as a ldquobridgerdquo but struggle when adding carbs back into diet and regain weight that was lost (1)
Sources 1 Low-Carb Diets Sorting Out the Information Nutritiion411 31 Aug 2012 Web 03 Oct 20162 Dubost Joy PhD RD CSSD Intermittent Fasting A Good Approach Academy of Nutrition and Dietetics 02 Jun 2014 Web 03 Oct 20163 Kohn Jill MS RDN LDN Should We Eat Like Our Caveman Ancestors Academy of Nutrition and Dietetics 19 Jan 2015 Web 03 Oct 20164 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
22
Fad diets never diehellipIntermittent Fasting ndash long fasting periods at least 16 hours Popular with elite athletes or
fitness enthusiast Workouts usually suffer can get light-headed dizzy tired and nauseated (2)
Paleo ndash Eat like our ancestors did 10000 years ago
bull Typically falls short on carbohydrates very restrictive bull Difficult for some to reach fiber calcium and vitamin D bull Can you really only eat only wild caught fish grass-fed meat and organic fruits and veg(3) bull Can be very expensive (4)
Bottom line If a diet or product sounds too good to be true it probably is
Can you keep eating like this in 6 months 12 months
Sources 1 Low-Carb Diets Sorting Out the Information Nutritiion411 31 Aug 2012 Web 03 Oct 20162 Dubost Joy PhD RD CSSD Intermittent Fasting A Good Approach Academy of Nutrition and Dietetics 02 Jun 2014 Web 03 Oct 20163 Kohn Jill MS RDN LDN Should We Eat Like Our Caveman Ancestors Academy of Nutrition and Dietetics 19 Jan 2015 Web 03 Oct 20164 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
23
Diets that workThe DASH Diet ndash Dietary Approaches to Stop Hypertension ranked the best overall diet for the 6th year in a row by US News amp World Report Heart healthy and nutritionally sound easy to follow (1)
Weight Watchers Diet ndash Ranked 4 overall best diet Eat what you want no foods off-limits and flexibility to shape your own diet Highest ranked for easy to follow (1)
Whatever works for you as long as yoursquore eating a variety of foods and staying at your recommended calorie level
ChooseMyPlate food model ndash Free nutritionally sound easy to follow tons of online resources
Source1 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
Dairy Eggs Bakery BreadsMeat
Can
ned
Fo
od
s
Bak
ing
Item
s
Fro
zen
Fo
od
s
Cle
anin
g amp
Pap
er It
ems
Checkout
Fruits amp
Vegetab
lesPro
cess
ed F
oo
ds
Entrance
Shop The Store Perimeter
Eggsbull Low Cost High Quality Protein
bull Are a source of 18 vitamins and minerals
bull Vitamin A (Lutein and zeaxanthin) ndash for healthy eyes
bull Calcium ndash for strong bones
bull Vitamin D ndash for calcium absorption
The Incredible Edible Egg
OPSS
SUPPLEMENTS
27
bull Not regulated closely by the FDA due to the Dietary Supplement Health Education Act 19942004
bull Generally expensive
bull Little to no proven benefits
bull AF bans HempAnabolic steroids
bull FDA prohibits sale of Ephedra
BOTTOM LINE Food first supplement second Discuss with flight surgeon primary care physician andor
Registered Dietitian before using
httphprc-onlineorgdietary-supplementsopss
Supplement Resources
bull Operation Supplement Safety (OPSS) httpswwwopssorg
SEARCH
ASK THE EXPERT
Ratings based on product
safety effectiveness
amp quality
lowest ratings have greatest
safety concerns
OPSS
Energy Drinks
Concerns with Energy Drinksbull No FDA regulation caffeine amounts vary 80-500 mg
bull FDA and UK Govrsquot issued warnings ER visits deathsHeart palpitations caffeine overdose HTN dental caries Obesity Type 2 DM
STAY SAFE BY Checking ingredients for caffeine sugar additives
SELECTING SUPPLEMENTS
bull Step 1 Safety Assessment bull Evidence-based approachbull Avoid Supplements with long ingredient list or ldquoproprietary blendrdquo
bull Step 2 Effectiveness Assessmentbull Look for clinically studied brand names bull Ask yourself ldquoWhat do I want to accomplishrdquobull wwwnaturaldatabasecombull wwwhprc-onlineorgOPSS
bull Step 3 Product Quality Assessmentbull Audit by an outside 3rd party agency
bull USP NSF Consumer Lab Informed Choice bull The link below is to a video from USP on choosing safe supplementsbull httpwwwusporgsitesdefaultfilesvideouspvConsumerEducationind
exhtml
Abdel-Aal E S M Akhtar H Zaheer K amp Ali R (2013) Dietary sources of lutein and zeaxanthin carotenoids and their role in eye health Nutrients 5(4) 1169-1185 httpwwwmdpicom2072-6643541169htm
Camilleri G M Meacutejean C Bellisle F Hercberg S amp Peacuteneau S (2016) Mindminus body practice and body weight status in a large population-based sample of adults American journal of preventive medicine 50(4) e101-e109
Carneiro A and Andrade JP Nutritional and Lifestyle Interventions for Age-Related Macular Degeneration A Review (2017) Oxidative Medicine and Cellular Longevity 2017 Article ID 6469138 13 pages httpsdoiorg10115520176469138
Chung HY Rasmussen HM and Johnson EJ (2004) Lutein bioavailability is higher from lutein-enriched eggs than from supplements and spinach in men J Nutr 1341887-1893 httpjnnutritionorgcontent13481887full
Granado F Olmedilla B and Blanco I (2003) Nutritional and clinical relevance of lutein in human health British Journal of Nutrition 90(3) 487-502 httpswwwcambridgeorgcorejournalsbritish-journal-of-nutritionarticlenutritional-and-clinical-relevance-of-lutein-in-human-health27F42056D523DC78A8EE6135D500B338
Gruber M Chappell R Millen A LaRowe T Moeller SM Iannaccone A Kritchevsky SB and Mares J (2004) Correlates of serum lutein + zeaxanthin Findings from the Third National Health and Nutrition Examination Survey J Nutr 1342387ndash2394 httpjnnutritionorgcontent13492387fullpdf+html
References
Hawkes C Smith T G Jewell J Wardle J Hammond R A Friel S amp Kain J (2015) Smart food policies for obesity prevention The Lancet 385(9985) 2410-2421
Higdon J Drake VJ Delage B and Johnson EJ (2004-2016) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Carotenoids Accessed November 16-17 2017 httplpioregonstateedumicdietary-factorsphytochemicalscarotenoids
Higdon J Drake VJ Delage B Ross AC and Tan L (2000-2015) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Vitamin A Accessed November 16-17 2017 httplpioregonstateedumicvitaminsvitamin-A
Jacka F N OrsquoNeil A Opie R Itsiopoulos C Cotton S Mohebbi M amp Brazionis L (2017) A randomised controlled trial of dietary improvement for adults with major depression (the lsquoSMILESrsquotrial) BMC medicine 15(1) 23
Johnson EJ Maras JE Rasmussen HM Tucker KL (2010) Intake of lutein and zeaxanthin differ with age sex and ethnicity J Am Diet Assoc Sep110(9)1357-62 doi 101016jjada201006009
Lappe J Cullen D Haynatzki G Recker R Ahlf R amp Thompson K (2008) Calcium and vitamin D supplementation decreases incidence of stress fractures in female navy recruits Journal of Bone and Mineral Research 23(5) 741-749
Larson T and Coker J (2009) A descriptive study of lutein and zeaxanthin in optometric practice Optometry 80(10)579-86 doi 101016joptm200903015
References
Marx W Moseley G Berk M amp Jacka F (2017) Nutritional psychiatry the present state of the evidence Proceedings of the Nutrition Society 76(4) 427-436
McCusker MM Durrani K Payette PJ and Suchecki J (MarchndashApril 2016) An eye on nutrition The role of vitamins essential fatty acids and antioxidants in age-related macular degeneration dry eye syndrome and cataract Clinics in Dermatology Volume 34 (2) 276-285 httpsdoiorg101016jclindermatol201511009
Meegan A P Perry I J amp Phillips C M (2017) The association between dietary quality and dietary guideline adherence with mental health outcomes in adults a cross-sectional analysis Nutrients 9(3) 238
Merle B M Silver R E Rosner B amp Seddon J M (2015) Adherence to a Mediterranean diet genetic susceptibility and progression to advanced macular degeneration a prospective cohort study The American Journal of Clinical Nutrition 102(5) 1196ndash1206 httpdoiorg103945ajcn115111047
Natural Medicines Comprehensive Database (Updated July 3 2017) Natural medicines in the clinical management of eye disorders age-related degeneration cataracts and glaucoma httpnaturaldatabasetherapeuticresearchcomceCECourseaspxcs=amppm=5amps=ndamppc=09-23ampsearchid=61408260keywordanchor Accessed July 3 5 and 6 2017
Pennington K L amp DeAngelis M M (2016) Epidemiology of age-related macular degeneration (AMD) associations with cardiovascular disease phenotypes and lipid factors Eye and Vision 3 34 httpdoiorg101186s40662-016-0063-5
References
Sarris J Logan A C Akbaraly T N Amminger G P Balanzaacute-Martiacutenez V Freeman M P amp Nanri A (2015) Nutritional medicine as mainstream in psychiatry The Lancet Psychiatry 2(3) 271-274
Schleicher M Weikel K Garber C amp Taylor A (2013) Diminishing Risk for Age-Related Macular Degeneration with Nutrition A Current View Nutrients 5(7) 2405ndash2456 httpdoiorg103390nu5072405
Seddon JM Ajani UA Sperduto RD Hiller R Blair N Burton TC Farber MD Gragoudas ES Haller J Miller DT Yannuzzi LA Willett W Dietary Carotenoids Vitamins A C and E and Advanced Age-Related Macular Degeneration JAMA 1994272(18)1413-1420 doi101001jama199403520180037032
Wintermeyer E Ihle C Ehnert S Stoumlckle U Ochs G de Zwart P amp Nussler A K (2016) Crucial role of vitamin D in the musculoskeletal system Nutrients 8(6) 319
References
36
Thank you
Questions
19
Vitamin A is required for and beneficial to eye heath
Global blindness - Vitamin A deficiency (Retinol)
Vitamin A is a general term for several groups of compounds
Pro-Vitamin A compounds = can be converted to retinol alpha-carotene beta-carotene and beta-cryptoxanthin
Lutein zeaxanthin and lycopene are nonpro-Vitamin A compounds and are not essential nutrients
High dietary intake is associated with decreased incidence of AMD
Absorb blue light protecting photoreceptors from sunlight induced damage
Vitamin A
20
Diet trends include-Atkins -South Beach Diet-Low Carbohydrate-High Protein-Fasting in various forms-Paleo
Diet Trends
21
If itrsquos too good to be truehellipLow Carb ndashAtkins South Beak Keto or Ketogenic diets
bull Positive Can lose weight
bull Negative Bad breath dizziness fatigue mental slowness constipation potential for low blood sugar events
So if you operate any heavy or potentially dangerous equipment this is NOT for you
bull Most people use this diet short term as a ldquobridgerdquo but struggle when adding carbs back into diet and regain weight that was lost (1)
Sources 1 Low-Carb Diets Sorting Out the Information Nutritiion411 31 Aug 2012 Web 03 Oct 20162 Dubost Joy PhD RD CSSD Intermittent Fasting A Good Approach Academy of Nutrition and Dietetics 02 Jun 2014 Web 03 Oct 20163 Kohn Jill MS RDN LDN Should We Eat Like Our Caveman Ancestors Academy of Nutrition and Dietetics 19 Jan 2015 Web 03 Oct 20164 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
22
Fad diets never diehellipIntermittent Fasting ndash long fasting periods at least 16 hours Popular with elite athletes or
fitness enthusiast Workouts usually suffer can get light-headed dizzy tired and nauseated (2)
Paleo ndash Eat like our ancestors did 10000 years ago
bull Typically falls short on carbohydrates very restrictive bull Difficult for some to reach fiber calcium and vitamin D bull Can you really only eat only wild caught fish grass-fed meat and organic fruits and veg(3) bull Can be very expensive (4)
Bottom line If a diet or product sounds too good to be true it probably is
Can you keep eating like this in 6 months 12 months
Sources 1 Low-Carb Diets Sorting Out the Information Nutritiion411 31 Aug 2012 Web 03 Oct 20162 Dubost Joy PhD RD CSSD Intermittent Fasting A Good Approach Academy of Nutrition and Dietetics 02 Jun 2014 Web 03 Oct 20163 Kohn Jill MS RDN LDN Should We Eat Like Our Caveman Ancestors Academy of Nutrition and Dietetics 19 Jan 2015 Web 03 Oct 20164 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
23
Diets that workThe DASH Diet ndash Dietary Approaches to Stop Hypertension ranked the best overall diet for the 6th year in a row by US News amp World Report Heart healthy and nutritionally sound easy to follow (1)
Weight Watchers Diet ndash Ranked 4 overall best diet Eat what you want no foods off-limits and flexibility to shape your own diet Highest ranked for easy to follow (1)
Whatever works for you as long as yoursquore eating a variety of foods and staying at your recommended calorie level
ChooseMyPlate food model ndash Free nutritionally sound easy to follow tons of online resources
Source1 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
Dairy Eggs Bakery BreadsMeat
Can
ned
Fo
od
s
Bak
ing
Item
s
Fro
zen
Fo
od
s
Cle
anin
g amp
Pap
er It
ems
Checkout
Fruits amp
Vegetab
lesPro
cess
ed F
oo
ds
Entrance
Shop The Store Perimeter
Eggsbull Low Cost High Quality Protein
bull Are a source of 18 vitamins and minerals
bull Vitamin A (Lutein and zeaxanthin) ndash for healthy eyes
bull Calcium ndash for strong bones
bull Vitamin D ndash for calcium absorption
The Incredible Edible Egg
OPSS
SUPPLEMENTS
27
bull Not regulated closely by the FDA due to the Dietary Supplement Health Education Act 19942004
bull Generally expensive
bull Little to no proven benefits
bull AF bans HempAnabolic steroids
bull FDA prohibits sale of Ephedra
BOTTOM LINE Food first supplement second Discuss with flight surgeon primary care physician andor
Registered Dietitian before using
httphprc-onlineorgdietary-supplementsopss
Supplement Resources
bull Operation Supplement Safety (OPSS) httpswwwopssorg
SEARCH
ASK THE EXPERT
Ratings based on product
safety effectiveness
amp quality
lowest ratings have greatest
safety concerns
OPSS
Energy Drinks
Concerns with Energy Drinksbull No FDA regulation caffeine amounts vary 80-500 mg
bull FDA and UK Govrsquot issued warnings ER visits deathsHeart palpitations caffeine overdose HTN dental caries Obesity Type 2 DM
STAY SAFE BY Checking ingredients for caffeine sugar additives
SELECTING SUPPLEMENTS
bull Step 1 Safety Assessment bull Evidence-based approachbull Avoid Supplements with long ingredient list or ldquoproprietary blendrdquo
bull Step 2 Effectiveness Assessmentbull Look for clinically studied brand names bull Ask yourself ldquoWhat do I want to accomplishrdquobull wwwnaturaldatabasecombull wwwhprc-onlineorgOPSS
bull Step 3 Product Quality Assessmentbull Audit by an outside 3rd party agency
bull USP NSF Consumer Lab Informed Choice bull The link below is to a video from USP on choosing safe supplementsbull httpwwwusporgsitesdefaultfilesvideouspvConsumerEducationind
exhtml
Abdel-Aal E S M Akhtar H Zaheer K amp Ali R (2013) Dietary sources of lutein and zeaxanthin carotenoids and their role in eye health Nutrients 5(4) 1169-1185 httpwwwmdpicom2072-6643541169htm
Camilleri G M Meacutejean C Bellisle F Hercberg S amp Peacuteneau S (2016) Mindminus body practice and body weight status in a large population-based sample of adults American journal of preventive medicine 50(4) e101-e109
Carneiro A and Andrade JP Nutritional and Lifestyle Interventions for Age-Related Macular Degeneration A Review (2017) Oxidative Medicine and Cellular Longevity 2017 Article ID 6469138 13 pages httpsdoiorg10115520176469138
Chung HY Rasmussen HM and Johnson EJ (2004) Lutein bioavailability is higher from lutein-enriched eggs than from supplements and spinach in men J Nutr 1341887-1893 httpjnnutritionorgcontent13481887full
Granado F Olmedilla B and Blanco I (2003) Nutritional and clinical relevance of lutein in human health British Journal of Nutrition 90(3) 487-502 httpswwwcambridgeorgcorejournalsbritish-journal-of-nutritionarticlenutritional-and-clinical-relevance-of-lutein-in-human-health27F42056D523DC78A8EE6135D500B338
Gruber M Chappell R Millen A LaRowe T Moeller SM Iannaccone A Kritchevsky SB and Mares J (2004) Correlates of serum lutein + zeaxanthin Findings from the Third National Health and Nutrition Examination Survey J Nutr 1342387ndash2394 httpjnnutritionorgcontent13492387fullpdf+html
References
Hawkes C Smith T G Jewell J Wardle J Hammond R A Friel S amp Kain J (2015) Smart food policies for obesity prevention The Lancet 385(9985) 2410-2421
Higdon J Drake VJ Delage B and Johnson EJ (2004-2016) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Carotenoids Accessed November 16-17 2017 httplpioregonstateedumicdietary-factorsphytochemicalscarotenoids
Higdon J Drake VJ Delage B Ross AC and Tan L (2000-2015) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Vitamin A Accessed November 16-17 2017 httplpioregonstateedumicvitaminsvitamin-A
Jacka F N OrsquoNeil A Opie R Itsiopoulos C Cotton S Mohebbi M amp Brazionis L (2017) A randomised controlled trial of dietary improvement for adults with major depression (the lsquoSMILESrsquotrial) BMC medicine 15(1) 23
Johnson EJ Maras JE Rasmussen HM Tucker KL (2010) Intake of lutein and zeaxanthin differ with age sex and ethnicity J Am Diet Assoc Sep110(9)1357-62 doi 101016jjada201006009
Lappe J Cullen D Haynatzki G Recker R Ahlf R amp Thompson K (2008) Calcium and vitamin D supplementation decreases incidence of stress fractures in female navy recruits Journal of Bone and Mineral Research 23(5) 741-749
Larson T and Coker J (2009) A descriptive study of lutein and zeaxanthin in optometric practice Optometry 80(10)579-86 doi 101016joptm200903015
References
Marx W Moseley G Berk M amp Jacka F (2017) Nutritional psychiatry the present state of the evidence Proceedings of the Nutrition Society 76(4) 427-436
McCusker MM Durrani K Payette PJ and Suchecki J (MarchndashApril 2016) An eye on nutrition The role of vitamins essential fatty acids and antioxidants in age-related macular degeneration dry eye syndrome and cataract Clinics in Dermatology Volume 34 (2) 276-285 httpsdoiorg101016jclindermatol201511009
Meegan A P Perry I J amp Phillips C M (2017) The association between dietary quality and dietary guideline adherence with mental health outcomes in adults a cross-sectional analysis Nutrients 9(3) 238
Merle B M Silver R E Rosner B amp Seddon J M (2015) Adherence to a Mediterranean diet genetic susceptibility and progression to advanced macular degeneration a prospective cohort study The American Journal of Clinical Nutrition 102(5) 1196ndash1206 httpdoiorg103945ajcn115111047
Natural Medicines Comprehensive Database (Updated July 3 2017) Natural medicines in the clinical management of eye disorders age-related degeneration cataracts and glaucoma httpnaturaldatabasetherapeuticresearchcomceCECourseaspxcs=amppm=5amps=ndamppc=09-23ampsearchid=61408260keywordanchor Accessed July 3 5 and 6 2017
Pennington K L amp DeAngelis M M (2016) Epidemiology of age-related macular degeneration (AMD) associations with cardiovascular disease phenotypes and lipid factors Eye and Vision 3 34 httpdoiorg101186s40662-016-0063-5
References
Sarris J Logan A C Akbaraly T N Amminger G P Balanzaacute-Martiacutenez V Freeman M P amp Nanri A (2015) Nutritional medicine as mainstream in psychiatry The Lancet Psychiatry 2(3) 271-274
Schleicher M Weikel K Garber C amp Taylor A (2013) Diminishing Risk for Age-Related Macular Degeneration with Nutrition A Current View Nutrients 5(7) 2405ndash2456 httpdoiorg103390nu5072405
Seddon JM Ajani UA Sperduto RD Hiller R Blair N Burton TC Farber MD Gragoudas ES Haller J Miller DT Yannuzzi LA Willett W Dietary Carotenoids Vitamins A C and E and Advanced Age-Related Macular Degeneration JAMA 1994272(18)1413-1420 doi101001jama199403520180037032
Wintermeyer E Ihle C Ehnert S Stoumlckle U Ochs G de Zwart P amp Nussler A K (2016) Crucial role of vitamin D in the musculoskeletal system Nutrients 8(6) 319
References
36
Thank you
Questions
20
Diet trends include-Atkins -South Beach Diet-Low Carbohydrate-High Protein-Fasting in various forms-Paleo
Diet Trends
21
If itrsquos too good to be truehellipLow Carb ndashAtkins South Beak Keto or Ketogenic diets
bull Positive Can lose weight
bull Negative Bad breath dizziness fatigue mental slowness constipation potential for low blood sugar events
So if you operate any heavy or potentially dangerous equipment this is NOT for you
bull Most people use this diet short term as a ldquobridgerdquo but struggle when adding carbs back into diet and regain weight that was lost (1)
Sources 1 Low-Carb Diets Sorting Out the Information Nutritiion411 31 Aug 2012 Web 03 Oct 20162 Dubost Joy PhD RD CSSD Intermittent Fasting A Good Approach Academy of Nutrition and Dietetics 02 Jun 2014 Web 03 Oct 20163 Kohn Jill MS RDN LDN Should We Eat Like Our Caveman Ancestors Academy of Nutrition and Dietetics 19 Jan 2015 Web 03 Oct 20164 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
22
Fad diets never diehellipIntermittent Fasting ndash long fasting periods at least 16 hours Popular with elite athletes or
fitness enthusiast Workouts usually suffer can get light-headed dizzy tired and nauseated (2)
Paleo ndash Eat like our ancestors did 10000 years ago
bull Typically falls short on carbohydrates very restrictive bull Difficult for some to reach fiber calcium and vitamin D bull Can you really only eat only wild caught fish grass-fed meat and organic fruits and veg(3) bull Can be very expensive (4)
Bottom line If a diet or product sounds too good to be true it probably is
Can you keep eating like this in 6 months 12 months
Sources 1 Low-Carb Diets Sorting Out the Information Nutritiion411 31 Aug 2012 Web 03 Oct 20162 Dubost Joy PhD RD CSSD Intermittent Fasting A Good Approach Academy of Nutrition and Dietetics 02 Jun 2014 Web 03 Oct 20163 Kohn Jill MS RDN LDN Should We Eat Like Our Caveman Ancestors Academy of Nutrition and Dietetics 19 Jan 2015 Web 03 Oct 20164 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
23
Diets that workThe DASH Diet ndash Dietary Approaches to Stop Hypertension ranked the best overall diet for the 6th year in a row by US News amp World Report Heart healthy and nutritionally sound easy to follow (1)
Weight Watchers Diet ndash Ranked 4 overall best diet Eat what you want no foods off-limits and flexibility to shape your own diet Highest ranked for easy to follow (1)
Whatever works for you as long as yoursquore eating a variety of foods and staying at your recommended calorie level
ChooseMyPlate food model ndash Free nutritionally sound easy to follow tons of online resources
Source1 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
Dairy Eggs Bakery BreadsMeat
Can
ned
Fo
od
s
Bak
ing
Item
s
Fro
zen
Fo
od
s
Cle
anin
g amp
Pap
er It
ems
Checkout
Fruits amp
Vegetab
lesPro
cess
ed F
oo
ds
Entrance
Shop The Store Perimeter
Eggsbull Low Cost High Quality Protein
bull Are a source of 18 vitamins and minerals
bull Vitamin A (Lutein and zeaxanthin) ndash for healthy eyes
bull Calcium ndash for strong bones
bull Vitamin D ndash for calcium absorption
The Incredible Edible Egg
OPSS
SUPPLEMENTS
27
bull Not regulated closely by the FDA due to the Dietary Supplement Health Education Act 19942004
bull Generally expensive
bull Little to no proven benefits
bull AF bans HempAnabolic steroids
bull FDA prohibits sale of Ephedra
BOTTOM LINE Food first supplement second Discuss with flight surgeon primary care physician andor
Registered Dietitian before using
httphprc-onlineorgdietary-supplementsopss
Supplement Resources
bull Operation Supplement Safety (OPSS) httpswwwopssorg
SEARCH
ASK THE EXPERT
Ratings based on product
safety effectiveness
amp quality
lowest ratings have greatest
safety concerns
OPSS
Energy Drinks
Concerns with Energy Drinksbull No FDA regulation caffeine amounts vary 80-500 mg
bull FDA and UK Govrsquot issued warnings ER visits deathsHeart palpitations caffeine overdose HTN dental caries Obesity Type 2 DM
STAY SAFE BY Checking ingredients for caffeine sugar additives
SELECTING SUPPLEMENTS
bull Step 1 Safety Assessment bull Evidence-based approachbull Avoid Supplements with long ingredient list or ldquoproprietary blendrdquo
bull Step 2 Effectiveness Assessmentbull Look for clinically studied brand names bull Ask yourself ldquoWhat do I want to accomplishrdquobull wwwnaturaldatabasecombull wwwhprc-onlineorgOPSS
bull Step 3 Product Quality Assessmentbull Audit by an outside 3rd party agency
bull USP NSF Consumer Lab Informed Choice bull The link below is to a video from USP on choosing safe supplementsbull httpwwwusporgsitesdefaultfilesvideouspvConsumerEducationind
exhtml
Abdel-Aal E S M Akhtar H Zaheer K amp Ali R (2013) Dietary sources of lutein and zeaxanthin carotenoids and their role in eye health Nutrients 5(4) 1169-1185 httpwwwmdpicom2072-6643541169htm
Camilleri G M Meacutejean C Bellisle F Hercberg S amp Peacuteneau S (2016) Mindminus body practice and body weight status in a large population-based sample of adults American journal of preventive medicine 50(4) e101-e109
Carneiro A and Andrade JP Nutritional and Lifestyle Interventions for Age-Related Macular Degeneration A Review (2017) Oxidative Medicine and Cellular Longevity 2017 Article ID 6469138 13 pages httpsdoiorg10115520176469138
Chung HY Rasmussen HM and Johnson EJ (2004) Lutein bioavailability is higher from lutein-enriched eggs than from supplements and spinach in men J Nutr 1341887-1893 httpjnnutritionorgcontent13481887full
Granado F Olmedilla B and Blanco I (2003) Nutritional and clinical relevance of lutein in human health British Journal of Nutrition 90(3) 487-502 httpswwwcambridgeorgcorejournalsbritish-journal-of-nutritionarticlenutritional-and-clinical-relevance-of-lutein-in-human-health27F42056D523DC78A8EE6135D500B338
Gruber M Chappell R Millen A LaRowe T Moeller SM Iannaccone A Kritchevsky SB and Mares J (2004) Correlates of serum lutein + zeaxanthin Findings from the Third National Health and Nutrition Examination Survey J Nutr 1342387ndash2394 httpjnnutritionorgcontent13492387fullpdf+html
References
Hawkes C Smith T G Jewell J Wardle J Hammond R A Friel S amp Kain J (2015) Smart food policies for obesity prevention The Lancet 385(9985) 2410-2421
Higdon J Drake VJ Delage B and Johnson EJ (2004-2016) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Carotenoids Accessed November 16-17 2017 httplpioregonstateedumicdietary-factorsphytochemicalscarotenoids
Higdon J Drake VJ Delage B Ross AC and Tan L (2000-2015) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Vitamin A Accessed November 16-17 2017 httplpioregonstateedumicvitaminsvitamin-A
Jacka F N OrsquoNeil A Opie R Itsiopoulos C Cotton S Mohebbi M amp Brazionis L (2017) A randomised controlled trial of dietary improvement for adults with major depression (the lsquoSMILESrsquotrial) BMC medicine 15(1) 23
Johnson EJ Maras JE Rasmussen HM Tucker KL (2010) Intake of lutein and zeaxanthin differ with age sex and ethnicity J Am Diet Assoc Sep110(9)1357-62 doi 101016jjada201006009
Lappe J Cullen D Haynatzki G Recker R Ahlf R amp Thompson K (2008) Calcium and vitamin D supplementation decreases incidence of stress fractures in female navy recruits Journal of Bone and Mineral Research 23(5) 741-749
Larson T and Coker J (2009) A descriptive study of lutein and zeaxanthin in optometric practice Optometry 80(10)579-86 doi 101016joptm200903015
References
Marx W Moseley G Berk M amp Jacka F (2017) Nutritional psychiatry the present state of the evidence Proceedings of the Nutrition Society 76(4) 427-436
McCusker MM Durrani K Payette PJ and Suchecki J (MarchndashApril 2016) An eye on nutrition The role of vitamins essential fatty acids and antioxidants in age-related macular degeneration dry eye syndrome and cataract Clinics in Dermatology Volume 34 (2) 276-285 httpsdoiorg101016jclindermatol201511009
Meegan A P Perry I J amp Phillips C M (2017) The association between dietary quality and dietary guideline adherence with mental health outcomes in adults a cross-sectional analysis Nutrients 9(3) 238
Merle B M Silver R E Rosner B amp Seddon J M (2015) Adherence to a Mediterranean diet genetic susceptibility and progression to advanced macular degeneration a prospective cohort study The American Journal of Clinical Nutrition 102(5) 1196ndash1206 httpdoiorg103945ajcn115111047
Natural Medicines Comprehensive Database (Updated July 3 2017) Natural medicines in the clinical management of eye disorders age-related degeneration cataracts and glaucoma httpnaturaldatabasetherapeuticresearchcomceCECourseaspxcs=amppm=5amps=ndamppc=09-23ampsearchid=61408260keywordanchor Accessed July 3 5 and 6 2017
Pennington K L amp DeAngelis M M (2016) Epidemiology of age-related macular degeneration (AMD) associations with cardiovascular disease phenotypes and lipid factors Eye and Vision 3 34 httpdoiorg101186s40662-016-0063-5
References
Sarris J Logan A C Akbaraly T N Amminger G P Balanzaacute-Martiacutenez V Freeman M P amp Nanri A (2015) Nutritional medicine as mainstream in psychiatry The Lancet Psychiatry 2(3) 271-274
Schleicher M Weikel K Garber C amp Taylor A (2013) Diminishing Risk for Age-Related Macular Degeneration with Nutrition A Current View Nutrients 5(7) 2405ndash2456 httpdoiorg103390nu5072405
Seddon JM Ajani UA Sperduto RD Hiller R Blair N Burton TC Farber MD Gragoudas ES Haller J Miller DT Yannuzzi LA Willett W Dietary Carotenoids Vitamins A C and E and Advanced Age-Related Macular Degeneration JAMA 1994272(18)1413-1420 doi101001jama199403520180037032
Wintermeyer E Ihle C Ehnert S Stoumlckle U Ochs G de Zwart P amp Nussler A K (2016) Crucial role of vitamin D in the musculoskeletal system Nutrients 8(6) 319
References
36
Thank you
Questions
21
If itrsquos too good to be truehellipLow Carb ndashAtkins South Beak Keto or Ketogenic diets
bull Positive Can lose weight
bull Negative Bad breath dizziness fatigue mental slowness constipation potential for low blood sugar events
So if you operate any heavy or potentially dangerous equipment this is NOT for you
bull Most people use this diet short term as a ldquobridgerdquo but struggle when adding carbs back into diet and regain weight that was lost (1)
Sources 1 Low-Carb Diets Sorting Out the Information Nutritiion411 31 Aug 2012 Web 03 Oct 20162 Dubost Joy PhD RD CSSD Intermittent Fasting A Good Approach Academy of Nutrition and Dietetics 02 Jun 2014 Web 03 Oct 20163 Kohn Jill MS RDN LDN Should We Eat Like Our Caveman Ancestors Academy of Nutrition and Dietetics 19 Jan 2015 Web 03 Oct 20164 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
22
Fad diets never diehellipIntermittent Fasting ndash long fasting periods at least 16 hours Popular with elite athletes or
fitness enthusiast Workouts usually suffer can get light-headed dizzy tired and nauseated (2)
Paleo ndash Eat like our ancestors did 10000 years ago
bull Typically falls short on carbohydrates very restrictive bull Difficult for some to reach fiber calcium and vitamin D bull Can you really only eat only wild caught fish grass-fed meat and organic fruits and veg(3) bull Can be very expensive (4)
Bottom line If a diet or product sounds too good to be true it probably is
Can you keep eating like this in 6 months 12 months
Sources 1 Low-Carb Diets Sorting Out the Information Nutritiion411 31 Aug 2012 Web 03 Oct 20162 Dubost Joy PhD RD CSSD Intermittent Fasting A Good Approach Academy of Nutrition and Dietetics 02 Jun 2014 Web 03 Oct 20163 Kohn Jill MS RDN LDN Should We Eat Like Our Caveman Ancestors Academy of Nutrition and Dietetics 19 Jan 2015 Web 03 Oct 20164 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
23
Diets that workThe DASH Diet ndash Dietary Approaches to Stop Hypertension ranked the best overall diet for the 6th year in a row by US News amp World Report Heart healthy and nutritionally sound easy to follow (1)
Weight Watchers Diet ndash Ranked 4 overall best diet Eat what you want no foods off-limits and flexibility to shape your own diet Highest ranked for easy to follow (1)
Whatever works for you as long as yoursquore eating a variety of foods and staying at your recommended calorie level
ChooseMyPlate food model ndash Free nutritionally sound easy to follow tons of online resources
Source1 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
Dairy Eggs Bakery BreadsMeat
Can
ned
Fo
od
s
Bak
ing
Item
s
Fro
zen
Fo
od
s
Cle
anin
g amp
Pap
er It
ems
Checkout
Fruits amp
Vegetab
lesPro
cess
ed F
oo
ds
Entrance
Shop The Store Perimeter
Eggsbull Low Cost High Quality Protein
bull Are a source of 18 vitamins and minerals
bull Vitamin A (Lutein and zeaxanthin) ndash for healthy eyes
bull Calcium ndash for strong bones
bull Vitamin D ndash for calcium absorption
The Incredible Edible Egg
OPSS
SUPPLEMENTS
27
bull Not regulated closely by the FDA due to the Dietary Supplement Health Education Act 19942004
bull Generally expensive
bull Little to no proven benefits
bull AF bans HempAnabolic steroids
bull FDA prohibits sale of Ephedra
BOTTOM LINE Food first supplement second Discuss with flight surgeon primary care physician andor
Registered Dietitian before using
httphprc-onlineorgdietary-supplementsopss
Supplement Resources
bull Operation Supplement Safety (OPSS) httpswwwopssorg
SEARCH
ASK THE EXPERT
Ratings based on product
safety effectiveness
amp quality
lowest ratings have greatest
safety concerns
OPSS
Energy Drinks
Concerns with Energy Drinksbull No FDA regulation caffeine amounts vary 80-500 mg
bull FDA and UK Govrsquot issued warnings ER visits deathsHeart palpitations caffeine overdose HTN dental caries Obesity Type 2 DM
STAY SAFE BY Checking ingredients for caffeine sugar additives
SELECTING SUPPLEMENTS
bull Step 1 Safety Assessment bull Evidence-based approachbull Avoid Supplements with long ingredient list or ldquoproprietary blendrdquo
bull Step 2 Effectiveness Assessmentbull Look for clinically studied brand names bull Ask yourself ldquoWhat do I want to accomplishrdquobull wwwnaturaldatabasecombull wwwhprc-onlineorgOPSS
bull Step 3 Product Quality Assessmentbull Audit by an outside 3rd party agency
bull USP NSF Consumer Lab Informed Choice bull The link below is to a video from USP on choosing safe supplementsbull httpwwwusporgsitesdefaultfilesvideouspvConsumerEducationind
exhtml
Abdel-Aal E S M Akhtar H Zaheer K amp Ali R (2013) Dietary sources of lutein and zeaxanthin carotenoids and their role in eye health Nutrients 5(4) 1169-1185 httpwwwmdpicom2072-6643541169htm
Camilleri G M Meacutejean C Bellisle F Hercberg S amp Peacuteneau S (2016) Mindminus body practice and body weight status in a large population-based sample of adults American journal of preventive medicine 50(4) e101-e109
Carneiro A and Andrade JP Nutritional and Lifestyle Interventions for Age-Related Macular Degeneration A Review (2017) Oxidative Medicine and Cellular Longevity 2017 Article ID 6469138 13 pages httpsdoiorg10115520176469138
Chung HY Rasmussen HM and Johnson EJ (2004) Lutein bioavailability is higher from lutein-enriched eggs than from supplements and spinach in men J Nutr 1341887-1893 httpjnnutritionorgcontent13481887full
Granado F Olmedilla B and Blanco I (2003) Nutritional and clinical relevance of lutein in human health British Journal of Nutrition 90(3) 487-502 httpswwwcambridgeorgcorejournalsbritish-journal-of-nutritionarticlenutritional-and-clinical-relevance-of-lutein-in-human-health27F42056D523DC78A8EE6135D500B338
Gruber M Chappell R Millen A LaRowe T Moeller SM Iannaccone A Kritchevsky SB and Mares J (2004) Correlates of serum lutein + zeaxanthin Findings from the Third National Health and Nutrition Examination Survey J Nutr 1342387ndash2394 httpjnnutritionorgcontent13492387fullpdf+html
References
Hawkes C Smith T G Jewell J Wardle J Hammond R A Friel S amp Kain J (2015) Smart food policies for obesity prevention The Lancet 385(9985) 2410-2421
Higdon J Drake VJ Delage B and Johnson EJ (2004-2016) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Carotenoids Accessed November 16-17 2017 httplpioregonstateedumicdietary-factorsphytochemicalscarotenoids
Higdon J Drake VJ Delage B Ross AC and Tan L (2000-2015) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Vitamin A Accessed November 16-17 2017 httplpioregonstateedumicvitaminsvitamin-A
Jacka F N OrsquoNeil A Opie R Itsiopoulos C Cotton S Mohebbi M amp Brazionis L (2017) A randomised controlled trial of dietary improvement for adults with major depression (the lsquoSMILESrsquotrial) BMC medicine 15(1) 23
Johnson EJ Maras JE Rasmussen HM Tucker KL (2010) Intake of lutein and zeaxanthin differ with age sex and ethnicity J Am Diet Assoc Sep110(9)1357-62 doi 101016jjada201006009
Lappe J Cullen D Haynatzki G Recker R Ahlf R amp Thompson K (2008) Calcium and vitamin D supplementation decreases incidence of stress fractures in female navy recruits Journal of Bone and Mineral Research 23(5) 741-749
Larson T and Coker J (2009) A descriptive study of lutein and zeaxanthin in optometric practice Optometry 80(10)579-86 doi 101016joptm200903015
References
Marx W Moseley G Berk M amp Jacka F (2017) Nutritional psychiatry the present state of the evidence Proceedings of the Nutrition Society 76(4) 427-436
McCusker MM Durrani K Payette PJ and Suchecki J (MarchndashApril 2016) An eye on nutrition The role of vitamins essential fatty acids and antioxidants in age-related macular degeneration dry eye syndrome and cataract Clinics in Dermatology Volume 34 (2) 276-285 httpsdoiorg101016jclindermatol201511009
Meegan A P Perry I J amp Phillips C M (2017) The association between dietary quality and dietary guideline adherence with mental health outcomes in adults a cross-sectional analysis Nutrients 9(3) 238
Merle B M Silver R E Rosner B amp Seddon J M (2015) Adherence to a Mediterranean diet genetic susceptibility and progression to advanced macular degeneration a prospective cohort study The American Journal of Clinical Nutrition 102(5) 1196ndash1206 httpdoiorg103945ajcn115111047
Natural Medicines Comprehensive Database (Updated July 3 2017) Natural medicines in the clinical management of eye disorders age-related degeneration cataracts and glaucoma httpnaturaldatabasetherapeuticresearchcomceCECourseaspxcs=amppm=5amps=ndamppc=09-23ampsearchid=61408260keywordanchor Accessed July 3 5 and 6 2017
Pennington K L amp DeAngelis M M (2016) Epidemiology of age-related macular degeneration (AMD) associations with cardiovascular disease phenotypes and lipid factors Eye and Vision 3 34 httpdoiorg101186s40662-016-0063-5
References
Sarris J Logan A C Akbaraly T N Amminger G P Balanzaacute-Martiacutenez V Freeman M P amp Nanri A (2015) Nutritional medicine as mainstream in psychiatry The Lancet Psychiatry 2(3) 271-274
Schleicher M Weikel K Garber C amp Taylor A (2013) Diminishing Risk for Age-Related Macular Degeneration with Nutrition A Current View Nutrients 5(7) 2405ndash2456 httpdoiorg103390nu5072405
Seddon JM Ajani UA Sperduto RD Hiller R Blair N Burton TC Farber MD Gragoudas ES Haller J Miller DT Yannuzzi LA Willett W Dietary Carotenoids Vitamins A C and E and Advanced Age-Related Macular Degeneration JAMA 1994272(18)1413-1420 doi101001jama199403520180037032
Wintermeyer E Ihle C Ehnert S Stoumlckle U Ochs G de Zwart P amp Nussler A K (2016) Crucial role of vitamin D in the musculoskeletal system Nutrients 8(6) 319
References
36
Thank you
Questions
22
Fad diets never diehellipIntermittent Fasting ndash long fasting periods at least 16 hours Popular with elite athletes or
fitness enthusiast Workouts usually suffer can get light-headed dizzy tired and nauseated (2)
Paleo ndash Eat like our ancestors did 10000 years ago
bull Typically falls short on carbohydrates very restrictive bull Difficult for some to reach fiber calcium and vitamin D bull Can you really only eat only wild caught fish grass-fed meat and organic fruits and veg(3) bull Can be very expensive (4)
Bottom line If a diet or product sounds too good to be true it probably is
Can you keep eating like this in 6 months 12 months
Sources 1 Low-Carb Diets Sorting Out the Information Nutritiion411 31 Aug 2012 Web 03 Oct 20162 Dubost Joy PhD RD CSSD Intermittent Fasting A Good Approach Academy of Nutrition and Dietetics 02 Jun 2014 Web 03 Oct 20163 Kohn Jill MS RDN LDN Should We Eat Like Our Caveman Ancestors Academy of Nutrition and Dietetics 19 Jan 2015 Web 03 Oct 20164 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
23
Diets that workThe DASH Diet ndash Dietary Approaches to Stop Hypertension ranked the best overall diet for the 6th year in a row by US News amp World Report Heart healthy and nutritionally sound easy to follow (1)
Weight Watchers Diet ndash Ranked 4 overall best diet Eat what you want no foods off-limits and flexibility to shape your own diet Highest ranked for easy to follow (1)
Whatever works for you as long as yoursquore eating a variety of foods and staying at your recommended calorie level
ChooseMyPlate food model ndash Free nutritionally sound easy to follow tons of online resources
Source1 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
Dairy Eggs Bakery BreadsMeat
Can
ned
Fo
od
s
Bak
ing
Item
s
Fro
zen
Fo
od
s
Cle
anin
g amp
Pap
er It
ems
Checkout
Fruits amp
Vegetab
lesPro
cess
ed F
oo
ds
Entrance
Shop The Store Perimeter
Eggsbull Low Cost High Quality Protein
bull Are a source of 18 vitamins and minerals
bull Vitamin A (Lutein and zeaxanthin) ndash for healthy eyes
bull Calcium ndash for strong bones
bull Vitamin D ndash for calcium absorption
The Incredible Edible Egg
OPSS
SUPPLEMENTS
27
bull Not regulated closely by the FDA due to the Dietary Supplement Health Education Act 19942004
bull Generally expensive
bull Little to no proven benefits
bull AF bans HempAnabolic steroids
bull FDA prohibits sale of Ephedra
BOTTOM LINE Food first supplement second Discuss with flight surgeon primary care physician andor
Registered Dietitian before using
httphprc-onlineorgdietary-supplementsopss
Supplement Resources
bull Operation Supplement Safety (OPSS) httpswwwopssorg
SEARCH
ASK THE EXPERT
Ratings based on product
safety effectiveness
amp quality
lowest ratings have greatest
safety concerns
OPSS
Energy Drinks
Concerns with Energy Drinksbull No FDA regulation caffeine amounts vary 80-500 mg
bull FDA and UK Govrsquot issued warnings ER visits deathsHeart palpitations caffeine overdose HTN dental caries Obesity Type 2 DM
STAY SAFE BY Checking ingredients for caffeine sugar additives
SELECTING SUPPLEMENTS
bull Step 1 Safety Assessment bull Evidence-based approachbull Avoid Supplements with long ingredient list or ldquoproprietary blendrdquo
bull Step 2 Effectiveness Assessmentbull Look for clinically studied brand names bull Ask yourself ldquoWhat do I want to accomplishrdquobull wwwnaturaldatabasecombull wwwhprc-onlineorgOPSS
bull Step 3 Product Quality Assessmentbull Audit by an outside 3rd party agency
bull USP NSF Consumer Lab Informed Choice bull The link below is to a video from USP on choosing safe supplementsbull httpwwwusporgsitesdefaultfilesvideouspvConsumerEducationind
exhtml
Abdel-Aal E S M Akhtar H Zaheer K amp Ali R (2013) Dietary sources of lutein and zeaxanthin carotenoids and their role in eye health Nutrients 5(4) 1169-1185 httpwwwmdpicom2072-6643541169htm
Camilleri G M Meacutejean C Bellisle F Hercberg S amp Peacuteneau S (2016) Mindminus body practice and body weight status in a large population-based sample of adults American journal of preventive medicine 50(4) e101-e109
Carneiro A and Andrade JP Nutritional and Lifestyle Interventions for Age-Related Macular Degeneration A Review (2017) Oxidative Medicine and Cellular Longevity 2017 Article ID 6469138 13 pages httpsdoiorg10115520176469138
Chung HY Rasmussen HM and Johnson EJ (2004) Lutein bioavailability is higher from lutein-enriched eggs than from supplements and spinach in men J Nutr 1341887-1893 httpjnnutritionorgcontent13481887full
Granado F Olmedilla B and Blanco I (2003) Nutritional and clinical relevance of lutein in human health British Journal of Nutrition 90(3) 487-502 httpswwwcambridgeorgcorejournalsbritish-journal-of-nutritionarticlenutritional-and-clinical-relevance-of-lutein-in-human-health27F42056D523DC78A8EE6135D500B338
Gruber M Chappell R Millen A LaRowe T Moeller SM Iannaccone A Kritchevsky SB and Mares J (2004) Correlates of serum lutein + zeaxanthin Findings from the Third National Health and Nutrition Examination Survey J Nutr 1342387ndash2394 httpjnnutritionorgcontent13492387fullpdf+html
References
Hawkes C Smith T G Jewell J Wardle J Hammond R A Friel S amp Kain J (2015) Smart food policies for obesity prevention The Lancet 385(9985) 2410-2421
Higdon J Drake VJ Delage B and Johnson EJ (2004-2016) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Carotenoids Accessed November 16-17 2017 httplpioregonstateedumicdietary-factorsphytochemicalscarotenoids
Higdon J Drake VJ Delage B Ross AC and Tan L (2000-2015) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Vitamin A Accessed November 16-17 2017 httplpioregonstateedumicvitaminsvitamin-A
Jacka F N OrsquoNeil A Opie R Itsiopoulos C Cotton S Mohebbi M amp Brazionis L (2017) A randomised controlled trial of dietary improvement for adults with major depression (the lsquoSMILESrsquotrial) BMC medicine 15(1) 23
Johnson EJ Maras JE Rasmussen HM Tucker KL (2010) Intake of lutein and zeaxanthin differ with age sex and ethnicity J Am Diet Assoc Sep110(9)1357-62 doi 101016jjada201006009
Lappe J Cullen D Haynatzki G Recker R Ahlf R amp Thompson K (2008) Calcium and vitamin D supplementation decreases incidence of stress fractures in female navy recruits Journal of Bone and Mineral Research 23(5) 741-749
Larson T and Coker J (2009) A descriptive study of lutein and zeaxanthin in optometric practice Optometry 80(10)579-86 doi 101016joptm200903015
References
Marx W Moseley G Berk M amp Jacka F (2017) Nutritional psychiatry the present state of the evidence Proceedings of the Nutrition Society 76(4) 427-436
McCusker MM Durrani K Payette PJ and Suchecki J (MarchndashApril 2016) An eye on nutrition The role of vitamins essential fatty acids and antioxidants in age-related macular degeneration dry eye syndrome and cataract Clinics in Dermatology Volume 34 (2) 276-285 httpsdoiorg101016jclindermatol201511009
Meegan A P Perry I J amp Phillips C M (2017) The association between dietary quality and dietary guideline adherence with mental health outcomes in adults a cross-sectional analysis Nutrients 9(3) 238
Merle B M Silver R E Rosner B amp Seddon J M (2015) Adherence to a Mediterranean diet genetic susceptibility and progression to advanced macular degeneration a prospective cohort study The American Journal of Clinical Nutrition 102(5) 1196ndash1206 httpdoiorg103945ajcn115111047
Natural Medicines Comprehensive Database (Updated July 3 2017) Natural medicines in the clinical management of eye disorders age-related degeneration cataracts and glaucoma httpnaturaldatabasetherapeuticresearchcomceCECourseaspxcs=amppm=5amps=ndamppc=09-23ampsearchid=61408260keywordanchor Accessed July 3 5 and 6 2017
Pennington K L amp DeAngelis M M (2016) Epidemiology of age-related macular degeneration (AMD) associations with cardiovascular disease phenotypes and lipid factors Eye and Vision 3 34 httpdoiorg101186s40662-016-0063-5
References
Sarris J Logan A C Akbaraly T N Amminger G P Balanzaacute-Martiacutenez V Freeman M P amp Nanri A (2015) Nutritional medicine as mainstream in psychiatry The Lancet Psychiatry 2(3) 271-274
Schleicher M Weikel K Garber C amp Taylor A (2013) Diminishing Risk for Age-Related Macular Degeneration with Nutrition A Current View Nutrients 5(7) 2405ndash2456 httpdoiorg103390nu5072405
Seddon JM Ajani UA Sperduto RD Hiller R Blair N Burton TC Farber MD Gragoudas ES Haller J Miller DT Yannuzzi LA Willett W Dietary Carotenoids Vitamins A C and E and Advanced Age-Related Macular Degeneration JAMA 1994272(18)1413-1420 doi101001jama199403520180037032
Wintermeyer E Ihle C Ehnert S Stoumlckle U Ochs G de Zwart P amp Nussler A K (2016) Crucial role of vitamin D in the musculoskeletal system Nutrients 8(6) 319
References
36
Thank you
Questions
23
Diets that workThe DASH Diet ndash Dietary Approaches to Stop Hypertension ranked the best overall diet for the 6th year in a row by US News amp World Report Heart healthy and nutritionally sound easy to follow (1)
Weight Watchers Diet ndash Ranked 4 overall best diet Eat what you want no foods off-limits and flexibility to shape your own diet Highest ranked for easy to follow (1)
Whatever works for you as long as yoursquore eating a variety of foods and staying at your recommended calorie level
ChooseMyPlate food model ndash Free nutritionally sound easy to follow tons of online resources
Source1 US News Best Diet Ranks 05 Jan 2016 Web 04 Oct 2016
Dairy Eggs Bakery BreadsMeat
Can
ned
Fo
od
s
Bak
ing
Item
s
Fro
zen
Fo
od
s
Cle
anin
g amp
Pap
er It
ems
Checkout
Fruits amp
Vegetab
lesPro
cess
ed F
oo
ds
Entrance
Shop The Store Perimeter
Eggsbull Low Cost High Quality Protein
bull Are a source of 18 vitamins and minerals
bull Vitamin A (Lutein and zeaxanthin) ndash for healthy eyes
bull Calcium ndash for strong bones
bull Vitamin D ndash for calcium absorption
The Incredible Edible Egg
OPSS
SUPPLEMENTS
27
bull Not regulated closely by the FDA due to the Dietary Supplement Health Education Act 19942004
bull Generally expensive
bull Little to no proven benefits
bull AF bans HempAnabolic steroids
bull FDA prohibits sale of Ephedra
BOTTOM LINE Food first supplement second Discuss with flight surgeon primary care physician andor
Registered Dietitian before using
httphprc-onlineorgdietary-supplementsopss
Supplement Resources
bull Operation Supplement Safety (OPSS) httpswwwopssorg
SEARCH
ASK THE EXPERT
Ratings based on product
safety effectiveness
amp quality
lowest ratings have greatest
safety concerns
OPSS
Energy Drinks
Concerns with Energy Drinksbull No FDA regulation caffeine amounts vary 80-500 mg
bull FDA and UK Govrsquot issued warnings ER visits deathsHeart palpitations caffeine overdose HTN dental caries Obesity Type 2 DM
STAY SAFE BY Checking ingredients for caffeine sugar additives
SELECTING SUPPLEMENTS
bull Step 1 Safety Assessment bull Evidence-based approachbull Avoid Supplements with long ingredient list or ldquoproprietary blendrdquo
bull Step 2 Effectiveness Assessmentbull Look for clinically studied brand names bull Ask yourself ldquoWhat do I want to accomplishrdquobull wwwnaturaldatabasecombull wwwhprc-onlineorgOPSS
bull Step 3 Product Quality Assessmentbull Audit by an outside 3rd party agency
bull USP NSF Consumer Lab Informed Choice bull The link below is to a video from USP on choosing safe supplementsbull httpwwwusporgsitesdefaultfilesvideouspvConsumerEducationind
exhtml
Abdel-Aal E S M Akhtar H Zaheer K amp Ali R (2013) Dietary sources of lutein and zeaxanthin carotenoids and their role in eye health Nutrients 5(4) 1169-1185 httpwwwmdpicom2072-6643541169htm
Camilleri G M Meacutejean C Bellisle F Hercberg S amp Peacuteneau S (2016) Mindminus body practice and body weight status in a large population-based sample of adults American journal of preventive medicine 50(4) e101-e109
Carneiro A and Andrade JP Nutritional and Lifestyle Interventions for Age-Related Macular Degeneration A Review (2017) Oxidative Medicine and Cellular Longevity 2017 Article ID 6469138 13 pages httpsdoiorg10115520176469138
Chung HY Rasmussen HM and Johnson EJ (2004) Lutein bioavailability is higher from lutein-enriched eggs than from supplements and spinach in men J Nutr 1341887-1893 httpjnnutritionorgcontent13481887full
Granado F Olmedilla B and Blanco I (2003) Nutritional and clinical relevance of lutein in human health British Journal of Nutrition 90(3) 487-502 httpswwwcambridgeorgcorejournalsbritish-journal-of-nutritionarticlenutritional-and-clinical-relevance-of-lutein-in-human-health27F42056D523DC78A8EE6135D500B338
Gruber M Chappell R Millen A LaRowe T Moeller SM Iannaccone A Kritchevsky SB and Mares J (2004) Correlates of serum lutein + zeaxanthin Findings from the Third National Health and Nutrition Examination Survey J Nutr 1342387ndash2394 httpjnnutritionorgcontent13492387fullpdf+html
References
Hawkes C Smith T G Jewell J Wardle J Hammond R A Friel S amp Kain J (2015) Smart food policies for obesity prevention The Lancet 385(9985) 2410-2421
Higdon J Drake VJ Delage B and Johnson EJ (2004-2016) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Carotenoids Accessed November 16-17 2017 httplpioregonstateedumicdietary-factorsphytochemicalscarotenoids
Higdon J Drake VJ Delage B Ross AC and Tan L (2000-2015) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Vitamin A Accessed November 16-17 2017 httplpioregonstateedumicvitaminsvitamin-A
Jacka F N OrsquoNeil A Opie R Itsiopoulos C Cotton S Mohebbi M amp Brazionis L (2017) A randomised controlled trial of dietary improvement for adults with major depression (the lsquoSMILESrsquotrial) BMC medicine 15(1) 23
Johnson EJ Maras JE Rasmussen HM Tucker KL (2010) Intake of lutein and zeaxanthin differ with age sex and ethnicity J Am Diet Assoc Sep110(9)1357-62 doi 101016jjada201006009
Lappe J Cullen D Haynatzki G Recker R Ahlf R amp Thompson K (2008) Calcium and vitamin D supplementation decreases incidence of stress fractures in female navy recruits Journal of Bone and Mineral Research 23(5) 741-749
Larson T and Coker J (2009) A descriptive study of lutein and zeaxanthin in optometric practice Optometry 80(10)579-86 doi 101016joptm200903015
References
Marx W Moseley G Berk M amp Jacka F (2017) Nutritional psychiatry the present state of the evidence Proceedings of the Nutrition Society 76(4) 427-436
McCusker MM Durrani K Payette PJ and Suchecki J (MarchndashApril 2016) An eye on nutrition The role of vitamins essential fatty acids and antioxidants in age-related macular degeneration dry eye syndrome and cataract Clinics in Dermatology Volume 34 (2) 276-285 httpsdoiorg101016jclindermatol201511009
Meegan A P Perry I J amp Phillips C M (2017) The association between dietary quality and dietary guideline adherence with mental health outcomes in adults a cross-sectional analysis Nutrients 9(3) 238
Merle B M Silver R E Rosner B amp Seddon J M (2015) Adherence to a Mediterranean diet genetic susceptibility and progression to advanced macular degeneration a prospective cohort study The American Journal of Clinical Nutrition 102(5) 1196ndash1206 httpdoiorg103945ajcn115111047
Natural Medicines Comprehensive Database (Updated July 3 2017) Natural medicines in the clinical management of eye disorders age-related degeneration cataracts and glaucoma httpnaturaldatabasetherapeuticresearchcomceCECourseaspxcs=amppm=5amps=ndamppc=09-23ampsearchid=61408260keywordanchor Accessed July 3 5 and 6 2017
Pennington K L amp DeAngelis M M (2016) Epidemiology of age-related macular degeneration (AMD) associations with cardiovascular disease phenotypes and lipid factors Eye and Vision 3 34 httpdoiorg101186s40662-016-0063-5
References
Sarris J Logan A C Akbaraly T N Amminger G P Balanzaacute-Martiacutenez V Freeman M P amp Nanri A (2015) Nutritional medicine as mainstream in psychiatry The Lancet Psychiatry 2(3) 271-274
Schleicher M Weikel K Garber C amp Taylor A (2013) Diminishing Risk for Age-Related Macular Degeneration with Nutrition A Current View Nutrients 5(7) 2405ndash2456 httpdoiorg103390nu5072405
Seddon JM Ajani UA Sperduto RD Hiller R Blair N Burton TC Farber MD Gragoudas ES Haller J Miller DT Yannuzzi LA Willett W Dietary Carotenoids Vitamins A C and E and Advanced Age-Related Macular Degeneration JAMA 1994272(18)1413-1420 doi101001jama199403520180037032
Wintermeyer E Ihle C Ehnert S Stoumlckle U Ochs G de Zwart P amp Nussler A K (2016) Crucial role of vitamin D in the musculoskeletal system Nutrients 8(6) 319
References
36
Thank you
Questions
Dairy Eggs Bakery BreadsMeat
Can
ned
Fo
od
s
Bak
ing
Item
s
Fro
zen
Fo
od
s
Cle
anin
g amp
Pap
er It
ems
Checkout
Fruits amp
Vegetab
lesPro
cess
ed F
oo
ds
Entrance
Shop The Store Perimeter
Eggsbull Low Cost High Quality Protein
bull Are a source of 18 vitamins and minerals
bull Vitamin A (Lutein and zeaxanthin) ndash for healthy eyes
bull Calcium ndash for strong bones
bull Vitamin D ndash for calcium absorption
The Incredible Edible Egg
OPSS
SUPPLEMENTS
27
bull Not regulated closely by the FDA due to the Dietary Supplement Health Education Act 19942004
bull Generally expensive
bull Little to no proven benefits
bull AF bans HempAnabolic steroids
bull FDA prohibits sale of Ephedra
BOTTOM LINE Food first supplement second Discuss with flight surgeon primary care physician andor
Registered Dietitian before using
httphprc-onlineorgdietary-supplementsopss
Supplement Resources
bull Operation Supplement Safety (OPSS) httpswwwopssorg
SEARCH
ASK THE EXPERT
Ratings based on product
safety effectiveness
amp quality
lowest ratings have greatest
safety concerns
OPSS
Energy Drinks
Concerns with Energy Drinksbull No FDA regulation caffeine amounts vary 80-500 mg
bull FDA and UK Govrsquot issued warnings ER visits deathsHeart palpitations caffeine overdose HTN dental caries Obesity Type 2 DM
STAY SAFE BY Checking ingredients for caffeine sugar additives
SELECTING SUPPLEMENTS
bull Step 1 Safety Assessment bull Evidence-based approachbull Avoid Supplements with long ingredient list or ldquoproprietary blendrdquo
bull Step 2 Effectiveness Assessmentbull Look for clinically studied brand names bull Ask yourself ldquoWhat do I want to accomplishrdquobull wwwnaturaldatabasecombull wwwhprc-onlineorgOPSS
bull Step 3 Product Quality Assessmentbull Audit by an outside 3rd party agency
bull USP NSF Consumer Lab Informed Choice bull The link below is to a video from USP on choosing safe supplementsbull httpwwwusporgsitesdefaultfilesvideouspvConsumerEducationind
exhtml
Abdel-Aal E S M Akhtar H Zaheer K amp Ali R (2013) Dietary sources of lutein and zeaxanthin carotenoids and their role in eye health Nutrients 5(4) 1169-1185 httpwwwmdpicom2072-6643541169htm
Camilleri G M Meacutejean C Bellisle F Hercberg S amp Peacuteneau S (2016) Mindminus body practice and body weight status in a large population-based sample of adults American journal of preventive medicine 50(4) e101-e109
Carneiro A and Andrade JP Nutritional and Lifestyle Interventions for Age-Related Macular Degeneration A Review (2017) Oxidative Medicine and Cellular Longevity 2017 Article ID 6469138 13 pages httpsdoiorg10115520176469138
Chung HY Rasmussen HM and Johnson EJ (2004) Lutein bioavailability is higher from lutein-enriched eggs than from supplements and spinach in men J Nutr 1341887-1893 httpjnnutritionorgcontent13481887full
Granado F Olmedilla B and Blanco I (2003) Nutritional and clinical relevance of lutein in human health British Journal of Nutrition 90(3) 487-502 httpswwwcambridgeorgcorejournalsbritish-journal-of-nutritionarticlenutritional-and-clinical-relevance-of-lutein-in-human-health27F42056D523DC78A8EE6135D500B338
Gruber M Chappell R Millen A LaRowe T Moeller SM Iannaccone A Kritchevsky SB and Mares J (2004) Correlates of serum lutein + zeaxanthin Findings from the Third National Health and Nutrition Examination Survey J Nutr 1342387ndash2394 httpjnnutritionorgcontent13492387fullpdf+html
References
Hawkes C Smith T G Jewell J Wardle J Hammond R A Friel S amp Kain J (2015) Smart food policies for obesity prevention The Lancet 385(9985) 2410-2421
Higdon J Drake VJ Delage B and Johnson EJ (2004-2016) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Carotenoids Accessed November 16-17 2017 httplpioregonstateedumicdietary-factorsphytochemicalscarotenoids
Higdon J Drake VJ Delage B Ross AC and Tan L (2000-2015) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Vitamin A Accessed November 16-17 2017 httplpioregonstateedumicvitaminsvitamin-A
Jacka F N OrsquoNeil A Opie R Itsiopoulos C Cotton S Mohebbi M amp Brazionis L (2017) A randomised controlled trial of dietary improvement for adults with major depression (the lsquoSMILESrsquotrial) BMC medicine 15(1) 23
Johnson EJ Maras JE Rasmussen HM Tucker KL (2010) Intake of lutein and zeaxanthin differ with age sex and ethnicity J Am Diet Assoc Sep110(9)1357-62 doi 101016jjada201006009
Lappe J Cullen D Haynatzki G Recker R Ahlf R amp Thompson K (2008) Calcium and vitamin D supplementation decreases incidence of stress fractures in female navy recruits Journal of Bone and Mineral Research 23(5) 741-749
Larson T and Coker J (2009) A descriptive study of lutein and zeaxanthin in optometric practice Optometry 80(10)579-86 doi 101016joptm200903015
References
Marx W Moseley G Berk M amp Jacka F (2017) Nutritional psychiatry the present state of the evidence Proceedings of the Nutrition Society 76(4) 427-436
McCusker MM Durrani K Payette PJ and Suchecki J (MarchndashApril 2016) An eye on nutrition The role of vitamins essential fatty acids and antioxidants in age-related macular degeneration dry eye syndrome and cataract Clinics in Dermatology Volume 34 (2) 276-285 httpsdoiorg101016jclindermatol201511009
Meegan A P Perry I J amp Phillips C M (2017) The association between dietary quality and dietary guideline adherence with mental health outcomes in adults a cross-sectional analysis Nutrients 9(3) 238
Merle B M Silver R E Rosner B amp Seddon J M (2015) Adherence to a Mediterranean diet genetic susceptibility and progression to advanced macular degeneration a prospective cohort study The American Journal of Clinical Nutrition 102(5) 1196ndash1206 httpdoiorg103945ajcn115111047
Natural Medicines Comprehensive Database (Updated July 3 2017) Natural medicines in the clinical management of eye disorders age-related degeneration cataracts and glaucoma httpnaturaldatabasetherapeuticresearchcomceCECourseaspxcs=amppm=5amps=ndamppc=09-23ampsearchid=61408260keywordanchor Accessed July 3 5 and 6 2017
Pennington K L amp DeAngelis M M (2016) Epidemiology of age-related macular degeneration (AMD) associations with cardiovascular disease phenotypes and lipid factors Eye and Vision 3 34 httpdoiorg101186s40662-016-0063-5
References
Sarris J Logan A C Akbaraly T N Amminger G P Balanzaacute-Martiacutenez V Freeman M P amp Nanri A (2015) Nutritional medicine as mainstream in psychiatry The Lancet Psychiatry 2(3) 271-274
Schleicher M Weikel K Garber C amp Taylor A (2013) Diminishing Risk for Age-Related Macular Degeneration with Nutrition A Current View Nutrients 5(7) 2405ndash2456 httpdoiorg103390nu5072405
Seddon JM Ajani UA Sperduto RD Hiller R Blair N Burton TC Farber MD Gragoudas ES Haller J Miller DT Yannuzzi LA Willett W Dietary Carotenoids Vitamins A C and E and Advanced Age-Related Macular Degeneration JAMA 1994272(18)1413-1420 doi101001jama199403520180037032
Wintermeyer E Ihle C Ehnert S Stoumlckle U Ochs G de Zwart P amp Nussler A K (2016) Crucial role of vitamin D in the musculoskeletal system Nutrients 8(6) 319
References
36
Thank you
Questions
Eggsbull Low Cost High Quality Protein
bull Are a source of 18 vitamins and minerals
bull Vitamin A (Lutein and zeaxanthin) ndash for healthy eyes
bull Calcium ndash for strong bones
bull Vitamin D ndash for calcium absorption
The Incredible Edible Egg
OPSS
SUPPLEMENTS
27
bull Not regulated closely by the FDA due to the Dietary Supplement Health Education Act 19942004
bull Generally expensive
bull Little to no proven benefits
bull AF bans HempAnabolic steroids
bull FDA prohibits sale of Ephedra
BOTTOM LINE Food first supplement second Discuss with flight surgeon primary care physician andor
Registered Dietitian before using
httphprc-onlineorgdietary-supplementsopss
Supplement Resources
bull Operation Supplement Safety (OPSS) httpswwwopssorg
SEARCH
ASK THE EXPERT
Ratings based on product
safety effectiveness
amp quality
lowest ratings have greatest
safety concerns
OPSS
Energy Drinks
Concerns with Energy Drinksbull No FDA regulation caffeine amounts vary 80-500 mg
bull FDA and UK Govrsquot issued warnings ER visits deathsHeart palpitations caffeine overdose HTN dental caries Obesity Type 2 DM
STAY SAFE BY Checking ingredients for caffeine sugar additives
SELECTING SUPPLEMENTS
bull Step 1 Safety Assessment bull Evidence-based approachbull Avoid Supplements with long ingredient list or ldquoproprietary blendrdquo
bull Step 2 Effectiveness Assessmentbull Look for clinically studied brand names bull Ask yourself ldquoWhat do I want to accomplishrdquobull wwwnaturaldatabasecombull wwwhprc-onlineorgOPSS
bull Step 3 Product Quality Assessmentbull Audit by an outside 3rd party agency
bull USP NSF Consumer Lab Informed Choice bull The link below is to a video from USP on choosing safe supplementsbull httpwwwusporgsitesdefaultfilesvideouspvConsumerEducationind
exhtml
Abdel-Aal E S M Akhtar H Zaheer K amp Ali R (2013) Dietary sources of lutein and zeaxanthin carotenoids and their role in eye health Nutrients 5(4) 1169-1185 httpwwwmdpicom2072-6643541169htm
Camilleri G M Meacutejean C Bellisle F Hercberg S amp Peacuteneau S (2016) Mindminus body practice and body weight status in a large population-based sample of adults American journal of preventive medicine 50(4) e101-e109
Carneiro A and Andrade JP Nutritional and Lifestyle Interventions for Age-Related Macular Degeneration A Review (2017) Oxidative Medicine and Cellular Longevity 2017 Article ID 6469138 13 pages httpsdoiorg10115520176469138
Chung HY Rasmussen HM and Johnson EJ (2004) Lutein bioavailability is higher from lutein-enriched eggs than from supplements and spinach in men J Nutr 1341887-1893 httpjnnutritionorgcontent13481887full
Granado F Olmedilla B and Blanco I (2003) Nutritional and clinical relevance of lutein in human health British Journal of Nutrition 90(3) 487-502 httpswwwcambridgeorgcorejournalsbritish-journal-of-nutritionarticlenutritional-and-clinical-relevance-of-lutein-in-human-health27F42056D523DC78A8EE6135D500B338
Gruber M Chappell R Millen A LaRowe T Moeller SM Iannaccone A Kritchevsky SB and Mares J (2004) Correlates of serum lutein + zeaxanthin Findings from the Third National Health and Nutrition Examination Survey J Nutr 1342387ndash2394 httpjnnutritionorgcontent13492387fullpdf+html
References
Hawkes C Smith T G Jewell J Wardle J Hammond R A Friel S amp Kain J (2015) Smart food policies for obesity prevention The Lancet 385(9985) 2410-2421
Higdon J Drake VJ Delage B and Johnson EJ (2004-2016) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Carotenoids Accessed November 16-17 2017 httplpioregonstateedumicdietary-factorsphytochemicalscarotenoids
Higdon J Drake VJ Delage B Ross AC and Tan L (2000-2015) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Vitamin A Accessed November 16-17 2017 httplpioregonstateedumicvitaminsvitamin-A
Jacka F N OrsquoNeil A Opie R Itsiopoulos C Cotton S Mohebbi M amp Brazionis L (2017) A randomised controlled trial of dietary improvement for adults with major depression (the lsquoSMILESrsquotrial) BMC medicine 15(1) 23
Johnson EJ Maras JE Rasmussen HM Tucker KL (2010) Intake of lutein and zeaxanthin differ with age sex and ethnicity J Am Diet Assoc Sep110(9)1357-62 doi 101016jjada201006009
Lappe J Cullen D Haynatzki G Recker R Ahlf R amp Thompson K (2008) Calcium and vitamin D supplementation decreases incidence of stress fractures in female navy recruits Journal of Bone and Mineral Research 23(5) 741-749
Larson T and Coker J (2009) A descriptive study of lutein and zeaxanthin in optometric practice Optometry 80(10)579-86 doi 101016joptm200903015
References
Marx W Moseley G Berk M amp Jacka F (2017) Nutritional psychiatry the present state of the evidence Proceedings of the Nutrition Society 76(4) 427-436
McCusker MM Durrani K Payette PJ and Suchecki J (MarchndashApril 2016) An eye on nutrition The role of vitamins essential fatty acids and antioxidants in age-related macular degeneration dry eye syndrome and cataract Clinics in Dermatology Volume 34 (2) 276-285 httpsdoiorg101016jclindermatol201511009
Meegan A P Perry I J amp Phillips C M (2017) The association between dietary quality and dietary guideline adherence with mental health outcomes in adults a cross-sectional analysis Nutrients 9(3) 238
Merle B M Silver R E Rosner B amp Seddon J M (2015) Adherence to a Mediterranean diet genetic susceptibility and progression to advanced macular degeneration a prospective cohort study The American Journal of Clinical Nutrition 102(5) 1196ndash1206 httpdoiorg103945ajcn115111047
Natural Medicines Comprehensive Database (Updated July 3 2017) Natural medicines in the clinical management of eye disorders age-related degeneration cataracts and glaucoma httpnaturaldatabasetherapeuticresearchcomceCECourseaspxcs=amppm=5amps=ndamppc=09-23ampsearchid=61408260keywordanchor Accessed July 3 5 and 6 2017
Pennington K L amp DeAngelis M M (2016) Epidemiology of age-related macular degeneration (AMD) associations with cardiovascular disease phenotypes and lipid factors Eye and Vision 3 34 httpdoiorg101186s40662-016-0063-5
References
Sarris J Logan A C Akbaraly T N Amminger G P Balanzaacute-Martiacutenez V Freeman M P amp Nanri A (2015) Nutritional medicine as mainstream in psychiatry The Lancet Psychiatry 2(3) 271-274
Schleicher M Weikel K Garber C amp Taylor A (2013) Diminishing Risk for Age-Related Macular Degeneration with Nutrition A Current View Nutrients 5(7) 2405ndash2456 httpdoiorg103390nu5072405
Seddon JM Ajani UA Sperduto RD Hiller R Blair N Burton TC Farber MD Gragoudas ES Haller J Miller DT Yannuzzi LA Willett W Dietary Carotenoids Vitamins A C and E and Advanced Age-Related Macular Degeneration JAMA 1994272(18)1413-1420 doi101001jama199403520180037032
Wintermeyer E Ihle C Ehnert S Stoumlckle U Ochs G de Zwart P amp Nussler A K (2016) Crucial role of vitamin D in the musculoskeletal system Nutrients 8(6) 319
References
36
Thank you
Questions
OPSS
SUPPLEMENTS
27
bull Not regulated closely by the FDA due to the Dietary Supplement Health Education Act 19942004
bull Generally expensive
bull Little to no proven benefits
bull AF bans HempAnabolic steroids
bull FDA prohibits sale of Ephedra
BOTTOM LINE Food first supplement second Discuss with flight surgeon primary care physician andor
Registered Dietitian before using
httphprc-onlineorgdietary-supplementsopss
Supplement Resources
bull Operation Supplement Safety (OPSS) httpswwwopssorg
SEARCH
ASK THE EXPERT
Ratings based on product
safety effectiveness
amp quality
lowest ratings have greatest
safety concerns
OPSS
Energy Drinks
Concerns with Energy Drinksbull No FDA regulation caffeine amounts vary 80-500 mg
bull FDA and UK Govrsquot issued warnings ER visits deathsHeart palpitations caffeine overdose HTN dental caries Obesity Type 2 DM
STAY SAFE BY Checking ingredients for caffeine sugar additives
SELECTING SUPPLEMENTS
bull Step 1 Safety Assessment bull Evidence-based approachbull Avoid Supplements with long ingredient list or ldquoproprietary blendrdquo
bull Step 2 Effectiveness Assessmentbull Look for clinically studied brand names bull Ask yourself ldquoWhat do I want to accomplishrdquobull wwwnaturaldatabasecombull wwwhprc-onlineorgOPSS
bull Step 3 Product Quality Assessmentbull Audit by an outside 3rd party agency
bull USP NSF Consumer Lab Informed Choice bull The link below is to a video from USP on choosing safe supplementsbull httpwwwusporgsitesdefaultfilesvideouspvConsumerEducationind
exhtml
Abdel-Aal E S M Akhtar H Zaheer K amp Ali R (2013) Dietary sources of lutein and zeaxanthin carotenoids and their role in eye health Nutrients 5(4) 1169-1185 httpwwwmdpicom2072-6643541169htm
Camilleri G M Meacutejean C Bellisle F Hercberg S amp Peacuteneau S (2016) Mindminus body practice and body weight status in a large population-based sample of adults American journal of preventive medicine 50(4) e101-e109
Carneiro A and Andrade JP Nutritional and Lifestyle Interventions for Age-Related Macular Degeneration A Review (2017) Oxidative Medicine and Cellular Longevity 2017 Article ID 6469138 13 pages httpsdoiorg10115520176469138
Chung HY Rasmussen HM and Johnson EJ (2004) Lutein bioavailability is higher from lutein-enriched eggs than from supplements and spinach in men J Nutr 1341887-1893 httpjnnutritionorgcontent13481887full
Granado F Olmedilla B and Blanco I (2003) Nutritional and clinical relevance of lutein in human health British Journal of Nutrition 90(3) 487-502 httpswwwcambridgeorgcorejournalsbritish-journal-of-nutritionarticlenutritional-and-clinical-relevance-of-lutein-in-human-health27F42056D523DC78A8EE6135D500B338
Gruber M Chappell R Millen A LaRowe T Moeller SM Iannaccone A Kritchevsky SB and Mares J (2004) Correlates of serum lutein + zeaxanthin Findings from the Third National Health and Nutrition Examination Survey J Nutr 1342387ndash2394 httpjnnutritionorgcontent13492387fullpdf+html
References
Hawkes C Smith T G Jewell J Wardle J Hammond R A Friel S amp Kain J (2015) Smart food policies for obesity prevention The Lancet 385(9985) 2410-2421
Higdon J Drake VJ Delage B and Johnson EJ (2004-2016) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Carotenoids Accessed November 16-17 2017 httplpioregonstateedumicdietary-factorsphytochemicalscarotenoids
Higdon J Drake VJ Delage B Ross AC and Tan L (2000-2015) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Vitamin A Accessed November 16-17 2017 httplpioregonstateedumicvitaminsvitamin-A
Jacka F N OrsquoNeil A Opie R Itsiopoulos C Cotton S Mohebbi M amp Brazionis L (2017) A randomised controlled trial of dietary improvement for adults with major depression (the lsquoSMILESrsquotrial) BMC medicine 15(1) 23
Johnson EJ Maras JE Rasmussen HM Tucker KL (2010) Intake of lutein and zeaxanthin differ with age sex and ethnicity J Am Diet Assoc Sep110(9)1357-62 doi 101016jjada201006009
Lappe J Cullen D Haynatzki G Recker R Ahlf R amp Thompson K (2008) Calcium and vitamin D supplementation decreases incidence of stress fractures in female navy recruits Journal of Bone and Mineral Research 23(5) 741-749
Larson T and Coker J (2009) A descriptive study of lutein and zeaxanthin in optometric practice Optometry 80(10)579-86 doi 101016joptm200903015
References
Marx W Moseley G Berk M amp Jacka F (2017) Nutritional psychiatry the present state of the evidence Proceedings of the Nutrition Society 76(4) 427-436
McCusker MM Durrani K Payette PJ and Suchecki J (MarchndashApril 2016) An eye on nutrition The role of vitamins essential fatty acids and antioxidants in age-related macular degeneration dry eye syndrome and cataract Clinics in Dermatology Volume 34 (2) 276-285 httpsdoiorg101016jclindermatol201511009
Meegan A P Perry I J amp Phillips C M (2017) The association between dietary quality and dietary guideline adherence with mental health outcomes in adults a cross-sectional analysis Nutrients 9(3) 238
Merle B M Silver R E Rosner B amp Seddon J M (2015) Adherence to a Mediterranean diet genetic susceptibility and progression to advanced macular degeneration a prospective cohort study The American Journal of Clinical Nutrition 102(5) 1196ndash1206 httpdoiorg103945ajcn115111047
Natural Medicines Comprehensive Database (Updated July 3 2017) Natural medicines in the clinical management of eye disorders age-related degeneration cataracts and glaucoma httpnaturaldatabasetherapeuticresearchcomceCECourseaspxcs=amppm=5amps=ndamppc=09-23ampsearchid=61408260keywordanchor Accessed July 3 5 and 6 2017
Pennington K L amp DeAngelis M M (2016) Epidemiology of age-related macular degeneration (AMD) associations with cardiovascular disease phenotypes and lipid factors Eye and Vision 3 34 httpdoiorg101186s40662-016-0063-5
References
Sarris J Logan A C Akbaraly T N Amminger G P Balanzaacute-Martiacutenez V Freeman M P amp Nanri A (2015) Nutritional medicine as mainstream in psychiatry The Lancet Psychiatry 2(3) 271-274
Schleicher M Weikel K Garber C amp Taylor A (2013) Diminishing Risk for Age-Related Macular Degeneration with Nutrition A Current View Nutrients 5(7) 2405ndash2456 httpdoiorg103390nu5072405
Seddon JM Ajani UA Sperduto RD Hiller R Blair N Burton TC Farber MD Gragoudas ES Haller J Miller DT Yannuzzi LA Willett W Dietary Carotenoids Vitamins A C and E and Advanced Age-Related Macular Degeneration JAMA 1994272(18)1413-1420 doi101001jama199403520180037032
Wintermeyer E Ihle C Ehnert S Stoumlckle U Ochs G de Zwart P amp Nussler A K (2016) Crucial role of vitamin D in the musculoskeletal system Nutrients 8(6) 319
References
36
Thank you
Questions
SUPPLEMENTS
27
bull Not regulated closely by the FDA due to the Dietary Supplement Health Education Act 19942004
bull Generally expensive
bull Little to no proven benefits
bull AF bans HempAnabolic steroids
bull FDA prohibits sale of Ephedra
BOTTOM LINE Food first supplement second Discuss with flight surgeon primary care physician andor
Registered Dietitian before using
httphprc-onlineorgdietary-supplementsopss
Supplement Resources
bull Operation Supplement Safety (OPSS) httpswwwopssorg
SEARCH
ASK THE EXPERT
Ratings based on product
safety effectiveness
amp quality
lowest ratings have greatest
safety concerns
OPSS
Energy Drinks
Concerns with Energy Drinksbull No FDA regulation caffeine amounts vary 80-500 mg
bull FDA and UK Govrsquot issued warnings ER visits deathsHeart palpitations caffeine overdose HTN dental caries Obesity Type 2 DM
STAY SAFE BY Checking ingredients for caffeine sugar additives
SELECTING SUPPLEMENTS
bull Step 1 Safety Assessment bull Evidence-based approachbull Avoid Supplements with long ingredient list or ldquoproprietary blendrdquo
bull Step 2 Effectiveness Assessmentbull Look for clinically studied brand names bull Ask yourself ldquoWhat do I want to accomplishrdquobull wwwnaturaldatabasecombull wwwhprc-onlineorgOPSS
bull Step 3 Product Quality Assessmentbull Audit by an outside 3rd party agency
bull USP NSF Consumer Lab Informed Choice bull The link below is to a video from USP on choosing safe supplementsbull httpwwwusporgsitesdefaultfilesvideouspvConsumerEducationind
exhtml
Abdel-Aal E S M Akhtar H Zaheer K amp Ali R (2013) Dietary sources of lutein and zeaxanthin carotenoids and their role in eye health Nutrients 5(4) 1169-1185 httpwwwmdpicom2072-6643541169htm
Camilleri G M Meacutejean C Bellisle F Hercberg S amp Peacuteneau S (2016) Mindminus body practice and body weight status in a large population-based sample of adults American journal of preventive medicine 50(4) e101-e109
Carneiro A and Andrade JP Nutritional and Lifestyle Interventions for Age-Related Macular Degeneration A Review (2017) Oxidative Medicine and Cellular Longevity 2017 Article ID 6469138 13 pages httpsdoiorg10115520176469138
Chung HY Rasmussen HM and Johnson EJ (2004) Lutein bioavailability is higher from lutein-enriched eggs than from supplements and spinach in men J Nutr 1341887-1893 httpjnnutritionorgcontent13481887full
Granado F Olmedilla B and Blanco I (2003) Nutritional and clinical relevance of lutein in human health British Journal of Nutrition 90(3) 487-502 httpswwwcambridgeorgcorejournalsbritish-journal-of-nutritionarticlenutritional-and-clinical-relevance-of-lutein-in-human-health27F42056D523DC78A8EE6135D500B338
Gruber M Chappell R Millen A LaRowe T Moeller SM Iannaccone A Kritchevsky SB and Mares J (2004) Correlates of serum lutein + zeaxanthin Findings from the Third National Health and Nutrition Examination Survey J Nutr 1342387ndash2394 httpjnnutritionorgcontent13492387fullpdf+html
References
Hawkes C Smith T G Jewell J Wardle J Hammond R A Friel S amp Kain J (2015) Smart food policies for obesity prevention The Lancet 385(9985) 2410-2421
Higdon J Drake VJ Delage B and Johnson EJ (2004-2016) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Carotenoids Accessed November 16-17 2017 httplpioregonstateedumicdietary-factorsphytochemicalscarotenoids
Higdon J Drake VJ Delage B Ross AC and Tan L (2000-2015) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Vitamin A Accessed November 16-17 2017 httplpioregonstateedumicvitaminsvitamin-A
Jacka F N OrsquoNeil A Opie R Itsiopoulos C Cotton S Mohebbi M amp Brazionis L (2017) A randomised controlled trial of dietary improvement for adults with major depression (the lsquoSMILESrsquotrial) BMC medicine 15(1) 23
Johnson EJ Maras JE Rasmussen HM Tucker KL (2010) Intake of lutein and zeaxanthin differ with age sex and ethnicity J Am Diet Assoc Sep110(9)1357-62 doi 101016jjada201006009
Lappe J Cullen D Haynatzki G Recker R Ahlf R amp Thompson K (2008) Calcium and vitamin D supplementation decreases incidence of stress fractures in female navy recruits Journal of Bone and Mineral Research 23(5) 741-749
Larson T and Coker J (2009) A descriptive study of lutein and zeaxanthin in optometric practice Optometry 80(10)579-86 doi 101016joptm200903015
References
Marx W Moseley G Berk M amp Jacka F (2017) Nutritional psychiatry the present state of the evidence Proceedings of the Nutrition Society 76(4) 427-436
McCusker MM Durrani K Payette PJ and Suchecki J (MarchndashApril 2016) An eye on nutrition The role of vitamins essential fatty acids and antioxidants in age-related macular degeneration dry eye syndrome and cataract Clinics in Dermatology Volume 34 (2) 276-285 httpsdoiorg101016jclindermatol201511009
Meegan A P Perry I J amp Phillips C M (2017) The association between dietary quality and dietary guideline adherence with mental health outcomes in adults a cross-sectional analysis Nutrients 9(3) 238
Merle B M Silver R E Rosner B amp Seddon J M (2015) Adherence to a Mediterranean diet genetic susceptibility and progression to advanced macular degeneration a prospective cohort study The American Journal of Clinical Nutrition 102(5) 1196ndash1206 httpdoiorg103945ajcn115111047
Natural Medicines Comprehensive Database (Updated July 3 2017) Natural medicines in the clinical management of eye disorders age-related degeneration cataracts and glaucoma httpnaturaldatabasetherapeuticresearchcomceCECourseaspxcs=amppm=5amps=ndamppc=09-23ampsearchid=61408260keywordanchor Accessed July 3 5 and 6 2017
Pennington K L amp DeAngelis M M (2016) Epidemiology of age-related macular degeneration (AMD) associations with cardiovascular disease phenotypes and lipid factors Eye and Vision 3 34 httpdoiorg101186s40662-016-0063-5
References
Sarris J Logan A C Akbaraly T N Amminger G P Balanzaacute-Martiacutenez V Freeman M P amp Nanri A (2015) Nutritional medicine as mainstream in psychiatry The Lancet Psychiatry 2(3) 271-274
Schleicher M Weikel K Garber C amp Taylor A (2013) Diminishing Risk for Age-Related Macular Degeneration with Nutrition A Current View Nutrients 5(7) 2405ndash2456 httpdoiorg103390nu5072405
Seddon JM Ajani UA Sperduto RD Hiller R Blair N Burton TC Farber MD Gragoudas ES Haller J Miller DT Yannuzzi LA Willett W Dietary Carotenoids Vitamins A C and E and Advanced Age-Related Macular Degeneration JAMA 1994272(18)1413-1420 doi101001jama199403520180037032
Wintermeyer E Ihle C Ehnert S Stoumlckle U Ochs G de Zwart P amp Nussler A K (2016) Crucial role of vitamin D in the musculoskeletal system Nutrients 8(6) 319
References
36
Thank you
Questions
Supplement Resources
bull Operation Supplement Safety (OPSS) httpswwwopssorg
SEARCH
ASK THE EXPERT
Ratings based on product
safety effectiveness
amp quality
lowest ratings have greatest
safety concerns
OPSS
Energy Drinks
Concerns with Energy Drinksbull No FDA regulation caffeine amounts vary 80-500 mg
bull FDA and UK Govrsquot issued warnings ER visits deathsHeart palpitations caffeine overdose HTN dental caries Obesity Type 2 DM
STAY SAFE BY Checking ingredients for caffeine sugar additives
SELECTING SUPPLEMENTS
bull Step 1 Safety Assessment bull Evidence-based approachbull Avoid Supplements with long ingredient list or ldquoproprietary blendrdquo
bull Step 2 Effectiveness Assessmentbull Look for clinically studied brand names bull Ask yourself ldquoWhat do I want to accomplishrdquobull wwwnaturaldatabasecombull wwwhprc-onlineorgOPSS
bull Step 3 Product Quality Assessmentbull Audit by an outside 3rd party agency
bull USP NSF Consumer Lab Informed Choice bull The link below is to a video from USP on choosing safe supplementsbull httpwwwusporgsitesdefaultfilesvideouspvConsumerEducationind
exhtml
Abdel-Aal E S M Akhtar H Zaheer K amp Ali R (2013) Dietary sources of lutein and zeaxanthin carotenoids and their role in eye health Nutrients 5(4) 1169-1185 httpwwwmdpicom2072-6643541169htm
Camilleri G M Meacutejean C Bellisle F Hercberg S amp Peacuteneau S (2016) Mindminus body practice and body weight status in a large population-based sample of adults American journal of preventive medicine 50(4) e101-e109
Carneiro A and Andrade JP Nutritional and Lifestyle Interventions for Age-Related Macular Degeneration A Review (2017) Oxidative Medicine and Cellular Longevity 2017 Article ID 6469138 13 pages httpsdoiorg10115520176469138
Chung HY Rasmussen HM and Johnson EJ (2004) Lutein bioavailability is higher from lutein-enriched eggs than from supplements and spinach in men J Nutr 1341887-1893 httpjnnutritionorgcontent13481887full
Granado F Olmedilla B and Blanco I (2003) Nutritional and clinical relevance of lutein in human health British Journal of Nutrition 90(3) 487-502 httpswwwcambridgeorgcorejournalsbritish-journal-of-nutritionarticlenutritional-and-clinical-relevance-of-lutein-in-human-health27F42056D523DC78A8EE6135D500B338
Gruber M Chappell R Millen A LaRowe T Moeller SM Iannaccone A Kritchevsky SB and Mares J (2004) Correlates of serum lutein + zeaxanthin Findings from the Third National Health and Nutrition Examination Survey J Nutr 1342387ndash2394 httpjnnutritionorgcontent13492387fullpdf+html
References
Hawkes C Smith T G Jewell J Wardle J Hammond R A Friel S amp Kain J (2015) Smart food policies for obesity prevention The Lancet 385(9985) 2410-2421
Higdon J Drake VJ Delage B and Johnson EJ (2004-2016) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Carotenoids Accessed November 16-17 2017 httplpioregonstateedumicdietary-factorsphytochemicalscarotenoids
Higdon J Drake VJ Delage B Ross AC and Tan L (2000-2015) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Vitamin A Accessed November 16-17 2017 httplpioregonstateedumicvitaminsvitamin-A
Jacka F N OrsquoNeil A Opie R Itsiopoulos C Cotton S Mohebbi M amp Brazionis L (2017) A randomised controlled trial of dietary improvement for adults with major depression (the lsquoSMILESrsquotrial) BMC medicine 15(1) 23
Johnson EJ Maras JE Rasmussen HM Tucker KL (2010) Intake of lutein and zeaxanthin differ with age sex and ethnicity J Am Diet Assoc Sep110(9)1357-62 doi 101016jjada201006009
Lappe J Cullen D Haynatzki G Recker R Ahlf R amp Thompson K (2008) Calcium and vitamin D supplementation decreases incidence of stress fractures in female navy recruits Journal of Bone and Mineral Research 23(5) 741-749
Larson T and Coker J (2009) A descriptive study of lutein and zeaxanthin in optometric practice Optometry 80(10)579-86 doi 101016joptm200903015
References
Marx W Moseley G Berk M amp Jacka F (2017) Nutritional psychiatry the present state of the evidence Proceedings of the Nutrition Society 76(4) 427-436
McCusker MM Durrani K Payette PJ and Suchecki J (MarchndashApril 2016) An eye on nutrition The role of vitamins essential fatty acids and antioxidants in age-related macular degeneration dry eye syndrome and cataract Clinics in Dermatology Volume 34 (2) 276-285 httpsdoiorg101016jclindermatol201511009
Meegan A P Perry I J amp Phillips C M (2017) The association between dietary quality and dietary guideline adherence with mental health outcomes in adults a cross-sectional analysis Nutrients 9(3) 238
Merle B M Silver R E Rosner B amp Seddon J M (2015) Adherence to a Mediterranean diet genetic susceptibility and progression to advanced macular degeneration a prospective cohort study The American Journal of Clinical Nutrition 102(5) 1196ndash1206 httpdoiorg103945ajcn115111047
Natural Medicines Comprehensive Database (Updated July 3 2017) Natural medicines in the clinical management of eye disorders age-related degeneration cataracts and glaucoma httpnaturaldatabasetherapeuticresearchcomceCECourseaspxcs=amppm=5amps=ndamppc=09-23ampsearchid=61408260keywordanchor Accessed July 3 5 and 6 2017
Pennington K L amp DeAngelis M M (2016) Epidemiology of age-related macular degeneration (AMD) associations with cardiovascular disease phenotypes and lipid factors Eye and Vision 3 34 httpdoiorg101186s40662-016-0063-5
References
Sarris J Logan A C Akbaraly T N Amminger G P Balanzaacute-Martiacutenez V Freeman M P amp Nanri A (2015) Nutritional medicine as mainstream in psychiatry The Lancet Psychiatry 2(3) 271-274
Schleicher M Weikel K Garber C amp Taylor A (2013) Diminishing Risk for Age-Related Macular Degeneration with Nutrition A Current View Nutrients 5(7) 2405ndash2456 httpdoiorg103390nu5072405
Seddon JM Ajani UA Sperduto RD Hiller R Blair N Burton TC Farber MD Gragoudas ES Haller J Miller DT Yannuzzi LA Willett W Dietary Carotenoids Vitamins A C and E and Advanced Age-Related Macular Degeneration JAMA 1994272(18)1413-1420 doi101001jama199403520180037032
Wintermeyer E Ihle C Ehnert S Stoumlckle U Ochs G de Zwart P amp Nussler A K (2016) Crucial role of vitamin D in the musculoskeletal system Nutrients 8(6) 319
References
36
Thank you
Questions
Ratings based on product
safety effectiveness
amp quality
lowest ratings have greatest
safety concerns
OPSS
Energy Drinks
Concerns with Energy Drinksbull No FDA regulation caffeine amounts vary 80-500 mg
bull FDA and UK Govrsquot issued warnings ER visits deathsHeart palpitations caffeine overdose HTN dental caries Obesity Type 2 DM
STAY SAFE BY Checking ingredients for caffeine sugar additives
SELECTING SUPPLEMENTS
bull Step 1 Safety Assessment bull Evidence-based approachbull Avoid Supplements with long ingredient list or ldquoproprietary blendrdquo
bull Step 2 Effectiveness Assessmentbull Look for clinically studied brand names bull Ask yourself ldquoWhat do I want to accomplishrdquobull wwwnaturaldatabasecombull wwwhprc-onlineorgOPSS
bull Step 3 Product Quality Assessmentbull Audit by an outside 3rd party agency
bull USP NSF Consumer Lab Informed Choice bull The link below is to a video from USP on choosing safe supplementsbull httpwwwusporgsitesdefaultfilesvideouspvConsumerEducationind
exhtml
Abdel-Aal E S M Akhtar H Zaheer K amp Ali R (2013) Dietary sources of lutein and zeaxanthin carotenoids and their role in eye health Nutrients 5(4) 1169-1185 httpwwwmdpicom2072-6643541169htm
Camilleri G M Meacutejean C Bellisle F Hercberg S amp Peacuteneau S (2016) Mindminus body practice and body weight status in a large population-based sample of adults American journal of preventive medicine 50(4) e101-e109
Carneiro A and Andrade JP Nutritional and Lifestyle Interventions for Age-Related Macular Degeneration A Review (2017) Oxidative Medicine and Cellular Longevity 2017 Article ID 6469138 13 pages httpsdoiorg10115520176469138
Chung HY Rasmussen HM and Johnson EJ (2004) Lutein bioavailability is higher from lutein-enriched eggs than from supplements and spinach in men J Nutr 1341887-1893 httpjnnutritionorgcontent13481887full
Granado F Olmedilla B and Blanco I (2003) Nutritional and clinical relevance of lutein in human health British Journal of Nutrition 90(3) 487-502 httpswwwcambridgeorgcorejournalsbritish-journal-of-nutritionarticlenutritional-and-clinical-relevance-of-lutein-in-human-health27F42056D523DC78A8EE6135D500B338
Gruber M Chappell R Millen A LaRowe T Moeller SM Iannaccone A Kritchevsky SB and Mares J (2004) Correlates of serum lutein + zeaxanthin Findings from the Third National Health and Nutrition Examination Survey J Nutr 1342387ndash2394 httpjnnutritionorgcontent13492387fullpdf+html
References
Hawkes C Smith T G Jewell J Wardle J Hammond R A Friel S amp Kain J (2015) Smart food policies for obesity prevention The Lancet 385(9985) 2410-2421
Higdon J Drake VJ Delage B and Johnson EJ (2004-2016) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Carotenoids Accessed November 16-17 2017 httplpioregonstateedumicdietary-factorsphytochemicalscarotenoids
Higdon J Drake VJ Delage B Ross AC and Tan L (2000-2015) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Vitamin A Accessed November 16-17 2017 httplpioregonstateedumicvitaminsvitamin-A
Jacka F N OrsquoNeil A Opie R Itsiopoulos C Cotton S Mohebbi M amp Brazionis L (2017) A randomised controlled trial of dietary improvement for adults with major depression (the lsquoSMILESrsquotrial) BMC medicine 15(1) 23
Johnson EJ Maras JE Rasmussen HM Tucker KL (2010) Intake of lutein and zeaxanthin differ with age sex and ethnicity J Am Diet Assoc Sep110(9)1357-62 doi 101016jjada201006009
Lappe J Cullen D Haynatzki G Recker R Ahlf R amp Thompson K (2008) Calcium and vitamin D supplementation decreases incidence of stress fractures in female navy recruits Journal of Bone and Mineral Research 23(5) 741-749
Larson T and Coker J (2009) A descriptive study of lutein and zeaxanthin in optometric practice Optometry 80(10)579-86 doi 101016joptm200903015
References
Marx W Moseley G Berk M amp Jacka F (2017) Nutritional psychiatry the present state of the evidence Proceedings of the Nutrition Society 76(4) 427-436
McCusker MM Durrani K Payette PJ and Suchecki J (MarchndashApril 2016) An eye on nutrition The role of vitamins essential fatty acids and antioxidants in age-related macular degeneration dry eye syndrome and cataract Clinics in Dermatology Volume 34 (2) 276-285 httpsdoiorg101016jclindermatol201511009
Meegan A P Perry I J amp Phillips C M (2017) The association between dietary quality and dietary guideline adherence with mental health outcomes in adults a cross-sectional analysis Nutrients 9(3) 238
Merle B M Silver R E Rosner B amp Seddon J M (2015) Adherence to a Mediterranean diet genetic susceptibility and progression to advanced macular degeneration a prospective cohort study The American Journal of Clinical Nutrition 102(5) 1196ndash1206 httpdoiorg103945ajcn115111047
Natural Medicines Comprehensive Database (Updated July 3 2017) Natural medicines in the clinical management of eye disorders age-related degeneration cataracts and glaucoma httpnaturaldatabasetherapeuticresearchcomceCECourseaspxcs=amppm=5amps=ndamppc=09-23ampsearchid=61408260keywordanchor Accessed July 3 5 and 6 2017
Pennington K L amp DeAngelis M M (2016) Epidemiology of age-related macular degeneration (AMD) associations with cardiovascular disease phenotypes and lipid factors Eye and Vision 3 34 httpdoiorg101186s40662-016-0063-5
References
Sarris J Logan A C Akbaraly T N Amminger G P Balanzaacute-Martiacutenez V Freeman M P amp Nanri A (2015) Nutritional medicine as mainstream in psychiatry The Lancet Psychiatry 2(3) 271-274
Schleicher M Weikel K Garber C amp Taylor A (2013) Diminishing Risk for Age-Related Macular Degeneration with Nutrition A Current View Nutrients 5(7) 2405ndash2456 httpdoiorg103390nu5072405
Seddon JM Ajani UA Sperduto RD Hiller R Blair N Burton TC Farber MD Gragoudas ES Haller J Miller DT Yannuzzi LA Willett W Dietary Carotenoids Vitamins A C and E and Advanced Age-Related Macular Degeneration JAMA 1994272(18)1413-1420 doi101001jama199403520180037032
Wintermeyer E Ihle C Ehnert S Stoumlckle U Ochs G de Zwart P amp Nussler A K (2016) Crucial role of vitamin D in the musculoskeletal system Nutrients 8(6) 319
References
36
Thank you
Questions
Energy Drinks
Concerns with Energy Drinksbull No FDA regulation caffeine amounts vary 80-500 mg
bull FDA and UK Govrsquot issued warnings ER visits deathsHeart palpitations caffeine overdose HTN dental caries Obesity Type 2 DM
STAY SAFE BY Checking ingredients for caffeine sugar additives
SELECTING SUPPLEMENTS
bull Step 1 Safety Assessment bull Evidence-based approachbull Avoid Supplements with long ingredient list or ldquoproprietary blendrdquo
bull Step 2 Effectiveness Assessmentbull Look for clinically studied brand names bull Ask yourself ldquoWhat do I want to accomplishrdquobull wwwnaturaldatabasecombull wwwhprc-onlineorgOPSS
bull Step 3 Product Quality Assessmentbull Audit by an outside 3rd party agency
bull USP NSF Consumer Lab Informed Choice bull The link below is to a video from USP on choosing safe supplementsbull httpwwwusporgsitesdefaultfilesvideouspvConsumerEducationind
exhtml
Abdel-Aal E S M Akhtar H Zaheer K amp Ali R (2013) Dietary sources of lutein and zeaxanthin carotenoids and their role in eye health Nutrients 5(4) 1169-1185 httpwwwmdpicom2072-6643541169htm
Camilleri G M Meacutejean C Bellisle F Hercberg S amp Peacuteneau S (2016) Mindminus body practice and body weight status in a large population-based sample of adults American journal of preventive medicine 50(4) e101-e109
Carneiro A and Andrade JP Nutritional and Lifestyle Interventions for Age-Related Macular Degeneration A Review (2017) Oxidative Medicine and Cellular Longevity 2017 Article ID 6469138 13 pages httpsdoiorg10115520176469138
Chung HY Rasmussen HM and Johnson EJ (2004) Lutein bioavailability is higher from lutein-enriched eggs than from supplements and spinach in men J Nutr 1341887-1893 httpjnnutritionorgcontent13481887full
Granado F Olmedilla B and Blanco I (2003) Nutritional and clinical relevance of lutein in human health British Journal of Nutrition 90(3) 487-502 httpswwwcambridgeorgcorejournalsbritish-journal-of-nutritionarticlenutritional-and-clinical-relevance-of-lutein-in-human-health27F42056D523DC78A8EE6135D500B338
Gruber M Chappell R Millen A LaRowe T Moeller SM Iannaccone A Kritchevsky SB and Mares J (2004) Correlates of serum lutein + zeaxanthin Findings from the Third National Health and Nutrition Examination Survey J Nutr 1342387ndash2394 httpjnnutritionorgcontent13492387fullpdf+html
References
Hawkes C Smith T G Jewell J Wardle J Hammond R A Friel S amp Kain J (2015) Smart food policies for obesity prevention The Lancet 385(9985) 2410-2421
Higdon J Drake VJ Delage B and Johnson EJ (2004-2016) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Carotenoids Accessed November 16-17 2017 httplpioregonstateedumicdietary-factorsphytochemicalscarotenoids
Higdon J Drake VJ Delage B Ross AC and Tan L (2000-2015) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Vitamin A Accessed November 16-17 2017 httplpioregonstateedumicvitaminsvitamin-A
Jacka F N OrsquoNeil A Opie R Itsiopoulos C Cotton S Mohebbi M amp Brazionis L (2017) A randomised controlled trial of dietary improvement for adults with major depression (the lsquoSMILESrsquotrial) BMC medicine 15(1) 23
Johnson EJ Maras JE Rasmussen HM Tucker KL (2010) Intake of lutein and zeaxanthin differ with age sex and ethnicity J Am Diet Assoc Sep110(9)1357-62 doi 101016jjada201006009
Lappe J Cullen D Haynatzki G Recker R Ahlf R amp Thompson K (2008) Calcium and vitamin D supplementation decreases incidence of stress fractures in female navy recruits Journal of Bone and Mineral Research 23(5) 741-749
Larson T and Coker J (2009) A descriptive study of lutein and zeaxanthin in optometric practice Optometry 80(10)579-86 doi 101016joptm200903015
References
Marx W Moseley G Berk M amp Jacka F (2017) Nutritional psychiatry the present state of the evidence Proceedings of the Nutrition Society 76(4) 427-436
McCusker MM Durrani K Payette PJ and Suchecki J (MarchndashApril 2016) An eye on nutrition The role of vitamins essential fatty acids and antioxidants in age-related macular degeneration dry eye syndrome and cataract Clinics in Dermatology Volume 34 (2) 276-285 httpsdoiorg101016jclindermatol201511009
Meegan A P Perry I J amp Phillips C M (2017) The association between dietary quality and dietary guideline adherence with mental health outcomes in adults a cross-sectional analysis Nutrients 9(3) 238
Merle B M Silver R E Rosner B amp Seddon J M (2015) Adherence to a Mediterranean diet genetic susceptibility and progression to advanced macular degeneration a prospective cohort study The American Journal of Clinical Nutrition 102(5) 1196ndash1206 httpdoiorg103945ajcn115111047
Natural Medicines Comprehensive Database (Updated July 3 2017) Natural medicines in the clinical management of eye disorders age-related degeneration cataracts and glaucoma httpnaturaldatabasetherapeuticresearchcomceCECourseaspxcs=amppm=5amps=ndamppc=09-23ampsearchid=61408260keywordanchor Accessed July 3 5 and 6 2017
Pennington K L amp DeAngelis M M (2016) Epidemiology of age-related macular degeneration (AMD) associations with cardiovascular disease phenotypes and lipid factors Eye and Vision 3 34 httpdoiorg101186s40662-016-0063-5
References
Sarris J Logan A C Akbaraly T N Amminger G P Balanzaacute-Martiacutenez V Freeman M P amp Nanri A (2015) Nutritional medicine as mainstream in psychiatry The Lancet Psychiatry 2(3) 271-274
Schleicher M Weikel K Garber C amp Taylor A (2013) Diminishing Risk for Age-Related Macular Degeneration with Nutrition A Current View Nutrients 5(7) 2405ndash2456 httpdoiorg103390nu5072405
Seddon JM Ajani UA Sperduto RD Hiller R Blair N Burton TC Farber MD Gragoudas ES Haller J Miller DT Yannuzzi LA Willett W Dietary Carotenoids Vitamins A C and E and Advanced Age-Related Macular Degeneration JAMA 1994272(18)1413-1420 doi101001jama199403520180037032
Wintermeyer E Ihle C Ehnert S Stoumlckle U Ochs G de Zwart P amp Nussler A K (2016) Crucial role of vitamin D in the musculoskeletal system Nutrients 8(6) 319
References
36
Thank you
Questions
SELECTING SUPPLEMENTS
bull Step 1 Safety Assessment bull Evidence-based approachbull Avoid Supplements with long ingredient list or ldquoproprietary blendrdquo
bull Step 2 Effectiveness Assessmentbull Look for clinically studied brand names bull Ask yourself ldquoWhat do I want to accomplishrdquobull wwwnaturaldatabasecombull wwwhprc-onlineorgOPSS
bull Step 3 Product Quality Assessmentbull Audit by an outside 3rd party agency
bull USP NSF Consumer Lab Informed Choice bull The link below is to a video from USP on choosing safe supplementsbull httpwwwusporgsitesdefaultfilesvideouspvConsumerEducationind
exhtml
Abdel-Aal E S M Akhtar H Zaheer K amp Ali R (2013) Dietary sources of lutein and zeaxanthin carotenoids and their role in eye health Nutrients 5(4) 1169-1185 httpwwwmdpicom2072-6643541169htm
Camilleri G M Meacutejean C Bellisle F Hercberg S amp Peacuteneau S (2016) Mindminus body practice and body weight status in a large population-based sample of adults American journal of preventive medicine 50(4) e101-e109
Carneiro A and Andrade JP Nutritional and Lifestyle Interventions for Age-Related Macular Degeneration A Review (2017) Oxidative Medicine and Cellular Longevity 2017 Article ID 6469138 13 pages httpsdoiorg10115520176469138
Chung HY Rasmussen HM and Johnson EJ (2004) Lutein bioavailability is higher from lutein-enriched eggs than from supplements and spinach in men J Nutr 1341887-1893 httpjnnutritionorgcontent13481887full
Granado F Olmedilla B and Blanco I (2003) Nutritional and clinical relevance of lutein in human health British Journal of Nutrition 90(3) 487-502 httpswwwcambridgeorgcorejournalsbritish-journal-of-nutritionarticlenutritional-and-clinical-relevance-of-lutein-in-human-health27F42056D523DC78A8EE6135D500B338
Gruber M Chappell R Millen A LaRowe T Moeller SM Iannaccone A Kritchevsky SB and Mares J (2004) Correlates of serum lutein + zeaxanthin Findings from the Third National Health and Nutrition Examination Survey J Nutr 1342387ndash2394 httpjnnutritionorgcontent13492387fullpdf+html
References
Hawkes C Smith T G Jewell J Wardle J Hammond R A Friel S amp Kain J (2015) Smart food policies for obesity prevention The Lancet 385(9985) 2410-2421
Higdon J Drake VJ Delage B and Johnson EJ (2004-2016) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Carotenoids Accessed November 16-17 2017 httplpioregonstateedumicdietary-factorsphytochemicalscarotenoids
Higdon J Drake VJ Delage B Ross AC and Tan L (2000-2015) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Vitamin A Accessed November 16-17 2017 httplpioregonstateedumicvitaminsvitamin-A
Jacka F N OrsquoNeil A Opie R Itsiopoulos C Cotton S Mohebbi M amp Brazionis L (2017) A randomised controlled trial of dietary improvement for adults with major depression (the lsquoSMILESrsquotrial) BMC medicine 15(1) 23
Johnson EJ Maras JE Rasmussen HM Tucker KL (2010) Intake of lutein and zeaxanthin differ with age sex and ethnicity J Am Diet Assoc Sep110(9)1357-62 doi 101016jjada201006009
Lappe J Cullen D Haynatzki G Recker R Ahlf R amp Thompson K (2008) Calcium and vitamin D supplementation decreases incidence of stress fractures in female navy recruits Journal of Bone and Mineral Research 23(5) 741-749
Larson T and Coker J (2009) A descriptive study of lutein and zeaxanthin in optometric practice Optometry 80(10)579-86 doi 101016joptm200903015
References
Marx W Moseley G Berk M amp Jacka F (2017) Nutritional psychiatry the present state of the evidence Proceedings of the Nutrition Society 76(4) 427-436
McCusker MM Durrani K Payette PJ and Suchecki J (MarchndashApril 2016) An eye on nutrition The role of vitamins essential fatty acids and antioxidants in age-related macular degeneration dry eye syndrome and cataract Clinics in Dermatology Volume 34 (2) 276-285 httpsdoiorg101016jclindermatol201511009
Meegan A P Perry I J amp Phillips C M (2017) The association between dietary quality and dietary guideline adherence with mental health outcomes in adults a cross-sectional analysis Nutrients 9(3) 238
Merle B M Silver R E Rosner B amp Seddon J M (2015) Adherence to a Mediterranean diet genetic susceptibility and progression to advanced macular degeneration a prospective cohort study The American Journal of Clinical Nutrition 102(5) 1196ndash1206 httpdoiorg103945ajcn115111047
Natural Medicines Comprehensive Database (Updated July 3 2017) Natural medicines in the clinical management of eye disorders age-related degeneration cataracts and glaucoma httpnaturaldatabasetherapeuticresearchcomceCECourseaspxcs=amppm=5amps=ndamppc=09-23ampsearchid=61408260keywordanchor Accessed July 3 5 and 6 2017
Pennington K L amp DeAngelis M M (2016) Epidemiology of age-related macular degeneration (AMD) associations with cardiovascular disease phenotypes and lipid factors Eye and Vision 3 34 httpdoiorg101186s40662-016-0063-5
References
Sarris J Logan A C Akbaraly T N Amminger G P Balanzaacute-Martiacutenez V Freeman M P amp Nanri A (2015) Nutritional medicine as mainstream in psychiatry The Lancet Psychiatry 2(3) 271-274
Schleicher M Weikel K Garber C amp Taylor A (2013) Diminishing Risk for Age-Related Macular Degeneration with Nutrition A Current View Nutrients 5(7) 2405ndash2456 httpdoiorg103390nu5072405
Seddon JM Ajani UA Sperduto RD Hiller R Blair N Burton TC Farber MD Gragoudas ES Haller J Miller DT Yannuzzi LA Willett W Dietary Carotenoids Vitamins A C and E and Advanced Age-Related Macular Degeneration JAMA 1994272(18)1413-1420 doi101001jama199403520180037032
Wintermeyer E Ihle C Ehnert S Stoumlckle U Ochs G de Zwart P amp Nussler A K (2016) Crucial role of vitamin D in the musculoskeletal system Nutrients 8(6) 319
References
36
Thank you
Questions
Abdel-Aal E S M Akhtar H Zaheer K amp Ali R (2013) Dietary sources of lutein and zeaxanthin carotenoids and their role in eye health Nutrients 5(4) 1169-1185 httpwwwmdpicom2072-6643541169htm
Camilleri G M Meacutejean C Bellisle F Hercberg S amp Peacuteneau S (2016) Mindminus body practice and body weight status in a large population-based sample of adults American journal of preventive medicine 50(4) e101-e109
Carneiro A and Andrade JP Nutritional and Lifestyle Interventions for Age-Related Macular Degeneration A Review (2017) Oxidative Medicine and Cellular Longevity 2017 Article ID 6469138 13 pages httpsdoiorg10115520176469138
Chung HY Rasmussen HM and Johnson EJ (2004) Lutein bioavailability is higher from lutein-enriched eggs than from supplements and spinach in men J Nutr 1341887-1893 httpjnnutritionorgcontent13481887full
Granado F Olmedilla B and Blanco I (2003) Nutritional and clinical relevance of lutein in human health British Journal of Nutrition 90(3) 487-502 httpswwwcambridgeorgcorejournalsbritish-journal-of-nutritionarticlenutritional-and-clinical-relevance-of-lutein-in-human-health27F42056D523DC78A8EE6135D500B338
Gruber M Chappell R Millen A LaRowe T Moeller SM Iannaccone A Kritchevsky SB and Mares J (2004) Correlates of serum lutein + zeaxanthin Findings from the Third National Health and Nutrition Examination Survey J Nutr 1342387ndash2394 httpjnnutritionorgcontent13492387fullpdf+html
References
Hawkes C Smith T G Jewell J Wardle J Hammond R A Friel S amp Kain J (2015) Smart food policies for obesity prevention The Lancet 385(9985) 2410-2421
Higdon J Drake VJ Delage B and Johnson EJ (2004-2016) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Carotenoids Accessed November 16-17 2017 httplpioregonstateedumicdietary-factorsphytochemicalscarotenoids
Higdon J Drake VJ Delage B Ross AC and Tan L (2000-2015) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Vitamin A Accessed November 16-17 2017 httplpioregonstateedumicvitaminsvitamin-A
Jacka F N OrsquoNeil A Opie R Itsiopoulos C Cotton S Mohebbi M amp Brazionis L (2017) A randomised controlled trial of dietary improvement for adults with major depression (the lsquoSMILESrsquotrial) BMC medicine 15(1) 23
Johnson EJ Maras JE Rasmussen HM Tucker KL (2010) Intake of lutein and zeaxanthin differ with age sex and ethnicity J Am Diet Assoc Sep110(9)1357-62 doi 101016jjada201006009
Lappe J Cullen D Haynatzki G Recker R Ahlf R amp Thompson K (2008) Calcium and vitamin D supplementation decreases incidence of stress fractures in female navy recruits Journal of Bone and Mineral Research 23(5) 741-749
Larson T and Coker J (2009) A descriptive study of lutein and zeaxanthin in optometric practice Optometry 80(10)579-86 doi 101016joptm200903015
References
Marx W Moseley G Berk M amp Jacka F (2017) Nutritional psychiatry the present state of the evidence Proceedings of the Nutrition Society 76(4) 427-436
McCusker MM Durrani K Payette PJ and Suchecki J (MarchndashApril 2016) An eye on nutrition The role of vitamins essential fatty acids and antioxidants in age-related macular degeneration dry eye syndrome and cataract Clinics in Dermatology Volume 34 (2) 276-285 httpsdoiorg101016jclindermatol201511009
Meegan A P Perry I J amp Phillips C M (2017) The association between dietary quality and dietary guideline adherence with mental health outcomes in adults a cross-sectional analysis Nutrients 9(3) 238
Merle B M Silver R E Rosner B amp Seddon J M (2015) Adherence to a Mediterranean diet genetic susceptibility and progression to advanced macular degeneration a prospective cohort study The American Journal of Clinical Nutrition 102(5) 1196ndash1206 httpdoiorg103945ajcn115111047
Natural Medicines Comprehensive Database (Updated July 3 2017) Natural medicines in the clinical management of eye disorders age-related degeneration cataracts and glaucoma httpnaturaldatabasetherapeuticresearchcomceCECourseaspxcs=amppm=5amps=ndamppc=09-23ampsearchid=61408260keywordanchor Accessed July 3 5 and 6 2017
Pennington K L amp DeAngelis M M (2016) Epidemiology of age-related macular degeneration (AMD) associations with cardiovascular disease phenotypes and lipid factors Eye and Vision 3 34 httpdoiorg101186s40662-016-0063-5
References
Sarris J Logan A C Akbaraly T N Amminger G P Balanzaacute-Martiacutenez V Freeman M P amp Nanri A (2015) Nutritional medicine as mainstream in psychiatry The Lancet Psychiatry 2(3) 271-274
Schleicher M Weikel K Garber C amp Taylor A (2013) Diminishing Risk for Age-Related Macular Degeneration with Nutrition A Current View Nutrients 5(7) 2405ndash2456 httpdoiorg103390nu5072405
Seddon JM Ajani UA Sperduto RD Hiller R Blair N Burton TC Farber MD Gragoudas ES Haller J Miller DT Yannuzzi LA Willett W Dietary Carotenoids Vitamins A C and E and Advanced Age-Related Macular Degeneration JAMA 1994272(18)1413-1420 doi101001jama199403520180037032
Wintermeyer E Ihle C Ehnert S Stoumlckle U Ochs G de Zwart P amp Nussler A K (2016) Crucial role of vitamin D in the musculoskeletal system Nutrients 8(6) 319
References
36
Thank you
Questions
Hawkes C Smith T G Jewell J Wardle J Hammond R A Friel S amp Kain J (2015) Smart food policies for obesity prevention The Lancet 385(9985) 2410-2421
Higdon J Drake VJ Delage B and Johnson EJ (2004-2016) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Carotenoids Accessed November 16-17 2017 httplpioregonstateedumicdietary-factorsphytochemicalscarotenoids
Higdon J Drake VJ Delage B Ross AC and Tan L (2000-2015) Oregon UniversityLinus Pauling InstituteMicronutrient Information Center Vitamin A Accessed November 16-17 2017 httplpioregonstateedumicvitaminsvitamin-A
Jacka F N OrsquoNeil A Opie R Itsiopoulos C Cotton S Mohebbi M amp Brazionis L (2017) A randomised controlled trial of dietary improvement for adults with major depression (the lsquoSMILESrsquotrial) BMC medicine 15(1) 23
Johnson EJ Maras JE Rasmussen HM Tucker KL (2010) Intake of lutein and zeaxanthin differ with age sex and ethnicity J Am Diet Assoc Sep110(9)1357-62 doi 101016jjada201006009
Lappe J Cullen D Haynatzki G Recker R Ahlf R amp Thompson K (2008) Calcium and vitamin D supplementation decreases incidence of stress fractures in female navy recruits Journal of Bone and Mineral Research 23(5) 741-749
Larson T and Coker J (2009) A descriptive study of lutein and zeaxanthin in optometric practice Optometry 80(10)579-86 doi 101016joptm200903015
References
Marx W Moseley G Berk M amp Jacka F (2017) Nutritional psychiatry the present state of the evidence Proceedings of the Nutrition Society 76(4) 427-436
McCusker MM Durrani K Payette PJ and Suchecki J (MarchndashApril 2016) An eye on nutrition The role of vitamins essential fatty acids and antioxidants in age-related macular degeneration dry eye syndrome and cataract Clinics in Dermatology Volume 34 (2) 276-285 httpsdoiorg101016jclindermatol201511009
Meegan A P Perry I J amp Phillips C M (2017) The association between dietary quality and dietary guideline adherence with mental health outcomes in adults a cross-sectional analysis Nutrients 9(3) 238
Merle B M Silver R E Rosner B amp Seddon J M (2015) Adherence to a Mediterranean diet genetic susceptibility and progression to advanced macular degeneration a prospective cohort study The American Journal of Clinical Nutrition 102(5) 1196ndash1206 httpdoiorg103945ajcn115111047
Natural Medicines Comprehensive Database (Updated July 3 2017) Natural medicines in the clinical management of eye disorders age-related degeneration cataracts and glaucoma httpnaturaldatabasetherapeuticresearchcomceCECourseaspxcs=amppm=5amps=ndamppc=09-23ampsearchid=61408260keywordanchor Accessed July 3 5 and 6 2017
Pennington K L amp DeAngelis M M (2016) Epidemiology of age-related macular degeneration (AMD) associations with cardiovascular disease phenotypes and lipid factors Eye and Vision 3 34 httpdoiorg101186s40662-016-0063-5
References
Sarris J Logan A C Akbaraly T N Amminger G P Balanzaacute-Martiacutenez V Freeman M P amp Nanri A (2015) Nutritional medicine as mainstream in psychiatry The Lancet Psychiatry 2(3) 271-274
Schleicher M Weikel K Garber C amp Taylor A (2013) Diminishing Risk for Age-Related Macular Degeneration with Nutrition A Current View Nutrients 5(7) 2405ndash2456 httpdoiorg103390nu5072405
Seddon JM Ajani UA Sperduto RD Hiller R Blair N Burton TC Farber MD Gragoudas ES Haller J Miller DT Yannuzzi LA Willett W Dietary Carotenoids Vitamins A C and E and Advanced Age-Related Macular Degeneration JAMA 1994272(18)1413-1420 doi101001jama199403520180037032
Wintermeyer E Ihle C Ehnert S Stoumlckle U Ochs G de Zwart P amp Nussler A K (2016) Crucial role of vitamin D in the musculoskeletal system Nutrients 8(6) 319
References
36
Thank you
Questions
Marx W Moseley G Berk M amp Jacka F (2017) Nutritional psychiatry the present state of the evidence Proceedings of the Nutrition Society 76(4) 427-436
McCusker MM Durrani K Payette PJ and Suchecki J (MarchndashApril 2016) An eye on nutrition The role of vitamins essential fatty acids and antioxidants in age-related macular degeneration dry eye syndrome and cataract Clinics in Dermatology Volume 34 (2) 276-285 httpsdoiorg101016jclindermatol201511009
Meegan A P Perry I J amp Phillips C M (2017) The association between dietary quality and dietary guideline adherence with mental health outcomes in adults a cross-sectional analysis Nutrients 9(3) 238
Merle B M Silver R E Rosner B amp Seddon J M (2015) Adherence to a Mediterranean diet genetic susceptibility and progression to advanced macular degeneration a prospective cohort study The American Journal of Clinical Nutrition 102(5) 1196ndash1206 httpdoiorg103945ajcn115111047
Natural Medicines Comprehensive Database (Updated July 3 2017) Natural medicines in the clinical management of eye disorders age-related degeneration cataracts and glaucoma httpnaturaldatabasetherapeuticresearchcomceCECourseaspxcs=amppm=5amps=ndamppc=09-23ampsearchid=61408260keywordanchor Accessed July 3 5 and 6 2017
Pennington K L amp DeAngelis M M (2016) Epidemiology of age-related macular degeneration (AMD) associations with cardiovascular disease phenotypes and lipid factors Eye and Vision 3 34 httpdoiorg101186s40662-016-0063-5
References
Sarris J Logan A C Akbaraly T N Amminger G P Balanzaacute-Martiacutenez V Freeman M P amp Nanri A (2015) Nutritional medicine as mainstream in psychiatry The Lancet Psychiatry 2(3) 271-274
Schleicher M Weikel K Garber C amp Taylor A (2013) Diminishing Risk for Age-Related Macular Degeneration with Nutrition A Current View Nutrients 5(7) 2405ndash2456 httpdoiorg103390nu5072405
Seddon JM Ajani UA Sperduto RD Hiller R Blair N Burton TC Farber MD Gragoudas ES Haller J Miller DT Yannuzzi LA Willett W Dietary Carotenoids Vitamins A C and E and Advanced Age-Related Macular Degeneration JAMA 1994272(18)1413-1420 doi101001jama199403520180037032
Wintermeyer E Ihle C Ehnert S Stoumlckle U Ochs G de Zwart P amp Nussler A K (2016) Crucial role of vitamin D in the musculoskeletal system Nutrients 8(6) 319
References
36
Thank you
Questions
Sarris J Logan A C Akbaraly T N Amminger G P Balanzaacute-Martiacutenez V Freeman M P amp Nanri A (2015) Nutritional medicine as mainstream in psychiatry The Lancet Psychiatry 2(3) 271-274
Schleicher M Weikel K Garber C amp Taylor A (2013) Diminishing Risk for Age-Related Macular Degeneration with Nutrition A Current View Nutrients 5(7) 2405ndash2456 httpdoiorg103390nu5072405
Seddon JM Ajani UA Sperduto RD Hiller R Blair N Burton TC Farber MD Gragoudas ES Haller J Miller DT Yannuzzi LA Willett W Dietary Carotenoids Vitamins A C and E and Advanced Age-Related Macular Degeneration JAMA 1994272(18)1413-1420 doi101001jama199403520180037032
Wintermeyer E Ihle C Ehnert S Stoumlckle U Ochs G de Zwart P amp Nussler A K (2016) Crucial role of vitamin D in the musculoskeletal system Nutrients 8(6) 319
References
36
Thank you
Questions
36
Thank you
Questions