Archive for October, 2008

Aspirin – Things to Know about this Common Over the Counter Medication

Aspirin in Bottle

Estimates figure that about 60 percent of people ages 65 and older take an aspirin at least once a week, some on the recommendation of their doctor (to prevent heart disease) some now.

This common, over-the-counter medication can cause some serious side effects. Regular use should be discussed with a doctor.

Aspirin is routinely recommended by the American Heart Association for people who’ve had a heart attack, stroke caused by blood clot, unstable angina, or “ministrokes.” Further more the American Heart Association recommends that people who have yet to experience an event but who are at increased risk because of family history, say, may also stand to gain from aspirin therapy.

Here are some things you may not know about Aspirin.

1. Aspirin would have a hard time getting approved by the FDA if it were to come on the market today.

2. Aspirin may be less effective in women. Research published in BMC Medicine reported that earlier studies showing a large benefit in men taking aspirin to reduce the rates of fatal heart attack,  did not hold for women.

3. Aspirin use more or less doubles the risk of a severe gastrointestinal event putting users at risk for ulcers and bleeds with prolonged use.

4. Aspirin use may not protect against heart disease and stroke in nearly 30 percent of people who are resistant to Aspirin’s effects.

5. Aspirin can throw off test results for prostate cancer. Men who regularly used aspirin and other NSAIDs had about 10 percent lower levels of the prostate marker prostate-specific antigen which may hinder the detection of prostate cancer.

Some Positive Effects of Taking Aspirin

  • Cuts the risk of pre-eclampsia during pregnancy.
  • Reduces the risk of developing colorectal cancers.
  • Lowers a woman’s risk of breast cancer.
  • Offers some protection against Alzheimer’s disease.
  • Protects against Parkinson’s disease.
  • Helps prevent strokes—unless you also take ibuprofen.

While Aspirin has many benefits, it may also have some negative side effects.  Whether or not use use Aspirin should be discussed with a doctor or your health care provider.

Sources:

Baldauf S. October 28, 2008. 12 Things to Know about Aspirin. US News.

Lowe D. November 17, 2005. Aspirin: Not Approvable: Why many familiar medicines might flunk FDA approval today. Medical Progress Today.

Image Source: Microsoft Images.

Add comment October 30th, 2008

Truth in Advertising – Bayer Warned about Unsubstantiated Aspirin Claims

Bayer AspirinAccording to Federal regulators from the Food and Drug Administration, Bayer has been illegally marketing two aspirin products that make unsubstantiated health claims about fighting heart disease and osteoporosis.

In both cases, the aspirin has been combined with a dietary supplement into a single pill.

Aspirin is often recommended by doctors to treat general aches and pains and in small doses (baby aspirin) as a blood thinner for patients with heart disease.

The two products in question:

  • Bayer Aspirin with Heart Advantage (Bayer Heart Advantage)–aspirin combined with phytosterols (a plant-based supplement also known as plant sterols)
  • Bayer Women’s Low Dose Aspirin + Calcium (Bayer Women’s)–aspirin combined with calcium

These product formulations are not approved by FDA. The FDA has issued a warning letter to the Bayer Corporation.

Why the Warning?

Bayer has been marketing these products as pain relievers and as treatments for heart disease and osteoporosis. They claim that Bayer Heart Advantage helps in “reducing the risks of heart disease.”

The labeling for Bayer Women’s also claims that the product helps “fight” osteoporosis.

Treatments for heart disease and osteoporosis must be reviewed by government scientists and cannot be sold over the counter.

In addition the FDA has determined that these products have inadequate and misleading directions and warnings. Both products lack adequate directions and warnings for their safe use by consumers.

According to ABC News these results were discovered by the House Energy and Commerce Committee, has been investigating drug advertising and the FDA’s oversight of pharmaceutical manufacturers for over a year.

Sources:

October 28, 2009. FDA Warns Bayer Over Claims on 2 Aspirin Products: Federal Regulators Call Health Claims Unsubstantiated. ABC News.

U.S. Food and Drug Administration. October 28, 2009. FDA Warns Bayer About Two Unapproved Aspirin Products. Consumer Updates.

Image Source: Esra Su. Aspirin. Royalty Free Use.

Add comment October 29th, 2008

Vitamin Angels – Providing Vital Nutrition to Children & Families in Need

Vitamin Angels

For a quarter, you can keep a child from going blind due to Vitamin A deficiency.

Over the course of four years, when children are most vulnerable, the total expense for Vitamin Angels is $1.00, whichs covers the cost of two high dose vitamin A and anti-parasitic supplements given each year to a child from the ages of 2 to 5.

Operation 20/20

Vitamin Angels is committed to eradicating childhood blindness due to Vitamin A Deficiency (VAD) on the planet by the year 2020. Operation 20/20 is the first major step in this global campaign, which launched in 2007 18 countries.

Vitamin Angels

Vitamin Angels is a non-profit organization dedicated to providing vital nutrition in the form of supplements, to developing countries, communities and individuals in need. Vitamin Angels has set its sights on the issue of childhood blindness, with plans to eliminate childhood blindness by the year 2020 through the systematic distribution of vitamin A to at-risk children.

More information: Vitamin Angels.

Add comment October 15th, 2008

New Guidelines – Children Need Twice as Much Daily Vitamin D

Four Glasses of MilkThe American Academy of Pediatrics has recently revised recommendations for Vitamin D based in new information indicating that children need twice as much Vitamin D as originally thought.

In the new clinical report, “Prevention of Rickets and Vitamin D Deficiency in Infants, Children, and Adolescents,” published in the November issue of Pediatrics, it is recommended that all children receive 400 IU a day of vitamin D, beginning in the first few days of life. The previous recommendation, issued in 2003, called for 200 IU per day beginning in the first two months of life.

The New Recommendations include:

  • Breastfed and partially breastfed infants should be supplemented with 400 IU a day of vitamin D beginning in the first few days of life.
  • All non-breastfed infants, as well as older children, who are consuming less than one quart per day of vitamin D-fortified formula or milk, should receive a vitamin D supplement of 400 IU a day.
  • Adolescents who do not obtain 400 IU of vitamin D per day through foods should receive a supplement containing that amount.
  • Children with increased risk of vitamin D deficiency, such as those taking certain medications, may need higher doses of vitamin D.

Preventing Rickets and Osteomalacia

Sufficient amounts of Vitamin D helps prevent rickets in children and osteomalacia in adults.

In children, vitamin D deficiency causes rickets, a disease characterized by a failure of bone tissue to properly mineralize, resulting in soft bones and skeletal deformities. Rickets continues to be reported in the United States in infants and adolescents. The greatest risk for rickets is in exclusively breastfed infants, particularly among African American infants, who are not supplemented with 400 IU of vitamin D a day.

In adults, vitamin D deficiency can lead to osteomalacia, resulting in weak muscles and bones.

Vitamin D from the Sun

For many people, eating vitamin D-fortified foods and being exposed to sunlight are needed to maintaining a healthy vitamin D status.

Given enough sun exposure the body is able to make Vitamin D. However, the AAP advises keeping infants out of direct sunlight and having them wear protective clothing and sunscreen to protect against skin cancer.

This extensive use of sunscreens and placement of children in daycare programs, where they often have less outdoor activity and sun exposure has also contributed to less Vitamin D.

The general recommendations for sun exposure are three 15 minute intervals a week. It is difficult to determine a safe amount of sunlight exposure to synthesize vitamin D in a given individual.

Good Food Sources for Vitamin D

Very few foods in nature contain vitamin D. The fish (such as salmon, tuna, and mackerel) and fish liver oils are among the best sources. Small amounts of vitamin D are found in beef liver, cheese, and egg yolks. Vitamin D is also being added to Orange Juice.

  • Vitamin D Fortified Milk – Four cups daily to meet the requirement.
  • Cereals (fortified)
  • Oily fish – tuna, mackerel and sardines
  • Beef Liver
  • Cheese
  • Egg Yolks

Sources:

American Medical Association. October 14, 2008. New guidelines suggest children should get twice the daily dosage of vitamin D previously recommended. AMA Morning Rounds.

American Academy of Pediatrics. Vitamin D Deficiency Clinical Report. Patient FAQs.

American Academy of Pediatrics. October 13, 2008. New Guidelines Double the Amount of Recommended Vitamin D.

Office of Dietary Supplements. Dietary Supplement Fact Sheet: Vitamin D. National Institutes of Health.

Milk, Sunshine Each Day Keep the Doctor Away. Washington Post.

Add comment October 14th, 2008

What Cereals Can I Feed my Child? Healthy WIC Approved Cereals

This week’s release of the report by Consumer Reports may have parents wondering what cereals they should be feeding their child/children.  One way is to see what cereals are recommended by the WIC program.

WIC is a federally-funded health and nutrition program for women, infants, and children.  WIC helps families by providing checks for buying healthy supplemental foods from WIC-authorized vendors, nutrition education, and help finding healthcare and other community services.

What makes a cereal a WIC Approved Cereal?Bowl of Cheerios

WIC-approved cereals are ones that are low in sugar and have a lot of nutrients, vitamins and minerals in them. Two of the vitamins included in many of the cereals:

  • Iron
  • Folic Acid

List of WIC Approved Cereals in California for Children

All of these cereal are low in sugar and high in nutrients like iron and folic acid. Any cereal specified on the food instrument Box or bags – 12 oz. package or larger except for brand Instant Oatmeal which may be an 11.8 or 12 oz. box General Mills

  • Cheerios (plain)
  • Kix (plain)

Kellogg’s

  • Corn Flakes (plain)
  • Frosted or Unfrosted Mini- Wheats (Big Bite or Bite Size)

B&G Foods

  • Cream of Wheat (1 minute, 2-1/2 Minute, 10 minute)

Post

  • Honey Bunches of Oats (Honey Roast)

Quaker

  • Life (plain)
  • Crunchy Corn Bran Store Brands (See list of authorized labels)
  • Crisp(y) Rice
  • Instant Oatmeal (Regular unflavored, in 11.8 oz or 12 oz. box of individual serving packets)

Cereals that Can not be Bought on WIC Programs

  • Brands or labels not specifically listed on WIC Authorized Food List and California Shopping Guide WIC Authorized Foods
  • Individual serving packets, except for store brand Instant Oatmeal – Packages smaller than 12 oz., except for store brand Instant Oatmeal
  • Honey (except for Honey Bunches of Oats, Honey Roast), frosted, cinnamon, or fruit flavored
  • Cereals with chocolate, fruit, nuts, marshmallows, or yogurt clusters/pieces

California WIC Sources

PDF File of California WIC Authorized Food List.

California WIC Program Website.

Additional Sources:

Minnesota Department of Health. WIC-Allowed Cereal.

Maine Center for Disease Control and Prevention. Maine WIC Program Approved Foods List.

Image Source: Annette Gulick. Cheerios. Royalty Free Use.

Add comment October 4th, 2008

Queen Latifah – My Weight is “Healthy”

I like the Queen Latifah ads because the focus isn’t so much on the numbers as it is losing weight to get to a healthy weight.

I’ve lost 20 pounds and my cholesterol is down 20 points.

I joined Jenny Craig to learn hot to make healthier choices and I’ve never felt better.

According to Jenny Craig’s vice president of marketing Scott Parker “Queen Latifah joins forces with Jenny Craig to communicate the importance of how small lifestyle changes, in the areas of diet and exercise, can have positive effects on overall health.” These are the messages that need to be getting across to people.

In a separate section of the Jenny Craig site, Queen Latifah, her friends and family talk about what is working for them on their journey to an “ideal size.”

Add comment October 4th, 2008

Tyra Banks Retort on “Fat” Comments

Tyra addresses rather effectively the unflattering bathing suit photos that were plastered across every tabloid and gossip website in 2007, claiming that she had gained 40 lbs.

In calculating Tyra’s BMI, at 5′10″ and 161 lbs, she ends up right in the healthy range with a BMI of 23.1

You can read an interview with her at People Magazine online.

Calculating BMI (Body Mass Index)

BMI Formula BMI = [ Weight in Pounds / ( Height in inches ) x ( Height in inches ) ] x 703

BMI = ( kg/m² )
(weight in pounds * 703 )
height in inches²

Metric BMI Formula

BMI = [ Weight in Kilograms / ( Height in Meters ) x ( Height in Meters ) ]

BMI = ( kg/m² )
weight in kilograms
height in meters²

Add comment October 3rd, 2008

Watch Out for High Sugar and Poor Nutrient Content in Many Children’s Cereals

Fruit Loop DonutResults from a study released this week by Consumer Reports found that only four of the 27 cereals tested rank as “very good.” Those that were judged to be “very good” are Cheerios, Kix, Life and Honey Nut Cheerios.

The majority of the cereals (23 of the top 27 cereals marketed to children) reviewed were classified as “good” or “fair.”

Rice Krispies only ended up with a “fair” rating. Although low in sugar it is also low in fiber. Cocoa Puffs and Frosted Flakes ended up in the “good” category because they had some fiber (1 gm) and were a good source of iron. Fruit Loops ended up with a “fair” rating, with a low fiber amount and 12 grams of sugar.

Two childrens’ cereals Honey Smacks (15 gms) and Golden Crisp (14 gms) classified as “fair” are more than 50 percent sugar by weight; this is as much sugar per serving as a glazed donut from Dunkin’ Donuts. This amount of sugar is less than the amount of sugar in a serving of yogurt.

The Classifications

  • Very Good – Relatively low in sugars, with some fiber; high in iron and a good source of calcium.
  • Good – Room for improvement in sugars and/or figer; high in or a good source of iron.
  • Fair – Eat only occasionally; most have a lot of sugar and too little figer; most are high in or a good source of iron, but not calcium.

The Good Cereals
Cheerios topped the list with only 1 gram of sugar and 3 grams of fiber per serving.

  • Cheerios
  • Kix
  • Honey Nut Cheerios
  • Life (Quaker Oats)

These four cereals earned points for relatively lower sugar and higher dietary fiber, the two categories weighed as most important.

Cereal Not Just for Children Anymore

While sugary cereals are heavily marketed to children ($229 million advertising dollars per year) an estimated 58 percent of children’s cereals are consumed by those over 18 a strong indication that childrens cereals are not just for children anymore.

Watch Serving Sizes

Another issue when eating cereals is to watch the serving size. Most children and many adults serve themselves 50 to 65 percent more than the serving size on the package or have a second serving which ultimately increases the number of calories eaten.

One student several years ago in my nutrition course admitted to eating a very large bowl of cereal, one that would hold three to four servings.

Paid subscribers can view the entire list of cereals reviewed at the Consumer Reports Website or for free at My Fox Twin Cities.

Sources:

MyFox 9. October 1, 2008. Report Rates Cereal Nutrition, with Surprising Results Is your kid getting too much sugar, enough fiber? My Fox Twin Cities.

Rob Stein. October 1, 2008. Kids’ Cereals Rated. The Washington Post.

Image Source: Carolyn Coles. Fruit Loops Donut. Some rights Reserved.

Add comment October 2nd, 2008

Glucosamine and Chondroitin No Better than Placebo for Osteoarthritis

Knee XrayOn September 29, 2008 the National Center for Complementary and Alternative Medicine released results from a study that had been conducted finding that “Dietary Supplements Glucosamine and/or Chondroitin Fare No Better than Placebo in Slowing Structural Damage of Knee Osteoarthritis.”

I thought that these findings are pretty interesting and timely considering that just last week my husband had been in to see the doctor, who recommended that he take Glucosamine for an old knee injury.

I had been advising him not to waste money on buying the supplements until we looked at what the research had to say about using the supplements.

In this new study rsearchers from the Glucosamine/chondroitin Arthritis Intervention Trial (GAIT) team reported that the dietary supplements glucosamine and chondroitin sulfate, together or alone, appeared to fare no better than placebo in slowing loss of cartilage in osteoarthritis of the knee. Nine GAIT centers recruited patients for the study. Their results were published in the October issue of Arthritis & Rheumatism.

The study which was funded by the National Center for Complementary and Alternative Medicine at the National Institutes of Health confirms other findings showing the supplements have few or no effects.

My husband’s injury has been primary a ligament injury/ligament strain, rather than a joint problem, so wouldn’t have been a candidate for using the supplements to start with.

Sources:

NCCAM. September 29, 2008. Dietary Supplements Glucosamine and/or Chondroitin Fare No Better than Placebo in Slowing Structural Damage of Knee Osteoarthritis. NIH News, National Institutes of Health.

Reuters. September 29, 2008. Glucosamine and chondroitin don’t slow arthritis.

NCCAM. Questions and Answers: NIH Glucosamine/chondroitin Arthritis Intervention Trial Primary Study. NIH.

NCCAM. Glucosamine/Chondroitin Arthritis Intervention Trial (GAIT) Primary and Ancillary Study Results. NIH.

Sawitzke AD, Shi H, Finco MF, et al. The Effect of Glucosamine and/or Chondroitin Sulfate on the Progression of Knee Osteoarthritis: A Report from the Glucosamine/Chondroitin Arthritis Intervention Trial. Arthritis & Rheumatism, 2008; 58(10):3183–3191.

Image Source:

Adam Ciesielski. Knee xray. Royaly Free Use.

Add comment October 1st, 2008


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