Healthy Does It: Two Different Views On Fitness

By Unknown on Kamis, 09 Agustus 2012

When it comes to health and nutrition, it should be straight forward: exercise regularly and eat a well balanced diet.  However, there are different philosophies on the subject matter depending on the expertise and background of the professional.  This is why I wanted to interview two different fitness and health instructors who hold expertise in two different backgrounds.  The comparisons between the two are very interesting to say the least. 
            First, I interviewed an allopathic physical fitness trainer whose own training and views of fitness and nutrition come directly from the Centers of Disease Control nutritional  and physical activityguidelines.  Next, I interviewed a yoga instructor whose approach to complete health and nutrition stems from ancient Ayurveda  traditions, where she commits to a vegan lifestyle, meditates, and emphasizes on physical, emotional, and spiritual well-being.      
            In fact, that was the biggest difference I noticed between the two: the one fitness trainer focused on purely the body as a mechanism to be sculpted, while the other worked on the entire mind-body-spirit connection.  This difference was seen in every aspect of their work.  The allopathic fitness trainer asks her clients their goals and then creates a customized fitness plan in order for them to achieve their goals.  She keeps in mind their safety, needs, and wants during each session.  She advises her clients to make healthy choices as far as nutrition, and shows them exercises to do.  On the other hand, the Ayurveda fitness instructor encourages her clients to do some form of exercise for a minimum of an hour at least three days per week.  She encourages her clients to do any kind of activity and then build up to an hour every day.   She also believes in experimentation with different forms of exercises in order to provide variety and enjoyment to the activities.  She also recommended yoga as the primary exercise, especially when a person starts their program. 
            Why is exercise so important?  Both experts agree that exercise begets health.  For the allopathic fitness trainer, physical exercise is important to burn calories, increase muscle mass and stay fit.  For the holistic fitness instructor, exercise, especially yoga, is for a multitude of factors including: stress relief, pain relief, deeper breathing, flexibility,  increasing strength, weight management, improved circulation, cardiovascular conditioning, presence, and inner peace.  When done correctly, exercise can be very beneficial to the health and well-being of every individual.  However, without proper training or supervision, it is easy to hyperextend ligaments and joints, pull muscles, and even break bones.  With any activity, there are risks of injury.  Both instructors are trained to teach clients proper techniques and methods during their clients' workouts.  Safety is of the utmost important when working with clients.    
            Nutritional needs of clients are just as important.  The allopathic fitness trainer encourages clients to eat a healthy and well balanced diet, complete with fruits and vegetables, whole grains, lean meats and dairy, and watch fat and caloric intake; the balance for maintaining weight is “calories in” and “calories out” are equal.  To lose weight, it is important to decrease caloric intake while increasing caloric expenditure.  Low calorie foods can often take place of higher calorie foods, especially when consuming beverages.  Food journals often help to track calorie intake and exercise regimen. 
            The holistic fitness instructor prefers to go by a different set of dietary rules including buying organic foods when possible; buy locally grown whole foods, naturally produced, mostly raw, and minimally packaged.  Consume mostly raw vegetables, only whole grains, legumes, nuts, seeds , and fruits.  Eat for your Ayurvedic constitutional type when possible. It is also important to stay away from processed foods, such as foods in cans and boxes, packaged with preservatives, and modified chemical composites of food.   Her main points, however, were specifically foods in raw form, nothing deep fried, not cooked with olive oil, no carbonated beverages (including diet), no artificial flavors or sweeteners, no coffee or other beverages with caffeine,  alcohol only in moderation, never microwave food, eat only natural and holistically derived meats, consume good fats, and eat flax seeds regularly.
            One major point the holistic fitness instructor differed from the allopathic one is in the fitness of whole aspects of the being, including the mind and spirit.  In allopathic physical fitness, the point is to train the body by overcoming the mental roadblocks and proving to yourself that there are no real limitations except the ones which are constructed mentally.  In holistic physical fitness, it is viewed that there is an inner balance between the physical body, the mind, and the spirit.  It is important, in this paradigm, to go through a mental and emotional detoxification by letting go of anger, negativity, jealousy, hatred, and hostility.  It is viewed that these feelings are toxic to the mind and soul.  Through the practicing of mindfulness, the thoughts and emotions absorbing life can be lifted and genuine gratitude replaces it.  Positivity induces a positive lifestyle where one can thrive and flourish.  Plus, through prayers and positive affirmations, this positivity can be enhanced, where thoughts actually become reality.  Prayer is a very powerful tool to reunite the mind-body-spirit, reciprocate love, find inner peace, show gratitude, and heal.
            So how applicable is exercising to lay people?  The allopathic fitness trainer finds that some people need more motivation than others to continue with the training.   Some people have to be pushed to work out, some people give excuses to why they can't work out.  The clients are worked at their own pace, and that is why it is important to listen to them to plan for their wants and needs during each session.  The cost can be quite reasonable depending on the facility, hours, and type of physical fitness trainer hired.   When personal trainers become expensive are when they are part of an exclusive gym, or club, or require a long-term contract.  Although these methods can get costly, it is always important to note that one does not need to hire a professional trainer to walk, ride a bicycle, swim, or play sports with friends. 
            On the flip side, the holistic fitness instructor has found that her clients do not subscribe to such a strict diet or lifestyle, however she challenges them to make baby steps toward such a healthy lifestyle.  She doesn't charge for her yoga classes, and sometimes meets with people afterwords to follow up on some healthy living basics.  Holistic exercise, in general, can cover a broad spectrum of  exercises including, but not limited to: Qigong, T'ai chi, zero balancing, water aerobics, and yoga.  Easiest way of finding a qualified instructor is to do so online.  Sometimes being referred to a class by a friend is a fantastic way of starting an exercise routine.  Some instructors charge more than others depending on facility and their qualifications, and if their instruction is private or not.  It is important to scrutinize the instructor's qualifications to make sure they have the proper training and certifications.
            Keeping this in mind for my future practice, I will need to establish a knowledge base of the variety of exercises, and specifically know the specific functions of each type of exercise so that I am able to make recommendations to my clients.  Knowing which type of exercises, whether it be a type of allopathic or holistic, my client would benefit from the most is very important to establishing a lifestyle change that would last a lifetime.
            Thus, I close this by saying that no one type of physical trainer or fitness instructor is better than the other.  The perfect fitness instructor depends on the individual, their needs and wants, goals,  budget, and even their mindset.  It is important that opinions of nutrition are just that, opinions, and genuine concerns about nutritional needs should be taken up with a specialist, either allopathic or holistic.  Staying healthy is important no matter what, so eating healthy, staying active, being positive, and being grateful are all necessary in achieving that goal.  Achieving a healthy lifestyle through a fitness instructor can be a fun experience, but it is always important to remember that the best exercises are free.     

    




References:

Centers for Disease Control and Prevention (2011) “Physical Activity for Everyone: How Much Physical Activity do you need?” Retrieved from http://www.cdc.gov/physicalactivity/everyone/guidelines/index.html

Centers for Disease Control and Prevention (2011) “Nutrition for Everyone.” Retrieved from  http://www.cdc.gov/nutrition/everyone/index.html

Jakicic, J; Winters, C; Lang, W; Wing, R. (1999) Effects of Intermittent Exercise and Use of Home Exercise Equipment on Adherence, Weight Loss, and Fitness in Overweight Women: A Randomized Trial[Electronic version]. JAMA. 1999;282(16):1554-1560.

Kraft, Jessica, personal communication, October 21, 2011.

Lee, I; Djousse, L; Sesso, H; Wang, L; Buring, J. (2010) Physical Activity and Weight Gain Prevention [Electronic version] JAMA. 2010;303(12):1173-1179.

Tate, Beverly, personal communication, October 22, 2011.

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Environment and your health

By Unknown on Selasa, 17 Juli 2012


When it comes to health, nothing is more important than the environment in which we all live. Our environment dictates every aspect of our health, from the air we breathe to the water we drink. Even the slightest exposure to a hazardous environment could jeopardize our safety and well-being, moreover, it could pose a serious threat to those of us who are more susceptible to disease or injury. Improving our environment ameliorates our societal health and lowers overall propensity for morbidity and mortality. It is imperative to establish strong policies in order to preserve our environment and sustain our resources.
The most important aspect of our environment is our air quality. Whether it is outdoor air or the ventilated air we commonly breathe indoors, it remains the top priority in sustaining life. According to the U.S. Department of Health and Human Services (2012), exposure to substandard air quality can lead to diseases, such as; cancer, respiratory or cardiovascular diseases, and is even linked to premature death. While over 187 outdoor air pollutants, such as perchlorethlyene released by dry-cleaning facilities, are monitored and controlled by the EPA, other air pollutants still exist and remain unregulated. Many emissions originating from automobiles and stationary sources, including factories and commercial buildings, contribute considerably to poor air quality, (Environmental Protection Agency, http://www.epa.gov/ttn/atw/pollsour.html).
As for indoor air quality, pollutants can reach harmful concentrations if circulated air throughout the ventilation system remains inadequately maintained. Such ventilation could mean the mechanical systems (HVAC) heating, ventilation, air-conditioning; or it could be manually provided through windows, doors, or other natural means by which air is moved through a space. Pollutants, such as; CO2, cigarette smoke, mold spores, and vehicle exhaust can all become trapped within a ventilation system, (Centers for Disease Control and Prevention, http://www.cdc.gov/niosh/topics/indoorenv/BuildingVentilation.html).
One way in which air pollutants can be introduced in a building is through the use of hazardous chemicals. Hazardous chemicals can not only be found in industries and factories, but even in the average home, where on average 62 toxic chemicals can potentially emit fumes into the air, (Steinman & Epstein, http://www.go2greenliving.com/docs/safe_shoppers.pdf). It is imperative that regulations be put into place to properly educate consumers on the potential hazards of these chemicals they are introducing.
Like air,water is another important life-sustaining resource in our environment. Unfortunately, the water has a potential to be contaminated with pollutants. When this is the case, we become susceptible to hazardous chemicals and deadly microbes. One particular study found a cocktail of toxic household chemicals and residues from pharmaceuticals in both Cape Cod and surrounding resident wells, probably resulting from septic system wastewater seepage,
(Silent Spring Institute, http://www.silentspring.org/news/press_releases/study-finds-27-contaminants-cape-cod-drinking-water-wells). Other contaminants from agriculture, construction, manufacturing plants, and mining also leach into the water, posing serious risk to the U.S. population. Some of these chemicals are known carcinogens, while others can potentially disrupt the endocrine system, (Laffall & Kripke, http://deainfo.nci.nih.gov/advisory/pcp/annualReports/pcp08-09rpt/PCP_Report_08-09_508.pdf); and yet other chemicals have been proven to promote obesity in youth, (Mount Sinai Faculty Practice Associates, http://www.mountsinaifpa.org/about-us/news-archive/chemical-in-personal-care-products-may-contribute-to-childhood-obesity?goback=.gde_2350595_member_119623042). Recently, Professor Bruce Blumberg, Ph.D. and his colleagues at the University of California Irvine, discovered that some of these chemicals found in a contaminated environment can disrupt the body's ability to store and utilize adipose tissue, (Developmental & Cell Biology, http://devcell.bio.uci.edu/faculty/bruce-blumberg/). Heavier regulations must be put in place in order to preserve this precious resource.
Another important environmental factor relies on the substances we utilize daily and the support for a cleaner environment. Toxins and hazardous chemicals found in our homes, workplace, outdoor environment, and recreational facilities pose detrimental threats to the health of humans, pets, wildlife, and even our ecosystem. Due to the fact that chemicals have become a common mainstay within our society, unintentional poisonings deaths increased substantially to approximately 87 people per day in 2009 (Centers for Disease Control and Prevention, http://www.cdc.gov/HomeandRecreationalSafety/Poisoning/index.html). Although the main problem to this high death rate is drug overdoses, some 9% is due to the exposure to hazardous chemicals. According to the Household Products Database, hazardous chemicals such as sodium hyperchlorite, ethylene glycol monobutyl ether, diethanolsamine, naptha, and orthophenylphenols are found in various household products and can cause severe adverse health problems, including death. One of the most common disinfectants used in homes, recreational facilities, government buildings, nursing homes, day cares, schools, and hospitals is the toxic chemical dimethyl benzyl ammonium chloride, which is a registered pesticide. A similar chemical, didecyl dimethyl ammonium chloride combined with alkyl dimethyl benzyl ammonium chloride was used during a 21 day dermal toxicity study on guinea pigs and concluded that 1,000 mg/kg of a 1:5 dilution on the shaved dorsal trunk caused elevation of basophils, eosinophils, serum glutamic pyruvic transaminase (SGPT), and serum glutamic oxaloacetic transaminase (SGOT), skin irritation and sloughing which caused dermal defatting and subsequent weight loss, (Hazardous Substances Data Bank, http://toxnet.nlm.nih.gov/cgi-bin/sis/search/f?./temp/~DhLrIw:4).
Hazardous and toxic chemicals can be found in personal care items as well. Most recently, Johnson & Johnson admitted that their baby shampoo contains the preservative quaternium-15, a substance which releases formaldehyde to kill bacteria in order to increase the product's shelf life, but has been linked to rashes, skin inflammation and even cancer, (Sorensen, et. al, http://blogs.webmd.com/health-ehome/2011/11/new-report-finds-johnsons-baby-shampoo-not-so-pure.html?goback=.gde_2132857_member_118658127) . Since most manufacturers' products are not currently regulated, they are not required to list the ingredients in their products' packaging, ergo consumers are not as informed as they should be.
Whats more, most manufacturers who claim to provide green products are still using synthetic, sometimes toxic, ingredients. One such cleaning line is Proctor & Gamble's Seventh Generation cleaning products and detergents. They claimed that they used all natural and safe ingredients in their product line, however voluntarily discontinued that marketing claim after Proctor & Gamble and Seventh Generation admitted to NAD that they indeed use hazardous ingredients in their products, (Bardelline, http://www.greenbiz.com/news/2010/09/09/pg-disputes-seventh-generation-green-claims).
For consumers, this kind of advertising can be misleading. Product information is ambiguous at best, thus consumers rely on advertising and company loyalty to buy and use products. Nonetheless, those who need to find a responsible, green manufacturing company, discover such a task can be quite difficult because the industry is severely under-regulated. In a perfect world, policies and regulations would be put in place to eliminate the use of harmful and toxic ingredients used in products. For now, stronger policies should be put in place to require all products to provide all ingredients and contain bold-faced warning labels which are clearly displayed on the face of their packaging.
Unmistakeably, our homes and communities are our primary environment where we are subject to an onslaught of indoor air pollution, poor ventilation, structural integrity issues, and other environmental hazards. More regulations involving industry, agricultural, and construction standards guarantee safer places to live and provide a better outcome for future generations. Moreover, our environmental and community infrastructure are important aspects of our livelihood. It is imperative more standards are put in place to ensure that our response to environmental hazards, epidemics, and overall public safety are kept intact.
Ultimately, our health and safety is paramount and protecting the environment in which we live should be our top priority. Since our health is determined by the health of our environment, it is imperative to establish strong policies which guard our natural resources from hazardous chemicals and harmful pollutants. Setting such policies today will assure our future generations have an abundance of clean, natural resources within a comfortable and safe earth to live on tomorrow.











References:

Bardelline, J. (2010). P&G Disputes Seventh Generation's Green Claims. GreenBiz.com, New York, NY. Retrieved from http://www.greenbiz.com/news/2010/09/09/pg-disputes-seventh-generation-green-claims

Centers for Disease Control and Prevention. (2011). Workplace Safety & Health Topics: Indoor Environmental Quality. Atlanta, Georgia. Retrieved from http://www.cdc.gov/niosh/topics/indoorenv/BuildingVentilation.html

Centers for Disease Control and Prevention. (2012). Home & Recreational Safety: Unintentional Poisoning. Atlanta, Georgia. Retrieved from http://www.cdc.gov/HomeandRecreationalSafety/Poisoning/index.html

Developmental & Cell Biology. (2011). School of Biological Sciences: Bruce Blumberg. Irvine, CA. Retrieved from http://devcell.bio.uci.edu/faculty/bruce-blumberg/

Environmental Protection Agency. (2009). Technology Transfer Network Air Toxics Web Site: Pollutants & Sources. Retrieved from http://www.epa.gov/ttn/atw/pollsour.html

Hazardous Substances Data Bank. (2012) Didecy Dimethyl Ammonium Chloride. Retrieved from http://toxnet.nlm.nih.gov/cgi-bin/sis/search/f?./temp/~DhLrIw:4

Laffall, L; Kripke, M. (2010). Reducing Environmental Cancer Risk: What We Can Do Now. President's Cancer Panel: U.S. Department Of Health And Human Services, National Institutes of Health, National Cancer Institute. Retrieved from http://deainfo.nci.nih.gov/advisory/pcp/annualreports/pcp08-09rpt/PCP_Report_08-09_508.pdf

Mount Sinai Faculty Practice Associates. (2012) Chemical In Personal Care Products May Contribute To Childhood Obesity. New York, NY. Retrieved from http://www.mountsinaifpa.org/about-us/news-archive/chemical-in-personal-care-products-may-contribute-to-childhood-obesity?goback=.gde_2350595_member_119623042

Silent Spring Institute. (2011). Study Finds 27 Contaminants in Cape Cod Drinking Water Wells. Newton, MA. Retrieved from http://www.silentspring.org/news/press_releases/study-finds-27-contaminants-cape-cod-drinking-water-wells

Steinman, D; Epstein, S. (1995) A Safe Shopper's Bible. Retrieved from http://www.go2greenliving.com/docs/safe_shoppers.pdf

U.S. Department of Health and Human Services. (2012). HealthyPeople.gov: Environmetal Health. Washington, DC. Retrieved from http://healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicid=12

Sorensen, J; Sarnoff, R; & Gavigan, C. (2011). New Report Finds Johnson's Baby Shampoo Not So Pure. WebMD Expert Blogs. Retrieved from http://blogs.webmd.com/health-ehome/2011/11/new-report-finds-johnsons-baby-shampoo-not-so-pure.html?goback=.gde_2132857_member_118658127

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Combating Alzheimer's Disease

By Unknown on Senin, 25 Juni 2012


Alzheimer's disease (AD) is a form of dementia in the elderly which affects more than 4.5 million Americans. This progressive brain disease slowly deteriorates cognitive memory and thinking skills, resulting in severe brain damage and eventually death (2). There is no known cure for AD, but there are conventional drugs therapies that when prescribed in the early stages of the disease may limit or delay symptoms for a short period of time. Moreover, research is ongoing to understand natural preventative therapies, such as dietary supplements, which may prove to be beneficial in delaying, slowing the progression of, or even reversing Alzheimer's disease (3).
Dietary Supplement:
What the Science Says:
Cautions and Side Effects:
Antioxidants
While the NIH and NCCAM are currently involved in extensive research on antioxidants, there is currently not enough scientific evidence to determine whether antioxidants are effective for the treatment and  prevention of AD.
Alpha-lipoic acid (ALA) and fish oil (omega-3 fatty acids) continue to be studied for their potential role in slowing the progression of Alzheimer's disease.
According to the FDA - omega-3 dietary supplements from fish are "generally recognized as safe," when consumed at low-to-moderate doses
- Side effects may include minor GI upset (diarrhea, heartburn, indigestion, and abdominal bloating)
- May interact with blood thinners and drugs used to treat high blood pressure.
Asian Ginseng
(Panax Ginseng)
An adaptogen, this herb has been used for centuries for stress and heart health. NCCAM supports research on Asian ginseng’s potential effects on insulin resistance, cancer, and Alzheimer's disease. To date, only a few large, high-quality clinical trials have been conducted. Most evidence is preliminary (based on laboratory research or small clinical trials) so NCCAM can not provide any conclusive support for health claims associated with the herb at this time.
Short-term use at recommended doses appears to be safe.
- Side effects of prolonged use may include headaches, sleep problems, GI upset and allergic reactions.
- May lower levels of blood sugar (caution for diabetes and will concurrent use of medications / supplements that lower blood sugars)
Cat’s Claw (Uncaria tomentosa)
The National Institute on Aging has funded a study that looked at how cat's claw may benefit the immune system and  brain function. Findings may point to new avenues for research in Alzheimer's disease treatment. However, currently, there is not enough scientific evidence to determine the effect of cat's claw works on AD.
When taken at recommended doses, few side effects have been reported for cat's claw.
- Rare side effects include headaches, dizziness, and vomiting.
- Cat’s claw has been used in the past for preventing and aborting pregnancy, therefore, women who are pregnant or trying to become pregnant should avoid it.
- Cat's claw is believed to stimulate the immune system, so it should be used with much caution in anyone with immune conditions.
- May interfere with post-surgical blood pressure control.
Ginkgo 
(Ginkgo biloba)
With anti-microbial and anti-tubercular actions, G. biloba has been used for centuries for memory enhancement and cognitive function.
The Ginkgo Evaluation of Memory study (NCCAM funded) was a large study with over 3,000 volunteers age 75 and over who took 240 mg of ginkgo daily, and were followed for an average of 6 years. The study found Ginkgo ineffective in slowing cognitive decline and in lowering the overall incidence of AD.
A National Institute on Aging study of more than 200 healthy adults over age 60 also found that ginkgo taken for 6 weeks did not improve memory. Some smaller studies of ginkgo for memory enhancement have had promising results.
Products made from standardized ginkgo leaf extracts appear to be safe when used orally and appropriately. Fresh (raw) ginkgo seeds contain large amounts of ginkgotoxin, which can cause serious adverse reactions, including seizures and death.
- Side effects may include headache, nausea, GI upset, diarrhea, dizziness, or allergic skin reactions.
- May increase bleeding risk (caution pre-surgery or with bleeding disorders)

Grape Seed Extract
Rich in flavonoids, linolic acid, and proanthocyanidins, the extract has been shown to reduce inflammation, high blood pressure, platelet aggregation, and lipid oxidation; as well as reducing the risk of cancer and inhibiting the growth of tumors.  NCCAM is currently studying whether the action of grape seed extract may treat or help prevent AD.  Although some studies indicate positive benefits, more research is needed in this area.

Grape seed extract is water soluble and generally well tolerated when taken orally.
- Side effects may include a dry itchy scalp, dizziness, headache, high blood pressure, hives, indigestion, and nausea.
- Interactions between grape seed extract and other medications and supplements have not been well studied.
When considering supplements for the prevention or slowing the progression of Alzheimer's, it is important to work with a trained physician adept at working in the field of Complementary and Alternative Medicine.  It is also very important to pick a reliable manufacturer/supplier from which the supplements come from.  The supplements should be free of pesticides, organic if possible, and made with only high quality ingredients.  Solubility and absorption are both essential aspects of any supplement.  The manufacturer should obtain all ingredients via responsible and sustainable methods.  When possible, ask for the manufacturer's white paper on the specific supplement and discuss it with the CAM provider.  Most CAM providers will recommend or even prescribe a combination of supplements which will all work synergistically together in order to provide the optimum benefits possible.      

References:
1. Alzheimer’s Disease and CAM: What the Science Says. NCCAM Clinical Digest. Available at http://nccam.nih.gov/health/providers/digest/alzheimers-science.htm. Retrieved 10/22/11
2. What is Alzheimer’s Disease. National Institute on Aging. Available at http://www.nia.nih.gov/Alzheimers/AlzheimersInformation/GeneralInfo/. Retrieved 10/22/11.
3. Alzheimer’s Disease and CAM. National Center for Complementary and Alternative Medicine. Available at http://nccam.nih.gov/health/providers/digest/alzheimers.htm. Retrieved 10/22/11



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DSHEA: The Regulation of Supplements

By Unknown on Sabtu, 26 Mei 2012


For some odd reason, many people still believe that the FDA regulates everything consumable in their daily lives.  In actuality, the FDA does not regulate much and they are not a very powerful entity either.  For almost all of the 20th century, there was almost no regulation on consumable products, including supplements and alternative medicine.  But it wasn't until the early 1990's when consumers pushed for regulation of alternative therapies, thus the creation of the Office of Alternative Medicine and subsequent passage of DSHEA were born.
Although the creation of DSHEA is relatively new, it still struggles to maintain order in such a fast-paced, over stimulated, market.  The result being that it sometimes fails to protect consumers from harmful products. Under DSHEA, the dietary supplement or dietary ingredient manufacturer is responsible for ensuring that the supplement or ingredient is safe before it is marketed.  There remains to be one large loophole and it is that the FDA is responsible for taking action against any unsafe dietary supplement product after it reaches the market.  This current supplement approval method explains why some supplements are allowed to contain ineffective ingredients, toxic ingredients, and powerful ingredients.  One such ingredient was ephedra, which was found to be unsafe in large dosages but remained on the market for years consequently being sold to millions.  It took twenty-three reports of serious health problems and one teenage death before the FDA could force the manufacturers to voluntarily recall it.  An amended DSHEA could place greater responsibility on the manufacturers to prove pre-market product safety and give the FDA more authority in the regulation of products being marketed.
 Sales of dietary supplements have approximately doubled since 1998. This means more consumers are using dietary supplements and/or those using supplements are consuming more. Many supplements are purchased over the internet from foreign countries, like China and South America, and are not made with the same quality checks required in the U.S.  Consumers need to be accurately informed of what products’ uses are and how safe they are. Only 19% of people are receiving their information from CAM providers, 28% from doctors, the remainder from friends/family, advertising, and heath food store sales people. Therefore, the majority of people using dietary supplements are receiving their information from unqualified sources. In 2009, US Government Accountability Office (GAO) reports determined that consumers have difficulty understanding labels on dietary supplements and are not well informed when it comes to safety and efficacy of products.
The supplemental hormone melatonin is now available in the US, but the FDA would have to prove melatonin unsafe before removing its over-the-counter status. We see a wider selection of supplements presently available through health food stores and mail order companies because the FDA bears the burden of proof for supplement safety, not the producers or retailers.  According to Jane E. Henney, M.D., Commissioner Food and Drug Administration, Department of Health and Human Services, “The dietary supplement industry has grown exponentially since the passage of DSHEA. Surveys show that more than half of the U.S. adult population uses dietary supplement products. Annually, consumers spend $12 billion on dietary supplements, according to Nutrition Business Journal in their 1998 Annual Industry Overview.”
As a preventive measure, DSHEA grants FDA explicit authority to establish good manufacturing practice regulations for dietary supplements. Such regulations are intended to assure purity and consistency in dietary supplement products. Regarding labeling, DSHEA seeks to provide consumers with information to help guide personal choice. This includes specially tailored requirements for ingredient and nutrition labeling.
DSHEA also provides for use of claims to affect the structure or function of the body, claims of general well-being from consumption of a nutrient or dietary ingredient, and claims of benefits related to classical nutrient deficiency diseases. These claims require notification to FDA within 30 days after marketing, must be substantiated, and must be accompanied by the disclaimer: "This statement has not been evaluated by the FDA. This product is not intended to diagnose, treat, cure, or prevent any disease." Finally, DSHEA contains ground rules for publications used in connection with the sale of dietary supplements.
Currently dietary products have to be proven unsafe, contain a controlled substance or have incorrect ingredient labeling to be removed from shelves. If the DSHEA continues to exist, it should impose more regulations to ensure the consumers’ safety. Supporting and strengthening DSHEA means dietary supplements will continue to be widely available and competitively priced for all who make or use them.  The European Union’s Food Supplements Directive is more restrictive than DSHEA. The Food Supplements Directive establishes a “positive list” that enumerates which vitamins, minerals, and other ingredients are permitted in dietary supplements. Amending DSHEA and incorporating several provisions of the Food Supplements Directive would be beneficial and better protect American consumers from unsafe dietary supplements.

Sources:

Bimal, H, Ashar, M, et al. Physician’s Understanding of Regulation of Dietary Supplements. Arch Intern Med. 2007;167(9):966-969.

Denham BE. Dietary Supplements-Regulatory Issues and Implications for Public Health. JAMA July 5, 2011.

Dietary Supplements. U.S. Food and Drug Administration. (2011) accessed on October 22, 2011, from http://www.fda.gov/food/dietarysupplements/default.htm

Gurley BJ, Gardner SF, Hubbard MA: Content versus label claims in ephedra-containing dietary supplements. Am J Health Syst Pharm 2000, 57:963–969.

Nowak RE. DSHEA’s Failure: Why a Proactive Approach to Dietary Supplement Regulation is Needed to Effectively Protect Consumers. U Ill L Rev. 1045. 2010.

http://illinoislawreview.org/article/dsheaas-failure-why-a-proactive-approach-to-dietary-supplement-regulation-is-needed-to-effectively-protect-consumers/ Accessed October 22, 2011. Full PDF: http://illinoislawreview.org/wp-content/ilr-content/articles/2010/3/Nowak.pdf
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The Use of Homeopathy: Is It Worth It?

By Unknown on Senin, 14 Mei 2012


Homeopathic practitioners tend to believe that a combination of treatments for symptom relief as well as for disease progression is the most beneficial for the patient.  Those who do not believe in the effectiveness of homeopathy consider successful treatments a result of the placebo effect or positive thinking.  In the age of scientific positivism, idealistic philosophies generally do not fare well.  This brings us to the question: does homeopathy actually work, or is it just a under-studied, over-hyped philosophy?
Similar to allopathic medicine, homeopathy studies the outcome of the treatment and remedy compared to the placebo, and also relies on prescriptions after the full homeopathic evaluation of the patient.   However, different from allopathic medicine, homeopathy considers the whole constitution of the person as opposed to the sole presentation of symptoms.  Some of the diagnosis rely on examination of mental or emotional symptoms, certain sensations, location of symptoms, direction of symptoms, concomitant symptoms, modalities of sensations, intensity and duration of symptoms, onset and sequence of events leading up to the problem are taken into consideration.  Homeopathic practitioners often spend considerable amount of time with patients, obtaining a detailed history, which helps the homeopathic doctor to match the person and the remedy. Although patients may have the same diagnosis, the homeopathic treatment and/or dose is individualized therefore making it difficult conduct large studies.  There have been clinical trials done in homeopathy; however, since homeopathic treatments are personalized to an individual it is difficult to conduct the strict double-blind scientific studies which are generally used to test the validity of allopathic treatments. Conventional scientific wisdom states that homeopathy should have no effect above and beyond placebo. There are however, some experiments on ultra-high dilutions of solutes together with some clinical data that suggests the possibility that there may be health benefits under some circumstances.   Most of the clinical evidence comes from treating relatively minor self-limiting diseases and little comes from treating life-threatening disorders such as cancer, for example    Patients receiving homeopathic care may feel worse before they become better because homeopathic medicines often stimulate, rather than suppress, symptoms. This seeming reversal of logic is a relevant part of homeopathy because symptoms are viewed as the body's effort to restore health.
The experimental aspects of homeopathy date back to the beginning of the practice with outcome measures based upon improvement of symptoms and/or recovery from illness. Homeopathy began with hypotheses based on finding effective ways to improve caring for patients through less barbaric ways than were in practice in the mid 1700’s, including use of bloodletting, purging, cathartics and cupping.  The Law of Similars, formulated by Samuel Hahnemann puts forth the concept that a remedy can cure a disease if it produces similar symptoms in a healthy person. .  Hahnemann used scientific principles and methods to develop chemical compounds.  Hahnemann believed that the detailed association between patient’s clinical symptoms and the experimental pathogenesis of remedies mirrored a universal law of healing with medicinal substances. He first used himself and his family to experiment with various chemical compounds in healthy people.  Hahnemann was very meticulous about recording his observations and his results which are still the basis of the development of homeopathy today.  More clearly stated, the Law of Similars implies that a substance that can produce symptoms in a healthy person can stimulate self healing in a person with similar psychosomatic responses to an illness.   By definition, the underlying principles of homeopathy include treating “like with like” by remedies which are potentized by serial dilution and succession.
 The aspect of the homeopathic treatment working is measured through improvement, which occurs because the body is able to activate its innate ability to heal, leading to important philosophical principles of the practice.  An important foundational and philosophic concept of homeopathy defines health “as a state of freedom existing on three interrelated levels: the physical, the emotional and mental”.   When symptoms are more serious they are affecting the person more deeply. Hering’s Law of Cures, helps to provide a holistic assessment of individual progress following use of specific provings. The three laws describe progression of healing which begins with the deepest part of the organism; the mental and emotional parts and the vital organs. The second law describes the symptoms appearing and disappearing in reverse chronological order of appearance. The third law is that healing will progress from the upper part of the body to the lower part of the body. When there are exceptions to this, the homeopathic principle of assessing if the patient is improving is the final measure of continuation or change in type of treatment used.  Just as in so many scientific disciplines homeopathy is based upon strong scientific mathematical calculations which are driven by hypothesis to prove or disprove a belief or a question. In the case of homeopathy it is “is the patient getting better”? This yields the philosophy of practice. 
            The National Center for Complementary and Alternative Medicine of the United States’ National Institutes of Health states: “Homeopathy is a controversial area of CAM because a number of its key concepts are not consistent with established laws of science (particularly chemistry and physics). Critics think it is implausible that a remedy containing a miniscule amount of an active ingredient (sometimes not a single molecule of the original compound) can have any biological effect—beneficial or otherwise. For these reasons, critics argue that continuing the scientific study of homeopathy is not worthwhile. Others point to observational and anecdotal evidence that homeopathy does work and argue that it should not be rejected just because science has not been able to explain it.”
            Due to the lack of evidence in research, homeopathy remains controversial. In an evidence report review by British House of Commons Science and Technology Committee it was recommended that because the evidence was lacking in homeopathic treatments, the government should stop funding for research. The committee felt that due to the lack of active ingredients, it was basically placebo treatment and deceptive to consumers and patients. The government’s response included comments that CAM, including homeopathy has a long standing history and because the complexities of the placebo effect are not fully understood that it was not the place of the Department of Health to comment on the ethics of treatment in a particular setting.  They did comment that they expected all practitioners to use treatments that are in the best interest of the patient.
        

References:
1. Berquist P. Therapeutic Homeopathy. In D. Rakel, Integrative Medicine (pp. 1175-1186). Philadelphia: Elsevier-Saunders; 2007.
2. Cummings, S., & Ullman, D. Everybody's Guide to Homeopathic Medicines. Los Angeles: Tarcher Inc. 1991.
3.  Carlston M. Homeopathy. In: Fundamentals of Complementary and Alternative Medicine. 4e. St. Louis, Missouri: Saunders Elsevier; 2011(pp343-354).
4.  Homeopathy: Efficacy and Evidence Base. American Institute of Homeopathy. http://homeopathyusa.org/homeopathy-now.html Accessed October 15, 2011.
5.  Shalts E. Homeopathy. In B. Kliger, & R. Lee, Integrative Medicine, Prinicples for Practice (pp. 255-270). New York City: McGraw Hill; 2004.
6.  Paterson, I.C.M. Homeopathy: What Is It and Is It of Value in the Care of Patients with Cancer? Clinical Oncology. 2002;14(3):250-253.
7.  Stehlin I. Homeopathy: Real Medicine or Empty Promises? FDA Consumer. 1996. http://findarticles.com/p/articles/mi_m1370/is_n10_v30/ai_18979004/ Accessed October 15, 2011.
8.  Frass M, SchusterE, Muchitsch I, Duncan J, Kozel G, Reiter C, Endler C, Oberbaum M.   Bias in the trial and reporting of trials of homeopathy: A fundamental breakdown in peer review and standards? American Journal of Alternative and Complementary Medicine. 2005. 11(5):780-782.
10. Milgrom, L.  Falling Trees, Tractals, and Sophistry:Some Philosphical "Biohazards" En Route to Reconciling Biomedicine and Homeopathy. The Journal of Alternative and Complimentary Medicine. Volume 15. Number 11, 2009. Pp.1247-1254.
11.  Homeopathy: An Introduction. Controversies Regarding Homeopathy. National Center for Complementary and Alternative Medicine. http://nccam.nih.gov/health/homeopathy/#contoversiesAccessed October 15, 2011.
13.  Government Response to the Science and Technology Committee report 'Evidence Check 2: Homeopathy’. http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/@ps/documents/digitalasset/dh_117811.pdf   Accessed October 16, 2011.
14.  Vickers, AJ, Smith C.Homoeopathic Oscillococcinum for preventing and treating influenza and influenza-like syndromes. Memorial Sloan-Kettering Cancer Center, Integrative Medicine Service. Cochrane Database Syst Rev. 2009;(3):CD001957.
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Cleaner Products Protect Children

By Unknown on Jumat, 06 April 2012

When it comes to cleaning our homes, we look for safe and effective products that will clean surfaces and kill harmful viruses or bacteria.  But many consumers are tricked into purchasing products which are not safe. In fact, many cleaning products sold to millions of households across America contain harmful ingredients which cause very dangerous ailments when inhaled, ingested, or even  absorbed through the dermis.  The trickery continues when we are convinced that we need to use the dangerous products around our children and pets, only to cause irreversible damage.  Unfortunately, every 30 seconds, another child is poisoned by household cleaning products, and 70% of which are children under age 6.  The reality of it is, many of these young children do not survive; those who do are left permanently damaged.

If you have not seen this short film yet, I ask that you take a moment:
Part 1:  http://www.youtube.com/watch?v=XADBY9-0Io4  
Part 2:  http://www.youtube.com/watch?v=X4yxp7ZemjQ&feature=related


The solution comes in several parts, a) educate yourself with MSDS and product labels, and Google the ingredients you are not familiar with,  b) boycott because it works, refuse to purchase any of these products which have harmful ingredients in them, c) do your research and find products which are naturally derived and safe, d) spread the word, because doing so will save lives.   


For more information, go to my website at www.naturallylivingmom.com
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Consider Acupuncture When Walking With Back Pain is too Painful

By Unknown on Senin, 26 Maret 2012

Chronic low back pain (CLBP) can be a debilitating disorder which can lead to loss of ambulation, often resulting in loss of quality of life.  When it comes to treating the loss of ambulation due to CLBP, there is no one-size-fits-all cure; in fact, managing CLBP alone can be a frustrating ordeal taking many months of trial and error therapies to find the best-fit therapy.  In the medical field, many treatments focus on relieving the pain by addressing only the anatomical problems, leaving limited options such as prescription medication or surgery but fails to address the ambulatory issues associated with the causal symptoms.  However, other means of treating CLBP can provide temporary relief from pain and aid in the restoration of ambulation over time.  One such therapy to consider is acupuncture.

Acupuncture has been around for 3000 years, originating in China.  Acupuncture uses the concept of Qi, or energy, to heal the body.  In America, this ancient art is brought to life by licensed acupuncturists adept in Traditional Chinese Medicine.  For many practitioners, incorporating this ancient healing tradition into modern day practice has many advantages, including enabling their patients to have the capacity of customizing a treatment best suited for them.    

When looking at studies which refer to acupuncture for sufferers of CLBP, it was important to segregate those studies which incorporated exercise or walking as part of the study, either as the control or in both.  Secondly, it was important to look for similarities in those studies and look for correlations.  What I found was absolutely shocking.  
 
Article
Sample
Intervention/
Treatment
Outcomes/
Relieve Pain
Correlation with Ambulation
Witt, C; et al, (2011)
Randomized Control Trial
Class A
Size: 9,990
Age: Adult
Location: Germany
Inclusions: Patients with osteoarthritis of knee or hip, low back pain, neck pain, or headache.
Exclusions: All patients fulfilled predefined diagnosis-specific criteria.
Patients randomized into groups which received routine care, or 10 acupuncture treatments plus routine care for 3 months.
Positive outcome in acupuncture group.
Manipulation techniques and exercise for chronic pain positively correlates with outcome independent of the intervention.


Haake, M; et. al, (2007)
Randoized Control Trial
Class A
Size: 1162
Age: 18 - 86
Location: Germany
Inclusions: History of chronic low back pain for 6 months.
Exclusions: Previous spinal surgery, spinal fractures, infectious or tumorous spondylopathy or disease-influenced chronic pain.
Patients randomized into 3 groups, acupuncture, sham, and conventional therapy. Conventional therapy included 10 sessions with personal
contact with a physician or physiotherapist who administered physiotherapy and exercise.
Acupuncture was not superior to sham. Both treatments were positive over conventional treatment alone.
Half the patients in both groups experienced clinically relevant improvement in pain intensity or back-specific disability.
Weidenhammer, W. et al. (2007)
Cohort Observational Study
Class A
Size: 2564
Age: adult
Location:
Germany
Inclusions: Diagnosis of either lumbago with sciatica or back pain with complaints lasting 6 months.
Exclusions: No indication of other disease conflicting and no acupuncture treatments in previous 6 months.
Patients filled out questionnaires which included intensity and frequency of pain, functionality, depression, and QOL before and after 6 months of acupuncture treatments.
45.5% of patients showed significant improvement in functionality. Mean number of days with pain decreased by half. Employed patients reported 30% decrease from baseline of work days lost.
Number of days off work for employed patients decreased over 6-month observational period and their functionality improved slightly.
MacPherson, H; et al, (2004)
Randomized Control Trial
Class A
Size: 148
Age: Adults
Location: UK
Inclusions: Low back pain lasting more than 4 weeks and less than a year.
Exclusions: Patients with back pain resolved prior to treatments.
241 patients randomized in a ratio 2:1 leaving 160 to receive up to ten individualized treatments including acupuncture, cupping, herbs, exercise and lifestyle advice (12 patients were excluded).
Diagnoses among patients were individually based, however, a theme emerged with Qi and Blood Stagnation being the most prevalent.
A combination of adjunct therapies were also prescribed, including yoga and specific exercises.
Yip, Y; et al (2004)
Randomized Controlled Trial
Class A
Size: 51
Age: adult
Location: China
Inclusions: Patients who had non-specific sub-acute LBP for most days in the past 4 weeks, had not received acupuncture, physiotherapy, or manipulative therapy in the past week, and would comprehend and comply with the study guidelines.
Exclusions: Patients who had LBP caused by disorders, infections, or diseases, undergone surgery, pregnant, had allergies to lavender, or had wounds at acupoint sites.
Patients randomized into control group or treatment group for a 3 week trial. Control group received normal therapy while treatment group received 8 sessions of relaxation acupoint stimulation and acupressure with lavender oil.
8 sessions of acupoint and acupressure with lavender oil was not effective in relieving short-term LBP.
By combining traditional therapies with alternative therapies, short-term reduction in LBP is possible.
________________________________________________________________________________

What was found is that although acupuncture did not appear to work on CLBP alone, however conjunctive therapies which incorporated acupuncture worked on the majority of the patients.  Part of the therapies which helped decrease pain was exercise, changing to a better diet, and physician-monitored care.  More importantly, when looking at a study focusing on acupoint therapy, the subjects were able to walk for longer and  farther after the sessions than before the study started.

Conclusion:  Considering acupuncture for CLBP may be a good idea, but it is an even better when it is used as a part of a therapeutic routine which includes exercise, healthy diet, and the normal medical treatments prescribed by physician.  It perhaps is circular logic, but in order to walk farther without CLBP, one needs to walk more.  As far as enhancing quality of life, incorporating a healthy routine with preventative maintenance and sticking with the new regimen will help to decrease the pain enough to lead a relatively normal life.       


Resources 
Haake, M; Muller, H; Schade-Brittinger. C; Basler, H; Schafer, H; Maier, C;
Endres, H; Trampisch, H; Molsberger, A, (2007) German Acupuncture Trials (GERAC)
for Chronic Low Back Pain Randomized, Multicenter, Blinded, Parallel-Group Trial With 3 Groups Arch Intern Med. 2007;167(17)   

 MacPhersona, H; Thorpe, L;  Thomasb, K; Campbellc, M. (2003) Acupuncture for low back pain: traditional diagnosis and treatment of 148 patients in a clinical trial. Complimentary Therapies in Medicine V 12: 38-44

Weidenhammer, Q; Linde, K; Streng, A;  Hoppe, A; Melchart, D. (2007) Acupuncture for Chronic Low Back Pain in Routine Care A Multicenter Observational Study Clinical Journal of Pain Volume 23: 2
  
Witt, C.;  Schutzler, L; Ludtke, R; Wegscheider, R;  Willich, S.  (2011)
Patient Characteristics and Variation in Treatment Outcomes:
Which Patients Benefit Most From Acupuncture for Chronic Pain? Clinical Journal of Pain V 27:550–555

Yip, Y; Tse, S. (2004) The effectiveness of relaxation acupoint stimulation and acupressure with aromatic lavender essential oil for non-specific low back pain in Hong Kong: a randomised controlled trial. Complimentary Therapies in Medicine V 12: 28-37


        
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