1. Unit 9: Dietary Supplements and Alternative Medicine

2.  Dietary Supplements  DSHEA  Supplement Claims  Domains of CAM  Discussion

3.  Product taken by mouth that contains a "dietary ingredient" intended to supplement the diet.  “Dietary Ingredients" may include: ◦ Vitamins, minerals ◦ Herbs or botanicals ◦ Amino acids ◦ Enzymes ◦ Glandulars ◦ Metabolites ◦ Extracts or concentrates

4.  What are some supplements you have heard of? Taken? Known someone who has taken?  What may be a benefit of taking a dietary supplement?  What can be a negative of dietary supplement use?

5.  Dietary Supplement Health and Education Act of 1994  To help ensure that dietary supplements are safe and labels are truthful.  Manufacturer is responsible for ensuring that a dietary supplement is safe before it is marketed; do not have to be preapproved by FDA  FDA is responsible for taking action against any unsafe dietary supplement product after it reaches the market.

6.  Claims may not be made about using dietary supplements to diagnose, prevent, treat, or cure a specific disease.  Manufacturers may make three types of claims: ◦ Health/disease claims: strong scientific evidence exists that shows relationship ◦ Structure/function claims ◦ Nutrient content claims

7. 1. Alternative Medical Systems 2. Mind-Body Interventions 3. Biological-Based Therapies 4. Manipulative and Body-Based Methods 5. Energy Therapies

8.  Belief that body has power to heal itself.  Healing by techniques involving mind, body, spirit.  Examples: ◦ Traditional Chinese Medicine ◦ Ayurvedic ◦ Homeopathy ◦ Naturopathy

9.  An approach to healing that uses power of thoughts and emotions to positively influence physical health.  Focuses on the interactions among the brain, mind, body, and behavior  Examples: ◦ Relaxation, hypnosis, visual imagery, meditation, yoga, biofeedback, tai chi, cognitive-behavioral therapies, group support, and spirituality.

10.  Herbs  Vitamins/minerals  Functional Foods ◦ Stanols/sterols: may reduce risk of CHD ◦ Probiotics: may improve GI health ◦ Lycopene: may contribute to maintenance of prostate health ◦ Lutein: may contribute to maintenance of healthy vision  Dietary Supplements

11.  Manipulation of movement of 1 or more body part  Chiropractic manipulation  Massage  Reflexology

12.  Belief that imbalances in the body's energy fields result in illness 1. Biofield therapies: ◦ Reiki ◦ Acupuncture 2. Bioelectromagnetic-based therapies: ◦ Magnetic Therapy ◦ Light Therapy

13.  What concerns do you have about CAM?  What advice would you give someone who is interested in CAM?

14.  National Center for Complementary and Alternative Medicine (NCCAM) http://nccam.nih.gov/ http://nccam.nih.gov/  Office of Dietary Supplements http://www.ods.od.nih.gov/