FDNS 4600 1st Edition Lecture 33Outline of Past Lecture I. What are food additives?II. Facts about food additivesIII. The Federal Food, Drug, and Cosmetic ActIV. Food Additive AmendmentV. Product labelOutline of Current LectureI. Comparison of Web Site Information on Products with Known Safety WarningsII. Consumerlabs.comIII. Contamination and AdulterationIV. Helpful Dietary Supplements?V. Opinions so far?VI. Kava Case StudyCurrent LectureI. Comparison of Web Site Information on Products with Known Safety Warningsa. What they are used fori. Black Cohosh- used for menopause/menstruation ii. Kava- anxietyiii. St. John’s Wort- depressionb. Notice the variation in statistics!c. Always check what the source d. Council for Responsible Nutrition- stays up to date with all of their information. Especially the legislation aspect of lawsII. Consumerlabs.coma. Independent lab that runs chemical analysis of supplementsb. Found that about 40% of multivitamins have defectsc. Recently found that cocoa has nutritional benefitsi. Need the chemical analysis to find which type of cocoa is the bestii. Other factors may contribute to the chemical make up. Ei- where it is grownThese notes represent a detailed interpretation of the professor’s lecture. GradeBuddy is best used as a supplement to your own notes, not as a substitute.d. Vitamin D supplements have been found to have wrong amounts, lead contamination, and pills that won’t break apartIII. Contamination and Adulterationa. What is a systematic review? i. More of a literature review, well define the articles that were accurate, just below a meta-analysisb. What is a database? i. Have all of the articles: Pubmed, web of science, Cochrane Reviews, Google Scholar, Science Directc. How to avoid these health risks?i. Consumerlab.com!!!!IV. Helpful Dietary Supplements?a. Guidelines for Americans or FDA Health Claims):b. Pregnancy? i. Folic acid, iron c. Older adults? i. Calcium, vitamin D, B12* d. Vitamin D? i. People with light skin, regional areas (Boston vs Florida), older people, womenV. Opinions so far?a. Consult your doctor firstb. Issues with harmony between medicine, supplements, and foods due to policy VI. Kava Case Studya. Helps with anxiety b. Meta-analysis found that it was safe and helpfulc. Cochrane Database says that it was safe alsod. FDA i. Issued consumer advisors that kava products may be associated with severe liver injury.ii. It may be rare, but still reportiii. Kava has many different names e. CDCi. Hepatic (liver) toxicity possible associate with kava-containing productsii. 14- years old- flu like symptoms and then admitted into the hospital with liver problems. She used kava products in the preceding months. She ended up needing a liver transplant. iii. Overall about 24 cases in the morbidity and mortality iv. Case study pick up very rare events so be cautious. Also alcohol may have some effect in these
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