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SUPPLEMENTS
ARE THEY EVEN
THAT IMPORTANT
by
Manuel A. Trevino
THEY DON’T MAKETHEY DON’T MAKE
PRODUCELIKETHEYPRODUCELIKETHEY
U S E D T OU S E D T O
ACROSS THE GLOBE
LAST 100 YEARS
72% EUROPE
85% N. AMERICA
76% ASIA
NUTRIENT SOIL DEPLETION
SOIL DEPLETION
NH
4
Ca
K
Mg
Na
Zn
Mn
Fe
Co
Cu
P
Cl
S
N
Under ideal circumstances, plants absorb 70 to 80
different minerals from the soil
http://www.ion.ac.uk/information/onarchives/soilmineraldepletion
Mo
Si
B
I
SOIL DEPLETION
In the mid 1800’s German chemist Justus von Liebig conducted experiments using primitive equipment
determining what elements were essential for plant growth. He only identified three –
nitrogen, phosphorus and potassium – known by their chemical symbols as NPK
http://www.ion.ac.uk/information/onarchives/soilmineraldepletion
P
Cl
S
N
NH
4
Ca
K
Mg
Na
Zn
Mn
Fe
Co
Cu
Mo
Si
B
I
$OIL DEPLETION
$
$
K
$
$
$
$
$
$
$
P
$
$
N
$
$
$
$
His experiments laid the foundation for a lucrative agrochemical industry, selling NPK fertilizers to farmers,
with the promise of miraculously increased yields. NPK fertilizers have certainly revolutionized agriculture,
but at the cost of a tragic degradation in the quality of the soil.
http://www.ion.ac.uk/information/onarchives/soilmineraldepletion
SOIL DEPLETION
NOW
POTASSIUM CALCIUM MAGNESIUMZINC IRON
-59% -27% -19% -46%% -24%
SOIL DEPLETION
FACT
IF IT ISN’T IN THE SOIL, IT IS NOT GETTING INTO OUR FOODS
COLLARD GREENS
VITAMIN C CALCIUM VITAMIN AVITAMINS
MINERALS
1960’S NOW
66% LESS 29% LESS 43% LESS
CORN
VITAMINS
MINERALS
1960’S
CALCIUM
NOW
78% LESS
PINEAPPLE
VITAMINS
MINERALS
1960’S
CALCIUM HAS
ALMOST DISAPPEARED
NOW
WHO IS TAKING VITAMINS?
If the use of dietary supplements is this common among the U.S. adult population, and
has increased since the National Health and Nutrition Examination Survey
(NHANES) III (1988–1994), why are we deficient?
53%
Americans taking some type of multivitamin
http://www.cdc.gov/nchs/data/databriefs/db61.htm
VITAMIN AND MINERAL
IN THE UNITED STATES
VITAMIN E CALCIUM MAGNESIUM
97% 89% 88% 63% 64% 67%
DEFICIENCIES
NHANES 2001-2002 USDA J. Nutrition 140:817:2010
VITAMIN AND MINERAL
IN THE UNITED STATES
VITAMIN A VITAMIN C VITAMIN D
48% 57% 38% 40% 59% 59%
DEFICIENCIES
NHANES 2001-2002 USDA J. Nutrition 140:817:2010
THEY DON’T MAKETHEY DON’T MAKE
PORTIONSLIKETHEY
U S E D T OU S E D T O
PORTIONSLIKETHEY
FOOD PORTIONS
3 INCH 6 INCH
1996 2016
INCREASE IN 20 YEARS
FOOD PORTIONS
4.5 oz 8 oz
1996 2016
INCREASE IN 20 YEARS
FOOD PORTIONS
5 cups 11 cups
1996 2016
INCREASE IN 20 YEARS
FOOD PORTIONS
6.5 oz 20 oz
1996 2016
INCREASE IN 20 YEARS
FOOD PORTIONS
INCREASE IN 20 YEARS
1996 2016
2000 cal/day 3595 cal/day
FOOD PORTIONS
INCREASE IN 20 YEARS
FOOD PORTIONS
INCREASE IN 20 YEARS
1996 2016
In one day, you would consume 1,595 more calories
than if you had the same foods at typical portions
served 20 years ago
FOOD PORTIONS
INCREASE IN 20 YEARS
1996 2016
Over the course of one year, if consumed daily, the
larger portions could amount to more than
500,000 extra calories.
Obesity Trends
among U.S Adults
http://www.cdc.gov/obesity/data/prevalence
Obesity Trends
among U.S Adults
http://www.cdc.gov/obesity/data/prevalence
Obesity Trends
among U.S Adults
http://www.cdc.gov/obesity/data/prevalence
Obesity Trends
among U.S Adults
http://www.cdc.gov/obesity/data/prevalence
http://www.cdc.gov/obesity/data/prevalence
Obesity Trends
among U.S Adults
OVERFED & UNDERNOURISHED
How can we make a difference?
CHOOSING THE RIGHT SUPPLEMENT
Find a company that follows Pharmaceutical-grade Good Manufacturing Practices (GMP).
Products are tested to ensure pharmaceutical grade quality.
http://www.fda.gov/Drugs/DevelopmentApprovalProcess/Manufacturing/ucm169105.htm
CHOOSING THE RIGHT SUPPLEMENT
Most companies follow Food-grade Good Manufacturing Practices (GMP).
May be labeled without a regulation authorizing such a claim
for a specific vitamin or mineral
http://www.fda.gov/ : 21 CFR 101.13(b), 21 CFR 101.13(a)
Find a product that is produced in an FDA-Registered facility.
CHOOSING THE RIGHT SUPPLEMENT
Find a company that submits their products to third
party testing laboratories such as NSF
CHOOSING THE RIGHT SUPPLEMENT
Supplements found in 4 Major retail stores failed
to have any of the ingredients they claimed.
CHOOSING THE RIGHT SUPPLEMENT
Live your life to the fullest, without compromise.
REFERENCES
• Moshfegh, A. (2005, September 1). What We Eat in America. Retrieved January 11,
2016, from
http://www.ars.usda.gov/SP2UserFiles/Place/80400530/pdf/0102/usualintaketables2001-
02.pdf
• http://www.cdc.gov/obesity/data/prevalence
• http://www.nhlbi.nih.gov/health/educational/wecan/news-events/matte1.htm
• http://www.ion.ac.uk/information/onarchives/soilmineraldepletion
• http://oig.hhs.gov/oei/reports/oei-01-11-00210.asp
• http://www.fda.gov/Food/GuidanceRegulation/GuidanceDocumentsRegulatoryInformation
/LabelingNutrition/ucm064908.htm#nutrcontent
• http://www.fda.gov/Drugs/DevelopmentApprovalProcess/Manufacturing/ucm169105.htm
• http://www.nsf.org/services/by-industry/dietary-supplements
• http://www.cdc.gov/nchs/data/databriefs/db61.htm

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Supplements. Are They Even That Important?

  • 1. SUPPLEMENTS ARE THEY EVEN THAT IMPORTANT by Manuel A. Trevino
  • 2. THEY DON’T MAKETHEY DON’T MAKE PRODUCELIKETHEYPRODUCELIKETHEY U S E D T OU S E D T O
  • 3. ACROSS THE GLOBE LAST 100 YEARS 72% EUROPE 85% N. AMERICA 76% ASIA NUTRIENT SOIL DEPLETION
  • 4. SOIL DEPLETION NH 4 Ca K Mg Na Zn Mn Fe Co Cu P Cl S N Under ideal circumstances, plants absorb 70 to 80 different minerals from the soil http://www.ion.ac.uk/information/onarchives/soilmineraldepletion Mo Si B I
  • 5. SOIL DEPLETION In the mid 1800’s German chemist Justus von Liebig conducted experiments using primitive equipment determining what elements were essential for plant growth. He only identified three – nitrogen, phosphorus and potassium – known by their chemical symbols as NPK http://www.ion.ac.uk/information/onarchives/soilmineraldepletion P Cl S N NH 4 Ca K Mg Na Zn Mn Fe Co Cu Mo Si B I
  • 6. $OIL DEPLETION $ $ K $ $ $ $ $ $ $ P $ $ N $ $ $ $ His experiments laid the foundation for a lucrative agrochemical industry, selling NPK fertilizers to farmers, with the promise of miraculously increased yields. NPK fertilizers have certainly revolutionized agriculture, but at the cost of a tragic degradation in the quality of the soil. http://www.ion.ac.uk/information/onarchives/soilmineraldepletion
  • 7. SOIL DEPLETION NOW POTASSIUM CALCIUM MAGNESIUMZINC IRON -59% -27% -19% -46%% -24%
  • 8. SOIL DEPLETION FACT IF IT ISN’T IN THE SOIL, IT IS NOT GETTING INTO OUR FOODS
  • 9. COLLARD GREENS VITAMIN C CALCIUM VITAMIN AVITAMINS MINERALS 1960’S NOW 66% LESS 29% LESS 43% LESS
  • 12. WHO IS TAKING VITAMINS? If the use of dietary supplements is this common among the U.S. adult population, and has increased since the National Health and Nutrition Examination Survey (NHANES) III (1988–1994), why are we deficient? 53% Americans taking some type of multivitamin http://www.cdc.gov/nchs/data/databriefs/db61.htm
  • 13. VITAMIN AND MINERAL IN THE UNITED STATES VITAMIN E CALCIUM MAGNESIUM 97% 89% 88% 63% 64% 67% DEFICIENCIES NHANES 2001-2002 USDA J. Nutrition 140:817:2010
  • 14. VITAMIN AND MINERAL IN THE UNITED STATES VITAMIN A VITAMIN C VITAMIN D 48% 57% 38% 40% 59% 59% DEFICIENCIES NHANES 2001-2002 USDA J. Nutrition 140:817:2010
  • 15. THEY DON’T MAKETHEY DON’T MAKE PORTIONSLIKETHEY U S E D T OU S E D T O PORTIONSLIKETHEY
  • 16. FOOD PORTIONS 3 INCH 6 INCH 1996 2016 INCREASE IN 20 YEARS
  • 17. FOOD PORTIONS 4.5 oz 8 oz 1996 2016 INCREASE IN 20 YEARS
  • 18. FOOD PORTIONS 5 cups 11 cups 1996 2016 INCREASE IN 20 YEARS
  • 19. FOOD PORTIONS 6.5 oz 20 oz 1996 2016 INCREASE IN 20 YEARS
  • 20. FOOD PORTIONS INCREASE IN 20 YEARS 1996 2016 2000 cal/day 3595 cal/day FOOD PORTIONS INCREASE IN 20 YEARS
  • 21. FOOD PORTIONS INCREASE IN 20 YEARS 1996 2016 In one day, you would consume 1,595 more calories than if you had the same foods at typical portions served 20 years ago
  • 22. FOOD PORTIONS INCREASE IN 20 YEARS 1996 2016 Over the course of one year, if consumed daily, the larger portions could amount to more than 500,000 extra calories.
  • 23. Obesity Trends among U.S Adults http://www.cdc.gov/obesity/data/prevalence
  • 24. Obesity Trends among U.S Adults http://www.cdc.gov/obesity/data/prevalence
  • 25. Obesity Trends among U.S Adults http://www.cdc.gov/obesity/data/prevalence
  • 26. Obesity Trends among U.S Adults http://www.cdc.gov/obesity/data/prevalence
  • 28. OVERFED & UNDERNOURISHED How can we make a difference?
  • 29. CHOOSING THE RIGHT SUPPLEMENT Find a company that follows Pharmaceutical-grade Good Manufacturing Practices (GMP). Products are tested to ensure pharmaceutical grade quality. http://www.fda.gov/Drugs/DevelopmentApprovalProcess/Manufacturing/ucm169105.htm
  • 30. CHOOSING THE RIGHT SUPPLEMENT Most companies follow Food-grade Good Manufacturing Practices (GMP). May be labeled without a regulation authorizing such a claim for a specific vitamin or mineral http://www.fda.gov/ : 21 CFR 101.13(b), 21 CFR 101.13(a)
  • 31. Find a product that is produced in an FDA-Registered facility. CHOOSING THE RIGHT SUPPLEMENT
  • 32. Find a company that submits their products to third party testing laboratories such as NSF CHOOSING THE RIGHT SUPPLEMENT
  • 33. Supplements found in 4 Major retail stores failed to have any of the ingredients they claimed. CHOOSING THE RIGHT SUPPLEMENT
  • 34. Live your life to the fullest, without compromise.
  • 35. REFERENCES • Moshfegh, A. (2005, September 1). What We Eat in America. Retrieved January 11, 2016, from http://www.ars.usda.gov/SP2UserFiles/Place/80400530/pdf/0102/usualintaketables2001- 02.pdf • http://www.cdc.gov/obesity/data/prevalence • http://www.nhlbi.nih.gov/health/educational/wecan/news-events/matte1.htm • http://www.ion.ac.uk/information/onarchives/soilmineraldepletion • http://oig.hhs.gov/oei/reports/oei-01-11-00210.asp • http://www.fda.gov/Food/GuidanceRegulation/GuidanceDocumentsRegulatoryInformation /LabelingNutrition/ucm064908.htm#nutrcontent • http://www.fda.gov/Drugs/DevelopmentApprovalProcess/Manufacturing/ucm169105.htm • http://www.nsf.org/services/by-industry/dietary-supplements • http://www.cdc.gov/nchs/data/databriefs/db61.htm