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VITAMIN SUPPLEMENTS
Vitamin Use: People
living with HIV infection (PLWHIV) spend a significant part of their money
on complementary treatments such as botanicals and other dietary supplements
(Nov/Dec 1999 HIV ReSource Review). Information at the Office of Dietary
Supplements (ODS) web site notes from 1994-2000, U.S. government surveys
documented daily use of vitamin and mineral supplements by one-half to
one-third of Americans. An overview of definitions of a dietary supplement
and related issues is provided by the U.S. Food and Drug Administration
(FDA) Center for
Food Safety and Applied Nutrition.
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The sale of dietary supplements
continues to grow. The National Center for Health Statistics (NCHS) is
monitoring dietary supplement usage for the NHANES: What We Eat in America
initiative. U.S. Department of Agriculture (USDA), Agricultural Research
Service (ARS) research efforts to seek improvements to the National Nutrient
Databank resulted in development of the Dietary Supplement Ingredient Database
(DSID). (1) Proceedings of “Future Directions for What We Eat in America—NHANES:
The Integrated CSFII- NHANES” where the DSID project was conceived are
in a 2003 Journal of Nutrition.
Further information is at the ODS
web site. Review a list of popular dietary supplements noted by a U.S.
consumer group at the British
Medical Journal web site.
Evidence noting the need
for and effectiveness of vitamin and mineral supplements is very limited
for PLWHIV with most of it documented before the widespread use of HAART
(highly active antiretroviral therapy). Patients continue to take dietary
supplements including vitamins and minerals along with other complementary
alternative therapies despite negative interactions such as their ability
to reduce the effectiveness of antiretrovirals. (2) |
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Need
for Vitamin Supplements: A recent press release from UNICEF reports
that reducing vitamin deficiency can help to improve world economy. (3)
UNICEF and the Micronutrient Initiative report the lack of basic vitamins
and minerals in the diet is damaging the health of one-third of the world's
people and holding back the economic development of virtually every country
in the southern hemisphere. Some 2 billion people live below their physical
and mental potential due to a lack of key vitamins and minerals, which
impair intellectual development, compromise immune systems, and provoke
birth defects. UNICEF Executive Director Carol Bellamy notes, “We have
to protect entire populations against the devastating consequences of vitamin
and mineral deficiency, especially children.”
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Copyright 2004 HIV ReSources,
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HIV ReSources, Inc.
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6/1/2004
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