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Dietary Supplement Use During Cancer Treatment: Issues and Tools for Success

Dietary Supplement Use During Cancer Treatment: Issues and Tools for Success. Jennifer Barrickman, PhD Student Walden University PUBH 8165-10 Instructor: Howard Rubin, PhD Winter, 2010. Objectives. Definition Background Issues Tools. Background.

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Dietary Supplement Use During Cancer Treatment: Issues and Tools for Success

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  1. Dietary Supplement Use During Cancer Treatment: Issues and Tools for Success Jennifer Barrickman, PhD Student Walden University PUBH 8165-10 Instructor: Howard Rubin, PhD Winter, 2010

  2. Objectives • Definition • Background • Issues • Tools

  3. Background Miller , M.F ., Bellizzi, K.M., Sufian, M., Ambs, A.H., Goldstein, M.S., &Ballard-Barbash, R. (2008). Dietary supplement use in individuals living with cancer and other chronic conditions: a population-based study. Journal of the American Dietary Association, 108(3), 483-494.

  4. Definition National Center for Complementary and Alternative Medicine [NCCAM]. (2009). Using dietary supplements wisely. (NCCAM Publication No. D426). Bethesda, MD.

  5. Regulation 1963 1994 2005 2008-2010 FDA. (2009). Overview of dietary supplements. Retrieved January 20, 2010, from http://www.fda.gov/Food/DietarySupplements/ConsumerInformation/ ucm110417.htm#what NCCAM. (2009). Using dietary supplements wisely. (NCCAM Publication No. D426). Bethesda, MD.

  6. The Market • $23.7 billion industry (Gorski, 2008) • Approximately 80% use supplements (Werneke et al., 2004) Consumer Healthcare Product Association. (2010). Dietary supplement facts and figures. Retrieved January 24, 2010, from http://www.chpa-info.org/pressroom/DS_ FactsFigures.aspx Gorski, D. (2008). The Dietary Supplement Safety Act of 2010: A long overdue correction to the DSHEA of 1994. Retrieved January 16, 2011, from http://www.sciencebasedmedicine.org/?p=3772 Werneke, U., Earl, J., Seydel, C., Horn, O., Crichton, P., & Fannon, D. (2004). Potential health risks of complementary alternative medicines in cancer patients. British Journal of Cancer, 90, 408-413.

  7. Issues • General Public Health • Cancer Patients American Cancer Society. (2010). Dietary supplements: How to know what is safe. Retrieved January 17, 2011, from http://www.cancer.org/acs/groups/cid/documents/webcontent/002385-pdf.pdf

  8. Impact of Weak Regulation FDA. (2010). Dietary supplements. Retrieved January 15, 2010, from http://www.fda.gov/Food/DietarySupplements/ Gardiner, P., Phillips, R., & Shaughnessy, A. P. (2008). Herbal and dietary supplement-drug interactions in patients with chronic illness. American Family Physician, 77 (1), 73-78. NCCAM. (2010). Herbs at a glance: Ephedra. Retrieved February 5, 2011, from http://nccam.nih.gov/health/ephedra/#cautions. van der Voet, G. B., Sarafanov, A., Todorov, T. I., Centeno, J. A., Jonas, W. B., Ives, J. A., & Mullick, F. G. (2008). Clinical and analytical toxicology of dietary supplements: A case study and a review of the literature. Biology Trace Element Research. 125, 1-12. doi: 10.1007/s12011-008-8157-0

  9. Risks • Natural ≠ safe (NCCAM, 2009) • Examples of interactions FDA. (2009). Overview of dietary supplements. Retrieved January 20, 2010, from http://www.fda.gov/Food/DietarySupplements/ConsumerInformation/ ucm110417.htm#what National Library of Medicine. (2010). Dietary supplements labels database. Retrieved January 18, 2011, from http://dietarysupplements.nlm.nih.gov/dietary/

  10. Potential Adverse Effects NCCAM. (2011). Herbs at a glance. Retrieved February 5, 2011, from http://nccam.nih.gov/health/herbsataglance.htm

  11. False claims Office of Dietary Supplements. (n.d.). Dietary Supplements: Background information. Retrieved January 15, 2011, from http://ods.od.nih.gov/factsheets/dietarysupplements/ Oh, V. (1998). The powerful placebo: From ancient priest to modern physician/complementary medicine: A research perspective. British Medical Journal. 316, 1397.

  12. Lack of Dialogue • Awareness • Embarrassment • Reliable information • Time Gardiner, P., Phillips, R., & Shaughnessy, A. P. (2008). Herbal and dietary supplement-drug interactions in patients with chronic illness. American Family Physician, 77 (1), 73-78.

  13. Progress American Cancer Society. (2010). Dietary supplements: How to know what is safe. Retrieved January 17, 2011, from http://www.cancer.org/acs/groups/cid/documents/webcontent/002385-pdf.pdf U.S. Pharmacopeia. (2011). About USP. Retrieved January 17, 2011, from http://www.usp.org/aboutUSP/

  14. Tools • “Time to Talk” • RSS feed • Education • Support groups • Mentors • Valid websites FDA. (2010). Dietary supplements. Retrieved January 15, 2010, from http://www.fda.gov/Food/DietarySupplements/ National Center for Complementary and Alternative Medicine. (2009). Using dietary supplements wisely. (NCCAM Publication No. D426). Bethesda, MD.

  15. Call to Action • Talk • Listen • Use tools

  16. References American Cancer Society. (2010). Dietary supplements: How to know what is safe. Retrieved January 17, 2011, from http://www.cancer.org/acs/groups/cid/documents/webcontent/002385-pdf.pdf Consumer Healthcare Product Association. (2010). Dietary supplement facts and figures. Retrieved January 24, 2010, from http://www.chpa-info.org/pressroom/DS_ FactsFigures.aspx FDA. (2009). Overview of dietary supplements. Retrieved January 20, 2010, from http://www.fda.gov/Food/DietarySupplements/ConsumerInformation/ ucm110417.htm#what FDA. (2010). Dietary supplements. Retrieved January 15, 2010, from http://www.fda.gov/Food/DietarySupplements/ Gardiner, P., Phillips, R., & Shaughnessy, A. P. (2008). Herbal and dietary supplement-drug interactions in patients with chronic illness. American Family Physician, 77 (1), 73-78. Gorski, D. (2008). The Dietary Supplement Safety Act of 2010: A long overdue correction to the DSHEA of 1994. Retrieved January 16, 2011, from http://www.sciencebasedmedicine.org/?p=3772 Miejerman, I., Beijnan, J. H., Schellens, J. H. M. (2006). Herb-drug interactions in oncology: Focus on mechanisms of induction. The Oncologist, 11(7), 742-752.. Retrieved January 18, 2011, from http://theoncologist.alphamedpress.org/cgi/content/full/11/7/742 Miller , M.F ., Bellizzi, K.M., Sufian, M., Ambs, A.H., Goldstein, M.S., &Ballard-Barbash, R. (2008). Dietary supplement use in individuals living with cancer and other chronic conditions: a population-based study. Journal of the American Dietary Association, 108(3), 483-494.

  17. References (cont.) National Center for Complementary and Alternative Medicine. (2009). Using dietary supplements wisely. (NCCAM Publication No. D426). Bethesda, MD. National Institutes of Health, Office of Dietary Supplements. (2010). About dietary supplements. Retrieved from http://dietary-supplements.info.nih.gov/pubs/ partnersbrochure.asp National Library of Medicine. (2010). Dietary supplements labels database. Retrieved January 18, 2011, from http://dietarysupplements.nlm.nih.gov/dietary/ Office of Dietary Supplements. (n.d.). Dietary Supplements: Background information. Retrieved January 15, 2011, from http://ods.od.nih.gov/factsheets/dietarysupplements/ Oh, V. (1998). The powerful placebo: From ancient priest to modern physician/complementary medicine: A research perspective. British Medical Journal. 316, 1397. U.S. Pharmacopeia. (2011). About USP. Retrieved January 17, 2011, from http://www.usp.org/aboutUSP/ van der Voet, G. B., Sarafanov, A., Todorov, T. I., Centeno, J. A., Jonas, W. B., Ives, J. A., & Mullick, F. G. (2008). Clinical and analytical toxicology of dietary supplements: A case study and a review of the literature. Biology Trace Element Research. 125, 1-12. doi: 10.1007/s12011-008-8157-0 Werneke, U., Earl, J., Seydel, C., Horn, O., Crichton, P., & Fannon, D. (2004). Potential health risks of complementary alternative medicines in cancer patients. British Journal of Cancer, 90, 408-413.

  18. For Further Information… • http://nccam.nih.gov/timetotalk/ • http://www.fda.gov/food/dietarysupplements/default.htm • http://www.cancer.gov/ncicancerbulletin/081109/page6 • http://dietarysupplements.nlm.nih.gov/dietary/ • http://www.fda.gov/Food/DietarySupplements/Alerts/default.htm • www.nci.gov • www.cancer.org • www.asco.org • http://www.fda.gov/AboutFDA/ContactFDA/StayInformed/RSSFeeds/TDS/rss.xml

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