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Nut utrition rition and nd Su Supplement lements s Jane Skapinker, R.D. January 13 th Agen enda da Review challenge nutrition levels Hydration Supplements Probiotics Omegas Iron Calcium Vitamin D Goal


  1. Nut utrition rition and nd Su Supplement lements s Jane Skapinker, R.D. January 13 th

  2. Agen enda da  Review challenge nutrition levels  Hydration  Supplements  Probiotics  Omegas  Iron  Calcium  Vitamin D  Goal Setting

  3. Hy Hydr drat atio ion n  Challenge rules: “Drink 1/3 of your bodyweight in ounces each day of water (20 ml per kg of bodyweight) to earn 1 point for this daily habit. Neither coffee nor alcoholic beverages count towards your water requirement, but non- caffeinated beverages do count.”  1 ounce = ~30mL

  4. Di Dieta tary y Sup upplemen ements ts  Includes vitamins, minerals, herbs, botanicals, enzymes, amino acids, and more.  Available mostly without a prescription  Please check with your doctor whether you need a supplement based on your current lifestyle, and medications  To identify if a product has been authorized for sale in Canada look for the 8 digit NPN (Natural Product Number) or DIN-HM (Homeopathic Medicine Number)

  5. Probiotics  Bacteria that can help keep the natural balance of microflora in the intestine.  Helps with digestion, bloating, IBS, constipation, diarrhea, etc.  Lactobacillus and Bifidobacterium  Prebiotics- non digestible carbohydates that act as “food”for the probiotics and helps them multiply (e.g. artichokes, bananas, onion)

  6. Om Omeg egas as  Omega-3 fats are a type of polyunsaturated fat known to benefit heart health. There are three main omega-3 fats found in foods:  Alpha-linolenic acid (ALA)  Vegetable oils (canola, soybean, flaxseed)  Eicosapentaenoic acid (EPA)  Docosahexaenoic acid (DHA)  Both found in seafood, including fatty fish (salmon, tuna, trout) and shellfish (crab, mussels, oysters)

  7. Omeg ega-3s s Sup upple lementa entati tion on  Fish oil supplements contain doses ranging from 250mg to 2000mg  Should I take a fish oil supplement?  Canada's Food Guide recommends Canadians eat two 75 gram (or 2 ½ ounce) servings of fatty fish each week. A 75 gram serving is the size of a deck of cards. Two servings of fatty fish is equal to about 2000mg to 3000mg of omega-3 fat each week. Or, it is equal to 300 to 450mg per day

  8. Om Omeg ega-3s 3s Sup upplem lementa entati tion on  You may want to take a supplement if:  Do not like to eat fish  Are vegetarian or vegan  Are at risk of heart disease  Have heart disease  Need to lower triglyceride levels  Health Canada says that fish oil supplements are safe for adults at a dose of up to 3000mg per day .

  9. Ir Iron on  Iron is a mineral that is naturally present in food  There are 2 types of iron  “ heme” iron = comes from animal sources  Found in: meat, fish, and poultry  This type of iron is easily absorbed in the body  “ non- heme” iron = comes from plant sources  Found in: dried beans, peas, lentils, and some fruits and vegetables  In Canada some grain products including flour, pasta, and breakfast cereals are fortified with iron  Iron is better absorbed when taken with a source of Vitamin C (found in citrus fruits, cantaloupe, strawberry, broccoli, tomatoes, and peppers)

  10. How w mu much h do o I nee eed (in mg mg)*? Age Male Female Pregnancy Lactation Birth- 6 months **0.27 **0.27 7-12 months 11 11 1-3 years 7 7 4-8 years 10 10 9-13 years 8 8 14-18 years 11 15 27 10 19-50 years 8 18 27 9 51+ years 8 8 Upper Up er Limit for iron is 45mg/da day y The RDS for vegeta etarian ans s is 1. 1.8 times s higher than for people e who eat meat *Recommended Daily Allowance (RDA) for Iron **For infants up to 6 months, the AI (adequate intake) established is based on the mean of iron intake of healthy, breastfed babies.

  11. How will I know if I don’t get enough?  Low iron levels can leave you tired, pale, and irritable  Groups at risk for deficiency are:  Young children, pregnant or pre-menopausal women, some athletes, vegetarians, and older adults  Blood test results- Serum ferritin Serum Ferritin Level (ug/L) Probable diagnosis <15 Iron deficiency >15-50 Depletion of iron stores, probable iron deficiency >51-100 Reduced iron stores, possible iron deficiency

  12. Common supplementation options • Iron tablets (Ferrous Fumarate)- 100 mg of elemental iron • Iron capsules (Ferrous Gluconate)- each capsule contains 35g of elemental iron • Liquid iron supplement- 1 tbsp per day • Iron injections- as recommended by MD

  13. Steps to increase iron in your diet!  Include one iron rich food and one vitamin C rich food at every meal  Add cooked dried beans to soups, stews, or casseroles  Choose breakfast cereal/flour that are fortified/enriches with iron- check labels!  Choose dark green or orange vegetables more often e.g. spinach base for your salad  Have pasta with tomato instead of cream sauce  Have tea/coffee after meals because it can decrease iron absorption  Add dried fruits to your muffin recipe or cereal

  14. Cal alcium cium  Calcium is an essential element for bone health  The body ensures that it has a constant supply of calcium and does so in 3 ways:  Absorbs it from our food  It takes it from our bones when it’s lacking  Reabsorbs calcium from the urine into the bloodstream

  15. Vitam tamin in D: Key Factor in Calcium Absorption  Vitamin D3 ↑ calcium absorption by as much as 30- 80%.  Osteoporosis Canada recommends that Canadians aged 19-50, including pregnant or lactating women, receive at least 400 international units (IUs) of vitamin D3/day .  Adults 50+ should receive at least 800 IUs .  Most multivitamins provide 400 IUs of vitamin D3. Some calcium supplements also contain vitamin D

  16. When you just can’t get enough  Calcium Calculator  The product label should state the amount of elemental calcium in each tablet, e.g., 500 mg of elemental calcium in each 1250 mg tablet of a brand of calcium carbonate supplement.  The amount of elemental calcium is the figure you use to calculate your true daily intake. Products made from calcium carbonate are often recommended because they contain the highest %age of elemental calcium per mg of calcium source.

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