A prestigious
science group has just updated national guidelines on how much of
every vitamin and mineral Americans should eat daily for good health
, plus a never-before-compiled list of which popular megadose
vitamins could harm them.
Recommendations Not
Regulations
But consumers will be hard-pressed to use the guidelines to make
more nutritionally savvy food and supplement purchases. Don't expect
food labels to be updated with the newly recommended dietary
allowances any time soon. The Food and Drug Administration hasn't
begun considering whether to force vitamin bottles to list the safe
upper doses.
It may take questioning a dietitian to learn that more
than 1,000 milligrams a day of vitamin E, or 1,500 international units could
cause uncontrolled bleeding.
Or that many people over age 50 have trouble absorbing vitamin
B12 from natural food sources and thus should eat fortified foods,
like breakfast cereals, or a daily supplement to ensure they get 2.4
micrograms a day.
Or that the amount of vitamin D older people need for strong
bones has doubled, to 400 international units.
Web Site Gives Vitamin
Info
The good news: Once you learn how many nutrients you need, an
Agriculture Department Internet site quickly shows how much you're
eating.
Munched a handful of almonds? The Web site,
http://www.nal.usda.gov/fnic/foodcomp
. reveals that's 7.5
milligrams of vitamin E, half a day's supply in a single snack.
The Institute of Medicine, a private science organization that
sets the nation's RDAs for nutrients, spent four years reviewing the
scientific research into vitamins and minerals. Between 1997 and
last week, it issued four reports, hundreds of pages each,
determining the proper dose of each to optimize health and how much
could cause side effects.
Consider vitamin C: Women need 75 milligrams a day, men 90.
Smokers should add another 35 milligrams. But more than 2,000
milligrams a day can cause diarrhea.
Dietitians are devouring the reports. But no one has issued a
consumer-friendly list.
More Data Needed For RDAs
Today's food labels are based on RDAs set in 1968. The FDA won't
begin steps to add new vitamin numbers until the institute issues
another report next year on how much protein, fat and fiber we also
should eat.
Many RDAs haven't changed a lot. So nutritionists say a healthy
daily diet, with at least five fruits and vegetables, can provide
plenty of most vitamins.
More important: Until FDA updates vitamin supplement labels,
nobody will know safe upper doses, even as sales of multivitamins
with three times the RDA and larger megadose supplements rage.
You can have too much of a good thing, warns Tufts University
nutrition professor Dr. Johanna Dwyer. The first message is make
sure you're not getting too much.?
Consider vitamin A. Enough ? . 900 micrograms a day for men,
700 for women is important for good vision and immune function. But
more than 3,000 micrograms daily can risk birth defects in pregnant
women, and liver damage for others.
Units or Micrograms?
Yet many vitamin supplements are sold in international
units, very confusing because how to convert IUs into micrograms
and milligrams differs from nutrient to nutrient. For vitamin A,
the guidelines say a microgram equals 3.33 international units, so a
popular megadose of 10,000 units hits the daily safety limit.
Another big question is how consumers with special needs will
learn their new recommended doses, such as older people who should
pay attention to vitamins B12 and D. Even updated food labels
probably won't have enough space to tell them.
What's a consumer to do?
First, think about what you're eating, says Dwyer. Try to get
most vitamins from food and take only supplements your body really
needs. People who don't eat much dairy, for instance, may need
calcium supplements.
Alternatively, using a regular multivitamin with 100 percent
of RDA is sensible, says nutritionist Bonnie Liebman of the
consumer group Center for Science in the Public Interest.But remember
taking the multivitamin is no excuse for eating a lousy diet,? she
stresses. |