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The Institute of Medicine has issued a report telling us how much and which vitamins and minerals we should take. (ArtToday)

Vitamania Unplugged

Group Issues Vitamin Recommendations After 4 Years of Research

By Lauran Neegaard
The Associated Press

W A S H I N G T O N, Jan. 16  . Call it vitamania: About 40 percent of Americans pop vitamin pills. But just how much of each vitamin does your body need? When does food provide enough? And how much is too much?


     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.

Vitamin Recommendations

A sample of recommended dietary allowances for certain vitamins and minerals, and upper limits for those deemed harmful at high doses, from the Institute of Medicine:


        Vitamin A : RDA, 900 micrograms for men, 700 for women. Found in carrots and other dark-colored vegetables and fruits. Upper limit, 3,000 micrograms.


        Vitamin B12 : RDA, 2.4 micrograms, the amount in 3 ounces of beef. Many people over 50 lose the ability to absorb B12 from natural food sources and so should consider fortified foods, like cereals, or a supplement.


        Vitamin C : RDA, 75 milligrams for women, 90 for men. Eight ounces of orange juice yields a day's supply. Smokers need 35 more milligrams. Upper limit, 2,000 milligrams; more can cause diarrhea.


        Vitamin D : RDA, 200 international units for most people; 400 IUs for people ages 51 to 70. Found in fortified milk.


        Vitamin E : RDA, 15 milligrams. Upper limit, 1,000 milligrams; higher levels risk uncontrolled bleeding.


        Folic acid : RDA, 400 micrograms. Found in spinach, orange juice and fortified foods. Because folic acid in the first days of pregnancy prevents certain birth defects, women of childbearing age are routinely advised to take a supplement. Upper limit, 1 milligram a day; more can cause nerve damage.


        Calcium : RDA for most adults, 1,000 milligrams daily; for teen-agers, 1,300 milligrams; for those over age 50, 1,200 milligrams. Highest food sources are dairy and calcium-fortified orange juice.


        Vitamin K : RDA, 120 micrograms for men, 90 for women. Found in green leafy vegetables.


        Iron : RDA, 8 milligrams for men and postmenopausal women. Premenopausal women need 18 milligrams; pregnant women 27 milligrams. Upper limit, 45 milligrams or stomach upset can occur.


        Zinc : RDA, 11 milligrams for men, 8 for women. Upper limit, 40 milligrams; more can block absorption of another vital nutrient, copper.  

ENJOY!!

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