NFS284: Natural Health Foods Flashcards

1
Q

Natural health products includes…

A
  • vit and minerals
  • AA
  • essential FA
  • herbal remedies
  • traditional medicines
  • homeopathic medicines
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2
Q

What purpose does natural health products serve?

A

therapeutic purpose

  • selected by consumers for self-care
  • low risk of harm drugs
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3
Q

Natural food products fall between…

A

food and drugs

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4
Q

Natural health products are regulated by…

A

Natural Health Products Directorate

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5
Q

What is the Natural Health Products Directorate’s take on natural health products?

A

Ensure that Canadians have access to natural health products that are safe, effective, and of high quality while respecting freedom of choice and philosophical and cultural diversity

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6
Q

Natural Health Products Directorate was formed in what year?

A

2004

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7
Q

How many Natural Health Products are approved?

A

50 000

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8
Q

natural health products try to achieve a balance between…

A
  • tradition

- scientific evidence

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9
Q

What is a “traditional” method to marketing natural health products?

A

in use for > 50 years

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10
Q

In order to sell a natural health product, manufacturers must demonstrate…

A
  • good manufacturing practices in the making of the product

- the effectiveness of the product for the stated purpose

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11
Q

When manufacturers of natural health products can demonstrate safe production methods…

A

Health Canada issues them a licence for the site of manufacture

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12
Q

Good manufacturing practices:

A
  • product is what it says it is

- product is not contaminated

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13
Q

What kind of ways can a product be contaminated?

A
  • microbial

- chemical (led, mercury, prescription drugs)

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14
Q

what can natural health product manufacturers cite as a source of scientific information?

A

Health Canada’s Natural Health Products compendium

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15
Q

What is the natural health products compendium?

A

List of natural health products with well-documented traditional use / scientific evidence

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16
Q

Which products can manufacturers freely market?

A

any natural health product in the compendium (that follow the purpose listed in the compendium)

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17
Q

What happens when an manufacturer wants to market something not in the compendium / don’t follow purpose listed in compendium?

A

need stronger evidence

  • scientific literature review
  • intervention trial
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18
Q

define: monograph

A

written description of particular elements on an identified topic

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19
Q

What kind of info is found in the monograph?

A
  • name
  • proper names
  • common names
  • source material
  • route of administration
  • dosage
  • use / purpose
  • duration of use
  • risks
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20
Q

how are natural health products labelled?

A
  • product name
  • product licence holder
  • NPN / DIN-HM
  • medicinal ingredients
  • non-medicinal ingredients
  • max dosage
  • recommended use (health claim)
  • risks
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21
Q

natural health products are labelled like ____

A

drugs

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22
Q

NPN

A

natural product number

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23
Q

If there is no NPN, what does this mean?

A

the natural health product is not authorized to sell in Canada (unless it has EN)

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24
Q

EN

A

exemption number

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25
What is EN used for
Used in place of NPN for very low risk products
26
DIN-HM
homeopathic medicine number
27
Difference between natural health product labels and food labels?
- max daily dose - nutrition content expressed as weight instead of % DV - ingredients listed by medicinal & non-medicinal instead of by weight
28
Vitamin water was marketed as a...
natural health product
29
Why was vit water marketed as a natural health product?
it was a non-compliant food ??
30
Define: non-compliant food
food to which vit, mineral nutrients, and AA are added
31
"mandatory" as defined in food and drug regulations for non-compliant food
nutrients that must be present in the food t levels specified
32
"voluntary" as defined in food and drug regulations for non-compliant food
nutrients that may be added to products listed
33
FDR
food and drug regulations
34
FDR reference
refers to sections of the FDR where nutrient levels and other requirements can be found
35
Why does natural health product to food transitions occur?
- product is marketed like food - customers think it is food - considered safe for consumption as food (if not safe, product must be re-formulated)
36
Example of a product that underwent natural health product to food transition?
- vit water | - energy drinks (limits caffeine content / reformulated)
37
What is the caffeine content for energy drinks?
180 mg / serving
38
___ supplements are promoted in the popular media to athletes
AA
39
Which AA are promoted as enhancing muscle growth?
- (ROK): arginine, ornithine, lysine - branched AA (LIV): leucine, isoleucine, valine - (G): glutamine
40
Effect of arginine according to the compendium
"modest" improvement of exercise capacity
41
Effect of lysine according to the compendium
promote protein metabolism
42
Effect of ornithine according to the compendium
promote protein metabolism
43
Effect of L, I, V according to the compendium
promote muscle synthesis
44
Effect of glutamine according to the compendium
muscle repair & recovery from physical stress
45
define: ergogenic aids
anything that improves athletic performance
46
Effect of creatine according to the compendium
increases muscle mass and strength during resistance training
47
Effect of HMB according to the compendium
enhances muscle strength in previously untrained individuals in combination with intense resistance training
48
List some ergogenic aids
- creatine - HMB - caffeine - l-carnitine
49
Effect of caffeine according to the compendium
stimulant that can improve endurance
50
Effect of l-carnitine according to the compendium
transport FA from cytoplasm to mitochondria for B-oxdiation
51
l-carnitine in NHP is given to treat...
l-carnitine deficiency (not exercise related issues)
52
Effect of EPA, DHA according to the compendium
good for cardiovascular health
53
Effect of flaxseed oil according to the compendium
- w3 | - maintenance of good health
54
What are oral enzyme supplements?
??? | Proteins that are digested to amino acids, so ineffective if taken orally
55
What is an digestive enzyme that has some activity in the gut prior to breakdown?
Lactase
56
Effect of melatonin according to the compendium
Regulate sleep cycle
57
example of an oral enzyme supplement
melatonin
58
Macronutrient supplements include...
- fatty acids | - proteins
59
Examples of fatty acid supplements
- EPA / DHA | - flaxseed oil
60
example of supplements for things made in the body
- oral enzyme supplement | - co-enzyme supplements
61
example of co-enzyme supplement
co-enzyme Q
62
co-enzyme Q may be depleted in people who...
use statin
63
Effect of statins (and side-effects)
effect: lower serum cholesterol side effect: muscle weakness
64
Effect of co-enzyme Q according to the compendium
maintain cardiovascular health
65
What are 2 supplements that contain structural & regulatory molecules?
1. glucosamine & chondroitin | 2. SAM-e
66
Effect of glucosamine & chondroitin according to compendium
alleviate pain & progression of arthritis
67
Purpose of glucosamine & chondroitin supplements
reduce arthritis pain & cartilage damage
68
Purpose of SAM-e supplements
benefit for arthritis, depression, liver disease
69
What needs to be noted about SAM-e?
interacts with several drugs
70
Effect of garlic according to the compendium
maintain cardiovascular health
71
Some studies suggest garlic can...
lower serum chol.
72
What needs to be noted about garlic?
interacts with several drugs
73
What needs to be noted about echinacea?
- don't use if you have certain diseases | - little scientific evidence (tradition only)
74
Effect of enchinacea
treat colds
75
What needs to be noted about ginseng?
- little scientific evidence (tradition only) - don't use if you have certain diseases - don't use in combination with certain drugs
76
Purpose of ginseng?
- respiratory infections - maintain blood glucose - relieve nervousness - keep immune system healthy
77
Traditional use of ginkgo?
- asthma | - skin infections
78
Modern use of ginkgo?
memory
79
What needs to be noted about ginkgo?
- limited scientific evidence - don't use if you have certain diseases - don't use in combination with certain drugs (blood thinners esp.)
80
traditional use for St John's Wort
relieve restlessness / nervousness
81
Modern use for St. John's Wort
Depression
82
What needs to be noted about St. John's Wort?
- don't use in combination with certain drugs | - limited scientific evidence