resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Medicine is Clumsy, Don't You Be
All medical systems have clumsiness in them. If the technique isn't, the practitioner is. Everyone in every form of medicine is striving to improve. That is why we call it practice.
We Get Letters & Email
A House Divided? (May 1 issue) provoked significant response from readers. Here are several of the surprisingly similar comments we received.
Professional Credentialing and Board Certification: An Ethical Faux Pas
Because of the Affordable Care Act, health care systems are coordinating care through accountable care organizations (ACOs) in order to reduce the cost of care and improve quality of care.
Our Biggest Challenges to Compete in Wellness Care
In the first article in this four-article series [May 1 DC], I made the case that chiropractors should either embrace offering lifestyle wellness in their practices or face the possibility of losing their place in the wellness care marketplace.
Green Tea Improves Cognitive Function in Elderly Subjects
Publishing their results in the journal Nutrients in May 2014, researchers showed that drinking the equivalent of 2-4 cups of brewed green tea (or bottled tea) daily improved cognitive function or reduced the progression of cognitive dysfunction in elderly subjects.
ACA or ICA: Which Best Represents You?
Last June, I was honored to represent Texas ICA members as their representative assemblyman at the ICA Annual Meeting in Kansas City.
Spieth Thanks His Chiropractor After Historic Masters Win
Jordan Spieth didn't just capture the hearts of golf enthusiasts worldwide with his record-setting, wire-to-wire victory at the 79th Masters Tournament.
The Acupuncturist's Problem
I want share with you some observations and insights into what seems to be the most common problem my colleagues in the acupuncture profession struggles with. If you also struggle with this problem, I hope you get a valuable "aha" moment from reading this.
Rethinking Musculoskeletal Pain – A Public Health Perspective
The American Public Health Association (APHA) is the world's oldest and largest association of its kind, founded more than 140 years ago and boasting over 25,000 members.
Reducing the Autogenic Inhibition Reflex: Making Weak Muscles Strong
The autogenic inhibition (AI) reflex is a sudden relaxation of a muscle in response to excess tension.
Giving Vets the Care They Deserve
The Department of Veterans Affairs (VA) administers the largest integrated health care system in the United States.
A Poor Choice for Pain Relief
Acetaminophen is the most popular pain reliever in the U.S., accounting for an estimated 27 billion annual doses as of 2009. With 100,000-plus hospital visits a year by users, it's also the most likely to be taken inappropriately.
PCOM Granted Regional Accreditation
Pacific College of Oriental Medicine (PCOM) recently announce it has received regional accreditation from the Western Association of Schools and Colleges (WASC). This achievement reflects five years of hard work on the part of faculty, staff, and students.
First Do No Harm?
There's no questioning the frightening nature of breast cancer, which strikes one in eight women in the U.S. – eclipsed only by skin cancer in terms of prevalence.
How Much Do You Know About the Benefits of Birds Nest?
Edible bird's nest is the nest made by the Swiftlet bird of Southeast Asia that is usually prepared as a soup and prized in Chinese culture as a healthful delicacy.
5 Tips for Using Pinterest to Market Your Practice
Pinterest is a very popular, but often under-utilized, social media platform where people can bookmark, or "pin," fun and interesting things from all across the internet.
Marijuana, Apathy and Chinese Medicine, Part 1
This article was written in response to the unheeded acceptance of marijuana as a harmless substance that potentially does good when used for the medical relief of pain.
5 Simple Steps to Create an Effective Marketing Calendar
In the educational experience of most healthcare practitioners, business and marketing are overlooked topics.
The Tide is Rising in the Acupuncture Profession
Former President Ronald Regan said, "When the tide rises all boats float." The tide is rising for the acupuncture profession. Many forces outside the profession are helping the tides to rise.
Leg-Length Inequality and Pelvic Fixation: A New Approach to the Negative Derifield (Part 2)
As we noted in our previous article, with a positive Derifield (+D), the doctor observes the reactive (shorter) leg in the prone position that becomes longer or "crosses over" in the flexed position.
Animal Acupuncture: A Case Study in the Treatment of Traumatic Injury in the Equine
The rise of animal acupuncture in the U.S. began in the early 1970's as a result of the work by members of the National Acupuncture Association in Westwood, Calif.
Integrating Art with Clinical Practice for Patients with PTSD: The Artemis Project
Are you restricted by those one-on-one clinic dynamics? Why not join colleagues and clients in experimental group settings? Three of us volunteered to do just that in Austin on behalf of women veteranss from all branches of the service.
October, 2013, Vol. 13, Issue 10
Nutritional and Supplement Needs Differ with Gender and Age
By Tina Beaudoin, ND
Life is significantly more complicated than it was just a few decades ago and knowing what to eat and what to supplement can be confusing. According to the National Health and Nutrient Examination Survey (NHANES), more than half of Americans report taking one or more supplements.In terms of nutrition and supplementation, there are some universal guidelines, as well as some variations in recommendations based on gender and age. Proteins, fats and carbohydrates are the three basic macronutrients of our diet that should be enjoyed in balanced proportions during meals and snacks. Balance in most endeavors is beneficial and the right balance of certain macro- and micronutrients can change with age, gender and activity level.
Most people think about protein being essential to build strong muscles, but adequate protein intake also influences the production of antibodies, hormones, enzymes, clotting factors and brain chemistry. Protein needs, in terms of grams/kilogram/day, are highest in infants and gradually decrease as age increases. Pregnant and lactating women, as well as athletes, have increased metabolic needs that require additional protein intake.
In private practice, I have many patients that either skip breakfast altogether or opt for just a bagel or muffin. If you aren't able to consume more than a quick carb at breakfast, a protein shake or protein bar is a great way to get what you need to start the day right. Eating a simple carbohydrate at breakfast will give you a brief bump in energy as glucose is quickly released into the bloodstream. The adage, "all that goes up must come down" holds true in this situation. After the initial bump in energy, you then feel a sharp drop in blood sugar, which leaves you feeling tired and lethargic. Having a balanced meal that includes some protein and fats ensures a more gradual release of glucose and nutrients that gives you more consistent energy.
I wouldn't want anyone calling me a "meat head" on the playground, but I would be just fine with receiving the title "fat head." Fats and cholesterol are the essential building blocks of neurons, the individual cells of the nervous system. The recommendations around fat intake vary with age. Children between the ages of 1 and 3 have the highest AMDR (Acceptable Macronutrient Distribution Range) at 30% to 40% of calories per day of total fat. The AMDR is established based on reducing the risk of developing chronic disease while providing adequate intake of essential nutrients. Infants and toddlers have especially high needs for adequate fat intake to support healthy development of their brain and nervous system.
Omega-3's are polyunsaturated fatty acids that have been found to be an especially beneficial fat to both the young and old. Adequate DHA has been shown to offer cognitive benefits during pregnancy and early childhood development. Brain and retinal maturation are optimized with adequate DHA availability during fetal development and infancy. DHA has also been found to be of benefit to elders by providing resistance to the deleterious effects of aging and stress on the brain. Unfortunately, the typical American diet does not provide adequate intake of omega-3's and therefore does not offer an optimal supply of DHA for brain health. Eating a diet rich in walnuts, ground flax, wild-caught fatty marine fish and soybeans will help you enjoy the benefits of this healthy fat. Adding a daily omega-3 supplement is a great option to maintain adequate levels and help ensure that you keep your quick wit and cognitive abilities as you age.
Folate and zinc are great examples of how micronutrient requirements can differ between the sexes. It is not surprising that pregnant women have increased intake needs across the board of most macro and micronutrients. Folate is especially important during fetal development to ensure complete development of the nervous system and decrease the risk of neural tube defects.
The recommendations around zinc increase as you age with slight variations between the sexes. Teenage boys and adult men should consume 11mg daily of zinc daily, which is slightly more than teenage girls at 9mg daily and adult women at 8mg daily. Zinc is not only essential to immune function and our sense of taste and smell, it is vital to the sexual development and fertility of males. Research studies have shown that zinc supplementation produced positive changes in sperm quality and function. Supplementing or a targeted increase of zinc-rich foods (e.g., oysters, pumpkin seeds, and lamb) should also be a consideration for anyone taking thiazide diuretics or ACE-inhibitors, as these medications increase the amount of zinc lost in the urine. If you opt to supplement with zinc for an extended amount of time, you need to add 1-2 mg/day of copper for every 15-30 mg/day of zinc to avoid zinc-induced copper deficiency.
Whether discussing macro or micronutrients, our nutrient needs vary somewhat with age and gender. Eating a whole-food, nutrient-dense diet is a great way to ensure you have what your body needs to stay healthy and vital. Working with a licensed nutritionist or your family doctor can offer additional guidance on which nutrients should not be overlooked to ensure optimal health. When diet is not optimal, there is a growing body of research that has shown how specific supplementation can offer a variety of benefits. Remember that when you look down at your plate, be sure to enjoy a balanced meal with a colorful assortment of vegetables, proteins and healthy fats.
Dr. Beaudoin is a Medical Educator for Emerson Ecologics, a distributor of professional nutritional supplements to healthcare practitioners. She also enjoys maintaining a naturopathic family practice and is the president of the New Hampshire Association of Naturopathic Doctors. She can be reached at
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