He r bs an d Other Natura - PowerPoint Presentation

Slide1

He

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Other

Natura

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Fo

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W

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6/8 SOM & Kaiser Permanente WebinarSlide2

Importan

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© 2011. The Permanente Medical Group, Inc.

May not be copied or provided to third parties without prior approval.Slide4

2

M

ay

2

0, 2013| © 2011 Kaiser Foundation Health

Pla

n, Inc. For internal use only.

Welcome & Agenda!

Learn the basics of herbs and other anti-inflammatory foods.Learn more about how herbs and spices are regulated.Learn about the effects of commonly used herbs and spices.Learn tips to incorporate herbs, spices and anti-inflammatory foods into your diet.Resources to help you

Cheryl Mirabella, M.A., NHC

Kaiser Permanente Health EducatorSlide5

What

is complementar

y

medic

ine?5 May 20, 2013| © 2011 Kaiser Foundation Health

Pla

n, Inc. For internal use only.

C

omplementary MedicineTreatment and medicine for health and wellness that you use along with your doctor's standard care, which may include the use of dietary supplements and herbsIs not regulated as well as standard medicine; licensing for some practitioners, such as naturopaths, varies from state to state. Not all states require a license for some types of practitionersIf used alone, may cause you to miss important treatment that could

s

a

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y

o

ur

l

i

fe

H

e

rbs

& Spices

P

l

ant

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p

l

an

t

part

s

u

s

e

d

fo

r

their

s

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nt

, f

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a

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or

,

and/

o

r therapeut

i

c

properties

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et

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,

powder

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tract

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im

p

rove

hea

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th.Slide6

Culin

ary vs.

m

edicin

al use of herbs & spices6 May 20, 2013| © 2011 Kaiser Foundation H

e

a

lth Plan, Inc. For internal use o

nly.

CulinaryUsed in small amounts to provide flavor, rather than substance, to foodExamples: thyme, lavender, parsley, basil, and rosemaryMedicinalUsed to prevent and treat diseases & ailments or to promote health andHealingMay be added to food or used as a tincture, pill/capsule, tea, infusion, or extractExamples: St. John’s wort, echinacea, comfrey, calendulaProof of effectiveness or safety for the vast majority of herbal medicines has not been fully established through an

evide

n

ce

-

ba

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e

d

appro

a

ch

.Slide7

The

regulation of dietary

su

p

plements

7 May 20, 2013| © 2011 Kaiser Foundation Health

Pla

n

, Inc. For internal use only.

Th

e Dietary Supplement Health and Education Act of 1994 places dietary supplements in a special category under the general umbrella of "foods," not drugs, and requires that every supplement be labeled a dietary supplement.Although herbs and spices are regulated by the Food and Drug Administration (FDA) as foods, they are regulated differently from other foods and from drugs.Federal law does not require dietary supplements to be proven safeto FDA's satisfaction before they are market

e

d

It

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not

lega

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to

mark

et

a

dietary

sup

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lemen

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prod

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a

s a

t

reatmen

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or

cur

e

for

a

spe

ci

fi

c

disea

s

e

,

or to

alleviat

e

the

symptom

s

of

a disea

s

e

.Slide8

What

is infl

amma

t

ion

?8 May 20, 2013| © 2011 Kaiser Foundation Health

Pla

n, Inc. For internal use only.

The

body’s protective response to injury or the destruction of tissues, which serves to destroy, dilute, or wall off both the injurious agent and the injured tissues.1Two types of inflammation:Acute inflammationpain, redness and swelling of short durationSilent inflammationchronic, low-level inflammation that is below the threshold for paincan linger for years or decades and cause continual organ damage.Source: http://medical-

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1

3.Slide9

Dietary

factors and

inflammation

Dietary

factors that can increase silent inflammation include excesses in– Refined carbohydrates

S

o

urces: table sugar, white flour and rice–

Refined

vegetable oils rich in omega-6 fatty acidsSources: palm, soybean, rapeseed and sunflower oilsand a deficiency of – Omega-3 fatty acidsSources: fish and flaxseedSo8urMcaey:20S, 2e01a3rs B. T|ox©ic20F1a1 tK.aiNseer FwouYndoatriokn,HNeaYlt,h UPlaSn,AIn:c.RFoerginatenrnaBl uoseooknsl

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Herbs, spices,

an

d

inflamma

tion: Ginger10 May 20, 2013| © 2011 Kaiser Foun

d

a

tion Health Plan, Inc. For inter

nal

use only.Gingertropical plant that has green-purple flowers and an aromatic underground stemused as a folk or traditional remedy for rheumatoid arthritis, osteoarthritis, and joint and muscle painResearch by the National Center for Complementary and Alternative Medicine (NCCAM) indicates that it is unclear whether ginger is effective in treating rheumatoid arthritis, osteoarthritis, or joint and muscle pain.Slide11

Herbs, spices,

and inflammation

:

Turmeric

11 May 20, 2013| © 2011 Kaiser Foundation Health

Pla

n, Inc. For internal use only.

Turmeric

Shrub grown thoughout India, parts of Asia and Africarelated to ginger; known for its warm, bitter taste and golden colorUsed for heartburn, stomach ulcers, gallstones, inflammation, and cancer.Research suggests that there is little reliable evidence to support the use of turmeric for any health condition because few clinical trials have been conducted.Preliminary findings from animal and other laboratory studies sugg

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ropertie

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bee

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onf

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rmed

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pe

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p

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e.Slide12

H

erbs

, spices,

an

d inflammation: Boswellin12 May 20, 2013| © 2011 Kaiser Foun

d

a

tion Health Plan, Inc. For inter

nal

use only.Boswellin (Indian frakincense)extract of the herb Boswellia, used in Ayurvedic medicine and available in capsule form.used for osteoarthritis, rheumatoid arthritis (RA), rheumatism, bursitis,and tendonitisSome clinical research shows that taking specific Indian frankincense extracts can reduce symptoms of osteoarthritis, including knee pain and swelling.There is conflicting research about the usefulness of boswellin forrheumatoid arthritis.Slide13

H

erbs, spices,

an

d

inflammation: Capsicum13 May 20, 2013| © 2011 Kaiser Foundation Health

Pla

n, Inc. For internal use only.

C

apsicum (Cayenne)Oral use for flatulence, cramps, and poor circulationTopical use for pain of shingles, osteoarthritis, rheumatoid arthritisand back painSeveral clinical studies show that applying 0.25% to 0.75% capsaicin cream topically temporarily relieves chronic pain from rheumatoid arthritis, and osteoarthritisSlide14

H

erbs, spices,

an

d

colds: Echinacea14 May 20, 2013| © 2011 Kaiser Foundation Hea

lth

Plan, Inc. For internal use only.

E

chinacea- most often used for common colds– What is it?A flowering plant, commonly called purple coneflower, native to North America. The leaves, flowers, and roots from several species of the echinacea plant are used to make supplements.Does it work?Study results are mixed on whether echinacea can prevent or effectivelytreat upper respiratory tract infections such as the common cold.In one study

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u.Slide15

He

rbs, spices,

an

d

diabetes: Cinnamon15 May 20, 2013| © 2011 Kaiser Foundation Hea

lth

Plan, Inc. For internal use only.

Cinn

amomUsed for diabetes, muscle and gastrointestinal spasms, cramps, and rheumatic conditions.Research suggests that there is contradictory evidence about the effectiveness ofcinnamon for treating diabetes.In one study, cinnamon 1, 3, or 6 grams daily for 40 days lowered glucose by 18%to 29%.Another clinical trial shows that patients taking a specific cinnamon product (Cinnamon 500 mg

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p to

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mont

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s.Slide16

What

is an

ant

i

-inflammatory diet?16 May 20, 2013| © 2011 Kaiser Foundation He

a

lth

Plan, Inc. For internal use o

nly.

An anti-inflammatory diet:Rich in vegetables and fruitsEmphasizes moderate intake of low-fat protein sources, such aschicken and fishRecommends the use of monounsaturated fats, like olive oil and nutsRestricts the use of refined breads and grainsRecommends increased consumption of more colorful (i.e., rich inpolyphenols) vegetables and fruitsAims to prevent or improve diseases that are associated with obesitySlide17

Foo

ds that

help

fight

inflammation17 May 20, 2013| © 2011 Kaiser Foundation Hea

lth

Plan, Inc. For internal use only.

C

olorful fruits and vegetablesSuch as: papaya, blueberry, broccoli, sweet potato, pomegranateOily fishSuch as: salmon, sardines, herring, trout and mackerelNuts and seedsSuch as: chia, sunflower, pumpkin, flaxseedExtra virgin olive oilSlide18

Tip

s for usi

ng

herbs

in daily life18 May 20, 2013| © 2011 Kaiser Foundation Hea

lth

Plan, Inc. For internal use on

ly.

Watch out for false statements like:A quick and effective "cure-all"Can treat or cure diseases"Totally safe" or has "no side effects"Be aware that the term natural doesn't always mean safe.Don't assume that even if a product may not help you, at least it won't hurt you.When searching for herbs on the internet, use the sites of respected organizations, rather than doing blind searches.Ask your health-care

provider

f

o

r

help

i

n

disting

u

i

sh

i

ng

bet

w

ee

n

r

e

liable

and

q

u

estio

n

a

b

l

e

in

f

ormat

ion.Slide19

Tip

s for us

i

ng

herbs & spices in the diet19 May 20, 2013| © 2011 Kaiser Foundation He

a

lth

Plan, Inc. For internal use on

ly.

Season foods with dried or fresh herbs & spices instead of saltAdd cinnamon to oatmealToss fresh whole or chopped herbs into salads, soups and marinades.Use herbs as an essential oil (lavender, roman chamomile, mint and lemon).Infuse herbs in olive oil for use on salads or drizzled on soups.Check with your doctor before taking herbs as a supplement.Slide20

Complementary

and alternative

medic

i

ne at Kaiser PermanenteHerbal consult services– The doctors in the department als

o

t

reat with herb and supplements from variou

s complementary m

edical systems. This is in addition to medicines that may be recommended during treatment. This consultation service is available to all Kaiser Permanente members.Clinic locationsFalls Church Medical Center 201 N. Washington Street Falls Church, VA 22046Prince George’s Medical Center6525 Belcrest Road Hyattsville, MDShady Grove Medical Center1396 Piccard Drive20 May 20, 2013| © 2011 Kaiser Foundation Health Plan,

I

n

c.

For

in

t

e

r

n

a

l

use

o

n

ly.

R

o

ckville

,

MDSlide21

Resources

to help

you

21

May 20, 2013| © 2011 Kaiser Foundation Health

Pla

n

, Inc. For internal use only.

Na

tural Medicines Databasenaturaldatabase.therapeuticresearch.comfind safety and effectiveness updates for each product and ingredientcheck for interactions between natural products and other medicationslook for herbs and supplements with a "seal of approval”see whether a natural product is accepted to treat your conditionConsumerLab.comIndependent testing of brands of vitamins, minerals, herbs, etc., for quality and comparisonsReviews of ov

e

r

1,00

0

produ

c

tsSlide22

Resources

to help

you

22

May 20, 2013| © 2011 Kaiser Foundation Health

Pla

n

, Inc. For internal use only.

(MyD

S) version 2.0 for Apple and Android devices, Kindle Fire,Blackberry Touchkeep track of the vitamins, minerals, herbs, and other products takenaccess science-based, reliable information on dietary supplementsNational Institutes of Health Office of Dietary Supplementshttp://ods.od.nih.gov/factsheets/list-all/Access fact sheets for vitamins, supplements, and botanicalsCalculate nutrient recommendations with

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n

forma

t

i

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n

o

n

the

i

n

ternet

Slide23

Kaiser

Permanente Re

s

ources

kp.org/healthyl

iving - healthy living tools and resource to manage your health.kp.org/healthyli

festyl

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ans to

improve your well-being and the quality of your life.*kp.org/classes- find healthy living classes near you.* Must be registered on kp.orgSlide24

Kaiser

Permanente

Resourc

e

skp.org/watch – view our health video clips.kp.org/doctor –

vi

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w your doctor’s home page and learn EMMI andother recomm

ended

online tools.kp.org/listen – download audio podcasts on health topics of interest.kp.org/register- sign up to manage your health and more.Slide25

New

servic

e

at no extra charge!Personal wellness coaching by phoneWellness coaching

is

a service provided to Kaiser Permanente members through convenient phone sessions.

A wellnes

s coach gives you personal support to help you achieve your wellness goals. You can check in with your coach as needed to get the help you need to stay on track.Slide26

How

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work?Wellness coaching is available for five topics: 1) tobacco cessation, 2)

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Food

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thought

“Take care

of your body. It’s the only place youhave to live.”~ Jim Rohn