FDA to Permit Folic Acid in Corn Masa to Prevent Birth Defects
Dietary Supplements Send Thousands To ERs Yearly
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addition to heart problems triggered by some supplements, emergencies often arise when kids swallow dietary supplements meant for adults, according to the CDC analysis, or when older adults choke on the pills.","publishDate":1444861037,"status":"inherit","parent":92497,"modified":1444861171,"caption":"In addition to heart problems triggered by some supplements, emergencies often arise when kids swallow dietary supplements meant for adults.","credit":"Lee Woodgate/Ikon Images/Corbis","description":"In addition to heart problems triggered by some supplements, emergencies often arise when kids swallow dietary supplements meant for adults, according to the CDC analysis, or when older adults choke on the 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You can follow her on Twitter: \u003ca title=\"https://twitter.com/laliferis\" href=\"https://twitter.com/laliferis\">@laliferis\u003c/a>","avatar":"https://secure.gravatar.com/avatar/86c339d5cdcb0dcd2b6cf5d7c3f5886b?s=600&d=blank&r=g","twitter":"laliferis","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"news","roles":["subscriber"]},{"site":"futureofyou","roles":["subscriber"]},{"site":"stateofhealth","roles":["subscriber"]},{"site":"science","roles":["subscriber"]},{"site":"food","roles":["contributor"]}],"headData":{"title":"Lisa Aliferis | KQED","description":null,"ogImgSrc":"https://secure.gravatar.com/avatar/86c339d5cdcb0dcd2b6cf5d7c3f5886b?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/86c339d5cdcb0dcd2b6cf5d7c3f5886b?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/lisaaliferis"}},"breakingNewsReducer":{},"campaignFinanceReducer":{},"firebase":{"requesting":{},"requested":{},"timestamps":{},"data":{},"ordered":{},"auth":{"isLoaded":false,"isEmpty":true},"authError":null,"profile":{"isLoaded":false,"isEmpty":true},"listeners":{"byId":{},"allIds":[]},"isInitializing":false,"errors":[]},"navBarReducer":{"navBarId":"home","fullView":true,"showPlayer":false},"navMenuReducer":{"menus":[{"key":"menu1","items":[{"name":"News","link":"/","type":"title"},{"name":"Politics","link":"/politics"},{"name":"Science","link":"/science"},{"name":"Education","link":"/educationnews"},{"name":"Housing","link":"/housing"},{"name":"Immigration","link":"/immigration"},{"name":"Criminal Justice","link":"/criminaljustice"},{"name":"Silicon Valley","link":"/siliconvalley"},{"name":"Forum","link":"/forum"},{"name":"The California Report","link":"/californiareport"}]},{"key":"menu2","items":[{"name":"Arts & Culture","link":"/arts","type":"title"},{"name":"Critics’ Picks","link":"/thedolist"},{"name":"Cultural Commentary","link":"/artscommentary"},{"name":"Food & Drink","link":"/food"},{"name":"Bay Area Hip-Hop","link":"/bayareahiphop"},{"name":"Rebel Girls","link":"/rebelgirls"},{"name":"Arts Video","link":"/artsvideos"}]},{"key":"menu3","items":[{"name":"Podcasts","link":"/podcasts","type":"title"},{"name":"Bay Curious","link":"/podcasts/baycurious"},{"name":"Rightnowish","link":"/podcasts/rightnowish"},{"name":"The Bay","link":"/podcasts/thebay"},{"name":"On Our Watch","link":"/podcasts/onourwatch"},{"name":"Mindshift","link":"/podcasts/mindshift"},{"name":"Consider This","link":"/podcasts/considerthis"},{"name":"Political Breakdown","link":"/podcasts/politicalbreakdown"}]},{"key":"menu4","items":[{"name":"Live Radio","link":"/radio","type":"title"},{"name":"TV","link":"/tv","type":"title"},{"name":"Events","link":"/events","type":"title"},{"name":"For Educators","link":"/education","type":"title"},{"name":"Support KQED","link":"/support","type":"title"},{"name":"About","link":"/about","type":"title"},{"name":"Help Center","link":"https://kqed-helpcenter.kqed.org/s","type":"title"}]}]},"pagesReducer":{},"postsReducer":{"stream_live":{"type":"live","id":"stream_live","audioUrl":"https://streams.kqed.org/kqedradio","title":"Live Stream","excerpt":"Live Stream information currently unavailable.","link":"/radio","featImg":"","label":{"name":"KQED Live","link":"/"}},"stream_kqedNewscast":{"type":"posts","id":"stream_kqedNewscast","audioUrl":"https://www.kqed.org/.stream/anon/radio/RDnews/newscast.mp3?_=1","title":"KQED Newscast","featImg":"","label":{"name":"88.5 FM","link":"/"}},"stateofhealth_172730":{"type":"posts","id":"stateofhealth_172730","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"172730","score":null,"sort":[1460668270000]},"guestAuthors":[],"slug":"fda-to-permit-folic-acid-in-corn-masa-to-prevent-birth-defects","title":"FDA to Permit Folic Acid in Corn Masa to Prevent Birth Defects","publishDate":1460668270,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>It's been almost 20 years since the Food and Drug Administration (FDA) required that folic acid, a B vitamin that can prevent a serious birth defect when taken by pregnant women, be added to certain enriched grains like breads and pasta. In the decade after, the rate of these neural tube defects plummeted and is estimated to have prevented 10,000 cases in a decade.\u003c/p>\n\u003cp>But corn masa was not included in the FDA's recommendation back in the '90s, and since then the Hispanic population of the U.S. has grown dramatically. Now a quarter of all babies are born to Hispanic mothers, and they have a \u003ca href=\"http://www.cdc.gov/mmWR/pdf/wk/mm6401.pdf\" target=\"_blank\">much higher risk \u003c/a>of neural tube defects than their white counterparts.\u003c/p>\n\u003cp>On Thursday, \u003ca href=\"http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm496104.htm\" target=\"_blank\">the FDA announced \u003c/a>that folic acid may be added to corn masa flour, a staple for many Hispanic families, with a goal of reducing the risk of neural tube defects.\u003c/p>\n\u003cp>Advocacy groups, including the March of Dimes, have been lobbying the FDA for years to make the recommendation. They applauded the move.\u003c/p>\n\u003cp>\u003ca href=\"http://www.prnewswire.com/news-releases/advocates-hail-fda-decision-to-improve-infant-health-prevent-birth-defects-300251337.html#continue-jump\" target=\"_blank\">In a statement\u003c/a>, March of Dimes president Dr. Jennifer Howse called the announcement a \"major victory for maternal and child health, especially in our Hispanic communities.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In a developing fetus, the neural tube starts as a flat ribbon and develops into a tube by the end of the first month of pregnancy. The tube goes on to develop into the brain and spinal cord. \u003ca href=\"http://www.marchofdimes.org/complications/neural-tube-defects.aspx#\" target=\"_blank\">Serious defects \u003c/a>can happen if the tube does not close completely. That can lead to conditions such as spina bifida.\u003c/p>\n\u003cp>But if a woman consumes appropriate amounts of folic acid -- 400 micrograms a day -- before becoming pregnant, it can prevent many cases of neural tube defects, \u003ca href=\"http://www.cdc.gov/features/folicacidbenefits/\" target=\"_blank\">according to the Centers for Disease Control and Prevention\u003c/a>. Most multivitamins contain the recommended amount of folic acid, and many fortified cereals -- now soon to include masa flour -- also can provide the amount of folic acid women need each day.\u003c/p>\n\u003cp>The only question is if the FDA delayed in making the recommendation, reports the\u003ca href=\"http://www.seattletimes.com/seattle-news/health/fda-to-allow-folic-acid-in-corn-masa-to-stop-birth-defects/\" target=\"_blank\"> Seattle Times\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>Adding folic acid to corn masa could prevent an average of 40 neural-tube defects in Hispanic women each year, and as many as 120 annually across the nation, \u003ca class=\"content-link external\" href=\"http://onlinelibrary.wiley.com/doi/10.1111/nyas.12325/abstract\" target=\"_blank\">according to research\u003c/a> by the Centers for Disease Control and Prevention (CDC).\u003c/p>\n\u003cp>Critics, including a former director of the CDC’s birth-defects division, said about 800 defects could have been prevented if the action had been taken earlier.\u003c/p>\n\u003cp>“That’s great news,” said Dr. Godfrey Oakley, director of the Center for Spina Bifida Research, Prevention and Policy at Emory University. “It’s only about 20 years too late.”\u003c/p>\n\u003cp>Susan Mayne [director of the FDA Center for Food Safety and Applied Nutrition], said the agency was required to follow the rules governing additives in the food supply.\u003c/p>\n\u003cp>“The big hitch, obviously, is that we need data,” she said. “Once we had the data, the process went very quickly.”\u003c/p>\u003c/blockquote>\n\u003cp>\u003c/p>\n\u003cp>The Times also reported that Gruma, the world's largest maker of corn masa flour already adds folic acid to masa flour in other countries, and will begin adding the vitamin to its U.S. products as soon as manufacturing plants can be reconfigured.\u003c/p>\n\n","blocks":[],"excerpt":"The new fortification could prevent birth defects mostly in Hispanic babies. The vitamin has been added to other grains for decades.","status":"publish","parent":0,"modified":1460671372,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":16,"wordCount":547},"headData":{"title":"FDA to Permit Folic Acid in Corn Masa to Prevent Birth Defects | KQED","description":"The new fortification could prevent birth defects mostly in Hispanic babies. The vitamin has been added to other grains for decades.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"FDA to Permit Folic Acid in Corn Masa to Prevent Birth Defects","datePublished":"2016-04-14T21:11:10.000Z","dateModified":"2016-04-14T22:02:52.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"172730 http://ww2.kqed.org/stateofhealth/?p=172730","disqusUrl":"https://ww2.kqed.org/stateofhealth/2016/04/14/fda-to-permit-folic-acid-in-corn-masa-to-prevent-birth-defects/","disqusTitle":"FDA to Permit Folic Acid in Corn Masa to Prevent Birth Defects","path":"/stateofhealth/172730/fda-to-permit-folic-acid-in-corn-masa-to-prevent-birth-defects","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>It's been almost 20 years since the Food and Drug Administration (FDA) required that folic acid, a B vitamin that can prevent a serious birth defect when taken by pregnant women, be added to certain enriched grains like breads and pasta. In the decade after, the rate of these neural tube defects plummeted and is estimated to have prevented 10,000 cases in a decade.\u003c/p>\n\u003cp>But corn masa was not included in the FDA's recommendation back in the '90s, and since then the Hispanic population of the U.S. has grown dramatically. Now a quarter of all babies are born to Hispanic mothers, and they have a \u003ca href=\"http://www.cdc.gov/mmWR/pdf/wk/mm6401.pdf\" target=\"_blank\">much higher risk \u003c/a>of neural tube defects than their white counterparts.\u003c/p>\n\u003cp>On Thursday, \u003ca href=\"http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm496104.htm\" target=\"_blank\">the FDA announced \u003c/a>that folic acid may be added to corn masa flour, a staple for many Hispanic families, with a goal of reducing the risk of neural tube defects.\u003c/p>\n\u003cp>Advocacy groups, including the March of Dimes, have been lobbying the FDA for years to make the recommendation. They applauded the move.\u003c/p>\n\u003cp>\u003ca href=\"http://www.prnewswire.com/news-releases/advocates-hail-fda-decision-to-improve-infant-health-prevent-birth-defects-300251337.html#continue-jump\" target=\"_blank\">In a statement\u003c/a>, March of Dimes president Dr. Jennifer Howse called the announcement a \"major victory for maternal and child health, especially in our Hispanic communities.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In a developing fetus, the neural tube starts as a flat ribbon and develops into a tube by the end of the first month of pregnancy. The tube goes on to develop into the brain and spinal cord. \u003ca href=\"http://www.marchofdimes.org/complications/neural-tube-defects.aspx#\" target=\"_blank\">Serious defects \u003c/a>can happen if the tube does not close completely. That can lead to conditions such as spina bifida.\u003c/p>\n\u003cp>But if a woman consumes appropriate amounts of folic acid -- 400 micrograms a day -- before becoming pregnant, it can prevent many cases of neural tube defects, \u003ca href=\"http://www.cdc.gov/features/folicacidbenefits/\" target=\"_blank\">according to the Centers for Disease Control and Prevention\u003c/a>. Most multivitamins contain the recommended amount of folic acid, and many fortified cereals -- now soon to include masa flour -- also can provide the amount of folic acid women need each day.\u003c/p>\n\u003cp>The only question is if the FDA delayed in making the recommendation, reports the\u003ca href=\"http://www.seattletimes.com/seattle-news/health/fda-to-allow-folic-acid-in-corn-masa-to-stop-birth-defects/\" target=\"_blank\"> Seattle Times\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>Adding folic acid to corn masa could prevent an average of 40 neural-tube defects in Hispanic women each year, and as many as 120 annually across the nation, \u003ca class=\"content-link external\" href=\"http://onlinelibrary.wiley.com/doi/10.1111/nyas.12325/abstract\" target=\"_blank\">according to research\u003c/a> by the Centers for Disease Control and Prevention (CDC).\u003c/p>\n\u003cp>Critics, including a former director of the CDC’s birth-defects division, said about 800 defects could have been prevented if the action had been taken earlier.\u003c/p>\n\u003cp>“That’s great news,” said Dr. Godfrey Oakley, director of the Center for Spina Bifida Research, Prevention and Policy at Emory University. “It’s only about 20 years too late.”\u003c/p>\n\u003cp>Susan Mayne [director of the FDA Center for Food Safety and Applied Nutrition], said the agency was required to follow the rules governing additives in the food supply.\u003c/p>\n\u003cp>“The big hitch, obviously, is that we need data,” she said. “Once we had the data, the process went very quickly.”\u003c/p>\u003c/blockquote>\n\u003cp>\u003c/p>\n\u003cp>The Times also reported that Gruma, the world's largest maker of corn masa flour already adds folic acid to masa flour in other countries, and will begin adding the vitamin to its U.S. products as soon as manufacturing plants can be reconfigured.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/172730/fda-to-permit-folic-acid-in-corn-masa-to-prevent-birth-defects","authors":["240"],"categories":["stateofhealth_12","stateofhealth_14","stateofhealth_13"],"tags":["stateofhealth_96","stateofhealth_349","stateofhealth_2552"],"featImg":"stateofhealth_172748","label":"stateofhealth"},"stateofhealth_92497":{"type":"posts","id":"stateofhealth_92497","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"92497","score":null,"sort":[1444861244000]},"guestAuthors":[],"slug":"dietary-supplements-send-thousands-to-ers-yearly","title":"Dietary Supplements Send Thousands To ERs Yearly","publishDate":1444861244,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{},"content":"\u003cp>Tens of thousands of Americans are treated in hospital emergency rooms each year for problems caused by dietary supplements, federal health officials are reporting.\u003c/p>\n\u003cp>The complications include heart problems such as irregular or rapid heartbeat or chest pain, says \u003ca href=\"http://blogs.cdc.gov/safehealthcare/authors/robert-j-geller-md/\">Dr. Andrew Geller\u003c/a> of the federal Centers for Disease Control and Prevention, who led the study \u003ca href=\"http://www.nejm.org/doi/full/10.1056/NEJMsa1504267\">published\u003c/a> Wednesday in the \u003cem>New England Journal of Medicine\u003c/em>.\u003c/p>\n\u003cp>Two other big problems are children ingesting supplements purchased by an adult, or older people choking on pills, he says. Nearly three-fourths (71.8 percent) of the ER visits were related to the use of weight-loss or energy-boosting supplements.\u003c/p>\n\u003cp>The analysis, based on data collected between 2004 and 2013, is the first national estimate of complications that result from using dietary supplements, Geller says.\u003c/p>\n\u003cp>Using data from 63 emergency rooms, he and his colleagues calculated that 23,005 emergency room visits occur each year because of dietary supplements. Among those cases, 2,154 patients are hospitalized to receive further treatment.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The analysis did not include anyone who might have died on the way to the hospital or in the ER because those deaths are not recorded in the database used for the study.\u003c/p>\n\u003cp>Geller says it's hard to know which products can cause problems or why. Unlike standard over-the-counter medications or prescription drugs, the companies that make dietary supplements are not required to prove to the Food and Drug Administration that their products are safe and effective before selling them.\u003c/p>\n\u003cp>\"We don't have information about what's contained in these products,\" Geller says. \"And often times multiple active ingredients are combined into a single product.\" In addition, similarly named products can have very different active ingredients, he says.\u003c/p>\n\u003cp>\"For all those reasons it can be hard for consumers, clinicians and public health agencies to determine which, if any, of the specific active ingredients caused the observed effects,\" Geller says.\u003c/p>\n\u003cp>In recent years, some dietary supplements have been recalled when they are found to contain unapproved ingredients or contaminants. But Geller says \"there's very little national data about how products that are not included in such recalls cause health problems.\"\u003c/p>\n\u003cp>Dietary supplements have become increasingly popular in the United States. Americans spend nearly \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/19771719\">$14 billion\u003c/a> a year on vitamins, minerals, herbal remedies to treat a wide range of conditions, including colds, arthritis and immune system problems, and to promote weight loss.\u003c/p>\n\u003cp>Critics of the dietary supplement industry are welcoming the new research.\u003c/p>\n\u003cp>\"This is the most important study that been published on supplements in the last 20 years,\" says \u003ca href=\"https://connects.catalyst.harvard.edu/profiles/display/person/21925\">Dr. Pieter Cohen\u003c/a>, who studies supplements at Harvard Medical School.\u003c/p>\n\u003cp>\"What this study does is find entirely flawed the underlying premise that supplements are safe,\" Cohen says. \"In fact, supplements are now shown by this elegant CDC study to send tens of thousands of people to emergency rooms every year.\"\u003c/p>\n\u003cp>The findings, he says, show there's a need to better track problems caused by supplements so the FDA can identify and remove dangerous supplements from the market sooner.\u003c/p>\n\u003cp>Dietary supplement companies, however, see the study as demonstrating the relative safety of supplements.\u003c/p>\n\u003cp>\"If you put it in context that over 150 million Americans take dietary supplements each year, we have, 'Far less than one-tenth of 1 percent of supplement users will visit the ER,' \" says \u003ca href=\"http://www.crnusa.org/who_staff_bios.html\">Duffy MacKay\u003c/a>, a naturopathic doctor and the senior vice president for scientific and regulatory affairs at the Council for Responsible Nutrition, a trade group.\u003c/p>\n\u003cp>MacKay argues that the study overestimates the dangers by including problems caused by products that aren't supplements — such as homeopathic remedies.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>He also says any problems caused by supplements could be minimized by keeping the products away from children, developing pills that won't choke older people, and educating young people about how to use the products more carefully.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2015 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Dietary+Supplements+Send+Thousands+To+ERs+Yearly&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/div>\n\n","blocks":[],"excerpt":"More than 23,000 Americans end up in emergency rooms each year after taking dietary supplements, an analysis shows. Most cases are linked to weight-loss products or energy-boosting supplements.","status":"publish","parent":0,"modified":1444861244,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":21,"wordCount":655},"headData":{"title":"Dietary Supplements Send Thousands To ERs Yearly | KQED","description":"More than 23,000 Americans end up in emergency rooms each year after taking dietary supplements, an analysis shows. Most cases are linked to weight-loss products or energy-boosting supplements.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Dietary Supplements Send Thousands To ERs Yearly","datePublished":"2015-10-14T22:20:44.000Z","dateModified":"2015-10-14T22:20:44.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"92497 http://ww2.kqed.org/stateofhealth/?p=92497","disqusUrl":"https://ww2.kqed.org/stateofhealth/2015/10/14/dietary-supplements-send-thousands-to-ers-yearly/","disqusTitle":"Dietary Supplements Send Thousands To ERs Yearly","source":"NPR","sourceUrl":"http://www.npr.org/sections/health-shots/2015/10/14/448322590/dietary-supplements-send-thousands-to-ers-yearly","nprByline":"Rob Stein","nprStoryId":"448322590","nprApiLink":"http://api.npr.org/query?id=448322590&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"http://www.npr.org/sections/health-shots/2015/10/14/448322590/dietary-supplements-send-thousands-to-ers-yearly?ft=nprml&f=448322590","nprRetrievedStory":"1","nprPubDate":"Wed, 14 Oct 2015 18:07:00 -0400","nprStoryDate":"Wed, 14 Oct 2015 17:02:00 -0400","nprLastModifiedDate":"Wed, 14 Oct 2015 18:07:59 -0400","nprAudio":"http://pd.npr.org/anon.npr-mp3/npr/atc/2015/10/20151014_atc_dietary_supplements_send_thousands_to_ers_yearly.mp3?orgId=1&topicId=1128&d=192&p=2&story=448322590&t=progseg&e=448563347&seg=14&ft=nprml&f=448322590","nprAudioM3u":"http://api.npr.org/m3u/1448697189-b038c4.m3u?orgId=1&topicId=1128&d=192&p=2&story=448322590&t=progseg&e=448563347&seg=14&ft=nprml&f=448322590","path":"/stateofhealth/92497/dietary-supplements-send-thousands-to-ers-yearly","audioUrl":"http://pd.npr.org/anon.npr-mp3/npr/atc/2015/10/20151014_atc_dietary_supplements_send_thousands_to_ers_yearly.mp3?orgId=1&topicId=1128&d=192&p=2&story=448322590&t=progseg&e=448563347&seg=14&ft=nprml&f=448322590","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Tens of thousands of Americans are treated in hospital emergency rooms each year for problems caused by dietary supplements, federal health officials are reporting.\u003c/p>\n\u003cp>The complications include heart problems such as irregular or rapid heartbeat or chest pain, says \u003ca href=\"http://blogs.cdc.gov/safehealthcare/authors/robert-j-geller-md/\">Dr. Andrew Geller\u003c/a> of the federal Centers for Disease Control and Prevention, who led the study \u003ca href=\"http://www.nejm.org/doi/full/10.1056/NEJMsa1504267\">published\u003c/a> Wednesday in the \u003cem>New England Journal of Medicine\u003c/em>.\u003c/p>\n\u003cp>Two other big problems are children ingesting supplements purchased by an adult, or older people choking on pills, he says. Nearly three-fourths (71.8 percent) of the ER visits were related to the use of weight-loss or energy-boosting supplements.\u003c/p>\n\u003cp>The analysis, based on data collected between 2004 and 2013, is the first national estimate of complications that result from using dietary supplements, Geller says.\u003c/p>\n\u003cp>Using data from 63 emergency rooms, he and his colleagues calculated that 23,005 emergency room visits occur each year because of dietary supplements. Among those cases, 2,154 patients are hospitalized to receive further treatment.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The analysis did not include anyone who might have died on the way to the hospital or in the ER because those deaths are not recorded in the database used for the study.\u003c/p>\n\u003cp>Geller says it's hard to know which products can cause problems or why. Unlike standard over-the-counter medications or prescription drugs, the companies that make dietary supplements are not required to prove to the Food and Drug Administration that their products are safe and effective before selling them.\u003c/p>\n\u003cp>\"We don't have information about what's contained in these products,\" Geller says. \"And often times multiple active ingredients are combined into a single product.\" In addition, similarly named products can have very different active ingredients, he says.\u003c/p>\n\u003cp>\"For all those reasons it can be hard for consumers, clinicians and public health agencies to determine which, if any, of the specific active ingredients caused the observed effects,\" Geller says.\u003c/p>\n\u003cp>In recent years, some dietary supplements have been recalled when they are found to contain unapproved ingredients or contaminants. But Geller says \"there's very little national data about how products that are not included in such recalls cause health problems.\"\u003c/p>\n\u003cp>Dietary supplements have become increasingly popular in the United States. Americans spend nearly \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/19771719\">$14 billion\u003c/a> a year on vitamins, minerals, herbal remedies to treat a wide range of conditions, including colds, arthritis and immune system problems, and to promote weight loss.\u003c/p>\n\u003cp>Critics of the dietary supplement industry are welcoming the new research.\u003c/p>\n\u003cp>\"This is the most important study that been published on supplements in the last 20 years,\" says \u003ca href=\"https://connects.catalyst.harvard.edu/profiles/display/person/21925\">Dr. Pieter Cohen\u003c/a>, who studies supplements at Harvard Medical School.\u003c/p>\n\u003cp>\"What this study does is find entirely flawed the underlying premise that supplements are safe,\" Cohen says. \"In fact, supplements are now shown by this elegant CDC study to send tens of thousands of people to emergency rooms every year.\"\u003c/p>\n\u003cp>The findings, he says, show there's a need to better track problems caused by supplements so the FDA can identify and remove dangerous supplements from the market sooner.\u003c/p>\n\u003cp>Dietary supplement companies, however, see the study as demonstrating the relative safety of supplements.\u003c/p>\n\u003cp>\"If you put it in context that over 150 million Americans take dietary supplements each year, we have, 'Far less than one-tenth of 1 percent of supplement users will visit the ER,' \" says \u003ca href=\"http://www.crnusa.org/who_staff_bios.html\">Duffy MacKay\u003c/a>, a naturopathic doctor and the senior vice president for scientific and regulatory affairs at the Council for Responsible Nutrition, a trade group.\u003c/p>\n\u003cp>MacKay argues that the study overestimates the dangers by including problems caused by products that aren't supplements — such as homeopathic remedies.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>He also says any problems caused by supplements could be minimized by keeping the products away from children, developing pills that won't choke older people, and educating young people about how to use the products more carefully.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2015 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Dietary+Supplements+Send+Thousands+To+ERs+Yearly&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/92497/dietary-supplements-send-thousands-to-ers-yearly","authors":["byline_stateofhealth_92497"],"categories":["stateofhealth_12","stateofhealth_13"],"tags":["stateofhealth_2552"],"featImg":"stateofhealth_92498","label":"source_stateofhealth_92497"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.","airtime":"SUN 2pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.possible.fm/","meta":{"site":"news","source":"Possible"},"link":"/radio/program/possible","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/possible/id1677184070","spotify":"https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"}},"1a":{"id":"1a","title":"1A","info":"1A is home to the national conversation. 1A brings on great guests and frames the best debate in ways that make you think, share and engage.","airtime":"MON-THU 11pm-12am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/1a.jpg","officialWebsiteLink":"https://the1a.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/1a","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=1188724250&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/1A-p947376/","rss":"https://feeds.npr.org/510316/podcast.xml"}},"all-things-considered":{"id":"all-things-considered","title":"All Things Considered","info":"Every weekday, \u003cem>All Things Considered\u003c/em> hosts Robert Siegel, Audie Cornish, Ari Shapiro, and Kelly McEvers present the program's trademark mix of news, interviews, commentaries, reviews, and offbeat features. 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But is this once sleepy suburb ready for them?","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/American-Suburb-Podcast-Tile-703x703-1.jpg","officialWebsiteLink":"/news/series/american-suburb-podcast","meta":{"site":"news","source":"kqed","order":"13"},"link":"/news/series/american-suburb-podcast/","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=1287748328","tuneIn":"https://tunein.com/radio/American-Suburb-p1086805/","rss":"https://ww2.kqed.org/news/series/american-suburb-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkMzMDExODgxNjA5"}},"baycurious":{"id":"baycurious","title":"Bay Curious","tagline":"Exploring the Bay Area, one question at a time","info":"KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. And you join us on the journey to find the answers.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Bay-Curious-Podcast-Tile-703x703-1.jpg","imageAlt":"\"KQED Bay Curious","officialWebsiteLink":"/news/series/baycurious","meta":{"site":"news","source":"kqed","order":"4"},"link":"/podcasts/baycurious","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/bay-curious/id1172473406","npr":"https://www.npr.org/podcasts/500557090/bay-curious","rss":"https://ww2.kqed.org/news/category/bay-curious-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvbmV3cy9jYXRlZ29yeS9iYXktY3VyaW91cy1wb2RjYXN0L2ZlZWQvcG9kY2FzdA","stitcher":"https://www.stitcher.com/podcast/kqed/bay-curious","spotify":"https://open.spotify.com/show/6O76IdmhixfijmhTZLIJ8k"}},"bbc-world-service":{"id":"bbc-world-service","title":"BBC World Service","info":"The day's top stories from BBC News compiled twice daily in the week, once at weekends.","airtime":"MON-FRI 9pm-10pm, TUE-FRI 1am-2am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/BBC-World-Service-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.bbc.co.uk/sounds/play/live:bbc_world_service","meta":{"site":"news","source":"BBC World Service"},"link":"/radio/program/bbc-world-service","subscribe":{"apple":"https://itunes.apple.com/us/podcast/global-news-podcast/id135067274?mt=2","tuneIn":"https://tunein.com/radio/BBC-World-Service-p455581/","rss":"https://podcasts.files.bbci.co.uk/p02nq0gn.rss"}},"code-switch-life-kit":{"id":"code-switch-life-kit","title":"Code Switch / Life Kit","info":"\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />","airtime":"SUN 9pm-10pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Code-Switch-Life-Kit-Podcast-Tile-360x360-1.jpg","meta":{"site":"radio","source":"npr"},"link":"/radio/program/code-switch-life-kit","subscribe":{"apple":"https://podcasts.apple.com/podcast/1112190608?mt=2&at=11l79Y&ct=nprdirectory","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy","spotify":"https://open.spotify.com/show/3bExJ9JQpkwNhoHvaIIuyV","rss":"https://feeds.npr.org/510312/podcast.xml"}},"commonwealth-club":{"id":"commonwealth-club","title":"Commonwealth Club of California Podcast","info":"The Commonwealth Club of California is the nation's oldest and largest public affairs forum. 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On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. 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For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us","airtime":"SUN 2pm-3pm, MON 12am-1am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/onTheMedia.png","officialWebsiteLink":"https://www.wnycstudios.org/shows/otm","meta":{"site":"news","source":"wnyc"},"link":"/radio/program/on-the-media","subscribe":{"apple":"https://itunes.apple.com/us/podcast/on-the-media/id73330715?mt=2","tuneIn":"https://tunein.com/radio/On-the-Media-p69/","rss":"http://feeds.wnyc.org/onthemedia"}},"our-body-politic":{"id":"our-body-politic","title":"Our Body Politic","info":"Presented by KQED, KCRW and KPCC, and created and hosted by award-winning journalist Farai Chideya, Our Body Politic is unapologetically centered on reporting on not just how women of color experience the major political events of today, but how they’re impacting those very issues.","airtime":"SAT 6pm-7pm, SUN 1am-2am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Our-Body-Politic-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://our-body-politic.simplecast.com/","meta":{"site":"news","source":"kcrw"},"link":"/radio/program/our-body-politic","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/our-body-politic/id1533069868","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5zaW1wbGVjYXN0LmNvbS9feGFQaHMxcw","spotify":"https://open.spotify.com/show/4ApAiLT1kV153TttWAmqmc","rss":"https://feeds.simplecast.com/_xaPhs1s","tuneIn":"https://tunein.com/podcasts/News--Politics-Podcasts/Our-Body-Politic-p1369211/"}},"pbs-newshour":{"id":"pbs-newshour","title":"PBS NewsHour","info":"Analysis, background reports and updates from the PBS NewsHour putting today's news in context.","airtime":"MON-FRI 3pm-4pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/PBS-News-Hour-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.pbs.org/newshour/","meta":{"site":"news","source":"pbs"},"link":"/radio/program/pbs-newshour","subscribe":{"apple":"https://itunes.apple.com/us/podcast/pbs-newshour-full-show/id394432287?mt=2","tuneIn":"https://tunein.com/radio/PBS-NewsHour---Full-Show-p425698/","rss":"https://www.pbs.org/newshour/feeds/rss/podcasts/show"}},"perspectives":{"id":"perspectives","title":"Perspectives","tagline":"KQED's series of of daily listener commentaries since 1991","info":"KQED's series of of daily listener commentaries since 1991.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Perspectives-Podcast-Tile-703x703-1.jpg","officialWebsiteLink":"/perspectives/","meta":{"site":"radio","source":"kqed","order":"15"},"link":"/perspectives","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/id73801135","npr":"https://www.npr.org/podcasts/432309616/perspectives","rss":"https://ww2.kqed.org/perspectives/category/perspectives/feed/","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvcGVyc3BlY3RpdmVzL2NhdGVnb3J5L3BlcnNwZWN0aXZlcy9mZWVkLw"}},"planet-money":{"id":"planet-money","title":"Planet Money","info":"The economy explained. 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The result is stories that inform and inspire, arming our listeners with information to right injustices, hold the powerful accountable and improve lives.Reveal is hosted by Al Letson and showcases the award-winning work of CIR and newsrooms large and small across the nation. In a radio and podcast market crowded with choices, Reveal focuses on important and often surprising stories that illuminate the world for our listeners.","airtime":"SAT 4pm-5pm","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/reveal300px.png","officialWebsiteLink":"https://www.revealnews.org/episodes/","meta":{"site":"news","source":"npr"},"link":"/radio/program/reveal","subscribe":{"apple":"https://itunes.apple.com/us/podcast/reveal/id886009669","tuneIn":"https://tunein.com/radio/Reveal-p679597/","rss":"http://feeds.revealradio.org/revealpodcast"}},"says-you":{"id":"says-you","title":"Says You!","info":"Public radio's game show of bluff and bluster, words and whimsy. 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