Wednesday, 1 February 2012

Vitamins From A to Z - What the 50+ need to know

by: Nissa Simon | from: AARP Bulletin | Updated January 2012

The best way to get crucial vitamins and minerals is by eating the right balance of healthy foods. But for people over age 50, even the best diet may not provide enough of some important nutrients.

"How many of us can claim to be getting the full complement of what we need from our diet each day?" asks Meir Stampfer, M.D., professor of nutrition and epidemiology at Harvard University.

AARP's A to Z Guide will help you learn about the vitamins, minerals and supplements that are most important for older adults so you can be sure to consume them regularly. (Note: If you have certain diseases, such as cancer or diabetes, your body may have special nutritional needs. Also, certain medications can have adverse interactions with vitamins and other dietary supplements. Be sure to speak with your doctor or pharmacist about the vitamins, minerals and supplements you take.)

Abbreviations: IU=international units, MG=milligrams, MCG=micrograms

Vitamin A

How much to you need? Men: 900 mcg. Women: 700 mcg

Why you need it: Promotes good vision; helps keep immune system healthy.

Good to know: In supplements, look for vitamin A as beta carotene, not as retinol or retinoic acid, which increases the risk of bone fracture.

Food sources: Dairy products, fish, darkly colored fruits and vegetables.

Vitamin B1 (thiamine)

How much do you need? Men: 1.2 mg. Women: 1.1 mg

Why you need it: Thiamine is necessary for healthy nerve and brain cells; helps convert food to energy.

Good to know: Antacids and some diuretics may lower thiamin levels by decreasing absorption and increasing urinary secretion.

Food sources: Liver, whole grains, enriched breads and cereals.

Vitamin B2 (riboflavin)

How much do you need? Men: 1.3 mg. Women: 1.1 mg

Why you need it: Riboflavin is important for red blood cell production; helps convert food to energy.

Good to know: Older men and women may be especially susceptible to riboflavin deficiency, which can cause cracking or sores at the corners of the mouth, skin irritation or weakness.

Food sources: milk, eggs, fortified bread products and cereals.

Vitamin B3 (niacin)

How much do you need? Men: 16 mg. Women: 14 mg

Why you need it: Niacin is necessary for the proper functioning of the digestive system, skin and nerves; helps convert food to energy.

Good to know: Can cause skin flushing; may be prescribed to treat high cholesterol but should be used only under a doctor's care because of potentially severe side effects.

Food sources: Meat, fish, poultry, eggs.

Vitamin B6 (pyridoxine)

How much do you need? Men: 1.7 mg. Women: 1.5 mg

Why you need it: Vitamin B6 aids in the formation of red blood cells; strengthens the immune system.

Good to know: Too high doses of supplements may cause nerve damage, numbness and trouble walking.

Food sources: Beans, nuts, eggs, whole grains.

Vitamin B12

How much do you need? Men and women: 2.4 mcg

Why you need it: B12 is essential for keeping nerves and red blood cells healthy.

Good to know: As many as a third of people over 50 do not absorb enough B12 from diet alone; inadequate absorption may lead to neurological and balance problems.

Food sources: Fish, shellfish, meat, dairy products.

Vitamin C
How much do you need? Men: 90 mg. Women: 75 mg. (Smokers should add an extra 35 mg.)

Why you need it: Important for wound healing; boosts immune system; required for growth and repair of tissues in all parts of body.

Good to know: No studies confirm that vitamin C prevents colds, although it may shorten the length of a cold; excessive amounts can lead to upset stomach and diarrhea.

Food sources: Citrus fruits, tomatoes, kiwi, strawberries.

Vitamin D

How much do you need? Ages 51-70: 600 IU. Age 71+: 800 IU

Why you need it: Vitamin D helps the body absorb calcium; may protect against heart disease, cancer, diabetes and several autoimmune diseases

Good to know: Very high levels of vitamin D (above 10,000 IU a day) may cause kidney and tissue damage. Some blood test results for vitamin D may lead to an inaccurate diagnosis of vitamin D deficiency.

Food sources: Sun exposure provides the body's main supply of vitamin D; fatty fish, fortified milk and juices also contribute.

Vitamin E

How much do you need? Men and women: 15 mg

Why you need it: Vitamin E helps protect cells from damage; may reduce the risk of developing cancer, heart disease and other chronic diseases, but further research is needed.

Good to know: If you take a blood thinner, talk to your doctor before taking supplements; vitamin E increases bleeding risk.

Food sources: Vegetable oils, nuts, fruits, vegetables.

Folic Acid

How much do you need? Men and women: 400 mcg

Why you need it: A B vitamin, folic acid helps form red blood cells and produce DNA.

Good to know: High levels may mask vitamin B12 deficiency, especially in older adults. Recent research, suggests that for women, folic acid along with vitamins B6 and B12 may reduce the risk of developing age-related macular degeneration.

Food sources: Enriched cereals, whole-grain breads, dark, leafy vegetables.

Vitamin K

How much do you need? Men: 120 mcg. Women: 90 mcg

Why you need it: Vitamin K helps blood clot properly and helps maintain strong bones in older men and women.

Good to know: Can dilute the effect of blood thinners, so talk to your doctor if you take Coumadin (warfarin) or other blood thinners.

Food sources: Plant oils, green vegetables, cabbage, cauliflower.

Calcium
How much do you need?Men to age 70: 1000 mg (then 1200 at 71+). Women, 1200 mg starting at age 51

Why you need it: Calciumhelps form and maintain healthy teeth and bones; needed for normal heartbeat; helps with blood clotting.

Good to know: The body needs vitamin D to help absorb calcium, so if you use calcium supplements choose one that contains D. Recent studies have linked calcium pills to increased risk of heart attack.

Food sources: Dairy products, green leafy vegetables, bok choy, calcium-fortified orange juice.

Chromium

How much do you need? Men: 30 mcg. Women: 20 mcg

Why you need it: Chromium helps maintain normal blood sugar levels.

Good to know: There has been interest in treating high glucose levels and type 2 diabetes with supplemental chromium, but research to date is inconclusive.

Food sources: Meat, chicken, broccoli, apples, fish, grape juice.

Iodine

How much do you need? Men and women: 150 mcg

Why you need it: Dietary iodine is necessary for normal thyroid function; prevents goiter, a swelling of the thyroid gland.

Good to know: Deficiency occurs more often in women than men; when buying salt, choose one labeled "iodized."

Food sources: Seafood, iodized salt.

Iron

How much do you need? Men and women: 8 mg

Why you need it: Dietary iron is essential for healthy red blood cells.

Good to know: Men and women over 50 generally should not take a mutivitamin containing iron unless they have been diagnosed with iron deficiency.

Food sources: Meat, eggs, fortified bread and grain products.

Magnesium

How much do you need? Men: 420 mg. Women: 320 mg

Why you need it: Magnesium supports a healthy immune system; helps keep bones strong; regulates heart rhythm.

Good to know: Magnesium-rich foods may help protect against the development of type 2 diabetes; may also decrease the risk of high blood pressure in women.

Food sources: Whole grains, nuts, green vegetables.

Potassium

How much do you need? Men and women: 4700 mg

Why you need it: Potassium is crucial for heart, kidney, muscle, nerve function; important in controlling blood pressure; works with sodium to maintain the body's water balance.

Good to know: With age, kidneys become less able to remove potassium from blood, so speak with your doctor before taking supplements. A diet rich in fruits and vegetables generally provides sufficient potassium.

Food sources: Cantaloupe, bananas, yogurt, leafy green vegetables and sweet potatoes.

Selenium

How much do you need? Men and women: 55 mcg

Why you need it: Selenium helps make special proteins that play a role in preventing cell damage.

Good to know: May reduce the risk of certain cancers, including lung, colorectal and prostate, although not all studies have found this effect.

Food sources: Red meat, fish, chicken, vegetables.

Zinc

How much do you need? Men: 11 mg. Women: 8 mg

Why you need it: Aids in wound healing; keeps sense of smell and taste sharp.

Good to know: Many people take zinc to ease the miseries of a common cold, but its effect is controversial; some studies suggest zinc can speed recovery, others conclude it doesn't work. Some studies show that taking a combination of antioxidants and zinc reduces the risk of advanced age-related macular degeneration.

Food sources: Fortified cereals, red meat, eggs, seafood.

Omega-3 fatty acids
What it does: Omega-3 fatty acids (which should not be confused with omega-6 fatty acids) are important for blood clotting, cell division and the relaxation and contraction of muscles.

Good to know: The omega-3 fatty acids plentiful in fatty fish and fish oil supplements have built a powerful reputation for reducing the risk of a second heart attack. Studies on fish oil and memory have had mixed results. Also, fatty acid supplements may interact with blood thinners.

Echinacea

What it does: This plant may reduce the duration of a cold.

Good to know: Study results are mixed about whether echinacea can prevent colds and other infections.

Gingko

What it does: Derived from the oldest living tree species, ginkgo extract improves walking in people with certain circulatory problems that affect the legs.

Good to know: Research on ginkgo's effect on Alzheimer's and memory loss has been disappointing. Ginkgo can increase bleeding risk, so talk to your doctor if you take blood thinners or have surgery scheduled.

Ginseng

What it does: The root of the ginseng plant appears to benefit people with heart disorders. It may also lower blood glucose levels in people with type 2 diabetes.

Good to know: People with diabetes should use caution with ginseng, especially if they are taking medication to lower blood glucose.

Nissa Simon, a health writer, lives in New Haven, Conn.

You might also like to read: Nine medications to use with caution.
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The original article can be found HERE