During a LIVE webinar for a course titled ‘A Clinician’s Guide to Improving Therapeutic Outcomes: Why is Nutrition Important?‘, Jami Cooley, RN and Certified Nutritionist, answers some important questions on various topics pertaining to nutrition.
Q: Did you get your certification through AFPA? As a PT, do you think something like that could be beneficial? Would you recommend the regular certification or the masters level?
A: Yes, I did. They have a very thorough certification course. I highly recommend it. I also worked with a nutrition-orientation physician (MD) so a lot of my knowledge came through experience at his office. I would recommend their certification program. The master’s level is more in-depth
Q: Are over the counter multi-vitamins acceptable? (Vitamins like Centrum)
A: OTC multivitamins are fine; however, you want to be sure and read the labels for the dosage of the nutrients as well as added ingredients. Centrum, for example, contains Calcium Carbonate, the least absorbable form of Calcium. There are also other additives such as corn starch and dyes/ food coloring so it may be more beneficial to select a better quality OTC multivitamin with less additives.
Q: Is Magnesium Citrate recommended for athletes?
A: Magnesium citrate can cause more stomach upset than other forms of Magnesium. The best would be magnesium malate for athletes. Mag citrate is also used to treat constipation, so it’s not ideal for athletes.
Q: Is it the best-absorbed form if those issues are not problems?
A: It honestly depends on how it is encapsulated.I would still recommend magnesium malate over citrate, but as long as the athlete can tolerate it, citrate would be okay. If choosing mag citrate, try the pill form rather than a powder form. Powder is absorbed more quickly – all at once – and can cause GI problems faster.
Q: You quickly mentioned nutrients prescribed to treat health conditions. The slide discussed ergocalciferol and cholecalciferol. Can you explain the difference?
A: Vitamin D: ergocalciferol (vitamin D2) in prescription form and cholecalciferol (vitamin D3) in supplement form. Vitamin D3 is better absorbed than D2.
Q: Magnesium citrate comes in liquid form, I have an athlete pt dealing with cramping that swears by it.
A: Yes, you can get it in liquid form, too. If it is helping your athlete then by all means, keep using it! Everyone is unique. I have found with my clients that citrate causes diarrhea in some instances. But if it works, then go for it.
Q: When I am encouraging my geriatric patients to drink water, they frequently say, I drink 2 cups of coffee or I drink tea all day. I know water is a better choice, but do these fluids count toward recommended water intake and if not, why?
A: Studies have indicated that coffee has a diuretic effect (increases urine output). Many of these studies look at a 4-hour (or less) time period post coffee consumption rather than a 24-hour period for total fluid intake so this theory has been debunked with newer research published in recent years. Coffee and tea DO count towards total fluid intake (water intake). However, considering other factors (sleep as an example) I would recommend that caffeine be limited over a 24-hour period.
Q: You mentioned only animal products provide complete protein. what about soy & other beans? what about beans & whole grains?
A: Yes, beans and whole grains are considered “complete” proteins. However, I recommend limiting processed foods – grains. Soy has phytoestrogenic effects. While it is a good protein source for men and older women, younger women and women of childbearing age should avoid consuming large amounts of soy products.
Q: As far as athletic training, when should one carb-load for high demanding activities. I was told complex the night before and simple carbs on day of..?
A: For carb loading, it depends on the amount of endurance activities. Studies actually indicate for high endurance activities (long triathlons, marathons, etc.), carb loading should begin at a gradual pace over the last week before an event. Then, the highest carb intake should occur 2 days prior to the event. 2 Days before the event would be the day to have the most simple carbs verses complex carbs.
Interested In Nutrition CEU Courses?
Enroll In Physical Therapy University Today!