More questions from
readers in honor of National Nutrition Month "Nutrition
from the ground up":
"Dear Barbara, I
just read your wonderful article on the benefits of chocolate
in today's Florida Times-Union and I wonder about the caffeine
content in chocolate. I have always heard that chocolate
contains caffeine, and I know one of the benefits you cite is
the relaxation of blood vessels in the head. Would you please
comment? --Julie M, Jacksonville, Fla.
Dear Julie,
I wrote that
"natural substances contained in cocoa powder help
arteries relax and thus lower blood pressure." These
substances appear to be the antioxidant "polyphenols"
in cocoa, not the caffeine.
According to the
National Institutes of Health, caffeine does not relax blood
vessels; it causes them to constrict. That is why caffeine
sometimes helps control pounding migraine headaches.
Chocolate is actually
fairly low in caffeine content. One ounce of dark chocolate
contains about 20 milligrams of caffeine; 1 ounce of milk
chocolate contains about 6 milligrams. By comparison, an
8-ounce cup of coffee has 100-200 milligrams of caffeine,
depending on how strong you like it.
So, it's not the
caffeine, but the polyphenols in cocoa beans that have been
shown to relax arteries (and maybe contribute to headaches in
folks who are sensitive.) Coffee beans contain these
substances, too, which may explain a new study that found
coffee drinking lowered the risk for stroke...even if people
drank decaffeinated coffee.
"Dear Barbara, I
hope you have time to give some details about the correct
amount of calcium, vitamin D, and magnesium for women over 70
years of age.
There are so many
choices on the pharmacy shelves: Citracal, calcium carbonate,
those with vitamin D, magnesium, big ones that choke you and
small ones that mean you need a handful. I stand there and
read labels, and then wonder if I have made the right choice.
My doctor just says be sure and take calcium, but not too much
vitamin D. Thanking you in advance. --Carolyn S.
Dear Carolyn,
Confused? Join the
club... For adults over 70, the current dietary reference
intake for vitamin D is 400 IU (International Units) but that
amount is expected to be increased soon based on new vitamin D
research. Up to 2000 IU of vitamin D daily is now considered
the safe "upper tolerable limit" without a doctor's
recommendation.
Calcium needs for
those over 70 is 1200 to 1500 milligrams per day...no more
than 2500 milligrams (from food and supplements combined). For
magnesium, the requirement is 350 milligrams a day.
Remember that these
recommendations are called DIETARY reference intakes for good
reason. Our DIET is the first place to look for these
nutrients. Supplements are meant to supplement what we don't
get in food. (Three cups of milk provide more than 900
milligrams of calcium, 300 IU vitamin D and 80 milligrams
magnesium, for example.)
That said, many
experts recommend calcium citrate as the supplement of choice
for those over the age of 70. (Citracal is the common brand.)
This "citrate" form contains less calcium per pill,
which is why you have to take more (or bigger) pills. You can
pop calcium citrate anytime and it appears to be well
absorbed.
Calcium
"carbonate" is the least expensive and most
condensed form of calcium. But to best absorb it, you need to
take it with or right after meals while your digestive enzymes
are active. Most important adjunct to a calcium supplement is
vitamin D, which is difficult to get in even the best diet.
Added magnesium also helps, especially if you are prone to
constipation...
Keep those nutrition
questions coming in March...National Nutrition Month!