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My Research

The following is a research project I did this year in my J50 class, which is electronic information sources.

Health Risks of Improper Weight Loss & Diet Products

Keywords Books Databases Websites Essay

Section I: Introduction
From personal experience and minimal reading I have done in the past, I know that dietary supplements, diet food products, and a variety of diet pills are hugely marketed in mainstream media today. It seems like most people I know who have ever undertaken a diet, including myself, have tried at least one of these products.
Though the negative effects of diet products are not usually stressed, the usage of diet products is slightly controversial. Most people say that some of these products do help them loose weight, but some claim that the weight piles back on as soon as they stopped using it. Health experts seem to have differing opinions on this subject as well; some say that such products mess with people’s metabolism in a bad way, and others say that these products seem to be fairly safe.
I have a personal theory on diet products, and that is that they are fine to use as a jumpstart for weight loss, but can become habit-forming, tolerance-forming and eventually “screw up” one’s metabolism, making it harder to keep weight off without the product. Therefore, the best way to loose weight is to do nutrition research and take up a healthy diet and exercise program.
My research on this topic focused on the adverse effects of improper weight loss, particularly when aided by any sort of diet products, versus healthy weight loss. I hope to find definite answers, beyond what I have learned from experience, on what exactly is healthy weight loss and what is not. Beyond that, I want to know exactly why certain weight loss techniques are unhealthy, because most people who are dieting do not take the risks very seriously- they are just happy to be shedding pounds. I want to find out if there really is a good reason to avoid using these products, or, in other words, if it is really worth it to use them.
My intended audience is dieters and people who are obsessed with staying fit. My audience is people like me, who are easily swayed by advertisements for these products. It is for people who are overweight or contemplating a diet and thinking about using a diet aid. I think that diet products are so prevalent in today’s society and media that most who are dieting have at least been exposed to the idea of using them. These people should know more about their affects before they make the decision to use them.


Section Ib: Keywords
UNC Library catalog:
appetite depressants OR diet pills
dietary supplements OR diet products AND negative effects
Academic Universe Lexis-Nexis:
diet aids and negative effects
adverse effects of diet products
Google
ephedra and weight loss
diet products and metabolism

Section II: Books and Nonprint Sources from UNC-CH Libraries
A.
Berg, Frances M. “Health Risks of Weight Loss.” Healthy Weight Journal, 3rd ed., 1995.
Location: Undergraduate Library, RM222.2B4741995
Samz, Jane. Drugs and Diet. Encyclopedia of Psychoactive Drugs Series. New York: Chelsea House, 1988.
Location: Undergraduate Library, RM332.3S351988
B.
Barrett, Cece. “The Dangers of Diet Drugs and Other Weight Loss Products.” Teen Health Library of Eating Disorder Prevention Series. New York: Rosen Pub. Group, 1999.
Location: Electronic Book Net Library, computer file

Section III: Electronic Indexes and Database Sources
1. Applegate, Liz. “Fat Chance.” Shape, v17n8 p.62 (2). April 1998.
2. Bispo, Renato and Oates, Jessica. “Weight Loss Supplements: Are they Safe?” University Wire, Slippery Rock U., PA. 13 Sept., 2002.
3. Blanck, Heidi, Khan, Laura and Serdula, Mary K. “Use of Nonprescription Weight Loss Products: Results From a Multisafe Survey.” JAMA, The Journal of the American Medical Association. 22 Aug., 2001, v286 i8 p.930.
4. Duffy, Shannon P. “Fen-Phen: Are Claims Exaggerated?” The Legal Intelligencer. October 2002. NLP IP Company, Inc.
5. Postman, Andrew. “Sip Your Way Thin and other Diet Lies.” Self. March 2002 v24 i3 p.170 (7).
6. Sidel, Robin and Schmitt, Richard B. “Wyeth Trying to Stem Flood of ‘Fen-Phen’ Claims.” The Deseret News. The Deseret News Publishing Co. 29 Oct., 2002.


Section IV: Websites
1. Metabolife Diet and Energy Bar Recall http://gareth.membrane.com/leflawnet/metabolife/
This website, written in 2001, discusses that the California Senate Health and Human Services Committee was considering a bill which would regulate herbal supplements that contain ephedrine alkaloids. It explains what ephedra is and what it does. It also has articles about a voluntary recall of metabolife snack bars in May 2001 due to the fact that the product had much more vitamin A than was indicated on the label, noting that too much vitamin A can be toxic.
Source: Leflaw.net
2. Adverse Events with Ephedra and Other Botanical Dietary Supplements
http://vm.cfsan.fda.gov/~dms/ds-ephe2.html/
This website is an FDA Medical Document from September 1994. It discusses reports of problems related to diet products ranging from nervousness and dizziness to seizure and stimulant “overdose” in children and teenagers. It does not go into detail about whether or not these claims are true or why these things might have happened, it just urges health professionals to take precaution and report serious affects the products might have.
Source: Food and Drug Administration
3. Firm Glossed Over Complaints About Herb Ephedra, Panel Told
http://www.yourlawyer.com/practice/news.htm?story_id=2325&topic=Ephedra/
This document is an analysis of the adverse events reports of 2,000 side effects of ephedra, including heart attacks, strokes, and even three deaths. Metabolife International reportedly only found 2,000 of the 13,000 consumer reports “significant” side effects. A 1994 Federal Law makes it very difficult for the FDA to regulate dietary supplements, because they do not have to prove the drugs are safe, like pharmaceutical companies do.
Source: FDA, from a Parker & Waichman, yourlawyer.com
4. Toxicity of Diet Drugs
http://www.pharmacy.umaryland.edu/~mpc/Publications/Dec98.pdf
This report from 1998 discusses several of the most popular diet drugs and diet drug active ingredients, and their side affects and dangers. They stress that all of these products have a high abuse potential, even herbal products that are advertised as being “natural.” Many of these products that are being heavily advertised do not even have evidence of being efficient for managing obesity.
Source: “Toxalert” Newlettter of the Maryland Poison Center, umaryland.edu
5. Herbals with Known Adverse Effects
http://vanderbiltowc.wellsource.com/dh/content.asp?ID=138
This website has information on the not-so-mainstream herbal diet products, and explains why people should take precautions when using them. It explains the known side effects of a few herbal diet aids in particular. It also has links to teach the reader about dietary supplements in general, amino acids, and why vitamin supplements.
Source: Vanderbilt University, Health & Wellness Program

Section V: Mini-Essay
The Internet has been a huge factor in the rise of diet product usage. Diet products have become a very routine and normal method of weight loss, and the Internet is one of its biggest catalysts. Any keyword search having to do with weight loss, diets and even nutrition always results in a variety of websites about weight loss programs. They are all almost exactly the same. They make a claim that anyone who uses their program will loose a ridiculous amount of weight in a very short period of time, give a few diet recipes, and most importantly, advertise several diet aids and products. This includes snack bars, herbal supplements, “energy” pills, powders, meal “substitutes” and so on (1).
These websites are almost inescapable. Even if you are not a dieter who is online searching for diet programs, they find you. I know I am not the only person who receives a great deal of junk mail from diet programs. There are also “pop-ups” on the computer screen quite frequently that urge the viewer to enter his or her weight, height and of course email address for a “free evaluation.”
The websites for popular weight loss pills and products, such as metabolife and xenadrine, have similar websites as well (2, 3). They have several “success stories,” a section about the product, and of course a store to buy all of the products. There is usually a disclaimer that warns of possible adverse affects if directions are not followed correctly, though it does not go into detail.
There has been small controversy over the past couple of decades regarding diet products, but the field is fairly new, so there have not been many major national issues. Probably the biggest scandal was in 1997 when the diet drug fen-phen that was used to treat obesity was reportedly harming customers. Known fen-phen users were developing fatal heart valve problems. Fen-phen is in the class of drugs called anorexiants (4).
The Internet has been and will continue to be a huge part in the growth of this field. And although most of the websites on diet programs that came up during weight loss searches are the same, if one is determined to learn the other side of the story, the Internet will allow this as well.

(1) http://www.amdweightloss.com/
(2) http://www.metabolife.com/
(3) http://www.xenadrine.com/
(4) Smoger, Dr. Gerson. Fen-Phen. http://www.fen-pheninjurylaw.com/Fenphen_article.html 1977.

 

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Feel free to email me with questions or comments at jeparks@email.unc.edu