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Harmful Effects of Herbal Supplements
and Weight Loss Drugs
What are Herbal SupplementsNon-pharmaceuticalNon-food substances Plant-derived substances
Why used? To lose undesired weight Cure medical conditionsUnder influence of market
“improve health”
Consumption 2nd most adopted unhealthy
strategy for weight loss (starvation)
US spent $34 billion on herbal supplements
VIDEOS
Why the increase? CONTRIBUTING FACTORSMedia Peer Pressure Sedentary LifeDissatisfaction with body image
Misinformation/Misconception
JUST BECAUSE IT’S NATURAL DOESN’T MEAN ITS SAFEProducts = Contaminated, NOT
labeled, or labeled incorrectly
Herbs are mixed Exact amount of active ingredients = UNKNOWN
Active ingredients = Harmful
Why are they dangerous? CONSUMPTION IN BRAZIL, MIDDLE EAST, SPAIN, CHINA, UNITED
STATES
Xenadrine RFA-1 23-yr male died of a heatstroke
E.sinica 27-year-old patient racing heart rate, and shortness of breath
YOUNG ADULTS ARE SUSCEPTIBLE
Ephedra = Most common
Risks= serious risk for patients with HTN, heart disease, diabetes, hepatic injury, death
DANGER of Ephedra = Ephedrine stimulates beta receptors on fat cells which are located in the heart inc. heart rate and blood pressure.
Community: Women adults in Lebanon
Purpose/Goal: Assess the prevalence of the use of weight loss drugs and herbal supplements of university students in Lebanon and investigate the contributing factors
Target population: Female students registered at the American University of Beirut, in their senior year, in the FAFS department year 2014-2015.
Asse
ssm
ent
Objectives For Assessment
Objectives:
Asses the eating habits of AUB students Identify gaps in nutrition education resources on campus
Identify students TV habits and tasteDetermine weight status of students Community Objective: Availability of weight loss pills and herbal supplements
Why This Target Group?Part of community that suffers propaganda
Victims to dissatisfaction of body image
Motivated to take drastic measures to look certain way Fit in, impress a crush
Females = educated makes way for educational intervention
Methods of Data CollectionTarget population Observation Surveys Libraries and archives
CommunitiesInternet, television, radio,
advertisements.Scientific publications Ministry of health in Lebanon
INTERVENTIONGoal: Reduce the use of weight loss
drugs and herbal supplements
Objectives: use of weight loss drugs and herbal supplements of female university students of the AUB by 50% in their senior year, in the FAFS department year 2014-2015 within 1 year
Process objective:
- Nutritionist educator should conduct lecture 1 x per week over the course of 6 months.
- Nutrition educator should conduct cooking class 1 x per month for 6 months
- Fitness coach to initiate physical activity class 2x week for 6 months
Tag lineJust because it’s natural, it doesn’t mean
it’s safe
InterventionsLevel 1 - Brochure (include Test Knowledge)a) Contributing factors b) Dangers of weight loss supplements
and herbal supplements c) Healthy alternative methods for
weight loss.- Flyers Raise awareness + advertise
group lecture
Sam
ple
Flye
r
TO FIND OUT: ATTEND OUR GROUP LECTURESWHERE? AUB, AGRICULTURE 102WHEN? FRIDAY 4:30 – 5:20CONTACT INFO: [email protected], [email protected], [email protected], [email protected]
DON’T KNOW WHICH TO CHOOSE?
JUST BECAUSE IT’S NATURAL,
IT DOESN’T MEAN IT’S
SAFE SAY NO TO HERBAL
SUPPLEMENTS
WANT TO KNOW MORE?
ATTEND OUR GROUP LECTURESWHERE? AUB, AGRICULTURE 102WHEN? FRIDAY 4:30 – 5:20CONTACT INFO: [email protected], [email protected], [email protected], [email protected]
Level 2Group Lecture
Capacity = 50 students
Time= 1x week on Fridays at 4:30 to 5:20
Location: AUB, Room 102 in the Agriculture building
Aim: Fix misconceptions regarding the safety of herbal and weight loss supplements by showing their harmful effect.
Lesson PlanTitle: Just because it’s natural it doesn’t mean its safe Target Audience: Female students registered at the American University of Beirut, in their senior year, in the FAFS department year 2014-2015.Instructional Time/Duration: 50 minutes. Session begins at 4:30 until 5:20 pm 1 x week for 6 monthsOverview/main goal: Fix misconceptions regarding safety of herbal and weight loss supplements by showing their harmful effects
Objectives: After the lecture students should
demonstrate be able to identify the risks of using herbal supplements and weight loss objectives.
Students should identify and be aware of alternative healthy weight loss methods.
Materials: 1 computer (Laptop or desktop in order to play the
presentation) Any necessary cables to connect certain devices 1 hard copy of the lesson in case the computer
malfunctions Projector (LCD) Brochures for the 50 students present in the class
(bring 60 copies in case) Evaluation Sheets
Procedure/The Lesson: Steps to follow
The Plan◦Conducted by nutrition educators ◦Arrive to class at least 10 minutes early ◦Evaluation sheet for flyers. ◦Conductor must be well-paced ◦Conduct the Lesson based on the PowerPoint slides
Level 2
(After Increase Knowledge Increase Skill) Next 6 months
• Alternative weight loss classes a) Cooking Class b) Physical Activity class
Cooking Class Aim: It is another way of losing
weight Student in preparation phase
according to the transtheoretical model
Improving skills of cooking healthy meals change behavior
(behavioral capability component of the SCT construct)
Location: AUB Pilot plant room, behind chemistry department
Time: 4 pm for 2 hours every month for 6 months.
Who: Nutritionist + Chef conducting this cooking class.
Capacity: 20 students.
Cooking booklet
Physical ActivityCross-fit Strength + Conditioning system
promote broad + targeted fitness. Payment: Free (use ID) When: Twice a week on Monday
and Wednesday at 6pm for 50 minutes for 6 months.
Who: Certified fitness coach Ryan Alameddine
Where: AUB gym
Facebook Page
https://www.facebook.com/pages/Just-because-its-Natural-doesnt-mean-its-Safe/834014426621673?sk=timeline
Level 3CREATE SUPPORTIVE ENVIORNMENT CHANGE
See legislation prohibiting herbal supplements and weight loss drugs that are not approved by FDA.
- Ministry of Health urge them to apply the FDA laws and regulations regarding these supplements
Make a partnership with a local pharmacy to use as a setting to highlight the danger of supplement use or weight loss meds.
Logic Model
Input Outputs Outcomes
Money Time Resources Funding Equipment Volunteers Community
Nutritionists Pharmacy (partner) Materials (LCD,
ingredients for recipes)
Survey
Activities Flyers Brochures Awareness sessions
(Lectures) Train/teach students
through: - Physical Activities - Cooking Sessions Build partnerships
(pharmacy)
Participation Students Participants Policy makers
Short-term: Change knowledge,
attitude, awareness, opinions and belief about safety of herbal supplements.
Medium: Changes in behavior
of students who consume these supplements.
Long-term: Well being and
health status of students
Stop long term consumption of weight loss medications and herbal supplements
EvaluationHelp determine progress + check if still on the right track of achieving set goal.
Evaluating our intervention will be done through several steps.
We will do formative, process, impact and outcome evaluation as follows:
Formative Evaluation: Comprehensive evaluation sheets
examine the design of our session, our delivery methods, and the use of our resources.
Give our session to a small sample group before giving it to the actual students of the university, to pilot test our presentation + evaluation forms.
Process Evaluation
HOW DID YOU HEAR ABOUT US? Check the box with your answer o From a Friend o From the flyers around campus o From the Internet o From Teachers
To evaluate whether the flyers distribute at beginning of the lecture
Process EvaluationTo evaluate the Facebook page see
the # of users who have liked the page or followed the page.
To test instructor:For interventions in a class-instructor
conducted form at the end of each class evaluation form distributed + collected after completion.
Good Average Bad
The class:Was the information clear?
Did it provide sufficient information?
Was it well designed?
Did it capture your attention?
The presenters:Was their voice audible?
Could you identify to them?
Did they attract your attention?
Were they knowledgeable of the topic?
The handouts:Were they well designed?
Was the information clear?
Were they useful?
Overall impression:Did you benefit from this session?
Did it provide you with sufficient information?
Did it offer good alternatives?
How was your overall impression?
Please provide us with your comments:
To Test Students:
After session test their ability to identify the risks of using these supplements.
We will do that by giving them Test Your Knowledge worksheet
Impact evaluation:
Stay in contact (emails) with students for 1 week after they have taken the session see if goals of project have been met
Outcome Evaluation:Send online evaluation form
emails of participants one year after they have taken the session
Through these forms ask about current food intake, PA, and herbal or weight loss supplements intake
ConclusionAIMS: Spread awareness about risks of these
supplementsChange the behavior of students using those pillsProvide alternative healthier ways for losing
weight. Make changes at the national level, by banning the
import of illegal and mislabeled products.
This way, we will have tackled an important contemporary nutritional problem, helped improve the status of targeted people and raised awareness to those who didn’t know about it.
Chal
leng
es fa
ced
Thinking about every detail of the work
Work = theoretical assume what was going to happen
Avoiding “cliché” interventions
Reaching sufficient number of people + fill out evaluation forms
Our intervention? Or other aspects of the participants lives?
Succeeding in change w/o relapse in behavior
Cooperating with the government+ partnership hard to accomplish.
Thank you !
