Monday, February 6, 2017

Vitamins by Age Group

Vitamins and supplements are a big industry, and there are so many to choose from.  Trying to figure out what to take, which makers have a better product and if it really adds value to your health. 

A dietary supplement is just that, it is a dietary ingredient intended to add further nutritional value to your own diet.  We do know that by eating the right amounts of fruits, vegetables, nuts, protein and dairy, we fulfill our daily requirements of vitamins needed to sustain a healthy body.  But a busy lifestyle doesn’t always allow for the perfect meal planning, so our bodies tend to suffer from lack of certain nutrients needed daily, so the next best thing is to reach for the vitamins/supplements to make up for those we are lacking.

That being said, what dietary supplements are the most important?  And what are the necessary amounts needed, as it varies with age and the daily diet doesn’t always provide all the nutrients needed.

According to WebMD:

Infants (0-12mos.):  Since infants can’t consume as many calories as adults, a diet high in fat supplies more than twice the calories of carbohydrates or protein.  Fat also supplies the essential fatty acids that attribute to proper brain development. Breast Milk, formula and animal products provide fat and cholesterol, which is necessary for a healthy nervous system.  Babies need Vitamin D every day to build strong bones and teeth.  Iron is needed as well to help support an infant’s rapid growth and development.

Toddlers & School Aged Children (1-8yrs.): Toddlers need about 1,400 calories a day. Milk provides calcium and vitamin D for the growing bones.  Everyone between 1-70 years old should get 600IU of vitamin D daily, about the amount found in five 8-ounce glasses of milk.  According to the American Academy of Pediatrics, children of all ages who drink less than 32 ounces of vitamin D added milk daily need vitamin D supplements.  As a child’s diet begins to reflect the family’s eating patterns, the child may be at risk for a diet low in calcium, vitamin D, potassium, and fiber, according to the 2010 Dietary Guidelines for Americans. Kids who avoid meat and other iron-rich foods, or any food group, may need a multivitamin supplement to fill in nutrient gaps.  Children who don’t consume enough milk or calcium and vitamin-D foods may require extra calcium.

Pre-teens and Teens (9 to 19 years old): Adolescence is the time for a child’s final growth spurt.  A child’s body begins preparing for the changes to come starting around age nine.  Nearly half of all skeletal growth occurs during the teen years.  Rapidly growing bones trigger a higher demand for calcium and the body responds by boosting calcium absorption from food and depositing it in bones to make them longer and thicker.  From age 9-18, children require 1,300mg of calcium daily, about the amount found in 32 ounces of milk.  Children of all ages require 600IU of vitamin D, which promotes calcium absorption in the body.  Iron requirements increases at age 14 to support increased blood volume and muscle mass.  Teen girls due to menstruation need more than boys to make up for monthly losses.  Inadequate iron intake can lead to anemia, the most common nutrient shortfall for teen girls. Teens who skimp on animal products run a greater risk for iron deficiency and insufficient intake of vitamin B12, calcium, and vitamin D, among others.  A daily multivitamin helps to fill in small nutrient gaps in a teen’s diet.

Adults (19 to 50 years old): Calorie needs decrease when you’re done growing.  A woman’s iron needs increase again in adulthood, to 18mg daily.  During pregnancy, iron requirements rise to 27mg daily, which is difficult to satisfy with food alone. 

Folic acid is another important nutrient during the childbearing years.  This B vitamin helps to prevent birth defects during early pregnancy.  The Institute of Medicine encourages women who may become pregnant to consume 400 micrograms of folic acid daily from fortified foods, dietary supplements, or a combination of the two.

With the exception of pregnancy, calcium absorption starts decreasing during adulthood.  Women, and men, should satisfy their daily calcium needs during this stage, which arte 1,000mg to reduce the risk of bone fractures later on in life. Calcium and vitamin D supplements make sense if you don’t consume the recommended 24 ounces of low-fat (1%) milk or fat-free milk or yogurt, or a combination of these every day – or if you don’t get the recommended calcium and vitamin D from other foods besides dairy.

Senior (50years old and older):  Nutrient needs change with advancing age for several reasons:  the body absorbs less, it requires more, or it needs less of certain nutrients.  For example, after menopause, women need less iron – 8mg daily – compared to 18mg daily during childbearing years – but they require more calcium.  As estrogen production decreases during menopause, more bone is broker down than constructed.  In addition, the body absorbs less calcium than it did earlier in life.  After age 51, women should consume 1,200mg calcium daily and men need 1,000mg.  Vitamin D needs go up with age, too.  After age 71, you should get 800IU daily.  Unless you drink 64 ounces of mild each day, you need a vitamin d supplement.

It’s harder to absorb naturally occurring vitamin B12 after age 50, because your body is less able to grab the vitamin B12 from foods and absorb it.  The body easily absorbs synthetic B12, however, which is why experts recommend it as the primary B12 source for people over 50.  Foods fortified with vitamin B12. Such as breakfast cereals and other, grains, or a multivitamin can help you meet your vitamin B12 needs.

Also keep in mind that certain nutrients interfere with over-the-counter and prescription medications.  As always, ask your doctor or pharmacist about the dietary supplements you take and how they may affect your medications.

Thursday, January 19, 2017

Tranquility Incontinence Products by Principle Business Enterprises

Incontinence Products Plus is proud to be a Tranquility Authorized Online Dealer. Tranquility is a manufacturer of premium protection incontinence products. Their products are known for their super levels of absorption, leak control, odor control, and comfort. Our product offering includes all of their products including the popular Premium Overnight Protective Underwear, ATN (All Through The Night) Adult Diapers, and XL+ Bariatric Brief Adult Diapers.

Tranquility Premium Products are used by home healthcare, medical facilities, and consumers that are looking for premium absorption and protection and comfort. They offer an extensive array of products to meet a full range of incontinence needs including disposable protective underwear, briefs (adult diapers), underpads (bed pads or “chux”), liners and pads, disposable swimwear, gloves, and wipes. The product line provides a complete line of highly absorbent products including the new EliteCare Super Absorbent Adult Diapers with a fluid holding capacity of 44 ounces!

Tranquility incontinence products improves exceptional capacity and comfort. They also help reduce needless changes so that users and caregivers can enjoy uninterrupted sleep and normal socialization. These improvements help the users quality of life by helping provide a sense of happiness and peace of mind that stems from daily activities of wholesome living and caring.

Tranquility products peach-colored core symbolizes the promise of unsurpassed performance in the areas of skin dryness, odor reduction, urine pH neutralization, and inhibition of bacterial growth.

Tranquility brand products are made by Principle Business Enterprises which is a woman-owned , family enterprise celebrating over 50 years of service. They are located in the USA in Dunbridge, OH. The Principle Business Enterprise family of products includes Tranquility, Select, ComfortCare, Swimmates, and Pillow Paws.

 You can visit our website here to view the complete line of Tranquility products.

Monday, January 2, 2017

Heart Health and Heart Disease

Heart Disease, also known as cardiovascular (CVD) disease, along with Coronary Artery Disease (CAD), has been a common topic in the news today.  There are many who suffer from heart disease but it seems that as soon as we hear the news of a celebrity, for some reason it hits home and wakes us up.  The most recent celebrities to be plagued and to have succumb to this horrible disease are George Michael & Carrie Fisher, both with heart failure.  Such shocking and sad news, but this disease does not discriminate.

Cardiovascular disease include the following: 
  • Angina
  • Heart Attack
  • Stroke
  • Heart Failure
  • Hypertensive Heart Disease
  • Rheumatic Heart Disease
  • Cardiomyopathy
  • Heart Arrhythmia
  • Congenital Heart Disease
  • Valvular Heart Disease
  • Carditis
  • Aortic Aneurysms
  • Peripheral Artery Disease
  • Venous Thrombosis

According to, Cardiovascular diseases are the leading cause of death for both men and women in the United States.  
  • About 610,000 people die of heart diseases in the United States every year, that’s 1 in every 4 deaths.
  • Every year about 750,000 Americans have a heart attack, of these 550,000 are a first heart attack and 210,000 happen in people who have already had a heart attack.
  • About 15% of people who have a heart attach will die from it.
  • Almost half of sudden cardiac deaths happen outside a hospital.
  • High blood pressure, high cholesterol and smoking are key risk factors for heart disease. About half of Americans (47%) have at lease one of these three risk factors. 
  • Several other medical conditions can attribute to the disease as well, including:
  • Diabetes, being overweight and obesity, Poor Diet, Physical Inactivity and Excessive Alcohol use.


A heart attack occurs when the blood supply to the heart is cut off.  The continued lack of blood flow to the heart muscle, can increase and greatly damage the heart.  Recognizing the signs of a heart attack and calling 911 immediately greatly increases the chance of survival.

The National Heart Attack Alert Program list the major signs of a heart attack: 
  • Chest Pain or discomfort: Discomfort in the center or left side of the chest that lasts for more than a few minutes, or that goes away and comes back.  The discomfort can feel like uncomfortable pressure, squeezing, fullness, or pain.
  • Discomfort in other areas of the upper body:  Can include pain or discomfort in one or both arms, the back, neck, jaw, or stomach.
  • Shortness of Breath:  Often comes along with the chest discomfort.  But it also can occur before chest discomfort.
  • Other Symptoms:  May include breaking out in a cold sweat, nausea, or light-headedness.

If you think that you or someone you know is having a heart attack, don’t hesitate to call 911 immediately.

Happy and Healthy 2017

Tuesday, December 13, 2016

Prostate and Male Urinary Incontinence

The other night at dinner a friend was telling me that his buddy of over 30 years had to stop wearing khaki pants because he is embarrassed by wet spots caused by urination. I immediately asked him if his friend had a prostate procedure and the answer was yes, which he then followed up with the question - “why?”.

To understand the “why” you have to have a basic understanding of what the prostate is, where it is in the male body, and why a procedure may cause urinary incontinence.

First off, the loss of the ability to control urination by men is commonly caused by surgery or radiation treatments for prostate cancer. It may be a short term issue or can be a lifelong issue. Let’s drill down into the details to understand “why”.

Lets start with the basics of what the prostate is and what is does and how it helps hold urine. Urine is stored in the bladder after it is drained from the kidneys. The bladder holds the urine until there is an urge to urinate. The bladder is a hollow, muscular, balloon-shaped organ. Urine flows out of the bladder and leaves the body through a tube called the urethra. Urination occurs when muscles in the bladder contract and forces urine out of the bladder. While this is happening the muscles that surround the urethra relax an allow the urine to flow out.

Here’s where the prostate comes into the picture - it is a gland that surrounds the urethra.

An enlarged prostate gland can obstruct the urethra and can cause urination retention or other problems with urination.

Removing the prostate through surgery or destroying it through radiation (via external beans or use of radioactive seed implants) disrupts the way the bladder holds urine and can result in urine leakage. Radiation can also decrease the capacity of the bladder and cause spasms that force urine out. Surgery can also damage nerves that help control bladder function.

Surgeons and procedures have changed over the years to attempt to reduce these issues. When removing the prostate they may try to save as much of the area around the bladder and the sphincter muscles around the urethra reducing the damage to the sphincter. Doctor have also improved the process of how they place the radioactive seed implants that destroy the prostate while limiting damage to the bladder.

Any man who is going through surgery or radiation to treat prostate cancer should expect to develop some problems with urinary control. There are new techniques that may help some men only have temporary problems controlling urine, and many may regain full control of their bladder over time.

Treatments options may include (always speak with your doctor for any and all treatment options):

Pelvic floor exercises. Doctors will often start with behavioral techniques that train men to control their ability to hold urine. These exercises are often called “Kegal Exercises”

Supportive Care including behavior modifications. This often includes reduction in fluid intake, reducing/avoiding caffeine, alcohol, or spicy foods, and not drinking before bedtime. Regular and frequent urination and not waiting till the last minute to go may also be encouraged. Losing weight may also help. Medications that also interfere with incontinence may also be reviewed.

Medications may be reviewed as they can increase bladder capacity and decrease urination frequency.

Neuromuscular electrical stimulation is treatment used to retrain and strengthen week urinary muscles and improve bladder control. This treatment involves a probe being inserted into the anus and a current passed through the probe at a level below the pain threshold which causes muscle contraction. The patient is then taught to squeeze the muscles when the current is on. After the contraction the current is switched off.

Artificial sphincter is a patient controlled device mad of tree parts - a pump, a pressure-regulating balloon, and a cuff that encircles the urethra and prevents urine from leaking. Results from an artificial sphincter can cure or greatly improve up-to 70-80% of patients.

Bulbourethral sling is a device used to compress and suspend the urethra. It is made to help achieve ladder control.

Other surgery may also be available on your doctors recommendation to help men hold urine.

If you are experiencing male incontinence there are many products available to avoid embracing leaks through your clothing and also help control odors. Here is a link to our Male Incontinence Products that may help you live a more active and comfortable lifestyle after prostate surgery or radiation treatment.

To follow up on what started this discussion on why prostrate issues impact men and cause incontinence are: enlarged prostate may cause obstruction and flow of urine through the urethra making it difficult to urinate or control when to urinate. Treatments such as radiation and surgery will reduce or eliminate the prostrate, but may result in a reduction in bladder capacity and the inability to control urination and unwanted leakage. Luckily, treatments and surgeries are getting better. Any change in urination or feeling should be discussed with your doctor. Any treatments or changes to existing treatments should be discussed with your doctor.

Tuesday, December 6, 2016

Introducing All New Prevail Overnight Incontinenence Products

Prevail is introducing several new overnight use incontinence products to their excellent line of disposable incontinence products. Prevail is known quality, value and selection and we are pleased to announce these products aimed at the overnight and extended use levels of absorbency. These products are brand new and expected to start shipping in December 2016 - January 2017.

Prevail for Women Overnight Protective Underwear
  • Designed for comfort and dryness for overnight or extended use
  • Feminine look and feel in a disposable pull up underwear
  • Made specifically for women
Prevail for Men Overnight Protective Underwear
  • Designed for comfort and dryness for overnight or extended use
  • Masculine look and feel in a disposable pull up underwear
  • Made specifically for men
Prevail Overnight Bladder Control Pads

  • Designed for comfort and dryness for overnight or extended use
  • 16" long highly absorbent and comfortable pads
  • Individually wrapped for convenience
About Incontinence: Incontinence can effect anyone at different stages in life for a number of reasons. Whether you're a new mom experiencing bladder leaks for the first time or a caregiver assisting an aging parent, Prevail has you covered. They offer reliable, discrete, and comfortable incontinence solutions designed to help you take control of your life.

About Prevail - Prevail is a manufacturer of fine disposable incontinence products for a wide range of adult and child incontinence needs. They are manufactured in Pennsylvania with attention to quality, safety, sustainability and responsible sourcing practices by First Quality, a family owned company.

Saturday, December 3, 2016

Exercise & Mobilty for an Active Lifestyle as we Age

Mobility and flexibility get tougher as we age, our bodies change and we begin to feel limited in our movements.  Aging as well as injuries can put a damper on our active lifestyle, and we begin to struggle with motivation.  Any activity is good for the body, mind and soul it doesn’t have to be high impact, high intensity.  I guess what I’m trying to say, is you don’t have to kill yourself to feel like you are doing something good for your body.  

Every exercise, every movement has some sort of modification.  So if you are immobile, injured or just starting out, there is a modification just for you.  I found this site for ideas on how to get you started on some seated exercises,  This fine organization is dedicated  healthy aging advocacy and believes that everyone has the right to feel good and age well - and I couldn't agree more!

Time to motivate and get your body moving.  Remember always check with your doctor and healthcare professional before getting started.

Peace and love-


Sunday, November 20, 2016

Exercise, Pain, and Healthy Aging

As we age our body changes over time. If you listen to your body, which most of us do not, it will signal to us when enough is enough. If we choose to push our bodies past the sensible limit, we end up with injuries that may take a while to heal. Paying attention to what your body needs is key to aging. One thing about aging we don’t really have control over are the aches and pains and wearing over time of the joints. 

According to, as you get older, your cartilage may start to deteriorate from the normal wear and tear of the passing years. The protective membranes and fluids in your joints begin to dry up. These changes may allow the bones to rub against each other painfully. You may also notice that some joints have changed shape—especially in your fingers or toes. You may feel stiff in the morning, or have aches and pains in some joints that never bothered you before. The joint may even become swollen and warm to the touch. These problems are common in older people. Usually, they are minor annoyances, but sometimes joint pain and deformities can make it very hard to function, and eventually you may need to have surgery or have the joint replaced.

Many joint problems can be managed by the primary care doctor. Others may be handled by:
  • Orthopedist (doctor specializing in the treatment of the musculoskeletal system) 
  • Physiatrist (doctor specializing in rehabilitation medicine) 
  • Physical therapist (healthcare professional that helps you maintain, restore or improve physical function due to injury, disease, or disability) 
  • Rheumatologist (a doctor who specializes in the treatment of the joints and connecting tissues)
The Most Common Types of Joint Problems:
  • Arthritis (or osteoarthritis) is the most common type of joint problem in older people. It usually affects knees, hips, hands, spine or sometimes shoulders. 
  • Rheumatoid arthritis is the second most common type of chronic arthritis. It is caused by an auto-immune reaction in which your body’s immune system mistakenly attacks joint tissues. Most typically, it involves the joints in your fingers, wrists, elbows, knees, ankles and toes. 
  • Other types of arthritis include gout or pseudogout. Sometimes, there is a mechanical problem in the joint, such as torn cartilage, that causes pain or inhibits movement in the joint. 
Types of joint problems that affect the soft tissues like muscles, tendons, and ligaments include:
  • Rotator cuff injuries 
  • Tendonitis 
  • Frozen shoulder 
  • Fibromyalgia 
  • Carpal tunnel syndrome 
  • Bursitis
How Common are Joint Problems? Osteoarthritis, which affects about 27 million Americans, is the main reason that so many people “slow down” as they get older. Half of Americans over the age of 65 have been told they have arthritis by their healthcare professional. Women are slightly more likely to get a diagnosis of arthritis than men. But, gout is more common in men, with an estimated six million people having experienced an attack of gout.

The other main types of chronic joint problems can occur in the older population are:
  • Calcium pyrophosphate dihydrate (CPPD) crystal deposition disease (including pseudogout) occurs in about half of all people between the ages of 80 to 90 years, although many have no symptoms. 
  • Fibromyalgia is usually first diagnosed in middle age, and affects 3-5% of women and about 0.5% of men. Chances of having fibromyalgia increase as you get older. Tendonitis is an inflammation of the connective tissue that attaches muscles to bones. This condition can occur in anyone but becomes more common in older people as tissues lose their flexibility. Rotator cuff problems occur most often in the 55-85 year old age group. The rotator cuff involves the tissues supporting the shoulder joint. About 30% of older people have tears in their rotator cuff muscles and tendons, but many have no symptoms. 
  • Carpal tunnel syndrome is pressure on a nerve in the wrist and may cause tingling, numbness and pain in the hand. It affects between four and ten million Americans, and older people are at higher risk of suffering from the condition. 
According to , exercise is one of the best ways to slow or prevent problems with the muscles, joints, and bones. A moderate exercise program can help you maintain strength, balance, and flexibility. Exercise helps the bones stay strong.

Talk to your health care provider before starting a new exercise program. It is important to eat a well-balanced diet with plenty of calcium. Women need to be especially careful to get enough calcium and vitamin D as they age. Postmenopausal women and men over age 65 should take 1,200 mg of calcium and 400 to 800 international units (IU) of vitamin D per day. If you have osteoporosis, talk to your doctor about prescription treatments.

According to , stretching is also an important part of elderly and seniors flexibility and will help offset the effects of normal decline in the flexibility of your joints, and help you remain active and independent.

As we age muscles become shorter and lose their elasticity. Aging can affect the structure of your bones and muscles causing pain and decreased range of motion in the shoulders, spine and hips. Stretching is an excellent way to relax and relieve tension if you incorporate breathing exercises and good posture in your stretching program. It becomes very important for seniors to maintain range of motion and your ability to move all joints normally with activities during the day.

Generally elderly and seniors stretching should be done 2 to 3 days per week, performing each stretch 3 to 5 times with a 20 to 30 second hold. Try one or two stretches for each body region If you would like to increase your flexibility, stretches should be performed 4 to 5 days per week. Remember that it is important to warm-up before beginning an elderly flexibility exercise program. The warm-up is an excellent place to use your stretching exercises.

General flexibility guidelines:
  • Warm up before stretching 
  • Don’t bounce during stretching. 
  • Don’t hold your breath during a stretch. 
  • Stretching should not cause pain, be gentle. 
  • Don’t combine turning and bending back exercises at the same time. To stretch the back relax in a chair by supporting yourself with your hands on your legs while leaning forward. 
  • When performing knee bends, don’t drop your buttock below the level of your knees. This places too much strain on your knees. Better to do shallow knee bends, keeping your feet apart and not locking the knees. Keep your back straight throughout the exercise. 
  • Avoid pressing the head backward during head rolls which can damage the vertebrae in your neck. Move the head gently from side to side, never too quickly. 
Remember, elderly and seniors flexibility training will only show benefits if it is done regularly with the correct form and duration of stretch.

So go ahead and give it a try, it can only help. But, as always, remember to check with your doctor or healthcare physician to make sure you are healthy enough to start any new exercise regiment.

Peace & Love - April Williams