THE SHAPE OF THE UNION

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The AHA intends to place its chips on the table.

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Vitamin Vigor

If when you exercise you tire more easily than usual, you could be deficient in vitamins B1, B 2, B6, and C. Why are these vitamins so crucial to physical performance? They help the body use fatty acids.

"A well-nourished person derives 60% of his energy from fatty acids in foods, and 40% from glycogen, the stored form of carbohydrates," says nutrition and sports-medicine expert Erik Van der Beek. "If fatty acids can't be used, the body has to draw on glycogen stores. This causes a more rapid buildup of lactic acid and, in turn, fatigue."

These four vitamins must be replenished daily, he adds, because they can't be stored. Van der Beek's advice: "If you exercise and you're not sure your diet supplies the RDA of these vitamins, or you feel more fatigued after exercise than you used to, consider taking a multivitamin supplement."

PMS and Caffeine

The causes of premenstrual syndrome (PMS) are not completely understood. But the caffeine in beverages such as coffee and cola is one suspect, fingered several years ago by a study at Oregon State University (OSU). Dr. Annette MacKay Rossignol, chair of OSU's department of public health, recently studied women who indulged in only one type of caffeine drink—tea.

Of Rossignol's 188 tea-drinking subjects, 52% experienced premenstrual symptoms, including anxiety, fatigue, and tender breasts. She found that women who sipped four and a half to eight cups a day suffered almost five times the PMS symptoms of those who drank less.

Despite accumulating evidence, a cause-and-effect relationship between caffeine and PMS has not been firmly established. Factors such as a possible link between PMS and the total amount of fluids consumed must be ruled out first.

"There's more than one cause of PMS—many women with severe symptoms may not even touch caffeine," says Rossignol. "But since caffeine is not a nutrient, there's no harm in eliminating it from your diet or cutting back your intake."

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