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3. Nerve Interference Can Occur Without Pain


4. To Prevent Abnormal Nerve Signals Resulting From Stress


5. Improve Flexibility


6. Improve Athletic Performance


7. Improve Organ Function


8. Improve Posture




10.Immune System



Michelle A.O. Kinney, MD

Mayo Clinic Rochester, Minn

To the editor: I read with interest the informative and thorough review by Dr Fitzpatrick1 on secondary causes of osteoporosis. An additional possible cause of bone mineralization reduction and fractures in children is the consumption of cola beverages.

Drinking cola beverages, which contain phosphoric acid and often caffeine, may increase the fragility of bones in children and adolescents through interactions with the bone mineral content2 and has been found by several investigators to be associated with an increased risk of bone fractures. Consumption of cola beverages was positively associated with bone fractures in girls in 9th and 10th grade, 3 in girls aged 8 to 16 years, 2 and in children aged 7 to 14 years.4 The amount of cola beverages involved is minimal: consumption of 0.7 or more cans or bottles of cola beverages per day resulted in a statistically significant increase in bone fractures in girls younger than 17 years.2  Phosphoric acid is associated with altered calcium homeostasis and development of hypocalcemia.5,6 Consumption of approximately 0.6 or more cans or bottles of cola beverages per day is a risk factor for the development of hypocalcaemia in children 14 years of age or younger.6 Similarly, the consumption of 1 or more bottles of cola beverages per day is associated with hypocalcaemia in postmenopausal women.5 Garcia-Contreras et al7 showed that rats that drank cola beverages developed hypocalcaemia and lower femoral mineral density compared with control rats that drank water. Maximizing peak bone mass during childhood and adolescence may be important in preventing osteoporosis.9  Even more troubling is that no current pharmacological treatment is able to completely revert the damages caused to bone mass and bone architecture.14

1.      Fitzpatrick LA. Secondary causes of osteoporosis. Mayo Clin Proc. 2002;77:453-468.

2.      Wyshak G, Frisch RE. Carbonated beverages, dietary calcium, the dietary calcium/phosphorus ratio, and bone fractures in girls and boys. J Adolesc Health. 1994;15:210-215.

3.      Wyshak G. Teenaged girls, carbonated beverage consumption, and bone fractures. Arch Pediatr Adolesc Med. 2000;154:610-613.

4.      Petridou E, Karpathios T, Dessypris N, Simou E, Trichopoulos D. The role of dairy products and non alcoholic beverages in bone fractures among school age children. Scand J Soc Med. 1997;25:119-125.

5.      Guerrero-Romero F, Rodriguez-Moran M, Reyes E. Consumption of soft drinks with phosphoric acid as a risk factor for the development of hypocalcaemia in postmenopausal women. J Clin Epidemiol. 1999;52:1007-1010.

6.      Mazariegos-Ramos E, Guerrero-Romero F, Rodriguez-Moran M, Lazcano-Burciaga G, Paniagua R, Amato D. Consumption of soft drinks with phosphoric acid as a risk factor for the development of hypocalcemia in children: a case-control study. J Pediatr. 1995;126:940-942.

7.      Garcia-Contreras F, Paniagua R, Avila-Diaz M, et al. Cola beverage consumption induces bone mineralization reduction in ovariectomized rats. Arch Med Res. 2000;31:360-365.

8.      Ohta M, Cheuk G, Thomas KA, et al. Effects of caffeine on the bones of aged, ovariectomized rats. Ann Nutr Metab. 1999;43:52-59.

9.      Heaney RP, Matkovic V. Inadequate peak bone mass. In: Riggs BL, Melton LJ III, eds. Osteoporosis: Etiology, Diagnosis, and Management. 2nd ed. Philadelphia, Pa: Lippincott-Raven Publishers; 1995:115-131.

10.  Cavadini C, Siega-Riz AM, Popkin BM. US adolescent food intake trends from 1965 to 1996. Arch Dis Child. 2000;83:18-24.

11.  Harnack L, Stang J, Story M. Soft drink consumption among US children and adolescents: nutritional consequences. J Am Diet Assoc. 1999;99:436-441.

12.  Whiting SJ, Healey A, Psiuk S, Mirwald R, Kowalski K, Bailey DA. Relationship between carbonated and other low nutrient dense beverages and bone mineral content of adolescents. Nutr Res. 2001;21:1107-1115.

13.  Bailey DA, Martin AD, McKay HA, Whiting S, Mirwald R. Calcium accretion in girls and boys during puberty: a longitudinal analysis. J Bone Miner Res. 2000;15:2245-2250.

14.  Ben Sedrine W, Reginster J-Y. Risk indices and osteoporosis screening: scope and limits [editorial]. Mayo Clin Proc. 2002;77:622-623.

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High Fructose Corn Syrup, now used in preference to sugar, is associated with poor development of collagen in growing animals, especially in the context of copper deficiency. All fructose must be metabolized by the liver. Animals on high-fructose diets develop liver problems similar to those of alcoholics.

Aspartame, used in diet sodas, is a potent neurotoxin and endocrine disrupter. See article on page 25.

Caffeine stimulates the adrenal gland without providing nourishment. In large amounts, caffeine can lead to adrenal exhaustion, especially in children.

Phosphoric acid, added to give soft drinks "bite," is associated with calcium loss.

Citric acid often contains traces of MSG, a neurotoxin.

Artificial Flavors may also contain traces of MSG.

Water may contain high amounts of fluoride and other contaminants.

·         "Teenaged Girls, Carbonated Beverage Consumption, and Bone Fractures," Pediatrics & Adolescent Medicine, June 2000. 154(6).

"Carbonated beverages, dietary calcium, the dietary calcium/phosphorus ratio, and bone fractures in girls and boys," Journal of Adolescent Health, May 1994. 15(3): 210-5.

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Nerve Interference Can Occur Without Pain

 Nerve damage may occur to nerve fibers other than the tiny pain nerve fibers. The

 tiny pain fibers are small and less liable to mechanically cause irritation. Therefore

 harmful nerve damage can occur without pain. Gunn. Spine 1980;5:185-192

Chiropractic Adjustments Positively Influence the Immune System. Brennan JMPT


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 To Prevent Abnormal Nerve Signals Resulting From Stress

 Stress and muscle tension traumatize the proprioceptors (position sensors) causing

 abnormal nerve impulses. Parkjurst, Bennett JOSPT 1994;19(5)282-295

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 Improve Flexibility

 Asymptomatic patients increase their ranges of motion and symmetry with

 chiropractic care. Nansel JMPT 1989;12(6):419-427

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 Improve Athletic Performance

Chiropractic care led to improved agility, balance, speed of reaction time, power and

 Kinesthetic perception. Lauro J. Chiro Res. & Clin. Inv. 1991;6(4):84-87

 Even small biomechanical abnormalities result in a significant amount of stress on

 joints. Renstrom Johnson. Sports Med. 1985;2:326-333.

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 Improve Organ Function

 Specific Adjustments to the thoracic spine were found to decrease blood pressure

 significantly. Yates JMPT 1988;11(6):484-488

 Function of visceral organs such as the heart, bladder, and digestive organs are

 influenced by nerve impulses from the spine. Sato. The Research Status of

 Manipulative Therapy 1975;163-172.

 Patients with duodenal ulcers responded better to chiropractic care than to traditional

 medical care. Pikalov, PhD, Kharin, MD JMPT 1994;17(5):310-313

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 Improve Posture

 Spinal and postural reeducation occurs with rehabilitative techniques since the body’s

 proprioceptors have the ability to learn. Revel. Archives Phys. Med. 1994;75(Aug):895-899

 Spinal manipulation helps to improve postural and kinesthetic awareness. Nyberg &

 Basmajian. Rational  Manual Therapy 1993;451-467.

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 Visual recovery reported after specific adjustments to the cervical spine. Journal of

 behavioral Optometry 1990, 1(3):3

 Chiropractic adjustment relieved infantile colic within 2 weeks in 94% of the cases.

 JMPT 1989;12 (4):281

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 Immune System

 The effects of chiropractic adjustments on HIV positive patients.

 Over a 6 month period of the study the control group experienced a 7.96%

 DECREASE in CD4 counts, while the adjusted group experienced a 48% INCREASE in

 CD4 cell counts over the same period. Chiropractic Research Journal 1994;3(1):32

 Benefits of Chiropractic Care on the Elderly.


·            22% suffered fewer symptoms of arthritis

·            15% less time in nursing homes

·            21% less time in hospitals

·            15% reported fewer chronic conditions.

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