Good Vitamins/Bad Vitamins

Niacin good/antioxidant vitamins not so much

Amplify’d from www.ncbi.nlm.nih.gov

N Engl J Med. 2001 Nov 29;345(22):1583-92.

Simvastatin and niacin, antioxidant vitamins, or the combination for the prevention of coronary disease.

Brown BG, Zhao XQ, Chait A, Fisher LD, Cheung MC, Morse JS, Dowdy AA, Marino EK, Bolson EL, Alaupovic P, Frohlich J, Albers JJ.

Department of Medicine, University of Washington School of Medicine, Seattle 98195, USA.

Abstract

BACKGROUND: Both lipid-modifying therapy and antioxidant vitamins are thought to have benefit in patients with coronary disease. We studied simvastatin-niacin and antioxidant-vitamin therapy, alone and together, for cardiovascular protection in patients with coronary disease and low plasma levels of HDL.

METHODS: In a three-year, double-blind trial, 160 patients with coronary disease, low HDL cholesterol levels and normal LDL cholesterol levels were randomly assigned to receive one of four regimens: simvastatin plus niacin, vitamins, simvastatin-niacin plus antioxidants; or placebos. The end points were arteriographic evidence of a change in coronary stenosis and the occurrence of a first cardiovascular event (death, myocardial infarction, stroke, or revascularization).

RESULTS: The mean levels of LDL and HDL cholesterol were unaltered in the antioxidant group and the placebo group; these levels changed substantially (by -42 percent and +26 percent, respectively) in the simvastatin-niacin group. The protective increase in HDL2 with simvastatin plus niacin was attenuated by concurrent therapy with antioxidants. The average stenosis progressed by 3.9 percent with placebos, 1.8 percent with antioxidants (P=0.16 for the comparison with the placebo group), and 0.7 percent with simvastatin-niacin plus antioxidants (P=0.004) and regressed by 0.4 percent with simvastatin-niacin alone (P<0.001). The frequency of the clinical end point was 24 percent with placebos; 3 percent with simvastatin-niacin alone; 21 percent in the antioxidant-therapy group; and 14 percent in the simvastatin-niacin-plus-antioxidants group.

CONCLUSIONS: Simvastatin plus niacin provides marked clinical and angiographically measurable benefits in patients with coronary disease and low HDL levels. The use of antioxidant vitamins in this setting must be questioned.

Read more at www.ncbi.nlm.nih.gov

 

Fresh Healthy Food *YES*/ High Dose Vitamins *Not So Much*

New data suggests a Healthy Diet is MUCH more valuable than High Dose Vitamins
Recent studies of vitamins have delivered a flurry of disappointing results. The supplements failed to prevent Alzheimer’s disease, cancer, heart attacks, strokes, type 2 diabetes, and premature death.

Amplify’d from www.consumerreports.org

Vitamins, supplements

New evidence shows they can’t compete with Mother Nature

Last reviewed: March 2010
Vegetables

A healthful diet
Meals rich in fruits, vegetables, whole grains, and legumes (beans, peas) contain fiber plus thousands of health-protective
substances.

Americans want to believe in vitamin and mineral pills: We spent an estimated $10 billion on them in 2008, according to the
Nutrition Business Journal. But recent studies undertaken to assess their benefits have delivered a flurry of disappointing
results. The supplements failed to prevent Alzheimer’s disease, cancer, heart attacks, strokes, type 2 diabetes, and premature death.

“We have yet to see well-conducted research that categorically supports the use of vitamin and mineral supplements,” says
Linda Van Horn, Ph.D., a professor of preventive medicine at Northwestern University’s Feinberg School of Medicine in Chicago.
“Most studies show no benefit, or actual harm.”

The power of food

While some people may need supplements at certain stages of their lives, nutritional deficiencies are uncommon in the U.S. “Almost all of us get or can get the vitamins and minerals we need from
our diet,” says Paul M. Coates, Ph.D., director of the Office of Dietary Supplements at the National Institutes of Health
(NIH).

Major health organizations for cancer, diabetes, and heart disease all advise against supplements in favor of a healthful
diet rich in fruits, vegetables, whole grains, and legumes. Unlike pills, those foods contain fiber plus thousands of health-protective
substances that seem to work together more powerfully than any single ingredient can work alone. “That’s why it’s dangerous
to say, ‘I know I don’t eat well, but if I pop my vitamins, I’m covered,’ ” says Karen Collins, R.D., nutrition adviser to
the American Institute for Cancer Research. “We now know that you’re not covered.”

Too much can harm

Another concern is that some vitamin pills can be toxic if taken in high doses for a long time. Studies show that beta-carotene
pills, for example, can increase the risk of lung cancer in smokers, and a 2008 review suggests that the pills, plus supplemental doses of the vitamins A and E, may increase the
risk of premature death. In addition, a government survey found that more than 11 percent of adults take at least 400 international
units of vitamin E a day, a dose that has been linked to heart failure, strokes, and an increased risk of death.

People are also apt to combine vitamin tablets and fortified foods, which can cause problems. For instance, too much folic
acid—added to wheat products in this country—can mask vitamin B12 deficiency. Untreated, that can lead to irreversible nerve
damage. In addition, high doses of folic acid may be associated with an increased risk of precancerous colon polyps, according
to a trial of some 1,000 people at risk for them. “We’re getting several alarming signals that more may not be better,” says
Susan T. Mayne, Ph.D., a professor of epidemiology at the Yale School of Public Health.

Yet despite the unfavorable results, vitamin and mineral pills are widely used to fend off diseases. Read on to find our review of the latest evidence on their effects.

This story first appeared in the February 2010 issue of Consumer Reports on Health

Read more at www.consumerreports.org

 

Reader's Digest: Bad News About Vitamin Tablets!!

“47 randomized trials involving almost 181,000 adults, researchers found that taking vitamins A, beta carotene and E, alone or in combination, actually increased a person’s risk of dying by up to 16 percent.”

Amplify’d from www.rd.com

The Vitamin Myth

While some vitamin supplements can boost your health, others may actually harm.

By Neena Samuel

Google “vitamins” and you get 50 million results and the wildest claims you can ima

Wild Claims

Google “vitamins” and you get 50 million results and the wildest claims you can imagine. That’s almost six times more than what you get for “Brad Pitt,” but the descriptions are just as breathless. As you navigate the maze of sites, you see phrases claiming vitamin supplements can “increase energy,” “stimulate brain function” and “improve sex drive.” There are promises of “reversing cancer” and “removing plaque” from your arteries. It all helps explain why Americans shell out $7.5 billion a year on vitamins, hoping to prolong life, slow aging and protect against a bevy of illnesses.

Vitamin Myth

PHOTOGRAPHED BY NICHOLAS EVELEIGH
Those who take certain antioxidants have a
16% higher risk of mortality than those who don’t.

But new research not only refutes many of these claims, it also shows that some of these vitamins may in fact be harmful.

  • A February report in the Journal of the American Medical Association found that taking antioxidant vitamins actually increased a person’s risk of dying by up to 16 percent.
  • A study by researchers at the University of Washington last May found that high doses of vitamin E taken over ten years slightly elevated lung cancer risk in smokers.
  • Researchers at the National Cancer Institute found that men who took more than one multivitamin daily had a higher risk of prostate cancer.

    Antioxidant Paradox
    The antioxidant study, in particular, surprised a lot of people and has prompted a heated debate. Antioxidants such as vitamins A, beta carotene (another form of vitamin A), E and C have long enjoyed a reputation as disease fighters because they’re thought to protect against free radicals that can damage cells and speed up aging. But in 47 randomized trials involving almost 181,000 adults, researchers found that taking vitamins A, beta carotene and E, alone or in combination, actually increased a person’s risk of dying by up to 16 percent.

    These latest findings made headlines, but they haven’t convinced everyone. A number of leading health experts criticized the JAMA review, including Jeffrey Blumberg, PhD, head of the Antioxidants Research Laboratory at the USDA Human Nutrition Research Center on Aging at Tufts University. He argued that the results were skewed because the studies it reviewed were too diverse and could not be easily compared. It also included deaths from all causes, not just health-related ones.

    Based on these flaws, Bernadine Healy, MD, former head of the NIH and the American Red Cross, deemed the study alarmist and silly. Still, others wonder, why take the risk if you can get what you need from the produce aisle or the farmers’ market?

    “Unless your doctor says you need supplements for a specific diagnosis, there is no reason to take them and no need to spend the money,” says the review’s senior author, Christian Gluud, MD, of Copenhagen University Hospital in Denmark.

    The prostate cancer findings from the National Cancer Institute were even more startling because the culprit was the innocuous multivitamin. Researchers found that men taking multivitamins more than once a day increased their risk of advanced prostate cancer by 32 percent and nearly doubled their risk of fatal cancer, compared with men who didn’t take multivitamins. The risk was highest in those who had a family history and also took selenium, beta carotene or zinc supplements.

    Don’t throw away those bottles yet, though. Many experts agree that taking a daily multivitamin is a smart move, especially for those of us who don’t regularly eat whole grains, fresh veggies and fruit. Still, you may want to think twice about swallowing handfuls of certain supplements.

    C Is for Colds
    Even if a vitamin does no harm, it may do, well, nothing. Take the ever popular myth that popping vitamin C will stave off colds. A review of 30 studies involving more than 11,000 people who took at least 200 mg of vitamin C daily found that it offered little protection in reducing the length or severity of common colds for most people. It did work for some people, such as marathon runners and skiers, who undergo periods of high stress, but the study’s authors say the rest of us shouldn’t bother taking it.

    Dosage Dangers
    Most people think of vitamins as natural and safe since they’re sold over the counter everywhere, including health food stores. And many consumers figure you can’t get too much of a good thing. But you can, particularly if you’re on prescription drugs. 

    Megadoses of E, for example, can increase the risk of bleeding if you’re already on heart meds like blood thinners. An earlier 2004 analysis by Johns Hopkins researchers found consuming 400 IU or more of vitamin E a day alone (some products on the market today contain 1,000 IU per capsule) was associated with a higher risk of dying and should be avoided. (One theory says high doses may alter your natural immune function and actually become pro-oxidant.) Taking too much niacin without a doctor’s okay can lead to liver damage and other problems over time. And too much vitamin A increases the risk of liver and lung cancers, and can cause birth defects and reduce bone density.

    What consumers tend to forget is that many processed foods and so-called diet foods, from crackers to energy bars, are “fortified” with additional vitamins and minerals. Even some bottled waters, juices and sodas have added them in an effort to appear more healthy. Eat and drink enough of these products, take a few pills, and you could be overdosing. Though rare, bad side effects and even deaths do happen from a vitamin overdose, reports show.

    “Taking more than a DRI [dietary reference intake] of vitamins is associated with problems,” says Michael Roizen, MD, Cleveland Clinic’s chief wellness officer and coauthor with Mehmet Oz, MD, of the You series of health books. “These include osteoporosis, which is caused by too much vitamin A, and neurological problems such as headaches, wobbliness and confusion, caused by too much folate without enough B6 or B12, or too much B12 without enough B6 or folate”

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      –

    Guest
    Must read for Multivitamen enthusiasts.

    Friday, September 03, 2010, 20:29:34
    FlagLikeReplyDeleteEditModerate

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