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Vitamins might do more harm than good

After two days of meeting to discuss the safety and effectiveness of multivitamin and minerals supplements, MVMs, a 13-member independent panel of experts in the fields of food science and human nutrition, biostatistics, biochemistry, toxicology, geriatric medicine, family medicine, pediatrics and pediatric endocrinology, cancer prevention, epidemiology, disease prevention and health promotion, and consumer protection made the following observations and recommendations.

According to the draft of the National Institutes of Health State of the Science Conference Statement on Multivitamin/Mineral Supplements and Chronic Disease Prevention, more than half of American adults believe taking MVMs make them feel better; gives them greater energy; improves health and prevents or treats disease. Among the supplement-using population, MVMs are the major category of supplements. Use is higher among women and children of women who use supplements; the elderly; those who have more education; higher income; healthier lifestyles and diets; less obesity and residents who live in the far western States. Those persons who have chronic illness or are seeking to prevent recurrence of serious disease like cancer tend to be more frequent MVM users.

The panel found that:
  • Vitamin E, beta-carotene and selenium significantly reduces the risk of esophageal and gastric cancers.
  • Vitamin A and zinc reduces the risk of noncardia gastric cancer.
  • Vitamin E, selenium, vitamin C, beta-carotene and zinc were associated with reduced risks of all cancers in men.
  • Postmenopausal women should supplement their diet with vitamin D and calcium.
  • Anti-oxidants and zinc should be included in the diet of non-smoking adults.
  • Women of childbearing age should supplement their diet with folate.
  • Smokers should avoid supplementing their diet with beta-carotene, as it has been shown to increase lung cancer risks.
Overall, the panel stated that not enough research has been done to know for certain that MVMs are a benefit and are concerned that some people may be getting too much of certain nutrients. The final version of this report will be available in about a month. You can read the draft in its entirety here.

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