News Keeps Getting Worse for Vitamins

The best efforts of the scientific community to prove the health benefits of vitamins keep falling short.

Consumers don't want to give up their vitamins. (Tony Cenicola/The New York Times)This week,
researchers reported the disappointing results from a large clinical trial of almost 15,000 male doctors
taking vitamins E and C for a decade. The study showed no meaningful effect on cancer rates.

Another recent study found no benefit of vitamins E and C for heart disease.

In October, a major trial studying whether vitamin E and selenium could lower a man's risk for prostate
cancer ended amidst worries that the treatments may do more harm than good.
And recently, doctors at Memorial Sloan-Kettering Cancer Center in New York warned that vitamin C
seems to protect not just healthy cells but cancer cells, too.
Everyone needs vitamins, which are critical for the body. But for most people, the micronutrients we get
from foods usually are adequate to prevent vitamin deficiency, which is rare in the United States. That
said, some extra vitamins have proven benefits, such as vitamin B12 supplements for the elderly and
folic acid for women of child-bearing age. And calcium and vitamin D in women over 65 appear to protect
bone health.

But many people gobble down megadoses of vitamins believing that they boost the body's ability to mop
up damaging free radicals that lead to cancer and heart disease. In addition to the more recent
research, several reports in recent years have challenged the notion that vitamins are good for you.

A Johns Hopkins School of Medicine review of 19 vitamin E clinical trials of more than 135,000 people
showed high doses of vitamin E (greater than 400 IUs) increased a person's risk for dying during the
study period by 4 percent. Taking vitamin E with other vitamins and minerals resulted in a 6 percent
higher risk of dying. A later study of daily vitamin E showed vitamin E takers had a 13 percent higher risk
for heart failure.

The Journal of Clinical Oncology published a study of 540 patients with head and neck cancer who were
being treated with radiation therapy. Vitamin E reduced side effects, but cancer recurrence rates among
the vitamin users were higher, although the increase didn't reach statistical significance.

A 1994 Finland study of smokers taking 20 milligrams a day of beta carotene showed an 18 percent
higher incidence of lung cancer among beta carotene users. In 1996, a study called Caret looked at
beta carotene and vitamin A use among smokers and workers exposed to asbestos, but the study was
stopped when the participants taking the combined therapy showed a 28 percent higher risk for lung
cancer and a 26 percent higher risk of dying from heart disease.

A 2002 Harvard study of more than 72,000 nurses showed that those who consumed high levels of
vitamin A from foods, multivitamins and supplements had a 48 percent higher risk for hip fractures than
nurses who had the lowest intake of vitamin A.

The Cochrane Database of Systematic Reviews looked at vitamin C studies for treating colds. Among
more than two dozen studies, there was no overall benefit for preventing colds, although the vitamin was
linked with a 50 percent reduction in colds among people who engaged in extreme activities, such as
marathon runners, skiers and soldiers, who were exposed to significant cold or physical stress. The data
also suggested vitamin C use was linked with less severe and slightly shorter colds.

In October 2004, Copenhagen researchers reviewed seven randomized trials of beta carotene,
selenium and vitamins A, C and E (alone or in combination) in esophageal, gastric, colorectal,
pancreatic and liver cancer. The antioxidant users had a 6 percent higher death rate than placebo
users.

Two studies presented to the American College of Cardiology in 2006 showed that vitamin B doesn't
prevent heart attacks, leading The New England Journal of Medicine to say that the consistency of the
results "leads to the unequivocal conclusion" that the vitamins don't help patients with established
vascular disease.

The British Medical Journal looked at multivitamin use among elderly people for a year but found no
difference in infection rates or visits to doctors.

Despite a lack of evidence that vitamins actually work, consumers appear largely unwilling to give them
up. Many readers of the Well blog say the problem is not the vitamin but poorly designed studies that
use the wrong type of vitamin, setting the vitamin up to fail. Industry groups such as the Council for
Responsible Nutrition also say the research isn't well designed to detect benefits in healthy vitamin
users.

Opinions?  Please email me at
dafacxt@gmail.com

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