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Articles (79)

 
MARCH 2008

IF YOU’RE AGE 70 or older, your nutritional needs—and the best ways to meet them—aren’t the same as somebody who’s 25, or even 50. So Tufts experts have developed a food pyramid especially for you. The Modified Food Guide Pyramid for Older Adults, an update to a resource originally introduced in 1999, reflects changes to correspond with the new USDA food pyramid, MyPyramid. That Internet-based program, debuted in 2005, customizes dietary guidance based on sex, age, height, weight and exercise habits.…

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JANUARY 2008

EATING A HEALTHY DIET—with ample vitamin C and omega-6 linoleic acid—may make it easier to like what you see in the mirror as you get older. In a new study, UK researchers found those two nutrients stood out in helping prevent the wrinkles, dryness and skin thinning that come with age.…

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$ 1.95   |    JANUARY 2006

TOMATOES HAVE PLENTY of nutritional benefits, but can eating tomatoes also fight cancer? Sort of. Maybe. It depends. That’s how you might interpret the recent ruling by the US Food and Drug Administration (FDA), after two years of investigation, granting a “qualified health claim” for fresh, dried and canned tomatoes regarding four types of cancers.…

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$ 1.95   |    FEBRUARY 2006

THE LARGEST STUDY YET of glucosamine and chondroitin, supplements popularly thought to fight arthritis pain, has found no clear benefit for most patients. Results of the Glucosamine/ Chrondroitin Arthritis Intervention Trial (GAIT),…

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FEBRUARY 2008

THE AUTHORS of a new study of beta-carotene supplementation and its possible benefits against cognitive decline say it’s the first to show “that there are ways, through fairly straightforward lifestyle modifications, that we can help memory as we get older.”…

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MARCH 2007

NEW BENEFITS FROM VITAMIN D keep piling up in the scientific literature, and the latest could represent an advance in preventing a crippling neurological condition affecting 350,000 Americans—multiple sclerosis (MS).…

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$ 1.95   |    APRIL 2005

EVERYTHING YOU THINK YOU KNOW about constipation is probably wrong. Lack of dietary fiber is usually not to blame for chronic constipation, and drinking more fluids likely won’t help. You can’t get “addicted” to laxatives, and there’s no evidence of “rebound constipation” after you stop taking them. And if you’ve ever considered “colon cleansing,” forget about it.…

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$ 1.95   |    MAY 2005

YOUR MOM’S SUGGESTION to “go outside and play” may still be good advice—especially for men worried about prostate cancer. Research recently presented at the 2005 Multidisciplinary Prostate Cancer Symposium connects high blood levels of vitamin D—“the sunshine vitamin”—with reduced risk of developing the most aggressive forms of prostate cancer.…

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APRIL 2007

EAT YOUR GREENS—and your purples and yellows, too. Brightly colored fruits and vegetables are already known to contain a wide range of healthful nutrients. Now a new Italian study says that increased intake of flavonoids—antioxidant components found in abundance in such foods—could lower your risk of kidney cancer by nearly a third.…

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MAY 2007

IF YOU’RE A WOMAN age 65 or older, new American Heart Association prevention guidelines suggest talking with your doctor about the potential benefits and risks of daily low-dose aspirin therapy to protect your heart—even if you’re healthy or at low risk of heart disease.…

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$ 1.95   |    APRIL 2006

IN A TURNAROUND that shouldn’t come as a big surprise to readers of the Healthletter, the American Heart Association (AHA) has concluded that soy protein has little or no effect on risk factors for heart disease—though it can still be a healthful replacement for animal protein high in saturated fat. Our December 2005 Special Report spotlighted growing doubts about soy protein, once touted as a “magic bullet” against a variety of health problems. Now the AHA has officially joined those backing off from the soy bandwagon, updating a 2000 scientific statement that endorsed soy protein’s potential for reducing cardiovascular risk.…

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$ 1.95   |    APRIL 2006

A REVIEW OF 63 observational studies of vitamin D and cancer concludes that boosting daily intake to 1,000 international units (IU) might reduce the risk of colon, ovarian, breast and possibly prostate cancer. That’s more than the current Institute of Medicine recommendation for vitamin D, which ranges from 200-600 IU daily depending on age, though only half the safe upper limit set by the institute. Because it’s difficult to get that much vitamin D from food alone, this target can likely be best achieved through supplements, according to study co-author Cedric F.…

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MAY 2007

A NEW DUTCH STUDY suggests that menaquinone-4, a form of vitamin K, may be another tool to help maintain bone strength in postmenopausal women,…

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$ 1.95   |    MAY 2006

THE INK WAS HARDLY DRY on the controversial news about low-fat diets from the Women’s Health Initiative (see last month’s Healthletter) when a second arm of the study reported more results that seemed to contradict conventional medical wisdom: In a sevenyear trial of 36,282 postmenopausal women, researchers found no significant benefit from calcium and vitamin D supplementation in preventing hip fractures.…

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JUNE 2007

IF YOU’VE BEEN DRIVING AWAY your neighbors and loved ones with garlic breath in hopes of lowering your cholesterol, you can stop now. Despite the pungent herb’s widely touted possible benefits as a cholesterol-lowering agent, a recent study found that garlic came up short—whether eaten fresh or taken as a dried supplement or aged extract.…

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$ 1.95   |    DECEMBER 2005

VITAMIN D HAS BEEN shown to reduce the risk of bone fractures in the elderly—but is the Recommend Dietary Allowance (RDA) of vitamin D enough to do the job?…

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$ 1.95   |    MAY 2006

FRENCH RESEARCHERS have found that dietary beta-carotene could help slow the natural decline in lung function with age. Comparing breathing tests in subjects eight years apart, the study discovered that those with the highest blood levels of beta-carotene—a dietary antioxidant— retained over 20% more lung function than those with the lowest betacarotene levels. Over a 10-year span, researchers noted, the benefit of a specific increase in beta-carotene levels “approximately counteracts the effect of one year of aging.”…

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$ 1.95   |    JUNE 2006

SOME 35% OF AMERICANS take B vitamins— folic acid, B12 and B6—many in doses higher than those in multivitamin supplements. Until now, scientists had high hopes that those vitamins could help prevent heart attacks and strokes by lowering blood levels of homocysteine. Previous studies had linked high levels of this amino acid to heart disease, and some researchers even likened homocysteine to cholesterol as a key risk factor. By lowering homocysteine levels, they reasoned, you could lower a patient’s cardiovascular risk—much as statin drugs help by reducing unhealthy cholesterol.…

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$ 1.95   |    JANUARY 2008

Though peeling an onion may make you cry, consuming supplemental quercetin—an antioxidant compound found in abundance in onions as well as in some other fruits and vegetables— may give folks with high blood pressure something to smile about.…

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$ 1.95   |    DECEMBER 2006

VITAMIN D MAY NOT exactly be “the miracle vitamin,” as a recent Reader’s Digest breathlessly hyped it, but evidence of its health benefits does keep making headlines.…

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JANUARY 2008

Zinc’s power to strengthen the immune system may help older people stave off pneumonia,…

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$ 1.95   |    SEPTEMBER 2005

THE YOGURT ADS promise that three servings a day will help you squeeze into an “itsy bitsy, teeny weeny, yellow polkadot bikini.” A prominent researcher has patented the idea that dairy products promote weight loss. The dairy industry touts the claim in a $200 million ad campaign. But the Physicians Committee for Responsible Medicine, a pro-vegetarian group that believes milk isn’t healthy, is petitioning the federal government, saying claims that dairy consumption promotes weight loss are false and misleading.…

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$ 1.95   |    NOVEMBER 2005

Tufts researchers conclude that eating right is still smarter than relying on supplements.…

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$ 1.95   |    SEPTEMBER 2005

ALTHOUGH ALMOST A THIRD of American adults have frequent trouble sleeping, an expert panel convened by the National Institutes of Health recently concluded that science knows surprisingly little about the causes and cures of chronic insomnia. The experts’ report called insomnia a major public health problem, and warned that too many sufferers are using unproven treatments to combat sleeplessness.…

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$ 1.95   |    APRIL 2008

TO HELP PROTECT YOURSELF against stroke, eat plenty of fruits and vegetables—perhaps especially, a new study suggests, those rich in vitamin C.…

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APRIL 2008

EVERYBODY KNOWS that carrots are supposed to be good for your eyes, but now a new study suggests Bugs Bunny’s favorite food may also reduce your risk of dying from heart disease.…

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APRIL 2008

YOUR BODY’S LEVEL of vitamin E may offer a peek into your future. A new study published in the Journal of the American Medical Association (JAMA) reports that low vitamin E levels are associated with subsequent decline in physical function.…

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$ 1.95   |    OCTOBER 2005

Study suggests secret of low-carb, high-protein diet fads.…

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$ 1.95   |    OCTOBER 2005

NEED ANOTHER REASON to eat your leafy greens? Two new studies suggest that folate, a B vitamin found in green leafy vegetables, dried beans and some other vegetables and fruits, may help protect against hemorrhagic stroke and Alzheimer’s disease.…

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AUGUST 2007

MATURE WOMEN looking to slow age-related weight gain can look to vitamin D and calcium for a little extra help. A new study finds that postmenopausal women taking supplemental amounts of those nutrients gained less weight over time. The women even found it easier to shed a few pounds than those who did not take the supplements.…

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$ 1.95   |    OCTOBER 2006

RESEARCHERS ARE TAKING a novel approach to understanding some of the possible heart-health benefits of eating fish: Maybe fish oils help regulate the heart’s electrical activity.…

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$ 1.95   |    AUGUST 2007

Can you get too much of a good thing—such as extra vitamin D and calcium? Researchers at Duke University and the University of North Carolina at Chapel Hill report that older adults taking high doses of the two nutrients were much more likely to have significant brain lesions—areas of damaged tissue associated with cognitive impairment.…

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SEPTEMBER 2007

New research from Creighton University School of Medicine adds to the growing body of evidence that vitamin D may play an important role in cancer prevention. In a randomized, placebo-controlled study of 1,179 healthy, postmenopausal women, those taking nearly three times the recommended daily amount of vitamin D, plus calcium, reduced their relative risk of cancer by 60%. When just the later three years of the four-year trial were analyzed—to weed out subjects with undiagnosed cancers at the start—those taking vitamin D supplements saw a 77% reduced risk of cancers.…

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$ 1.95   |    AUGUST 2006

MOST OF THE 52% of American adults who take multivitamins—at an annual cost of $23 billion—probably assume that solid scientific evidence supports these supplements’ health benefits. Not so fast, says a new report issued by a 13-member National Institutes of Health (NIH) expert panel.…

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$ 1.95   |    JANUARY 2005

SHOULD YOU THROW those bottles of vitamin E supplements in the trash? That’s what the headlines out of a recent American Heart Association meeting left people wondering.…

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SEPTEMBER 2007

Women wanting to beat osteoporosis are better off looking in the dairy case for help than on the vitamin shelf. So says a new study that showed women who get most of their daily calcium from dietary sources have stronger bones than those whose calcium comes mostly from supplements—even when the pill-poppers consume more milligrams per day.…

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DECEMBER 2007

Extra vitamin D linked to lower death risk.EVIDENCE KEEPS adding up that vitamin D, the “sunshine vitamin,” is good for more than just strong bones.…

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DECEMBER 2007

Supplements may help.Many Americans over age 50 may not be getting the recommended amounts of vitamins and minerals from food alone,…

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NOVEMBER 2007

Score one for fruits and vegetables, and another disappointment for nutrition in pill form. Eating lots of fruits and vegetables has been linked to improved heart health.…

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OCTOBER 2007

Just in time for the return of sniffle season, new research reviews have added to the debate over three popular—but unproven—weapons against the common cold: echinacea, vitamin C and zinc. Overall, the meta-analyses give a boost to echinacea’s claims while dousing hopes for vitamin C and zinc lozenges. But the bottom line on all three remains a big maybe.…

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$ 1.95   |    JANUARY 2006

IF YOU’RE A TYPICAL AMERICAN EATER, you’re probably getting plenty of carbohydrates, but not enough vitamin A, C and E and magnesium. And you’re still getting too much salt. (The report did not measure vitamin D intake, …

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$ 1.95   |    FEBRUARY 2006

EVIDENCE CONTINUES TO MOUNT of the important role vitamin D plays in maintaining healthy bones. A new Icelandic study has concluded, in fact, that if you aren’t getting enough vitamin D, it may not matter how much calcium you’re consuming.…

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$ 1.95   |    MARCH 2006

RESEARCHERS KEEP DISCOVERING new benefits from getting enough vitamin D, which has been linked to everything from stronger bones to preventing prostate cancer (see the December and May 2005 Healthletters). Now a study, recently published in Chest, has found that the higher the level of vitamin D in your blood, the better your lungs seem to function.…

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SEPTEMBER 2006

WHILE FOLATE AND B VITAMINS are effective at lowering levels of an amino acid, homocysteine, that’s been linked to heart disease and dementia, they don’t necessarily combat those health problems. Three large studies testing folate and B vitamins against heart disease recently reported negative results (see the June 2006 Healthletter). Now a trial of the nutrients’ impact on cognitive function has found the folate and B vitamins combination no more effective than a placebo.…

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$ 1.95   |    APRIL 2006

EATING CARROTS may actually be good for your eyes—along with other foods high in beta carotene plus foods rich in vitamins C and E. Those dietary antioxidants and zinc may help delay age-related macular degeneration (AMD),…

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$ 1.95   |    JUNE 2006

FRENCH RESEARCHERS have found that dietary beta-carotene could help slow the natural decline in lung function with age.…

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JUNE 2008

But pills don’t deliver same protection.
Spanish researchers report that a daily serving of green leafy vegetables, rich in flavonoids and vitamins A and C, may cut your risk of lung cancer in half. But don’t think you can just pop a pill and get the same protective benefit: In a second new study, University of Washington scientists found that people taking vitamin supplements were just as likely to develop lung cancer as those not taking vitamins. In fact, in smokers, certain vitamins actually increased the risk of developing the disease.…

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MAY 2008

Supplements of antioxidants, carote - noids and zinc, thought to help those at risk for age-related macular degeneration (AMD), may also improve retinal health in people who already have AMD. A small pilot study in Italy is among the first to show that a combination of vitamins C and E, zinc, copper, lutein, zeaxanthin and astaxanthin actually boosted central-retina function in patients with non-advanced AMD.…

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$ 1.95   |    JUNE 2008

If this month’s National Headache Week, June 1-7, makes you think of nothing except reaching for the aspirin, think again. According to researchers at the National Headache Foundation, which sponsors the annual awareness week, there’s plenty you can do to combat chronic headache pain. In fact, you may be surprised to learn that the number-one tip on the foundation’s list of “Seven Healthy Habits of Headache Sufferers” (see box) is all about diet. What you eat and drink can make a difference in your headache risk.…

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JUNE 2008

MORE GOOD NEWS for those who eat their greens, fish and grains: Getting enough magnesium may significantly lower a man’s risk of developing gallstones. That’s the conclusion of a new US study of nearly 43,000 men that found men who consumed the most magnesium—from their diets and supplements—lowered their risk of gallstones by 28%. And men who got adequate amounts of magnesium from diet alone reduced their gallstone risk even more, by 32%.…

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JULY 2008

RESEARCHERS KEEP FINDING new reasons to make sure you’re getting adequate amounts of vitamin D. The latest focus? Your blood vessels. Growing evidence links vitamin D with improved vascular health, including recent research by Tufts’ Jennifer S. Buell that associated vitamin D levels with improved vascular health specifically in the brain.…

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$ 1.95   |    AUGUST 2008

Milk may do your body good, but not by helping you lose weight. A new review of 49 randomized clinical trials testing the effect of dairy products and calcium supplements on body weight concludes that neither plays a key role in weight reduction. Despite dairy-industry claims, 41 of the studies reviewed showed no significant effect of dairy consumption on body weight; only five trials had positive weight-loss results, while one linked dairy consumption to a reduced rate of body-fat buildup. Two clinical trials actually associated dairy intake with gaining weight.…

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SEPTEMBER 2008

Higher vitamin D levels reduce risk of heart attack and death.
TWO NEW STUDIES add to what one researcher called an “overwhelming” accumulation of evidence that maintaining adequate vitamin D levels is important to your health—and that those levels may be higher than current official recommendations. In one study, men with low blood levels of vitamin D were at twice the risk of heart attack as those getting plenty of the “sunshine vitamin.” Just days later, a second report was published showing that individuals with lower blood levels of vitamin D had an increased risk of death in general and from cardiovascular causes in particular.…

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$ 1.95   |    SEPTEMBER 2008

Add a healthy gullet to the bountiful benefits of eating lots of fruits and vegetables. A new study reports that high dietary intake of antioxidant vitamins C and E and beta-carotene, linked to produce consumption, is associated with sharply lower risk of Barrett’s esophagus, a precursor to esophageal cancer.…

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OCTOBER 2008

Need more proof that eating fish— especially varieties high in omega-3 fatty acids—is good for your heart? Look to Japan, which has the lowest rate of heart disease among developed countries and where fish consumption averages 3.75 ounces daily—more than triple the US. A new study published in the Journal of the American College of Cardiology suggests that diet, not genetics, is almost entirely responsible for the Japanese’ lower rates of heart disease, and specifically for their healthier arteries.…

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NOVEMBER 2008

Alarge clinical trial has failed to support hopes, based on prior population studies, that B vitamin supplements might help patients who already have coronary artery disease to prevent future heart trouble. It was thought that, by lowering blood levels of an amino acid called homocysteine that’s associated with heart disease, B vitamins could protect heart patients. But while the supplements did lower homocysteine, there was no accompanying benefit in reducing cardiovascular events or mortality.…

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NOVEMBER 2008

Looking to reduce your risk of hypertension or lower your already high blood pressure? Lowering your sodium by eschewing the salt-shaker and reducing salt intake from processed foods is an obvious and responsible step. But don’t stop there: Anew research review shows that boosting your potassium level can be just as important for healthy blood pressure—and may protect your heart in the bargain.…

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DECEMBER 2008

Getting plenty of vitamin B12, already known to be important for healthy nerve cells and red blood cells, may also help protect your brain from shrinking with age. In a small observational study published in Neurology, British researchers report that older people with low—but still normal—levels of B12 were six times more likely to experience brain atrophy as those with the highest levels. The low-B12 group in the study also lost twice as much brain volume on average.…

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$ 1.95   |    DECEMBER 2008

Can flax match fish for delivering important omega-3s?
Flax fans got good news and bad news from a groundbreaking study that’s the first of its kind to compare the benefits of modest doses of flax oil versus fish oil in raising levels of health-promoting omega-3s. Supplements of flax oil, which is rich in alpha-linolenic acid (ALA), boosted blood levels of one of the two key omega-3s found in fish oil—but not the other. …

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DECEMBER 2008

There’s more to bone health than you think. A new Tufts study has uncovered a surprising new force in the fight against osteoporosis: vitamin C.…

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JANUARY 2009

Are Americans with arthritis wasting $810 million a year? That’s how much US sales for glucosamine and chondroitin supplements totaled in 2005, the latest year for which figures are available. Yet in 2006, researchers directing the Glucosamine/Chondroitin Arthritis Intervention Trial (GAIT) reported the supplements proved no more effective against osteoarthritis than a placebo, except for some people with moderate to severe pain. And now a second phase of the study, GAIT II, suggests glucosamine and chondroitin also deliver no appreciable benefit in slowing cartilage damage.…

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FEBRUARY 2009

The longest prevention trial to date of ginkgo biloba has failed to show any benefit from the herbal supplement in reducing the risk of dementia or Alz heimer’s disease. The Ginkgo Evalua - tion of Memory (GEM) study was a randomized, placebo-controlled clinical trial—considered the “gold standard” of medical research—conducted at five US academic medical centers with a median followup period of 6.1 years.…

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$ 1.95   |    FEBRUARY 2009

A large study of antioxidant vitamin supplements has dashed hopes that vitamins C and E might protect against cardiovascular disease or cancer. Unlike most previous studies, the Physicians’ Health Study II tested vitamin C and E supplements individually as well as in combination. After an average eight years of followup, neither vitamin worked any better than placebos in preventing major cardiovascular events or cancer among the 14,641 men over age 50.…

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$ 1.95   |    FEBRUARY 2009

The National Cancer Institute (NCI) has pulled the plug on a major trial of selenium and vitamin E’s possible benefits against prostate cancer. The Selenium and Vitamin E Cancer Prevention Trial (SELECT), one of the largest cancer chemoprevention trials ever conducted, involved 35,533 men ages 50 and up. Scheduled to run through 2011, SELECT was halted early because of an absence of benefit from either supplement. In fact, men in the vitamin E group had a statistically nonsignificant increased risk of prostate cancer, and those assigned to selenium pills had a slightly raised risk of type 2 diabetes.…

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MARCH 2009

Here’s yet another reason to steer your grocery cart down the produce aisle: Fruits and vegetables may protect your bones by balancing an excess of acid in your body, a common condition as you age. In a new study published in the Journal of Clinical Endo -crin ology and Metabolism, Tufts researchers report that bicarbonate supplements reduced the bone resorption and calcium excretion that occur when the acid/base (alkaline) balance of the body is tilted to the acidic. Eating lots of fruits and vegetables would have the same effect, explained Bess Dawson-Hughes, MD, director of the Bone Meta bolism Labo - ratory at Tufts’ Jean Mayer USDA Human Nutrition Research Center on Aging.

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APRIL 2009

Lowest vitamin D levels linked to double the risk of impairment.
Two new studies provide evidence that vitamin D, the “sunshine vitamin” that’s increasingly been linked to a range of health benefits for the body, may also be good for the brain. Both studies compared blood levels of vitamin D and cognitive function in people over age 65. And both found that higher levels of vitamin D were associated with better mental function.

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IF YOU’RE COUNTING on that daily multivitamin pill to help protect you against cancer or heart disease, think again. The largest study ever of multivitamin use among older women has found that the pills made no significant difference in the risk of cancer, heart disease or overall mortality.…

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$ 1.95

CALCIUM MIGHT HELP prevent some cancers, after all. Three years after the Women’s Health Initiative (WHI) dashed hopes that calcium and vitamin D supplements might offer a benefit against colorectal cancer, another big study has found an association between calcium intake and reduced risk of colorectal and other digestive-system cancers. One difference: This seven-year study of nearly a half-million participants in the NIH-AARP Diet and Health Study focused on calcium from food, such as low-fat dairy, as well as pills.…

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MAY 2009

IF YOU’RE COUNTING on that daily multivitamin pill to help protect you against cancer or heart disease, think again. The largest study ever of multivitamin use among older women has found that the pills made no significant difference in the risk of cancer, heart disease or overall mortality.…

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$ 1.95   |    MAY 2009

CALCIUM MIGHT HELP prevent some cancers, after all. Three years after the Women’s Health Initiative (WHI) dashed hopes that calcium and vitamin D supplements might offer a benefit against colorectal cancer, another big study has found an association between calcium intake and reduced risk of colorectal and other digestive-system cancers. One difference: This seven-year study of nearly a half-million participants in the NIH-AARP Diet and Health Study focused on calcium from food, such as low-fat dairy, as well as pills.…

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JUNE 2009

Men with higher intake of vitamin C appear less likely to develop gout, the most common type of inflammatory arthritis in men, according to a new study.…

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JULY 2009

Nearly a third of people over age 65 suffer a fall every year, with 20% of those spills requiring medical attention. Exercises that target balance and strength, such as Tai Chi, can reduce your risk of a possibly crippling fall, according to a new review of 111 trials totaling 55,303 participants.…

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$ 1.95   |    SEPTEMBER 2009

Can calcium help you lose weight? With purveyors of dairy products and nutritional supplements alike marketing calcium as close to a “magic bullet” for weight loss, many a desperate dieter might hope so.…

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OCTOBER 2009

Is there anything you can do to reduce your risk of cognitive decline and dementia? Research presented at the recent International Conference on Alzheimer’s Disease (ICAD) in Vienna suggests several promising ways to answer “yes.” The findings add to a growing body of evidence that lifestyle changes—exercise, diet, even how much alcohol you drink—can help prevent or slow the mental decline that too often comes with aging.…

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$ 1.95   |    DECEMBER 2009

Packaged foods touting enhanced fiber content are one of the fastest-growing categories of grocery products in the US, increasing more than 10% over the past year. Dietary fiber has become the Next Big Thing in nutrition, as Americans become more aware of its health benefits beyond battling constipation. And consumer experts posit that Americans, perhaps tired of having to cut out items like fat, salt and sugar, are eager to consume products that give them more of something that’s healthy.…

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JANUARY 2010

Like a ray of sunshine in the winterweary produce aisle, oranges not only brighten your grocery cart but might even outshine apples for healthy eating. Despite that familiar “keeps the doctor away” adage, the Overall Nutritional Quality Index (ONQI, see the May 2009 Healthletter) rates oranges every bit as high as apples. Oranges are a tasty source of fiber and vitamin C, and science keeps finding new ways they benefit your body.…

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MARCH 2010

If you’re taking selenium supplements in hopes of benefiting from the mineral’s antioxidant properties and promise of cancer protection, a new study may cause you to rethink. In an analysis of data from a British national nutrition survey, people with the highest selenium levels also had higher levels of unhealthy cholesterol.…

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$ 1.95   |    JUNE 2010

Does extra calcium—which many people take to boost bone health— also protect against heart disease and death? Science continues to answer with a firm “maybe, maybe not.” A pair of new studies, however, suggest that while calcium supplements may not have such protective benefits, a diet rich in foods containing calcium might.…

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$ 1.95   |    JULY 2010

Next to sex and celebrities, health and nutrition may be the favorite topic of today’s mass media—from TV to magazines and newspapers to the Internet. But the popularity of “eat this, don’t eat that” advice doesn’t mean the information you’re getting is always accurate. In thousands of pages and programming hours, it’s easy to let a story run away from the science.…

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NewsBites (21)

 
APRIL 2007

FOR THE FIRST TIME, Canada’s dietary guidelines include a recommendation that people over age 50 should take a daily vitamin D supplement.…

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MAY 2005

AN EXTENSIVE NEW STUDY seeking to test whether vitamin E protects against heart disease and cancer has instead poked another hole in the rapidly deflating promise of vitamin E as an elixir of youth. The study, published in the Journal of the American Medical Association, found that—at best—vitamin E supplements do no good in preventing heart attacks and cancer.…

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JULY 2005

CALCIUM SUPPLEMENTS, which many people take to help ward off osteoporosis, may have a beneficial side effect: A new study reports that calcium supplements protect against the development of colon polyps, which can turn cancerous. Perhaps most surprisingly, this protective effect seems to persist for as long as five years after people discontinue taking the calcium supplements.…

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APRIL 2008

THERE JUST MAY BE something to the popular home remedy of drinking cranberry juice to combat women’s urinary-tract infections.…

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APRIL 2008

AMERICAN WOMEN appear to be cooling toward dietary supplements. While the proportion of US men reporting that they use supplements stayed steady at 66%, the number of women using supplements dropped 13% from 2005 to 2007.…

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SEPTEMBER 2005

WHEN IT COMES TO staying mobile in old age, the rule seems to be: Use it or lose it. That’s the conclusion of a study that followed 3,075 American adults, ages 70 to 79, for four and a half years to see who began to develop problems walking or climbing stairs. The participants who exercised regularly were only half as likely to develop mobility problems as those who were inactive.…

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NOVEMBER 2005

IF YOU’RE TAKING antioxidant vitamins in hopes of helping your body fight cancer while undergoing radiation or chemotherapy treatment, tell your doctor.…

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AUGUST 2007

ALTHOUGH MAKERS of vitamins, herbal remedies and other dietary supplements still don’t have to prove their products work, they will now have to verify what’s in their pills. The US Food and Drug Administration (FDA) is phasing in a long-awaited rule requiring supplement makers to test their ingredients.…

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SEPTEMBER 2006

CONCERNED ABOUT the risks of estrogen hormone therapy, more women are turning to herbal remedies to relieve symptoms of menopause. In a survey of nearly 800 women by Stanford University researchers, 37% reported trying hormone therapy and 31% said they’d tried herbal treatments such as ginko biloba, St. John’s wort and black cohosh. Another 13% of women said they’d taken soy supplements. Nearly 60% of those who had previously tried hormone therapy had discontinued it.…

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APRIL 2007

ARE YOU TAKING herbal supplements, getting acupuncture or trying some other alternative therapy? Tell your doctor.…

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SEPTEMBER 2005

DIETARY SOYBEAN PROTEIN supplements may someday join the arsenal against high blood pressure. A Tulane University study of 302 adults, published in the Annals of Internal Medicine, found that those who took these protein supplements for 12 weeks saw a significant drop in blood pressure. All the participants had slightly high blood pressure; the benefits were greatest for those with blood pressure of at least 140/90.…

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MARCH 2009

The weight-loss supplement market is awash in fraudulent and adulterated products, according to the US Food and Drug Admini stration (FDA), which has intensified a crackdown to encompass 70 different supplements. Many contain undeclared pharmaceutical ingredients, the agency warns, often in levels far exceeding FDA recommendations. Those ingredients include drugs not approved for use in the US, controlled substances that can affect blood pressure, anti-seizure medications and diuretics, along with drugs implicated in suicide from depression and as carcinogens.

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JUNE 2009

YOU could be getting more of a jolt from dietary-supplement pills than you realize. USDA Agricultural Research Service scientists who analyzed 53 dietary supplements found that about half contained the caffeine equivalent of up to two cups of coffee. But supplements aren’t required to list caffeine on the label unless they contain added pure caffeine. …

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JUNE 2009

Italian scientists have identified a new form of vitamin E from an unlikely source: kiwifruit. The finding is surprising—and potentially important—because fruits are generally not good sources of vitamin E, with the exception of avocado and the green-fleshed kiwifruit. Scientists have previously identified eight forms of vitamin E; alpha-tocopherol is the form most commonly found in supplements, …

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SEPTEMBER 2009

Researchers launching the largest clinical trial of its kind hope to find definitive evidence whether vitamin D and omega-3 fatty acids really do help prevent cancer, heart disease and stroke. The five-year study, dubbed VITAL (for VITamin D and OmegA-3 TriaL), will enroll 20,000 men over 60 and women over 65 nationwide. Funded by the National Institutes of Health, the randomized, double-blind, placebo-controlled clinical trial—considered the “gold standard” of medical research—will compare the effects of moderate to high doses of each supplement, both supplements and a placebo.…

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SEPTEMBER 2009

The US Food and Drug Administration (FDA) has signaled its willingness to allow certain highly qualified health claims that selenium might reduce the risk of prostate, bladder and thyroid cancer. But don’t expect supplement makers to rush to splash the FDA-approved language on their labels—the claims aren’t exactly a marketer’s dream.…

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DECEMBER 2009

Even as some dietary supplements are under fire for inflated health claims and safety concerns, the US Food and Drug Administration (FDA) has thrown a lifeline to the embattled supplements industry with a new consumer advisory stating “there are many good reasons” to take extra vitamins. Barbara Schneeman, PhD, director of the FDA’s Office of Nutritional Pro - ducts, Labeling and Dietary Supple - ments, said, “Supplements can be useful when they fulfill a specific identified nutrient need that can’t be met by food or is not being met through normal food intake.”…

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FEBRUARY 2010

The American Dietetic Association says a nutritious diet, not pills, is the best way to promote health and reduce the risk of disease. In a new position statement, the dieticians’ group stated, “The best nutrition-based strategy for promoting optimal health and reducing the risk of chronic disease is to wisely choose a wide variety of nutrient-rich foods.”…

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APRIL 2010

Those herbal remedies you’re taking for your health may actually interact with your prescription drugs, altering their effectiveness or increasing the risk of bleeding or other cardiovascular problems. A new Mayo Clinic review of nearly 90 studies over the past 44 years warns that patients and physicians may be dangerously unaware of the ways herbal nostrums can interact with common cardiovascular medications.…

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JUNE 2010

There’s a new “generation gap” when it comes to healthy ingredients and supplements: Baby Boomers, ages 45 to 64, are much more likely than younger or older consumers to seek out foods and other products for promised health benefits. Market research group Decision Analyst surveyed 16,392 US adults and found, “Belief in ‘magic foods’…

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JULY 2010

Herbal supplements are no longer just for health-food stores, according to a new report from the American Botani-cal Council trade association: Americans spent a record $335 million in 2009 on herbal supplements in “mainstream market channels” such as supermarkets and drugstores, an increase of 14%. …

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Special Reports (22)

 
$ 1.95   |    JANUARY 2006

SOMETIMES IT SEEMS science moves in zigzags, taking a step backwards for every two steps forward. What once appeared a promising breakthrough turns out to be a disappointment—or worse. This past year, for instance, was filled with news dashing scientists’ once-high hopes for vitamin E as a weapon against an array of ailments.…

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$ 1.95   |    JANUARY 2007

WHILE A CURE for Alzheimer’s disease remains frustratingly elusive, a flurry of recent research suggests ways you may be able to improve your odds of preventing Alzheimer’s and other age-related cognitive decline through diet and lifestyle. Though these hopeful findings are preliminary, there’s little downside to following their leads in your own life: Increasingly, scientists are discovering the same healthy habits that benefit your heart and waistline—eating fish, consuming more vegetables, hewing to the so-called “Mediterranean diet”— also keep your brain sharp as you age.…

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$ 1.95   |    FEBRUARY 2005

Centuries before scientists even coined the word “vitamin,” the ancient Egyptians knew that liver—the body’s repository for vitamin A—could cure night blindness, the inability to see in low light. Hippocrates (460-377 BC) prescribed liver soaked in honey for blindness in malnourished children.…

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$ 1.95   |    FEBRUARY 2007

THE BUZZ at last fall’s SupplySide West, a new-product showcase that drew 7,200 foodindustry professionals to Las Vegas, was all about “functional” foods. That’s a term—along with “nutraceuticals,” another catchprase for such food products—you’ll be hearing a lot more about this year.…

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$ 1.95   |    MARCH 2008

THIS ISSUE marks the completion of the 25th year of publishing for the Tufts University Health & Nutrition Letter—a quarter-century that’s seen nutrition science not only make repeated breakthroughs but also take firm hold in the public’s mind.…

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$ 1.95   |    MARCH 2007

A NEWLY DISCOVERED association between taking a certain type of popular heartburn drug and an increased risk of hip fracture may have some stomachs churning, …

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$ 1.95   |    MAY 2005

Association showed that brain and memory health ranked second only to heart health among the greatest medical worries of those ages 55 to 64. Recent research may provide the best hope for treating and possibly even preventing the disease since it first came to medical attention in November 1906, when Alois Alzheimer first blamed a patient’s dementia on organic changes in the brain.…

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AUGUST 2005

FOR YEARS, dermatologists have taught us to view the sun as a big, bright cancer-causing machine. We’ve been taught to slather on sunscreen at everhigher SPF levels, don hats and dodge those deadly solar rays. In case that message has been lost on anyone, earlier this year the American Academy of Dermatology launched a “Don’t Seek the Sun” campaign, reminding us of the grim statistics: 1 million cases of skin cancer annually associated with the sun, including some 7,700 deaths from melanoma.…

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$ 1.95   |    DECEMBER 2005

Despite claims, soy’s benefits against heart disease, cancer and the effects of menopause remain a question mark. Here’s what you need to know.…

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$ 1.95   |    JUNE 2007

GIVEN THAT millions of Americans take some sort of supplement containing antioxidants, the scary headlines probably caught some people in mid-swallow as they popped their daily pills over the morning paper:…

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$ 1.95   |    JUNE 2006

AWIRE STORY in your local newspaper reports that a new study says flavonoids—antioxidants found in plants, tea, coffee and even chocolate—reduce postmenopausal women’s risk of breast cancer by 45%.…

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$ 1.95   |    JULY 2007

WHEN it comes to healthy fats, Americans need to get into the swim of things. Most of us consume 10 times as much omega-6 fatty acids—typically from vegetable oils—as we do omega-3 fatty acids, most importantly found in fish. When researchers at the Tufts-New England Medical Center Evidence-based Practice Center reviewed National Health and Nutrition Examination Survey (NHANES) data on US dietary habits, they found that on any given day only a quarter of the population reported consuming any DHA or EPA, the omega-3s in fish, at all.…

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$ 1.95   |    AUGUST 2007

AFLURRY OF NEW studies reminds the health-conscious that the best way to get the vitamins and other nutrients your body needs is at the table, not from a pill, and that the ancient Greeks were onto something with “moderation in all things.” Not only does recent research dash some hopes for health benefits of supplements—it cautions that too much of a good thing can do more harm than good.…

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$ 1.95   |    JANUARY 2005

The best-known prevention step against osteoporosis is of course getting plenty of calcium—it’s also probably the easiest lifestyle step to achieve. According to the National Osteoporosis Foundation, depending on your age, the right amount of calcium is between 1,000 and 1,200 milligrams daily.…

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$ 1.95   |    JANUARY 2005

The emphasis on calcium to build s t rong bones sometimes obscures the i m p o rtance of another essential ingredient in bone health and osteoporosis prevention: vitamin D.…

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$ 1.95   |    SEPTEMBER 2008

How the National Center for Complementary and Alternative Medicine looks for treatments on the cutting edge.
The National Center for Complementary and Alternative Medicine (NCCAM) is one of the 27 institutes and centers of the federal government’s National Institutes of Health (NIH). NCCAM employs rigorous science to explore the possible benefits of complementary and alternative medicine (CAM) practices, such as herbal supplements, acupuncture, tai chi and the like.…

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OCTOBER 2008

If you’re concerned about calcium, you may be worrying about the wrong thing.
Everywhere you turn these days, marketers and medical experts alike seem to be pushing calcium. Especially as you get older, you’re constantly reminded to get enough calcium. Store shelves teem with calcium supplements, and even antacid makers promote their benefits for bones as well as tummies.…

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$ 1.95   |    FEBRUARY 2009

With health benefits beyond digestion, fiber is suddenly fabulous. Here’s how to get yours. Fiber—it’s not just for grandma anymore. Long the butt of jokes and hopelessly “un-hip,” dietary fiber has become the Next Big Thing in nutrition, as Americans become more aware of its health benefits beyond battling constipation.…

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$ 1.95   |    JUNE 2009

More than three-quarters of Americans lacking in vitamin D.
Regular Healthletter readers know that the nutrient most in the news lately is vitamin D, called the “sunshine vitamin” because the body makes it naturally when skin is exposed to strong sunlight. Recent headlines have extended beyond vitamin D’s well-known role in bone health, suggesting it may help protect against heart disease, diabetes and cancer. Low levels of vitamin D have been associated with conditions including multiple sclerosis and Parkinson’s disease. And people with higher vitamin D levels have been shown to have a reduced risk of dying.…

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$ 1.95   |    SEPTEMBER 2009

You probably assume that any product that promises to help you lose weight, relieve cold symptoms, boost your immune system or combat joint pain has been thoroughly vetted by Uncle Sam—just like prescription drugs or standard over-the-counter medications.

As two recent headline-making product recalls dramatically demonstrate, you’d be wrong.

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$ 1.95   |    DECEMBER 2009

With the H1N1 flu virus raising the stakes for this year’s “cold and flu season,” health-conscious folks are looking for every possible edge to reduce the odds of getting sick. That includes enlisting nutrition in the battle against seasonal illnesses.…

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$ 1.95   |    JULY 2010

Cancer is constantly in the news, it seems—and no wonder, since it’s re-cently overtaken heart disease as the leading cause of death in the US. You’re bombarded with information, myths and hopeful guesses about what might protect you against cancer and what might raise your risk. Your lifestyle really can affect your risk—but what’s fact and what’s sheer speculation?…

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Health Updates (44)

 
August 2010

That weight-loss supplement in your medicine cabinet may contain more than you bargained for. The US Food and Drug Administration announced a recall of three products marketed as dietary supplements by the EZVille company that actually contain undeclared prescription-drug ingredients. Two weight-loss supplements — Solo Slim and Solo Slim Extra Strength — were found to contain sibutramine, a prescription weight-loss medication sold under the brand name Meridia. In patients with a history of cardiovascular disease, sibutramine has been known to increase the risk of stroke and heart attack. Another EZVille supplement, Revivexxx Extra Strength, touted for male sexual enhancement, turns out to contain an unlabeled dose of the drug tadalafil — better known as Cialis. The products were sold online and in retail stores without a prescription. EZVille said it has not received any reports of adverse events related to the recalled products.…

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August 2010

Score another disappointment for the hoped-for benefits of B vitamin supplements in protecting the heart and circulatory system. Since B vitamins combat homocysteine, an amino acid known to be a risk factor for vascular woes, it makes sense that extra B vitamins might reduce the risk of stroke, heart attack and vascular death. But in a new trial conducted with more than 8,000 patients who'd previously suffered a stroke or mini-stroke, B vitamin pills produced no better results than placebo. The supplements contained 2 mg of folic acid, 25 mg of vitamin B6 and 0.5 mg of vitamin B12. After an average follow-up of 3.4 years, there was no significant difference in stroke, heart attack or vascular death between those getting the B vitamins and a control group — even though the supplements did succeed in lowering homocysteine levels. "These results do not support the use of B vitamins to prevent recurrent stroke," researchers concluded. — The Lancet Neurology…

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July 2010

Among a medicine-cabinet full of supplements tested in a large, 7-year study, only one was associated with a reduced risk of breast cancer: fish oil. Those participants in the VITAL study of 35,016 postmenopausal women who regularly took fish-oil supplements were 32% less likely to develop breast cancer than non-users. No other supplement studied showed a similar connection, including glucosamine, chondroitin, grapeseed, black cohosh, soy, St. John's wort, ginseng, garlic, ginkgo biloba and coenzyme Q10. It's plausible that the omega-3 fatty acids in fish oil could reduce inflammation, which plays a part in cancer development. But scientists cautioned that the study wasn't designed to prove cause and effect. They also noted one catch to the results: Women with a history of coronary artery disease who took fish-oil pills, most often used to protect against heart disease, were actually more likely to develop breast cancer. Overall, those cases were more than counterbalanced by reduced cancer risk among women without a history of coronary heart disease. — Cancer Epidemiology, Biomarkers & Prevention …

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July 2010

Previous studies have suggested that B vitamins might help protect against depression, but these were mostly snapshots at a single point in time. Now a new study connects B-vitamin intake among 3,500 seniors, initially free of depression, over a span of 12 years: For every 10-milligram increase in daily vitamin B6 from food and supplements, risk of developing depression declined by 2%. The same was true for every additional 10 micrograms of vitamin B12. Folate, another B vitamin previously linked to lower depression incidence, was not associated with reduced risk; researchers speculated this may be because folate deficiency is rare in the US, thanks to fortified grains and cereals. While cautioning that the findings don't show cause and effect — adequate B vitamin intake might, for example, simply be a sign of an overall healthy diet — researchers said the study bolsters the case that relatively low B vitamin intake might be a risk factor for depression. — American Journal of Clinical Nutrition …

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July 2010

Plant sterols and stanols — naturally occurring compounds that block the absorption of cholesterol — are emerging as a potent new weapon in the battle against heart disease. New findings by Dutch and German scientists show that higher levels of plant stanols produce comparably greater reductions in unhealthy LDL cholesterol. Although most recommendations call for doses of about 2 grams of plant sterols or stanols daily (either as supplements or in fortified foods such as juice and spreads), the study found benefits from daily consumption as high as 9 grams. In testing with 93 healthy subjects with slightly elevated cholesterol, up to 9 grams daily of plant stanols reduced blood levels of LDL cholesterol by up to 17.4%. An editorial accompanying the findings noted, "This raises the question of whether dietary phytosterols, 'natural' products, should be used rather than larger doses of statins or other drugs. These sterols probably would avoid some of the side effects of added drugs." — American Journal of Clinical Nutrition…

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June 2010

Evidence keeps adding up that vitamin K, one of the lesser-known weapons in the nutrient arsenal, might help combat diabetes. A previous Tufts clinical trial found that supplements of the most common form of the vitamin, K1, found naturally in leafy greens and other vegetables, reduced the risk of insulin resistance in older men, thereby helping to protect against diabetes. Now a Dutch observational study suggests that another form of the vitamin, K2, found in meat, cheese and the Japanese food natto (made from fermented soybeans), may reduce diabetes risk. Researchers followed 38,094 men and women, ages 20-70, for an average 10.3 years, during which 918 cases of type-2 diabetes were diagnosed. While higher vitamin K1 intake was non-significantly associated with a lower risk of diabetes, the biggest connection was seen for K2: With every extra 10 micrograms, risk of diabetes dropped 7%. Vitamin K may be effective against diabetes, Tufts researchers have theorized, by suppressing inflammation. — Diabetes Care …

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June 2010

Undercover agents from the Government Accountability Office (GAO), posing as elderly customers, have busted a host of deceptive and even dangerous marketing practices by sellers of herbs and other supplements. According to a GAO report, "The most egregious practices included suspect marketing claims that a dietary supplement prevented or cured extremely serious diseases, such as cancer and cardiovascular disease." Under the Dietary Supplement Health and Education Act of 1994 (DSHEA), the Food and Drug Administration (FDA) does not approve dietary supplements before they go on the market, unlike prescription drugs. The Federal Trade Commission (FTC) regulates the marketing of supplements, which are forbidden from claiming to treat medical conditions. Investigators, in the guise of elderly buyers in stores or on the phone, also were given dangerously erroneous information about interactions between supplements and medications, such as those that raise the risk of internal bleeding. Others were advised they could drop their prescription drugs and take herbal remedies instead.…

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May 2010

Can your body really absorb the vitamin D in fortified orange juice, given that the vitamin dissolves in fat (as in fortified milk) but not water? A new study (funded by Coca-Cola, which makes Minute Maid juice) says yes. Researchers recruited more than 100 adults and divided them into six groups receiving various combinations of OJ fortified with 1,000 IU of vitamin D, supplements of vitamin D, and placebo drinks and pills. When blood levels were tested at the start of the study, 64% of participants were deficient in vitamin D. After 11 weeks, all those getting extra vitamin D saw increases in blood levels, and there was no difference between those receiving it in pills or juice. But there's one catch: You can't buy OJ fortified with 1,000 IU of vitamin D, because government regulations limit it to 100 IU per serving. That may change, however, after the federal dietary guidelines are updated later this year. — American Journal of Clinical Nutrition …

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April 2010

Could multivitamins, which millions of women take daily as "insurance" for a healthy diet, actually increase the risk of breast cancer? That's the suggestion of a large new Swedish study — though researchers were quick to caution that their observational study can't show a cause-and-effect relationship. The study followed more than 35,000 older women (ages 49 to 83 at baseline) over an average of 10 years, during which 974 participants were diagnosed with breast cancer. A little over a quarter of the women reported regularly taking multivitamins at the start of the study. After adjusting for known risk factors, multivitamin users were 19% more likely to develop breast cancer. While there's no way to know if the supplements actually contributed to the cancers, researchers said such an effect is "biologically plausible" and further investigation is warranted. In any case, the Swedish team added, "If you eat a healthy and varied diet, there is no need to take multivitamins." — American Journal of Clinical Nutrition…

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March 2010

If a new Chinese study can be confirmed by further clinical trials, expect multivitamin manufacturers to start touting the supplements for weight loss and cholesterol benefits. The 26-week, randomized, double-blind trial divided 97 obese Chinese women, ages 18-55, into three groups: One got a daily multivitamin, a second group received only a calcium supplement, and the third was given an identical-looking placebo. Among the 87 women who completed the study, those in the multivitamin group saw significantly lower body weight, BMI, fat mass, total cholesterol and LDL (bad) cholesterol, along with higher HDL (good) cholesterol and resting energy expenditure, a measure of metabolism. The calcium group saw only improvements in LDL and HDL, though these were significant compared to the placebo group. Researchers concluded, "The results suggest that, in obese individuals, multivitamin and mineral supplementation could reduce body weight and fatness and improve serum lipid profiles, possibly through increased energy expenditure and fat oxidation." — International Journal of Obesity …

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March 2010

Does extra calcium and vitamin D — already known to boost bone health — also protect against heart disease and death? Science continues to answer with a firm "maybe, maybe not." A new review of 17 previous studies looking for a link between calcium and vitamin D supplements concludes that "the existing evidence is quite sparse." While extra vitamin D reduced the risk of death from heart disease and stroke in a few studies, those mostly involved people already in poor health. Overall, researchers cautioned against taking such supplements unless advised by a physician for bone health. Meanwhile, a new Swedish study of dietary, rather than supplemental, calcium intake reports that men with the highest amounts of calcium — nearly double the recommended intake — were 25% less likely to die of all causes. The study of 23,266 men, ages 45 to 79, found the reduced risk among men consuming an average of 1,953 mg of dietary calcium, compared to those with the lowest intake. — Annals of Internal Medicine, American Journal of Epidemiology …

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February 2010

Men who are feeling blue may not be getting enough folate in their diet, a new Japanese study suggests. Researchers compared blood levels of folate in 530 adults, 313 of them men, with scores for symptoms on a standard test for depression. About 36% of the subjects showed symptoms of depression. But men with the highest folate levels were 50% less likely to have depressive symptoms than those with the lowest levels. On the other hand, higher levels of homocysteine, an amino acid reduced by folate that's been linked to cardiovascular disease and dementia, were linked to greater risk of depression. Neither association was observed in the women. Folate, found in foods such as leafy greens and legumes, and its synthetic form, folic acid, have increasingly been linked to reduced risk of depression. A recent British review of 11 studies came to a similar conclusion, and Tufts researchers reported in 2003 that supplements of folic acid seemed to protect against depressive symptoms. — European Journal of Clinical Nutrition…

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February 2010

Those herbal remedies you're taking for your health may actually interact with your prescription drugs, altering their effectiveness or increasing the risk of bleeding or other cardiovascular problems. A new Mayo Clinic review of nearly 90 studies over the past 44 years warns that patients and physicians may be dangerously unaware of the ways herbal nostrums can interact with common cardiovascular medications. Some herbs, researchers noted, affect the metabolism of medications much as grapefruit juice does. Other popular supplements, including ginkgo biloba, saw palmetto, ginseng and garlic, have their own cardiovascular effects, such as inhibiting platelet aggregation; when combined with common medications such as aspirin or warfarin (Coumadin), this can cause bleeding. Overall, the review identified 27 herbal products that heart patients should be wary of taking. Researchers concluded, "There is a clear need for better public and physician understanding of herbal products through health education, early detection and management of herbal toxicities, scientific scrutiny of their use, and research on their safety and effectiveness." — Journal of the American College of Cardiology …

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January 2010

The largest study of its kind to date may tip the scales on the controversial question of whether higher vitamin D levels are associated with reduced risk for colorectal cancer. Researchers drawing on data on more than a half-million participants in the European Prospective Investigation into Cancer (EPIC) study concluded that people with more vitamin D were up to 40% less likely to develop colorectal cancer. The study compared the 1,248 EPIC participants diagnosed with colorectal cancer with an equal number of healthy controls. Blood levels of vitamin D below a mid-range were associated with an increased risk of cancer, especially in the colon; high levels didn't confer any extra benefit. The study also found reduced risk associated with high consumption of dietary calcium, but not dietary vitamin D. The EPIC findings are in line with a 2007 meta-analysis of previous studies, but differ from the 2006 Women's Health Initiative, which found calcium and vitamin D supplements had no benefit against colorectal cancer. — British Medical Journal …

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January 2010

High-dose vitamin C supplements, supposed to ward off infections and even fight cancer, may be increasing your risk for cataracts. A Swedish study of nearly 24,600 women over more than eight years has found that those taking vitamin C supplements averaging 1,000 milligrams were about 25% more likely to have age-related cataracts removed. Nearly 1,300 of the women, ages 49 to 83, had cataracts removed during the course of the study. Those who took no dietary supplements were least likely to have cataracts, followed by women who reported taking only multivitamins, which generally have much lower amounts of vitamin C. Although a relatively small group, the women taking high-dose vitamin C pills represented a disproportionate share of cataract cases, even after adjusting for other known risk factors. Researchers cautioned that the findings don't apply to dietary vitamin C from fruits and vegetables, only the mega-doses found in supplements. — American Journal of Clinical Nutrition …

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December 2009

The American Dietetic Association (ADA) says a nutritious diet, not pills, is the best way to promote health and reduce the risk of disease. In a new position statement sure to rile the $23 billion dietary supplements industry, the ADA stated, "The best nutrition-based strategy for promoting optimal health and reducing the risk of chronic disease is to wisely choose a wide variety of nutrient-rich foods." Citing concerns that consumers lacking information on the safety and effectiveness of dietary supplements, the association called on its membership to keep abreast of research findings on supplements and help educate the public. The position paper did add, "Additional nutrients from supplements can help some people meet their nutrition needs as specified by science-based nutrition standards such as the Dietary Reference Intakes (DRI)." Sales of most supplements grew in 2007, the most recent year for which figures are available, including 3.9% increase in sales of multivitamins, the most popular choice. …

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November 2009

In further proof that, at least when it comes to nutrition, it's possible to have too much of a good thing, Norwegian researchers report that high doses of folic acid may increase the risk of cancer. They analyzed long-term results of two clinical trials totaling 6,837 heart patients who were given combinations of folic acid, B12, B6 or placebo to test the lowering of homocysteine, an amino acid in the blood linked to heart disease. Unlike the US, Norway doesn't fortify foods with folic acid, making it ideal for such a study. When participants were revisited after a total of 77 months, those assigned to supplemental folic acid plus B12 were 21% more likely to be diagnosed with cancer and 38% more likely to die of cancer. Lung cancer was the main driver of the results, suggesting a possible connection with subjects' smoking history. Supplementation levels were also quite high: double the US RDA for folic acid and a whopping 167 times the RDA for B12. The bottom line, experts commenting on the findings said, is that it's safest to get your nutrients from food, and that high-dose supplements shouldn't be relied on to prevent chronic disease. — JAMA…

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November 2009

Supplements got a second blow from a new US study linking high blood levels of selenium to increased levels of unhealthy cholesterol. Scientists compared selenium and lipid levels in the blood of 1,042 participants in a national nutrition survey, 48.2% of whom reported taking dietary supplements. Those with the highest selenium levels averaged 8% higher total cholesterol and 10% higher in non-HDL cholesterol (all except the "good" HDL cholesterol). Researchers said the high selenium levels weren't exclusively caused by supplementation, but did raise concerns given the recent popularity of selenium supplements, thought to have antioxidant benefits and possible anti-cancer properties: "We believe that the widespread use of selenium supplements, or of any other strategy that artificially increases selenium status above the level required, is unwarranted at the present time." — Journal of Nutrition …

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October 2009

Even as some dietary supplements are under fire for inflated health claims and safety concerns, the US Food and Drug Administration (FDA) has thrown a lifeline to the embattled supplements industry with a new consumer advisory stating "there are many good reasons" to take extra vitamins. Barbara Schneeman, PhD, director of the FDA's Office of Nutritional Products, Labeling and Dietary Supplements, said, "Supplements can be useful when they fulfill a specific identified nutrient need that can't be met by food or is not being met through normal food intake." Examples cited by the FDA included iron and folic acid for pregnant women, B12 for people over 50 (who may not be as able to absorb it from food), and vitamin D for those with darker skin or insufficient exposure to sunlight. Schneeman stressed, "It's really important to remember that supplements can't displace a healthful diet — that's the important nutritional strategy." The agency also warned consumers against "chasing the latest headlines" and using supplements as a "quick fix." Take only the recommended amounts, the FDA advised, and beware of supplement claims that seem too good to be true. — FDA …

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July 2009

Maybe you should just chill out and eat some fish. A new Australian study adds to the small but growing body of evidence linking fish-oil consumption with weight management. Analyzing blood levels of the two main omega-3 fatty acids found in fish, EPA and DHA, in 124 subjects of varying weights, researchers found that those at a healthy weight had omega-3 levels nearly 16% higher than obese people. Higher omega-3 levels were associated with a lower BMI, smaller waist measurement and slimmer hip size. People taking fish-oil supplements were excluded from the study, so the omega-3 differences were due solely to dietary intake. While cautioning that the findings don't prove a cause-and-effect connection, scientists noted that animal studies have suggested omega-3s may boost the body's burning of calories to make heat. Omega-3s have also been associated with a greater feeling of "fullness" after a meal.—British Journal of Nutrition…

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July 2009

This week's Alzheimer's conference also produced news about the possible protective effects of omega-3 fatty acids from fish oil. In an 18-month clinical trial of 402 patients already diagnosed with Alzheimer's, supplements of DHA omega-3s failed to slow the progression of the disease. Except for a subgroup with a specific genetic predisposition to Alzheimer's, there was no difference between patients getting DHA and those in a control group. On the other hand, a second study, conducted by a company that markets DHA supplements, did find a benefit in task functioning for healthier individuals with cognitive impairment but who had not yet progressed to Alzheimer's. And a third new study, published in the American Journal of Clinical Nutrition, reported that increased intake of fish, rather than fish-oil pills, was associated with a 20% decrease in the risk of dementia. Those findings relied on data from 14,960 people, age 65 or older, in seven nations; as fish consumption went up, dementia risk went down.…

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July 2009

An apple a day may help keep exercise exhaustion away, according to a small study of the antioxidant quercetin. Found in red apples, berries, cabbage, red onions, broccoli and both green and black tea, quercetin is thought to fight inflammation and promote cell-energy activation, but has mostly been studied in animals. University of South Carolina researchers tested quercetin supplements on a dozen healthy college students in a crossover trial: For seven days, the volunteers drank Tang with 500 mg of added quercetin, twice daily; then for another week the students got Tang without quercetin. Their maximum oxygen uptake and exercise endurance was measured using a stationary bicycle. Compared to the non-quercetin period, participants were able to ride 13% longer when getting the quercetin supplements. Their maximum oxygen uptake also increased slightly, by 4%. Researchers commented that the findings suggest quercetin "may be important in relieving fatigue that keeps people sedentary."—International Journal of Sports Medicine and Exercise Metabolism …

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July 2009

The US Food and Drug Administration (FDA) has signaled its willingness to allow certain highly qualified health claims that selenium might reduce the risk of prostate, bladder and thyroid cancer. But don't expect supplement makers to rush to splash the FDA-approved language on their labels—the claims aren't exactly a marketer's dream. After summarizing the findings of several "weak studies" on selenium and prostate cancer, for example, the health claim would state, "Based on these studies, FDA concludes that it is highly unlikely that selenium supplements reduce the risk of prostate cancer." Similarly lukewarm—at best—endorsements state that "it is highly uncertain that selenium supplements reduce the risk of bladder cancer in women" or the risk of thyroid cancer. The agency also ruled that there is "no credible evidence" to support even qualified health claims for selenium supplements reducing the risk of other cancers. A spokesperson for a supplements trade group said of the three claims that the FDA would okay, "I can't see why anyone would want to use these claims."—FDA …

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July 2009

Antioxidant vitamins and resistance-training exercises could help postmenopausal women protect against bone loss. In a small six-month pilot study, Canadian researchers found that women taking supplements of vitamin E and C and/or exercising suffered no loss of bone-mineral density (BMD) in the hip or spine, while a control group did see bone deterioration. The study split 34 women, average age 66.1, into four groups: antioxidant supplements (600 mg vitamin E plus 1,000 mg vitamin C), antioxidants plus exercise, placebo plus exercise, and placebo with no exercise. Only the placebo group not also on an exercise regimen experienced significant BMD loss, at the spine. The antioxidants plus exercise group saw no additional benefits from the combination. While cautioning that further research is needed, the scientists pointed to Tufts research published earlier this year that showed intake of other antioxidants—carotenoids, especially lycopene—similarly was associated with reduced bone loss.—Osteoporosis International …

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July 2009

Scientists launching the largest clinical trial of its kind hope to find definitive evidence whether vitamin D and omega-3 fatty acids really do help prevent cancer, heart disease and stroke. The five-year study, dubbed VITAL (for VITamin D and OmegA-3 TriaL), will enroll 20,000 men over 60 and women over 65 nationwide. Funded by the National Institutes of Health, the randomized, double-blind, placebo-controlled clinical trial—considered the "gold standard" of medical research—will compare the effects of moderate to high doses of each supplement, both supplements and a placebo. Scientific evidence to date supports a range of possible health benefits for vitamin D as well as for the omega-3s found in fatty, cold-water fish. But most previous vitamin D trials have tested low doses, while omega-3 studies have focused on high-risk populations. Though targeting heart disease and cancer, lead researchers at Brigham and Women's Hospital in Boston said the VITAL trial will also help answer questions about other possible benefits ranging from cognitive function to bone health.—NIH
What do we know so far about vitamin D and your health?

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June 2009

Can calcium help you lose weight? Two new studies of this controversial claim suggest that if calcium encourages weight loss at all, it's only calcium from your diet—such as low-fat dairy products—and not from pills. In a two-year randomized controlled trial of 340 participants, National Institutes of Health researchers found no significant difference in changes in body weight or fat between a control group and those taking daily 1,500mg calcium-carbonate supplements. The study subjects were all overweight or obese, and included more women than men. Calcium pills failed to make a difference in a wide range of weight measures, including change in BMI and waist and hip circumference, or in overall health. "Even though there may be other important reasons, such as fracture prevention, to recommend dietary calcium supplementation," researchers concluded, it is unlikely to be effective in controlling weight.
The second study, which analyzed data from 13 previous trials, found that boosting dietary calcium intake by an average of 1,241mg was associated with an increase in fat excretion of 5.2 grams per day. That could have an effect on weight, the Danish researchers noted. But the greater fat excretion was seen only when the analysis zoomed in on dietary calcium intake; when looking at combined dietary and supplemental calcium, the results were mixed. Benefits were greatest for people who began with a low calcium intake, rather than for those adding to an already high calcium level.— Annals of Internal Medicine and Obesity Reviews …

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June 2009

The experts at the forefront of protecting skin from the sun have recognized one downside to their advice: Practicing "photoprotection" keeps your body from producing natural vitamin D. So the Skin Cancer Foundation has become the first major medical group to call for an increase in the daily recommended intake of vitamin D—from food and supplements—from 400 IU daily to 1,000 IU for adults with limited sun exposure or who practice photoprotection. The chair of the foundation's Photobiology Committee notes that this level "is well within the safety limits set by the US Food and Drug Administration and it may also help alleviate vitamin D deficiency, which has been a growing concern for people." While a few minutes of unprotected sun exposure can make plenty of vitamin D in the skin, the foundation points out that about 90% of non-melanoma skin cancers are associated with UV rays from the sun.—Skin Cancer Foundation …

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May 2009

That saying about too much of a good thing may apply to high-dose supplements of carotenoids—beta-carotene, retinol and lutein. In doses higher than found in multivitamins, long-term use of carotenoid supplements may increase the risk of lung cancer, especially among smokers and former smokers. In results from the Vitamins and Lifestyle (VITAL) study of 77,126 subjects ages 50 to 76, all three types of carotenoid pills raised the risk of the most common type, non-small-cell lung cancer: retinol by 80%, lutein by 2.5 times and beta-carotene by more than 3-fold. Higher risk of overall lung cancer was associated with retinol and lutein. Similar risks were not seen for another carotenoid supplement, lycopene. Carotenoids from dietary sources actually tend to lower lung-cancer risk, researchers noted; it's possible that the body may absorb these nutrients more readily from supplements, however, and that high doses interfere with natural processes that protect against lung cancer.—American Journal of Epidemiology …

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May 2009

Controversial new research in Germany suggests that supplements of antioxidants such as vitamins C and E may block the metabolic benefits of exercise and could even increase diabetes risk. Researchers compared two groups of exercisers, one of which received 1,000 mg of vitamin C and 400 IU of vitamin E daily. After four weeks, the group getting antioxidant vitamins showed no improvement in insulin sensitivity—a normal diabetes-fighting benefit of exercise. When exercise causes muscle cells to burn glucose, oxygen gets consumed much as in a fire; some highly reactive oxygen molecules escape in this process, but the body has natural mechanisms to mop them up. Researchers theorized that the antioxidants might short-circuit the body's own defenses against this "free-radical" oxygen. "If you exercise to promote health," they concluded, "you shouldn't take large amounts of antioxidants." Natural antioxidants in foods rather than pills, however, are in lower doses and come with other nutritional benefits.—Proceedings of the National Academy of Sciences …

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May 2009

The US Food and Drug Administration (FDA) announced a voluntary recall of 14 diet-aid products sold under the Hydroxycut brand, following reports of liver damage associated with the dietary supplements. The Hydroxycut pills, drinks and powders, manufactured by Iovate Health Sciences, totaled more than 9 million units in sales last year. The FDA received 23 reports of serious health problems linked to Hydroxycut products, including at least one death in 2007 and one customer who required a liver transplant. The FDA didn't learn of the death until March 2009, a delay the agency said is not unusual because reporting is voluntary for supplement makers (unlike prescription drugs, which are closely regulated). Since supplement producers also are not required to give the FDA precise ingredient formulas, the agency said it doesn't know if the liver damage was due to a single ingredient or a combination. Two Iovate products, Hydroxycut Cleanse and Hoodia, are not affected by the recall.—FDA…

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May 2009

Sniffling and wheezing from allergies or asthma? Maybe you're not getting enough folate. New Johns Hopkins research has linked low levels of folate, a type of B vitamin found in leafy green vegetables and (as folic acid) in fortified grain products, to higher risk of allergic symptoms. In a study of 8,083 participants in a national health and nutrition survey, those with the lowest blood folate levels were 40% more likely to wheeze and 31% more likely to have allergenic reactions than those with the highest folate amounts. Researchers wrote, "These findings suggest that dietary folic acid and factors affecting its metabolism might play an important role in the development and perpetuation of allergy and asthma." Low intake of folate and its synthetic form, folic acid, found in supplements and fortified foods, has previously been associated with inflammatory diseases, such as rheumatoid arthritis.—Journal of Allergy & Clinical Immunology…

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April 2009

You could be getting more of a jolt from dietary-supplement pills than you realize. USDA Agricultural Research Service scientists who analyzed 53 dietary supplements found that about half contained the caffeine equivalent of up to two cups of coffee. But supplements aren't required to list caffeine on the label unless they contain added pure caffeine. The stimulant occurs naturally not only in tea and coffee, but also in "botanicals" such as guarana, yerba mate, green tea extract and kola nut. Of the 28 analyzed products that voluntarily listed a caffeine amount on the label, 25 were accurate within 20%. Among all 53 pills, caffeine levels ranged from zero to 800 milligrams per dose (more than in eight cups of coffee).—Agricultural Research…

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April 2009

That saying about too much of a good thing may apply to high-dose supplements of carotenoids—beta-carotene, retinol and lutein. In doses higher than found in multivitamins, long-term use of carotenoid supplements may increase the risk of lung cancer, especially among smokers and former smokers. In results from the Vitamins and Lifestyle (VITAL) study of 77,126 subjects ages 50 to 76, all three types of carotenoid pills raised the risk of the most common type, non-small-cell lung cancer: retinol by 80%, lutein by 2.5 times and beta-carotene by more than 3-fold. Higher risk of overall lung cancer was associated with retinol and lutein. Similar risks were not seen for another carotenoid supplement, lycopene. Carotenoids from dietary sources actually tend to lower lung-cancer risk, researchers noted; it's possible that the body may absorb these nutrients more readily from supplements, however, and that high doses interfere with natural processes that protect against lung cancer.—American Journal of Epidemiology …

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March 2009

An analysis of 12 previously published clinical trials of vitamin D supplementation confirms that doses of 400 IU or more help reduce bone-fracture risk in older adults. "The anti-fracture benefits of vitamin D have been questioned by several recent trials, leading to uncertainty among patients and physicians," says Dr. Heike A. Bischoff-Ferrari of the University of Zurich, a visiting scientist at Tufts' Bone Metabolism Laboratory. But the combined analysis she and colleagues conducted of trials involving 42,279 participants found that vitamin D supplements decreased the risk of non-vertebral fractures by 14% and of hip fractures by 9%. Doses of vitamin D higher than 400 IU daily were associated with greater risk reductions, 20% and 18% respectively. Among those taking high doses of vitamin D, extra calcium did not have any further protective effect.—Archives of Internal Medicine …

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March 2009

Men with higher intake of vitamin C from food and supplements appear less likely to develop gout, a painful form of arthritis. Gout is the most common type of inflammatory arthritis in men and is increasingly common. A study of 46,994 men over a 20-year span found that those with the highest total intake of vitamin C (1,500 milligrams daily or more) were 45% less likely to develop gout than those with the lowest intake. Overall, each 500-milligram increase in daily vitamin C was associated with a 17% reduction in gout risk. Vitamin C appears to reduce levels of uric acid in the blood, according to the researchers; a buildup of this naturally occurring compound can form crystal deposits in and around joints, leading to the pain, inflammation and swelling associated with gout.—Archives of Internal Medicine …

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March 2009

In a study of twentysomething Maine women, daily doses of vitamin D at four times the recommended level were required to maintain optimal blood levels of the "sunshine vitamin" during the winter, when the body can't make as much natural vitamin D. The placebo-controlled study of 112 young women found that daily supplements of 800 International Units (IU) achieved healthy blood levels of vitamin D in 80% of participants. That's quadruple the daily 200 IU recommended for people up to age 50, and more even than the 400 IU recommendation for ages 51 to 70 or the 600 IU for ages 71-plus. The results are important given that current vitamin D recommendations are under review by the Institute of Medicine. Many experts have called for a hike in daily vitamin D guidelines, based on emerging evidence of a wide range of health benefits associated with the vitamin.—Journal of Nutrition …

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March 2009

Forget vitamin C for fighting the sniffles. The vitamin that actually seems associated with a reduced risk of colds and other upper-respiratory infections is vitamin D. A new study analyzing data on 18,883 participants in a nationwide nutrition survey reports that those with the lowest blood levels of vitamin D were 36% more likely to have recently suffered a cold than those with the highest levels of the "sunshine vitamin." The findings align with recent research suggesting that vitamin D is important to the immune system, along with its well-known role in bone health. Even moderate levels of vitamin D deficiency were linked to increased risk, and those with asthma and COPD were especially affected. Researchers called for clinical trials of vitamin D supplements to confirm the apparent connection.—Archives of Internal Medicine …

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March 2009

Taking a combination of vitamin B6, vitamin B12 and folic acid appears to decrease the risk of age-related macular degeneration (AMD) in women, according to a clinical trial involving 5,442 women over more than 7 years. Researchers randomly assigned the women to receive either supplements or a placebo. Those in the supplement group were 34% less likely to develop AMD and 41% less at risk for AMD that significantly impaired vision. Benefits from the supplements began to emerge two years after the study began. Though stopping short of recommending B vitamin and folic acid pills, researchers called the trial findings "the strongest evidence to date in support of a possible beneficial effect of folic acid and B vitamin supplements in AMD prevention." AMD is the leading cause of blindness among older Americans.—Archives of Internal Medicine…

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February 2009

Calcium might help prevent some cancers, after all. Three years after the Women's Health Initiative (WHI) dashed hopes that calcium and vitamin D supplements might offer a benefit against colorectal cancer, another big study finds an association between calcium intake and reduced risk of colorectal and other digestive-system cancers. One difference: This seven-year study of nearly a half-million participants in the NIH-AARP Diet and Health Study focused on calcium from food, such as low-fat dairy, as well as pills. Women with highest calcium intake were at 23% less risk for digestive-system cancers than those with the lowest intake; for men, the risk-reduction was 16%. Women, but not men, also showed a lower risk of cancer overall with greater calcium consumption.—Archives of Internal Medicine …

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February 2009

Looking to cut household expenses in tough times? You might want to eye that pricey bottle of multivitamins. The largest study ever of multivitamin use in older women—combining four studies totaling more than 250,000 postmenopausal women—has found that the supplements failed to reduce the risk of most common cancers, cardiovascular disease or overall mortality. Researchers analyzed data from the Women's Health Initiative over an average of about eight years; 41.5% of participants took multivitamins. Those taking the pills showed no significant difference in risk compared to women not taking multivitamins.—Archives of Internal Medicine …

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February 2009

Score another one for food versus pills: Orange and blackcurrant juices reduced levels of C-reactive protein (CRP), a marker of inflammation associated with heart disease and diabetes risk, by 11% in a new Danish study, while vitamin E supplements showed no benefit. Researchers compared the juices, vitamin E, a sugar drink and placebo in four different combinations in two 28-day trials on 48 patients with peripheral artery disease. The scientists concluded, "It is the mixture of several agents in fruit and vegetables—here notable fruit juices—that affect the arterial wall; thus patients are better off eating 'whole' fruits and vegetables (juices) than specific supplements."—British Journal of Nutrition …

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December 2008

Fruits and vegetables can help balance your body's pH and improve bone health, Tufts researchers report. Often overlooked in the emphasis on calcium and vitamin D for strong bones, fruits and vegetables' alkali content can counter the acidic effects of eating protein and grains. Too much acid in the body can increase the excretion of calcium. The Tufts researchers tested 171 older adults for the effects of various supplements on calcium loss. Only potassium bicarbonate—alkaline in its effects, similar to that naturally achieved by eating more vegetables and fruits—significantly reduced calcium excretion.—Journal of Clinical Endocrinology & Metabolism

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November 2008

Not only don't supplements of selenium and vitamin E prevent prostate cancer, as researchers had hoped, the extra vitamins may increase other health risks. The National Cancer Institute is stopping a major trial of selenium and vitamin E's possible benefits against prostate cancer, the SELECT study, involving more than 35,000 men ages 50 and up, scheduled to run through 2011. To date, vitamin E users were actually slightly more prone to prostate cancer, and those in the selenium-only group were at slightly greater risk of diabetes. The increased risks could be coincidence, but combined with the lack of benefit that data was enough to pull the plug on the study.--National Cancer Institute

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November 2008

Don't count on antioxidant vitamin pills to protect your heart. A eight-year study of 14,641 men, average age 64, concludes that neither vitamin C nor vitamin E supplements was more effective than a placebo in preventing heart disease. Unlike most previous studies that tested vitamins C and E in combination with other antioxidants, this new research investigated each separately--but with similarly disappointing results. "Our findings add to the growing consensus about vitamin E and C's lack of cardiovascular protection," the scientists commented.Journal of the American Medical Association …

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