Author: Per Larsen

Vitamin C and E Protects Children Against Arteriosclerosis

Per Larsen

September 1, 2003

Children and young people with increased cholesterol levels may reduce the risk of developing arteriosclerosis if they take a daily supplement of Vitamin C and E. This is the conclusion of a study published in Circulation, published by the American Heart Association.

15 children and young people of the age of 9 to 20 years were part of this study. Half of the children took a daily 500mg Vitamin C and 400i.e. (international units) Vitamin E supplement. The rest of the children took placebo. After 6 weeks the groups were switched.

After 6 weeks of active treatment the results showed a significant betterment of the inner wall of the artery. Vitamins alone do not reduce increased cholesterol, but the vitamins seem to be able to protect the blood vessels against sclerosis and thereby secure that the arteries remain their elasticity.

“This is the first time anyone has studied how antioxidants like Vitamin C and E can better circulatory function,” says the chairman of the Vitality Council, specialist doctor in general medicine, Claus Hancke.

“Even if it is a small study, the results are important for children with increased cholesterol. If they alternatively must have cholesterol lowering medicine for several years, the risk of serious side effects will be pretty high. It is therefore wise to give priority to diet changes and extra Vitamin C and E supplements as a first choice in therapy,” Claus Hancke says.

The American study also involved diet recommendations, but they did not follow those recommendations. Among other things the children got too much animal fat and too little fruit and vegetables. Therefore the doctors chose to combine the diet changes with Vitamin C and E supplementation.

The study is carried out at the University of California, under the supervision of Marguerite Engler, M.D.

By: Per Tork Larsen, DSOM

Reference:
Circulation 2003;108:802

www.circulationaha.org
www.amhrt.org/presenter.jhtml

New Study Shows that Multivitamins May Reduce the Risk of Heart Attack

Per Larsen

August 1, 2003

People taking low dose multivitamins may reduce the risk of getting heart attacks, say Swedish researchers.

There has been much debate about, whether antioxidants like Vitamins C and E may protect against coronary diseases, as several scientific studies have not yet supported this theory.

But scientific results from the Stockholm Heart Epidemiological Programme (SHEEP) has shown, that both Swedish men and women who took multivitamins had a significant lower risk of getting blood clots in the heart than those who did not take supplements, no matter which diets they were on.

The team of the Swedish Karolinska Institute in Stockholm studied a group of Swedish people between 45 and 70 years old from an area, where the intake of fruit and vegetables is relatively low, and where food products are not enriched with folic acid.

Nearly 1,300 people (910 men and 386 women) earlier having experienced a heart attack were compared (for sex, age and local hospital area) with a control group consisting of 1,685 people (1143 men and 542 women).

According to the scientists in this months’ Journal of Nutrition, 57% of the women and 35% of the men in the control group took supplements; the corresponding cases of heart attacks were 42% and 27%. 80% of these supplements were multivitamin tablets.

After an adjustment for risk factors of heart and coronary disease, the risk of heart attacks were 21% lower for those men taking supplements, compared to the ones who did not. For the women the risk was reduced with 33%.

This observation seems to exclude the theory that vitamins found in fruit and vegetables are more effective than through intake of supplements.

By: Per Tork Larsen, DSOM

Reference:
Journal of Nutrition 133:2650-2654, August 2003.

www.cabi-publishing.org/Journals.asp
www.iom.dk

Press Release from the Danish Society for Orthomolecular Medicine (DSOM)

Per Larsen

November 12, 2002

The Danish Society for Orthomolecular Medicine (DSOM):
Rumours that antioxidants should have no general effect on secondary prevention of heart disease originates from The Heart Protection Study published in July 2002 in the magazine The Lancet. The study was financed by e.g. the pharmaceutical companies Merck & Co. and Roche Vitamins.

The purpose of the study was, among others, to investigate Merck’s cholesterol lowering drug Zocor’s effect on various parameters such as blood clots in the heart and heart disease, etc. The study included 20,536 high-risk patients – ie. patients with known cardiovascular disease or dispositions for this – eg. diabetes.

The patients were randomized to 4 groups, of which 5000 patients received 600 mg vitamin E, 250 mg Vitamin C and 20 mg betacarotene. 5000 patients received both Zocor and vitamins. 5000 patients received Zocor only and 5,000 patients served as a joint control group. This means that the part of the study containing the vitamin group plus a joint control group comprised 10,000 people and not 20,536 persons as stated elsewhere.

Not surprisingly, the main result of the study showed that Zocor had a positive effect even at very low cholesterol values, which undoubtedly significantly increases the indication range for Zocor.

However, there are several criticisms, apart from the fact that the number of trial participants is exaggerated:

  • Dosage of vitamin E and vitamin C are not proportional to each other. The two vitamins are closely linked in the antioxidant protection of the cell. If there is an excess of one vitamin, it can have a pro-oxidant effect.
  • One will usually not give more than 100 – 200 mg of Vitamin E. Vitamin C should be given several times a day or as a prolonged-release preparation.
  • Vitamin C, as a single dose in a dose of 250 mg will only have an effect for a few hours. The half-life of vitamin C is approx. 4 hours, i.e. that from a daily dose alone you can not expect an effect at all – rather the opposite.
  • Beta-carotene has previously been tried alone in a major trial for lung cancer and smokers. Here, it appeared that this vitamin had a prooxidant effect with a prevalence of lung cancer in smokers as a result. The Heart Protection Study has not been able to confirm such an effect of an incorrectly unbalanced dosage.

The results of the study also coincide with the results found in the HOPE study, namely that there was no secondary preventive effect when consuming individual vitamins.

  • You can not study the effect of individual vitamins on diseases that have taken decades to develop. Vitamins act as co-factors and as antioxidants, they are involved in a complicated interaction with the body’s own enzymatic antioxidants in a way that we do not yet fully understand.
  • Individual vitamins or random combinations of two or three individual vitamins should not be perceived as a medicine that cures a disorder in the traditional sense, but as a method that can strengthen the body’s own antioxidant defenses.
  • You cannot simplify and define 3 different vitamins in an illogical mutual dosage for antioxidants generally. The antioxidant system reduces oxidized molecules. This is done according to the thermodynamic laws. The individual steps in this process, of which there are many, depend on the redox potential of the individual molecule. For example, urate is part of this chain. Urate is not an antioxidant in the traditional sense in everyday speech but possesses antioxidant properties just like albumin. A generalization is therefore completely incorrect.
  • The individual may have several or individual nutrient deficiencies. It is therefore not correct to study the effect of individual vitamins on chronic diseases.

Only in the last year has it become common knowledge that a substance such as Homocysteine (indicator of low B vitamins) has the greatest significance for risk and heart disease.

The content of the B vitamins: B12, B6, and folic acid in our food has decreased significantly since the Danish Ministry of Food began systematic studies of these in 1993. Thus 24% to 50% of the male population is at risk of deficiency diseases. Despite the private Nutrition Council’s stubborn adherence to the opposite, the Ministry of Food, Agriculture and Fisheries in Denmark is aware of this, but states that they are simply keeping an eye on developments.

The iron content of e.g. oatmeal has been reduced by 10% within just the last 5 years. The website of the British Ministry of Agriculture reports a 50% drop in selenium intake compared to 1983 and today.

………………………

By: Per Tork Larsen, M.D., DSOM

(No references)

rum.ctsu.ox.ac.uk/~hps
www.heartprotectionstudy.com/heartprotection/heartprotection/index.jsp
www.akudoc.dk
www.iom.dk

Children with Asthma are Helped by Antioxidants

Per LarsenLeave a Comment on Children with Asthma are Helped by Antioxidants

May 30, 2002

A new study presented in the scientific magazine of the American Journal of Respiratory and Critical Care Medicine shows that antioxidants like Vitamin C and E may protect the lungs of asthmatic children so that they are not harmed by ozone air pollution in the big cities.

158 asthmatic children from the very polluted Mexico City either got a supplement of antioxidants or a control supplement without active substances.

Nobody knew who got what before the code was broken at the end of the study one and a half year later.

The daily supplement given to the children was 50mg Vitamin E and 250mg Vitamin C. In the antioxidant group the children’s lung function was not reduced in those periods of time, where the city was heavily ozone polluted. On the contrary, the lung function of the children who got control tablets was worsened.

The scientists said, that the antioxidants especially seemed to help children with moderate or severe asthma. This points towards that children with advanced asthma are especially vulnerable to ozone, because thay have a weak antioxidant defence i their lungs.

Some asthmatics get severe symptoms, when they breathe in the air borne irritants like ozone found in big cities, coming from cars, power plants and industries.

Also studies made with healthy bikers have shown that antioxidants may reduce the harmfull effects of ozone pollution on lung function.

The scientists behind this study conclude, that asthmatic children in areas with air pollution should have more Vitamin C and E to protect their lungs.

The Vitality Council agrees with this conclusion.
Per Tork Larsen, DSOM


Reference:
American Journal of Respiratory and Critical Care Medicine 2002;166: 703-70

ajrccm.atsjournals.org/cgi/content/full/166/5/703
www.iom.dk