Vitamins as Medicines and Their Role in Health
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Questions and Answers

What is the primary medical condition in which vitamin supplements have proven to be effective?

Vitamin deficiency diseases

What is the claim that scientific evidence does not support regarding vitamin use?

That megadoses of vitamins can prevent or treat various diseases

How does vitamin D help regulate the immune system?

By controlling the body’s inflammatory response to viruses

What is the potential benefit of taking vitamin D supplements according to many studies?

<p>Preventing acute respiratory tract infections that can cause pneumonia</p> Signup and view all the answers

What is the current status of scientific evidence regarding vitamin D supplementation and COVID-19?

<p>There is no strong scientific evidence that supports the use of vitamin D supplementation to reduce the severity and deadliness of COVID-19</p> Signup and view all the answers

What is the potential relationship between vitamin D levels and the severity of COVID-19?

<p>People with lower than normal vitamin D levels may have a greater likelihood of developing a severe or fatal case of COVID-19</p> Signup and view all the answers

What is the role of vitamin D in the body’s response to viruses?

<p>It may interfere with the virus’s ability to make copies of itself</p> Signup and view all the answers

What is the current focus of scientists studying the relationship between vitamin D and COVID-19?

<p>Whether vitamin D supplementation can help prevent the spread of COVID-19 within populations</p> Signup and view all the answers

What can be inferred about the relationship between vitamin C supplements and chronic diseases based on the text?

<p>Vitamin C supplements are unlikely to prevent or treat chronic diseases such as CVD, cognitive decline, and cancer.</p> Signup and view all the answers

Why do nutrition experts recommend eating a variety of fruits and vegetables rather than taking antioxidant or phytochemical supplements?

<p>Because these substances work together to enhance health, and isolating or synthesizing them may reduce their usefulness and increase their risks.</p> Signup and view all the answers

What is the significance of the report issued by the U.S. Preventive Services Task Force?

<p>There is a lack of credible scientific evidence for or against using dietary supplements to prevent major chronic diseases.</p> Signup and view all the answers

What is the recommended approach to achieving and maintaining good health according to nutrition experts?

<p>Combining a nutritious diet with regular exercise.</p> Signup and view all the answers

What is the potential impact of quitting tobacco use on long-term health?

<p>Quitting tobacco use may have a greater beneficial impact on long-term health than improving diet or increasing physical activity.</p> Signup and view all the answers

What is the finding of epidemiological studies regarding vitamin C intake and cancer risk?

<p>People who consume diets containing high amounts of vitamin C–rich fruits and vegetables have a lower risk of cancer.</p> Signup and view all the answers

What is the current status of scientific evidence regarding the use of vitamin C supplements to prevent cancer?

<p>Results of studies do not support the usefulness of taking vitamin C supplements to prevent cancer.</p> Signup and view all the answers

What is the encouraging finding regarding intravenous administration of megadoses of vitamin C?

<p>It may be useful in treating cancer.</p> Signup and view all the answers

What is the significance of the amount spent on dietary supplements in the United States?

<p>It highlights the widespread use of dietary supplements despite a lack of credible scientific evidence supporting their effectiveness.</p> Signup and view all the answers

Why is it unlikely that vitamin C supplements can prevent or treat chronic diseases?

<p>Chronic diseases have complex causes, including inherited factors and lifestyle practices, and are not simply caused by a lack of vitamin C.</p> Signup and view all the answers

What is the conclusion of reliable studies regarding the use of vitamin B-6 in preventing cognitive decline among older adults?

<p>There is no evidence that short-term use of vitamin B-6, by itself or along with other B vitamins, can prevent or slow cognitive decline among older adults.</p> Signup and view all the answers

What was the claim made by Dr. Linus Pauling in his book 'Vitamin C and the Common Cold'?

<p>Megadoses of vitamin C could prevent colds.</p> Signup and view all the answers

What is the effect of routine vitamin C supplementation on the general population in terms of preventing the common cold?

<p>It does not prevent the common cold.</p> Signup and view all the answers

What is the potential benefit of taking large doses of vitamin C in terms of reducing the duration of cold symptoms?

<p>It may reduce the duration of cold symptoms by a day or so.</p> Signup and view all the answers

What is the claim made by promoters of vitamin drips regarding their effect on skin and hair?

<p>Vitamin drips can improve the condition of skin and hair.</p> Signup and view all the answers

What is the risk associated with receiving IV vitamin infusions?

<p>Risk of skin infection where the needle is inserted or serious blood infection if sterile techniques are not used during needle insertion.</p> Signup and view all the answers

What is the recommended way to consume fluids for proper hydration?

<p>By mouth, especially water, and eating a balanced diet rich in fruits and vegetables.</p> Signup and view all the answers

How does vitamin C, as an antioxidant, affect the risk of CVD?

<p>It may reduce the oxidation of LDL cholesterol, lowering the risk of CVD.</p> Signup and view all the answers

What is the difference between 'ester' forms of vitamin C supplements and 'regular' vitamin C supplements?

<p>No difference, but 'ester' forms are usually more expensive.</p> Signup and view all the answers

What is the purpose of intravenous (IV) medical treatments?

<p>To administer fluids and medications directly into a patient’s bloodstream through a vein.</p> Signup and view all the answers

What is the outcome of taking high doses of niacin to interfere with urine testing to detect recent marijuana use?

<p>Abnormal liver function that may require hospitalization.</p> Signup and view all the answers

Why may scientists need to test higher doses of vitamin E to detect positive effects on health?

<p>The dosage of vitamin E and the length of time the supplements are administered during clinical tests may not be sufficient to detect positive effects on health.</p> Signup and view all the answers

What is the condition that can progress to Alzheimer’s disease if left untreated?

<p>Mild cognitive impairment</p> Signup and view all the answers

What is the potential risk associated with taking vitamin E supplements?

<p>Increased risk of prostate cancer (in men) and hemorrhagic stroke</p> Signup and view all the answers

Why may niacin be prescribed by physicians to reduce elevated LDL cholesterol levels?

<p>Niacin can reduce elevated LDL cholesterol levels when taken in high doses.</p> Signup and view all the answers

What is the condition that high doses of vitamin B-6 are often recommended to treat?

<p>Premenstrual syndrome (PMS)</p> Signup and view all the answers

What is the potential effect of taking high doses of vitamin B-6 for extended periods?

<p>Severe sensory nerve damage</p> Signup and view all the answers

What is the biochemical marker or risk factor for cardiovascular disease associated with deficiencies of folic acid, vitamin B-6, and vitamin B-12?

<p>Elevated blood levels of homocysteine</p> Signup and view all the answers

What is the potential contribution of poor vitamin B-6 status to cognitive decline?

<p>Cognitive decline that often occurs with aging</p> Signup and view all the answers

What is the outcome of research on the effectiveness of using high doses of vitamin B-6 to treat premenstrual syndrome?

<p>Mixed results</p> Signup and view all the answers

What is the foundation for beliefs that vitamins are useful for preventing or treating serious chronic diseases?

<p>The fact that a very small amount of a vitamin can prevent or cure the vitamin’s deficiency disease</p> Signup and view all the answers

Why should people be cautious about using megadoses of vitamins?

<p>Because high doses of vitamins and related compounds can have druglike effects in the body, leading to unpleasant and even dangerous side effects</p> Signup and view all the answers

What is the association between eating diets rich in fruits and vegetables and certain health outcomes?

<p>Lower risk of certain cancers, heart disease, and age-related macular degeneration</p> Signup and view all the answers

What was the outcome of taking beta-carotene supplements in smokers in clinical studies?

<p>Smokers who took beta-carotene supplements were more likely to die of lung cancer than smokers who took placebos</p> Signup and view all the answers

What are the major risk factors for age-related macular degeneration (AMD)?

<p>Genetics, smoking, and advanced age</p> Signup and view all the answers

What was the outcome of the Age-Related Eye Disease Study (AREDS)?

<p>The combination of vitamins C and E, beta-carotene, and minerals copper and zinc slowed the progression of vision loss associated with advanced macular degeneration</p> Signup and view all the answers

What was the outcome of giving beta-carotene supplements to patients with AMD in a follow-up study?

<p>It was not helpful in delaying the progression of AMD</p> Signup and view all the answers

What is the current scientific evidence regarding the use of antioxidant supplements in preventing AMD?

<p>There is no scientific evidence that taking antioxidant supplements prevents healthy people from developing AMD</p> Signup and view all the answers

What carotenoids are found in the macula and may have a role in preventing AMD?

<p>Lutein and zeaxanthin</p> Signup and view all the answers

What was the outcome of taking lutein and zeaxanthin supplements in patients with AMD?

<p>It delayed the progression of AMD</p> Signup and view all the answers

Study Notes

Vitamins as Medicines

  • Vitamin supplements are effective for treating people with specific vitamin deficiency diseases, metabolic defects that increase vitamin requirements, and a few other medical conditions.
  • However, scientific evidence does not support claims that megadoses of vitamins can prevent or treat everything from gray hair to lung cancer.

Vitamin D and COVID-19

  • Vitamin D plays important roles in maintaining proper functioning of the immune system, including regulating the immune system.
  • Vitamin D may help control the body's inflammatory response to viruses that cause respiratory infections.
  • Taking vitamin D supplements is a safe and effective way to prevent acute respiratory tract infections that can cause pneumonia.
  • There is currently no strong scientific evidence that supports the use of vitamin D supplementation to reduce the severity and deadliness of COVID-19.

Cancer

  • Results of clinical studies have not provided support for taking vitamin A or beta-carotene supplements to reduce the risk of cancer.
  • Smoking and taking beta-carotene supplements may increase the risk of lung cancer.
  • Eating diets rich in fruits and vegetables lowers the risk of AMD.
  • The combination of vitamins C and E, beta-carotene, and the minerals copper and zinc slows the progression of vision loss associated with advanced macular degeneration.
  • Lutein and zeaxanthin supplements delay the progression of AMD.

Vitamin E as Medicine?

  • High intakes of vitamin E do not consistently reduce the risk of CVD, cancer, and mild cognitive impairment.
  • Vitamin E supplements have been associated with an increased risk of prostate cancer and hemorrhagic stroke.

Niacin as Medicine?

  • Megadoses of niacin can lower elevated LDL cholesterol levels, but may be toxic and require consultation with a qualified medical practitioner.

Vitamin B-6 as Medicine?

  • Large doses of vitamin B-6 may not relieve premenstrual syndrome (PMS) symptoms.
  • Vitamin B-6 is toxic in high doses, causing sensory nerve damage.

Folic Acid, B-6, and B-12 as Medicine?

  • Elevated blood levels of homocysteine may be a biochemical marker or risk factor for CVD, but taking these B vitamins does not reduce the risk of heart disease or stroke.

Vitamin C as Medicine?

  • Routine vitamin C supplementation does not prevent the common cold in the general population.
  • Taking large doses of vitamin C may reduce the duration of cold symptoms by a day or so.
  • Vitamin C may reduce the oxidation of LDL cholesterol, but studies have not provided consistent evidence that it reduces the risk of CVD or dying from the condition.

Final Thoughts

  • There is a lack of credible scientific evidence for or against using dietary supplements, including vitamins, to prevent major chronic diseases.
  • Consuming a wide variety of vitamins, antioxidants, and phytochemicals in their natural states and concentrations (in foods) may be the most effective way to lower the risk of CVD, cancer, and many other serious chronic diseases.

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Description

Learn about the medical benefits and limitations of vitamin supplements, including their role in treating specific diseases and conditions. Also, explore the connection between Vitamin D and the immune system.

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