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Women's
Multivitamin Study: Predictable Results And A Waste Of Valuable Research
Funds,
The Alliance for Natural Health (ANH)
claims today that the latest study which claims to show that
multivitamin supplements don't prevent cancer or heart disease, is a
waste of public money |
These funds, says the ANH,
could be much more usefully spent on aspects of preventative medicine
where a positive result was more likely.
The study that has triggered this criticism is one published in the
Archives of Internal Medicine on February 9, led by Dr Marian Neuhouser
of the Fred Hutchinson Cancer Research Center in Seattle. The study
followed, over an 8-year period, the progression of cancer and heart
disease in 161,808 postmenopausal women who were part of the US
government funded Women's Health initiative. Of these women, no
difference in disease outcome was found between the 42% of women, aged
between 50 and 79, who took multivitamin and mineral supplements and
those who did not.
But the ANH slammed the research. Dr Damien Downing, the ANH's medical
director, a medical doctor who has practiced nutritional medicine for 25
years, called the research "childish naïveté". He also said the findings
could not be applied to the general public because the study involved
only less than healthy, overweight postmenopausal women taking trivial
amounts of multivitamins and minerals with no data on their earlier
lives when disease causation would have been initiated.
Dr Robert Verkerk, executive and scientific director of the ANH, said,
"Like so many of the large studies conducted to evaluate the effects of
supplements, any good scientist could have predicted the result. How
much more public money needs to be wasted, or do we really have a health
care system where so few scientists and doctors close to the big money
know anything about preventative medicine?"
The ANH has today published a critique of the observational study on its
website. Its criticism focused particularly on the lack of relevance of
the study group to the general population, the doses of supplements
used, the frequency of intake, the forms of nutrients taken, and the
course of the diseases studied in relation to the time and duration of
supplementation.
Dr Verkerk went on to say, "We were astonished to find that, with no
reasons given, the study specifically excluded multivitamin and mineral
supplements that exceeded the US RDAs which are known to be far too low
to yield useful heart disease and cancer protective effects. Also any
multivitamin with less than 10 nutrients was excluded from the 'stress
supplements' group, and this would have included some of the highest
dose, limited combination products which would have been most
effective."
In its critique, the ANH argues that given that chronic diseases like
cancer and heart disease have long development times and are often
triggered by events in earlier life, evaluating the effects of low dose
supplements in older women is a futile exercise. Many of the women would
likely have been in a pre-clinical disease phase, so evaluating the
effects of low dose supplements in later life while knowing virtually
nothing about their lifestyle and nutrient intakes during their younger
years is a classic case of "too little, too late."
The ANH represents a large and growing number of medical practitioners
of nutritional medicine around the world. In the wake of yet another
trial that it says was 'designed to fail', it is using this opportunity
to offer to governments expertise from doctors and scientists associated
with it so that they may assist in designing trials using specific diets
and nutritional supplements that would have a far greater chance of
success than those evaluated in the present Women's Multivitamin Study. |
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