2018
DOI: 10.1161/circoutcomes.117.004224
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Association of Multivitamin and Mineral Supplementation and Risk of Cardiovascular Disease

Abstract: BACKGROUND:Multiple studies have attempted to identify the association between multivitamin/mineral (MVM) supplementation and cardiovascular disease (CVD) outcomes, but the benefits remain controversial. We performed a systematic review and meta-analysis of the associations between MVM supplementation and various CVD outcomes, including coronary heart disease (CHD) and stroke. METHODS AND RESULTS:We conducted a comprehensive search of Medline, Embase, and the Cochrane Library for studies published between Janu… Show more

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Cited by 55 publications
(31 citation statements)
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“…Although DS are defined to supplement the diet under the Dietary Supplement Health and Education Act, four of the top five motivations for DS or MVM use were related to health promotion and disease prevention: “to maintain health,” “to improve overall health,” “to prevent colds,” and “to prevent health problems”. Our results supported that many DS users perceive supplements as “insurance” against health problems [ 30 , 31 , 32 ], although evidence of the health benefits of dietary supplements are controversial and complex [ 33 , 34 , 35 ]. DS use information of children aged <16 y was given by their proxies, so some motivations reported may be of parents or caregivers, not of children themselves.…”
Section: Discussionsupporting
confidence: 79%
“…Although DS are defined to supplement the diet under the Dietary Supplement Health and Education Act, four of the top five motivations for DS or MVM use were related to health promotion and disease prevention: “to maintain health,” “to improve overall health,” “to prevent colds,” and “to prevent health problems”. Our results supported that many DS users perceive supplements as “insurance” against health problems [ 30 , 31 , 32 ], although evidence of the health benefits of dietary supplements are controversial and complex [ 33 , 34 , 35 ]. DS use information of children aged <16 y was given by their proxies, so some motivations reported may be of parents or caregivers, not of children themselves.…”
Section: Discussionsupporting
confidence: 79%
“…The most popular NS consumed by participants in this study was MVM, which was consistent with the result of the other researches [ 36 , 37 , 38 , 39 , 40 , 41 , 51 ]. Studies have shown that daily use of MVM reduced the risk of birth defects, coronary heart disease, colon cancer and breast cancer, and reduced the number of days of infectious disease in the elderly by 50% [ 33 , 52 ]. The use of Vitamin D supplements was in the top two of the current study, which is consistent with the high proportion of vitamin D inadequacy in China [ 49 , 56 ].…”
Section: Discussionmentioning
confidence: 99%
“…Omega-3 fatty acids were reported to have no protective effects on cardiovascular disease [ 27 , 28 ]. A meta-analysis demonstrated that the multi-vitamins and minerals (MVM) supplement did not make the cardiovascular outcomes better in the general population [ 33 ]. It was also reported that there was little to no scientific evidence that NS reduced cancer risk, even though it was partly believed that NS could ward off chronic disease [ 34 ].…”
Section: Introductionmentioning
confidence: 99%
“…Interestingly, a diet rich in polyphenol powder, obtained from olive mill wastewater, enhanced antioxidant mechanisms and reduced oxidative stress-induced damage in chickens [33]. Moreover, in vitro treatment with hydroxytyrosol, or polyphenol extracts, from extra virgin olive oil, No prevention of heart attacks, strokes, or cardiovascular death [164] Reduced risk of CHD incidence 6 Oxidative Medicine and Cellular Longevity protects against the endothelial dysfunction induced by hyperglycemia and free fatty acids through modulation of NO production and endothelin-1 (ET-1) expression [34]. These observations have been confirmed by the NUTRAO-LEUM study, a randomized double-blind controlled trial, which supported the hypothesis of beneficial effects of virgin olive oils on biomarkers of endothelial dysfunction in healthy adults.…”
Section: Nutraceutical Supplementation For Atherosclerosis Preventionmentioning
confidence: 99%
“…A recent meta-analysis of 18 studies, which involved a total of 2 million participants, concluded that taking multivitamins does not prevent heart attacks, strokes, or cardiovascular death, even though it seems to be associated with a lower risk of CHD incidence [164]. In the absence of studies showing their efficacy in primary prevention of CVDs, the AHA does not recommend vitamin supplementation for healthy subjects, and similarly, the U.S. Preventive Services Task Force (USPSTF) states that the current evidence is insufficient (I) to assess the balance of benefits and harms of the use of multivitamins for the prevention of cardiovascular disease or cancer (I statement).…”
Section: 5mentioning
confidence: 99%