Wholesome diets are wealthy in antioxidants like amino acids, omega-3 fatty acids and vitamin C, however precisely how useful these micronutrients are for cardiovascular well being has lengthy been controversial. Now a brand new meta-analysis printed within the Journal of the American School of Cardiology gives some readability.
Researchers systematically reviewed a complete of 884 research obtainable to this point on micronutrients taken as dietary dietary supplements and analyzed their knowledge. They recognized a number of micronutrients that do scale back cardiovascular danger—in addition to others that provide no profit or also have a unfavorable impact. Greater than 883,000 sufferers had been concerned within the mixed research.
“For the primary time, we developed a complete, evidence-based integrative map to characterize and quantify micronutrient dietary supplements’ potential results on cardiometabolic outcomes,” stated Simin Liu, MD, MS, MPH, ScD, professor of epidemiology and drugs at Brown College and a principal investigator for the research. “Our research highlights the significance of micronutrient range and the steadiness of well being advantages and dangers.”
The findings may very well be used as the idea of future medical trials to review particular combos of micronutrients and their affect on cardiovascular well being, he stated.
Antioxidant supplementation has lengthy been thought to play a task in coronary heart well being. That is as a result of these vitamins work to cut back oxidative stress, a identified contributor to many cardiovascular ailments. Coronary heart-healthy diets just like the Mediterranean weight-reduction plan and the Dietary Strategy to Cease Hypertension (DASH) characteristic meals which are naturally wealthy in antioxidants. Nonetheless, outcomes from research of antioxidant dietary supplements have been inconsistent—one motive why this method hasn’t but been extensively adopted in preventative cardiology.
“Analysis on micronutrient supplementation has primarily targeted on the well being results of a single or a couple of nutritional vitamins and minerals,” Liu stated. “We determined to take a complete and systematic method to judge all of the publicly obtainable and accessible research reporting all micronutrients, together with phytochemicals and antioxidant dietary supplements and their results on cardiovascular danger elements in addition to a number of cardiovascular ailments.”
The researchers checked out randomized, managed intervention trials evaluating 27 various kinds of antioxidant dietary supplements. They discovered sturdy proof that a number of supplied cardiovascular profit. These included omega-3 fatty acid, which decreased mortality from heart problems; folic acid, which lowered stroke danger; and coenzyme Q10, an antioxidant generally marketed as CoQ10, which decreased all-cause mortality. Omega-6 fatty acid, L-arginine, L-citrulline, Vitamin D, magnesium, zinc, alpha-lipoic acid, melatonin, catechin, curcumin, flavanol, genistein and quercetin additionally confirmed proof of decreasing cardiovascular danger.
Not all dietary supplements had been useful. Vitamin C, Vitamin D, Vitamin E and selenium confirmed no impact on long-term heart problems outcomes or type-2 diabetes danger, whereas beta carotene dietary supplements elevated all-cause mortality.
In line with the researchers, the findings level to the necessity for extra personalised, precision-based dietary interventions that contain particular combos of useful dietary supplements. Additional research is required, together with massive, high-quality interventional trials to research the long-term results of sure micronutrients on well being.
“Figuring out the optimum combination of micronutrients is vital, as not all are useful, and a few might even have dangerous results,” Liu stated.
Peng An et al, Micronutrient Supplementation to Scale back Cardiovascular Threat, Journal of the American School of Cardiology (2022). DOI: 10.1016/j.jacc.2022.09.048
American School of Cardiology
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Not all micronutrients are created equal: Research identifies some dietary supplements that profit cardiovascular well being (2022, December 5)
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