Supplemental Vitamins and Minerals for CVD Prevention and Treatment

The authors identified individual randomized controlled trials from previous meta-analyses and additional searches, and then performed meta-analyses on cardiovascular disease outcomes and all-cause mortality. The authors assessed publications from 2012, both before and including the U.S. Preventive...

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Vydané v:Journal of the American College of Cardiology Ročník 71; číslo 22; s. 2570
Hlavní autori: Jenkins, David J A, Spence, J David, Giovannucci, Edward L, Kim, Young-In, Josse, Robert, Vieth, Reinhold, Blanco Mejia, Sonia, Viguiliouk, Effie, Nishi, Stephanie, Sahye-Pudaruth, Sandhya, Paquette, Melanie, Patel, Darshna, Mitchell, Sandy, Kavanagh, Meaghan, Tsirakis, Tom, Bachiri, Lina, Maran, Atherai, Umatheva, Narmada, McKay, Taylor, Trinidad, Gelaine, Bernstein, Daniel, Chowdhury, Awad, Correa-Betanzo, Julieta, Del Principe, Gabriella, Hajizadeh, Anisa, Jayaraman, Rohit, Jenkins, Amy, Jenkins, Wendy, Kalaichandran, Ruben, Kirupaharan, Geithayini, Manisekaran, Preveena, Qutta, Tina, Shahid, Ramsha, Silver, Alexis, Villegas, Cleo, White, Jessica, Kendall, Cyril W C, Pichika, Sathish C, Sievenpiper, John L
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: United States 05.06.2018
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ISSN:1558-3597, 1558-3597
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Abstract The authors identified individual randomized controlled trials from previous meta-analyses and additional searches, and then performed meta-analyses on cardiovascular disease outcomes and all-cause mortality. The authors assessed publications from 2012, both before and including the U.S. Preventive Service Task Force review. Their systematic reviews and meta-analyses showed generally moderate- or low-quality evidence for preventive benefits (folic acid for total cardiovascular disease, folic acid and B-vitamins for stroke), no effect (multivitamins, vitamins C, D, β-carotene, calcium, and selenium), or increased risk (antioxidant mixtures and niacin [with a statin] for all-cause mortality). Conclusive evidence for the benefit of any supplement across all dietary backgrounds (including deficiency and sufficiency) was not demonstrated; therefore, any benefits seen must be balanced against possible risks.
AbstractList The authors identified individual randomized controlled trials from previous meta-analyses and additional searches, and then performed meta-analyses on cardiovascular disease outcomes and all-cause mortality. The authors assessed publications from 2012, both before and including the U.S. Preventive Service Task Force review. Their systematic reviews and meta-analyses showed generally moderate- or low-quality evidence for preventive benefits (folic acid for total cardiovascular disease, folic acid and B-vitamins for stroke), no effect (multivitamins, vitamins C, D, β-carotene, calcium, and selenium), or increased risk (antioxidant mixtures and niacin [with a statin] for all-cause mortality). Conclusive evidence for the benefit of any supplement across all dietary backgrounds (including deficiency and sufficiency) was not demonstrated; therefore, any benefits seen must be balanced against possible risks.The authors identified individual randomized controlled trials from previous meta-analyses and additional searches, and then performed meta-analyses on cardiovascular disease outcomes and all-cause mortality. The authors assessed publications from 2012, both before and including the U.S. Preventive Service Task Force review. Their systematic reviews and meta-analyses showed generally moderate- or low-quality evidence for preventive benefits (folic acid for total cardiovascular disease, folic acid and B-vitamins for stroke), no effect (multivitamins, vitamins C, D, β-carotene, calcium, and selenium), or increased risk (antioxidant mixtures and niacin [with a statin] for all-cause mortality). Conclusive evidence for the benefit of any supplement across all dietary backgrounds (including deficiency and sufficiency) was not demonstrated; therefore, any benefits seen must be balanced against possible risks.
The authors identified individual randomized controlled trials from previous meta-analyses and additional searches, and then performed meta-analyses on cardiovascular disease outcomes and all-cause mortality. The authors assessed publications from 2012, both before and including the U.S. Preventive Service Task Force review. Their systematic reviews and meta-analyses showed generally moderate- or low-quality evidence for preventive benefits (folic acid for total cardiovascular disease, folic acid and B-vitamins for stroke), no effect (multivitamins, vitamins C, D, β-carotene, calcium, and selenium), or increased risk (antioxidant mixtures and niacin [with a statin] for all-cause mortality). Conclusive evidence for the benefit of any supplement across all dietary backgrounds (including deficiency and sufficiency) was not demonstrated; therefore, any benefits seen must be balanced against possible risks.
Author Bachiri, Lina
Nishi, Stephanie
Hajizadeh, Anisa
Manisekaran, Preveena
Vieth, Reinhold
Josse, Robert
Jenkins, Wendy
Sahye-Pudaruth, Sandhya
Pichika, Sathish C
Trinidad, Gelaine
Mitchell, Sandy
Kalaichandran, Ruben
Sievenpiper, John L
Kim, Young-In
Giovannucci, Edward L
Del Principe, Gabriella
Spence, J David
Blanco Mejia, Sonia
Kavanagh, Meaghan
Jenkins, Amy
Viguiliouk, Effie
Tsirakis, Tom
Patel, Darshna
White, Jessica
Jenkins, David J A
Paquette, Melanie
Umatheva, Narmada
Villegas, Cleo
Maran, Atherai
Qutta, Tina
McKay, Taylor
Shahid, Ramsha
Chowdhury, Awad
Correa-Betanzo, Julieta
Silver, Alexis
Jayaraman, Rohit
Bernstein, Daniel
Kirupaharan, Geithayini
Kendall, Cyril W C
Author_xml – sequence: 1
  givenname: David J A
  surname: Jenkins
  fullname: Jenkins, David J A
  email: david.jenkins@utoronto.ca
  organization: Department of Nutritional Sciences, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada; Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada; Toronto 3D Knowledge Synthesis and Clinical Trials Unit, St. Michael's Hospital, Toronto, Ontario, Canada; Clinical Nutrition Risk Factor Modification Centre, St. Michael's Hospital, Toronto, Ontario, Canada; Division of Endocrinology and Metabolism, St. Michael's Hospital, Toronto, Ontario, Canada. Electronic address: david.jenkins@utoronto.ca
– sequence: 2
  givenname: J David
  surname: Spence
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  organization: Stroke Prevention & Atherosclerosis Research Centre, Robarts Research Institute, Western University, London, Ontario, Canada
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  givenname: Edward L
  surname: Giovannucci
  fullname: Giovannucci, Edward L
  organization: Departments of Nutrition and Epidemiology, Harvard TH Chan School of Public Health, Boston, Massachusetts
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  givenname: Young-In
  surname: Kim
  fullname: Kim, Young-In
  organization: Department of Nutritional Sciences, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada; Keenan Research Centre for Biomedical Science, St. Michael's Hospital, Toronto, Ontario, Canada; Division of Gastroenterology, St. Michael's Hospital, Toronto, Ontario, Canada
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  surname: Blanco Mejia
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  organization: Department of Nutritional Sciences, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada; Toronto 3D Knowledge Synthesis and Clinical Trials Unit, St. Michael's Hospital, Toronto, Ontario, Canada; Clinical Nutrition Risk Factor Modification Centre, St. Michael's Hospital, Toronto, Ontario, Canada
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  organization: Department of Nutritional Sciences, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada; Toronto 3D Knowledge Synthesis and Clinical Trials Unit, St. Michael's Hospital, Toronto, Ontario, Canada; Clinical Nutrition Risk Factor Modification Centre, St. Michael's Hospital, Toronto, Ontario, Canada
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  givenname: Melanie
  surname: Paquette
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  organization: Department of Nutritional Sciences, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada; Clinical Nutrition Risk Factor Modification Centre, St. Michael's Hospital, Toronto, Ontario, Canada
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  givenname: Darshna
  surname: Patel
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  organization: Department of Nutritional Sciences, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada; Clinical Nutrition Risk Factor Modification Centre, St. Michael's Hospital, Toronto, Ontario, Canada
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  givenname: Sandy
  surname: Mitchell
  fullname: Mitchell, Sandy
  organization: Department of Nutritional Sciences, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada; Clinical Nutrition Risk Factor Modification Centre, St. Michael's Hospital, Toronto, Ontario, Canada
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  givenname: Meaghan
  surname: Kavanagh
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  organization: Department of Nutritional Sciences, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada; Clinical Nutrition Risk Factor Modification Centre, St. Michael's Hospital, Toronto, Ontario, Canada
– sequence: 15
  givenname: Tom
  surname: Tsirakis
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– sequence: 16
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– sequence: 17
  givenname: Atherai
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  fullname: Maran, Atherai
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– sequence: 18
  givenname: Narmada
  surname: Umatheva
  fullname: Umatheva, Narmada
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– sequence: 19
  givenname: Taylor
  surname: McKay
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– sequence: 20
  givenname: Gelaine
  surname: Trinidad
  fullname: Trinidad, Gelaine
  organization: Clinical Nutrition Risk Factor Modification Centre, St. Michael's Hospital, Toronto, Ontario, Canada
– sequence: 21
  givenname: Daniel
  surname: Bernstein
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  givenname: Awad
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  givenname: Julieta
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  givenname: Gabriella
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  givenname: Preveena
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  givenname: Tina
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  organization: Clinical Nutrition Risk Factor Modification Centre, St. Michael's Hospital, Toronto, Ontario, Canada
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  surname: Kendall
  fullname: Kendall, Cyril W C
  organization: Department of Nutritional Sciences, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada; Toronto 3D Knowledge Synthesis and Clinical Trials Unit, St. Michael's Hospital, Toronto, Ontario, Canada; Clinical Nutrition Risk Factor Modification Centre, St. Michael's Hospital, Toronto, Ontario, Canada; College of Pharmacy and Nutrition, University of Saskatchewan, Saskatoon, Saskatchewan, Canada
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  givenname: Sathish C
  surname: Pichika
  fullname: Pichika, Sathish C
  organization: Department of Nutritional Sciences, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada; Clinical Nutrition Risk Factor Modification Centre, St. Michael's Hospital, Toronto, Ontario, Canada; Department of Mathematics and Statistics, University of Windsor, Windsor, Ontario, Canada
– sequence: 39
  givenname: John L
  surname: Sievenpiper
  fullname: Sievenpiper, John L
  organization: Department of Nutritional Sciences, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada; Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada; Toronto 3D Knowledge Synthesis and Clinical Trials Unit, St. Michael's Hospital, Toronto, Ontario, Canada; Clinical Nutrition Risk Factor Modification Centre, St. Michael's Hospital, Toronto, Ontario, Canada; Division of Endocrinology and Metabolism, St. Michael's Hospital, Toronto, Ontario, Canada
BackLink https://www.ncbi.nlm.nih.gov/pubmed/29852980$$D View this record in MEDLINE/PubMed
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ContentType Journal Article
Copyright Copyright © 2018 The Authors. Published by Elsevier Inc. All rights reserved.
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Keywords meta-analysis
supplements
all-cause mortality
Language English
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PublicationTitle Journal of the American College of Cardiology
PublicationTitleAlternate J Am Coll Cardiol
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References 30326088 - Ann Intern Med. 2018 Oct 16;169(8):JC44
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Snippet The authors identified individual randomized controlled trials from previous meta-analyses and additional searches, and then performed meta-analyses on...
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SubjectTerms Cardiovascular Diseases - diet therapy
Cardiovascular Diseases - epidemiology
Cardiovascular Diseases - prevention & control
Dietary Supplements
Healthy Diet - methods
Healthy Diet - trends
Humans
Randomized Controlled Trials as Topic - methods
Trace Elements - administration & dosage
Treatment Outcome
Vitamins - administration & dosage
Title Supplemental Vitamins and Minerals for CVD Prevention and Treatment
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