Full Article
Evidence Summary
What is an Evidence Summary?
Key messages from scientific research that's ready to be acted on
Got It, Hide thisIn people without nutritional deficiencies, vitamin and mineral supplements do not reduce the risk of heart disease or cancer
Fortmann SP, Burda BU, Senger CA, et al. Vitamin and mineral supplements in the primary prevention of cardiovascular disease and cancer: An updated systematic evidence review for the U.S. Preventive Services Task Force. Ann Intern Med. 2013;159:824-34.
Review question
In people who do not have nutritional deficiencies, does taking vitamin and mineral supplements reduce the risk of heart disease and cancer?
Background
People often take vitamin and mineral supplements to prevent diseases such as cancer and heart disease. However, it is unclear whether vitamin and mineral supplements are helpful or harmful in generally healthy people with no nutritional deficiencies.
How the review was done
The researchers did a systematic review, searching for studies that were published up to January 2013.
They found 26 studies (24 randomized controlled trials), including 337,967 people (average age 22 to 77 years).
The key features of the studies were:
- people did not have nutritional deficiencies and had no heart disease or cancer at the beginning of the studies;
- vitamins that were assessed included multivitamins, beta-carotene, vitamin E, selenium, vitamin A, vitamin C, folic acid, vitamin D, calcium, and vitamin D plus calcium; and
- outcomes were measured after less than 10 years in most studies (range 6 months to 18 years).
What the researchers found
Men who took multivitamins for more than 10 years may be less likely to develop cancer. The same benefit was not seen in women. Researchers do not understand why there is a difference according to gender and warn that these results may not be accurate.
In people at high risk for lung cancer (smokers and people exposed to asbestos), beta-carotene increases risk of lung cancer.
Other vitamins and minerals were not found to affect death, heart disease, or cancer.
Conclusion
In people who do not have nutritional deficiencies or a history of heart disease or cancer, there is little evidence of benefits from taking vitamin and mineral supplements.
Related Topics
Glossary
Studies where people are assigned to one of the treatments purely by chance.
A comprehensive evaluation of the available research evidence on a particular topic.
Related Evidence Summaries
-
Calcium supplementation for prevention of primary hypertension
Cochrane Database Syst Rev (2021)
-
In adults with pre-hypertension to established hypertension, Dietary Approach to Stop Hypertension (DASH) may be the most effective non-drug strategy for reducing blood pressure
Journal of the American Heart Association (2020)
-
Aspirin for healthy older adults did not reduce heart attack, stroke, or dementia but increased risk of bleeding
N Engl J Med (2018)
