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Key Micronutrients: Study Identifies Supplements That Benefit Cardiovascular Health
Scitech Daily ^ | DECEMBER 28, 2022 | By AMERICAN COLLEGE OF CARDIOLOGY

Posted on 12/28/2022 10:59:42 AM PST by Red Badger

Scientists found strong evidence that omega-3 fatty acid, folic acid, and coenzyme Q10 (CoQ10) provided cardiovascular benefits. In addition, Omega-6 fatty acid, L-arginine, L-citrulline, melatonin, magnesium, Vitamin D, zinc, alpha-lipoic acid, catechin, flavanol, curcumin, genistein, and quercetin also showed evidence of reducing cardiovascular risk.

A meta-analysis of more than 884 studies finds omega-3, folic acid, and CoQ10 among the micronutrients that reduce cardiovascular risk.

Healthy diets are rich in antioxidants like amino acids, omega-3 fatty acids, and vitamin C, but exactly how beneficial these micronutrients are for cardiovascular health has long been controversial. Now a new meta-analysis published in the Journal of the American College of Cardiology provides some clarity.

Researchers systematically reviewed a total of 884 studies available to date on micronutrients taken as dietary supplements and analyzed their data. They identified several micronutrients that do reduce cardiovascular risk—as well as others that offer no benefit or even have a negative effect. More than 883,000 patients were involved in the combined studies.

“For the first time, we developed a comprehensive, evidence-based integrative map to characterize and quantify micronutrient supplements’ potential effects on cardiometabolic outcomes,” said Simin Liu, MD, MS, MPH, ScD, professor of epidemiology and medicine at Brown University and a principal investigator for the study. “Our study highlights the importance of micronutrient diversity and the balance of health benefits and risks.”

The findings could be used as the basis of future clinical trials to study specific combinations of micronutrients and their impact on cardiovascular health, he said.

Antioxidant supplementation has long been thought to play a role in heart health. That’s because these nutrients work to reduce oxidative stress, a known contributor to many cardiovascular diseases. Heart-healthy diets like the Mediterranean diet and the Dietary Approach to Stop Hypertension (DASH) feature foods that are naturally rich in antioxidants. However, results from studies of antioxidant supplements have been inconsistent—one reason why this approach hasn’t yet been widely adopted in preventative cardiology.

“Research on micronutrient supplementation has mainly focused on the health effects of a single or a few vitamins and minerals,” Liu said. “We decided to take a comprehensive and systematic approach to evaluate all the publicly available and accessible studies reporting all micronutrients, including phytochemicals and antioxidant supplements and their effects on cardiovascular risk factors as well as multiple cardiovascular diseases.”

The researchers looked at randomized, controlled intervention trials evaluating 27 different types of antioxidant supplements. They found strong evidence that several offered cardiovascular benefits. These included omega-3 fatty acid, which decreased mortality from cardiovascular disease; folic acid, which lowered stroke risk; and coenzyme Q10, an antioxidant sometimes marketed as CoQ10, which decreased all-cause mortality. Omega-6 fatty acid, L-citrulline, L-arginine, quercetin, melatonin, curcumin, Vitamin D, zinc, magnesium, alpha-lipoic acid (ALA), catechin, flavanol, and genistein also showed evidence of reducing cardiovascular risk.

Not all supplements were beneficial. Vitamin C, Vitamin D, Vitamin E, and selenium showed no effect on long-term cardiovascular disease outcomes or type-2 diabetes risk. And beta carotene supplements increased all-cause mortality.

According to the researchers, the findings point to the need for more personalized, precision-based dietary interventions that involve specific combinations of beneficial supplements. Further study is needed, including large, high-quality interventional trials to investigate the long-term effects of certain micronutrients on health.

“Identifying the optimal mixture of micronutrients is important, as not all are beneficial, and some may even have harmful effects,” Liu said.

Reference:

“Micronutrient Supplementation to Reduce Cardiovascular Risk” by Peng An PhD; Sitong Wan BSc; Yongting Luo PhD; Junjie Luo PhD; Xu Zhang MSc; Shuaishuai Zhou MSc; Teng Xu MSc; Jingjing He PhD; Jeffrey I. Mechanick MD; Wen-Chih Wu MD, MPH; Fazheng Ren PhD and Simin LiuMD, ScD, 5 December 2022, Journal of the American College of Cardiology.

DOI: 10.1016/j.jacc.2022.09.048


TOPICS: Business/Economy; Food; Gardening; Health/Medicine
KEYWORDS: cookery; hh2; micronutrients; nutrients; nutrition
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To: SgtHooper
Yeh, but that mix blows out your liver! But the heart loves it!

Great minds think alike.

21 posted on 12/28/2022 2:53:42 PM PST by spokeshave (Proud Boys, Angry Dads and Grumpy Grandads.)
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To: Fresh Wind

the difference between the two yellow triangles
______________________________________________________

Bottom right is the chart “key” which they should’ve made more clear.

Yellow triangle pointing up = nutrient increases benefit
Yellow triangle pointing down = nutrient decreases benefit
Red triangle pointing up = increases harm
Shading of “box” = data quality

Additional columns of “depletion factors”(i.e. taking supplement A can: decrease, increase, negate, or have no impact on Supplement B etc.). Would provide additional useful info for anyone charting out what their supplement combinations actually can do. High dose vitamin C and copper may not work together well.
Search the words
Vitamin C copper NCBI
for examples of research.


22 posted on 12/28/2022 3:21:57 PM PST by JCL3 (As Richard Feynman might have said, this is reality taking precedence over public relations.)
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To: JCL3

Thank you!


23 posted on 12/29/2022 2:27:41 AM PST by Fresh Wind (The last remnants of the Old Republic have been swept away.)
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To: SgtHooper

Why does it blow out the liver?


24 posted on 12/29/2022 2:32:55 AM PST by CaptainK ("If life's really hard, at least its short")
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