营养补充剂对健康的益处

营养补充剂对健康的益处

从近20年来选读(1990 2010)

编制USANA研究及发展

USANA健康科学

3838西大路大道。

盐湖城,UT斯达康84120

更新时间:2010年10月

版权所有©2010,USANA健康科学公司

2,营养补充剂健康的好处:从近20年来选读(1990 2010)。 版权所有©2010,USANA健康科学公司

前言

营养对人体健康的重要性早已得到公认。 到1960年之前,

在这一领域的兴趣主要集中在急性养分的病因和预防

缺乏性疾病,如坏血病,佝偻病和糙皮病。 大约50个必需的营养素(维生素,

矿物质,抗氧化剂,辅助因子,必需氨基酸,必需脂肪酸)

进行鉴定,开发和推荐的每日摄入量,对于那些必需的营养素。

这些建议,反过来证明了宝贵的,在消除急性营养缺乏

疾病。

在过去的20年里,注意力已经转移到饮食和营养的作用,在发病

慢性退行性疾病。 心脏疾病,某些癌症,骨质疏松,

II型糖尿病,黄斑变性疾病与饮食著名的例子

风险因素,并研究目前正在进行更营养?在许多疾病的相互作用。

不幸的是,这些协会是很难学习,部分原因是

时限参与。 慢性退行性疾病的发展超过十年(或寿命),

这是非常难以进行研究

计划跨越几个

年的长度。 然而,进展

在流行病学和临床研究

已破获了大量的信息

关于饮食和营养摄入量的影响

长期长期健康。

在过去的十年,科学和医疗

研究人员已经日益重视

营养补充剂的作用

与可能的膳食成分

在预防和治疗慢性角色

疾病。 数以百计的科学研究

已进行公布,每一个跨越

广泛的潜在的健康问题。

这些研究采用宽

各种方法和他们有

“我们建议,所有的成年人采取

一个维生素每天。 这种做法是

理由主要是由已知的和怀疑的

补充叶酸的好处

维生素B12,维生素B6,和D

预防心血管疾病,

癌症和骨质疏松症...

我们建议多种维生素,而

不是个别的维生素,因为维生素

简单的采取和

价格比个别的维生素

分开,因为大

人口的比例需要

一个以上的维生素补充剂。“

- 弗莱彻RH环境下,:费尔菲尔德知识。 维生素对慢性

预防成人病的临床应用。

2002年。 JAMA 287:3127-9。

3,营养补充剂健康的好处:从近20年来选读(1990 2010)。 版权所有©2010,USANA健康科学公司

产生正面和负面的结果。 在某些领域 - 如钙的作用

在减缓骨质疏松症的进展和维生素D补充剂,或叶酸的作用

酸在预防某些先天缺陷的补充 - 结果已基本一致,

这些营养素已成为公认的现代医疗实践的一部分。

在其他领域(如补充抗氧化剂在预防心脏病的作用),

成绩一直不太一致,坚定的结论仍然存在争议。

下面是一个同行列举参考书目审查的研究,研究可能吗?

营养补充剂和功能性食品的健康益处。 这个列表并不详尽。

论文已被选中的科学价值和相关的基础上

领域,无论积极或消极的结果是否获得。 我们的目标

编制这个名单是向读者提供一个良好的跨近期科学文献部分,

希望能有助于更好地理解到营养的当前状态

研究。

为方便起见,引用已排序的健康问题:

•心血管健康

•癌症

•骨骼和关节健康

健康怀孕和健康婴儿

•免疫功能

•视力健康

•其他

这些陈述没有经过食品和药物管理局的评估。 没有USANA的产品是为了

诊断,治疗,治愈或预防任何疾病。

4 |营养补充剂的健康益处:从近20年来选读(1990 2010)。 版权所有©2010,USANA健康科学公司

“正如表1中,900

EPA / DHA的毫克/天的目标可能需要

3-21份,根据鱼/周

根据源/类型选择。

因此,高品质的鱼油

补充/集中和功能

食物丰富的EPA / DHA

为加强成为重要的汽车

目前的低摄入量

EPA / DHA的......“

DJ赫鲁伯,等。 (#65)

“Mg2 +的镁不足或

减少饮食中摄取的Mg2 +

在病因中起着重要的作用

糖尿病和许多心血管

包括血栓性疾病,

动脉粥样硬化,缺血性心脏疾病,

心肌梗死,高血压,

心律失常和充血性心脏衰竭

在人类身上。 Mg2 +的补充

可以带来显着降低

血压和稳定

心律失常和急性心肌

梗死。“

- S Chakraborti,等。 (#22)

心血管健康

1。 修道院男,内斯特尔PJ,Baghurst PA。 抗氧化维生素

低密度脂蛋白的氧化。 1993年。 上午J临床NUTR

58(4):525 32。

2。 adank,绿色的TJ,Skeaff厘米,布里亚斯B.每周高剂量

叶酸是有效地降低血清

妇女同型半胱氨酸浓度。 2003。 安营养与代谢

47(2):55 9。

3。 allender聚苯乙烯,卡特勒,Follmannð晶澳,卡普西奥计划生育,窥探者

J,埃利奥特体育膳食钙与血压:一项荟萃分析?

随机临床试验。 1996年。 MED 124(9):825 31。

4。 阿加瓦尔S,饶视听。 番茄红素和低密度脂蛋白

氧化:一个人的膳食干预研究。 1998年。

血脂33(10):981 4。

5。 aminbakhsh一个,曼奇尼J.慢性抗氧化剂的使用和

变化:血管内皮功能障碍的临床调查的审查。

1999年。 J Cardiol 15(8):895 903。

6。 安德森JW,Allgood劳工处,劳伦斯一个,Altringer洛杉矶,Jerdack的GR,Hengehold DA,羊肚菌JG。 Cholesterollowering

车前子摄入辅助效果,在男性和女性高胆固醇血症的饮食治疗:荟萃分析

8对照试验。 2000。 上午J临床NUTR 71(2):472 9?

7。 安德森JW,戴维森氢,金发L时,布朗西弗吉尼亚州,霍华德温家宝,金斯伯格Ĥ,Allgood劳工处,Weingand千瓦。

多长时间?长期胆固醇降低车前子效果作为辅助饮食疗法在治疗高胆固醇血症。

2000。 上午J临床NUTR 71(6):1433 8。

8。 ,RIMM的EB ascherio一个,埃尔南·马,Giovannuccié,河内我,施坦普费尔兆焦耳,威利特厕所。 消费的关系

维生素E,维生素C​​和胡萝卜素,在美国男性中风的风险。 1999年。

实习生MED 130(12):963 70。

9。 宝B,宝毛重,菲茨杰拉德托德·普拉萨德的AS,贝克固件,斯内尔,辛格ţ,卡多佐LJ。 锌减少C吗?反应

老年人:蛋白质,脂质过氧化和炎症细胞因子的锌作为一个潜在的含义

动脉保护剂。 2010。 AJCN 91:1634?41。

10。 鲍尔JA,辛克莱DA。 白藜芦醇治疗潜力:在体内的证据。 2006年。 纳特牧师药物Discov

5(6):493 506。

11。 贝拉米中频,如果麦克道尔,拉姆齐兆瓦,布朗利中号,

纽康的RG,刘易斯兆焦耳。 口服叶酸增强血管内皮功能

hyperhomocysteinaemic科目。 1999年。 欧元J临床投资

29:659?62。

12。 伯曼一个ERman,本加尔ţ,Dvirð,Georghiou大奖赛男,,

斯坦勒,VeredŸ一个,Vidne学士学位,患者Aravot D.辅酶Q10

终末期心脏衰竭等待心脏移植?

一项随机,安慰剂对照研究。 2004年。 临床Cardiol

27(5):295 9。

13。 波阿斯男,斯美塔那小号,温斯坦ţ,麦塔斯ž,Gafterü,Iaina

一个绿色的MS,一个克内希特,WeissgartenŸ,布伦纳ð,Fainaru。

二级预防心血管疾病的抗氧化剂

在终末期肾脏疾病(空格):随机placebocontrolled

审判。 2000。 柳叶刀“杂志356(9237):1213 8。

14。 Pietrzik光普林茨?Langenohlŕ,一个bronstrup,Hages中号

影响叶酸,叶酸和维生素B的组合?

12健康,年轻的血浆同型半胱氨酸浓度

妇女。 1998年。 AJCN 68(5):1104 10。

10 |营养补充剂的健康益处:从近20年来选读(1990 2010)。 版权所有©2010,USANA健康科学公司

“维生素C,胡萝卜素和维生素E,

三个主要的抗氧化剂的食物来源,

相互影响脂质过氧化

并可能减少动脉粥样硬化和

降低冠心病的危险

(CHD)的。“

EB RIMM,等。 (#121)

“在这个大型的前瞻性研究

妇女,我们观察到一个适度的逆

维生素摄入量之间的关联

C和冠心病[冠心病的发病率

心脏疾病]。 妇女在最高

维生素C的摄入量的五分之一(360

毫克/天)从饮食和营养补充剂

的非致命性心肌梗死的风险降低27%

在最低的妇女比致命的冠心病

摄入量的五分之一(93毫克/天)。

似乎被限制在减少风险

到了维生素C的妇女

补充。 其中维生素C的用户

补充,我们观察到显着

风险低28%和非致死性心梗

致命的冠心病比非使用者之间。 虽然

风险并不会有明显的不同

根据时间补充剂的使用

或补充剂,剂量减少

风险是有点强

妇女服用至少400

毫克/天。“

SK Osganian,等。 (#110)

15。 布劳威尔IA,面包车Dusseldorp男,托马斯厘米,中号杜兰

hautvast建国,Eskes传统知识,Steegers?托伊尼森的RP。 剂量叶酸低呢?

酸补充剂降低血浆同型半胱氨酸浓度:

一项随机试验。 1999年。 上午J临床NUTR 69(1):99 104?

16。 Dusseldorp中号,面包车,面包车Rooij IA布劳威尔保险业监督,托马斯厘米,

布洛姆黄建忠,Hautvast JG,Eskes传统知识,Steegers?托伊尼森的RP。 同型半胱氨酸?

隔日500微克的叶酸降低效果

对250微克/天。 2000。 安营养与代谢,44(5 6):194 7。

17。 布朗AA,胡锦涛FB。 饮食调制的内皮

功能:对心血管疾病的影响。 2001年。 AM J临床

NUTR 73:673?86。

18。 布朗BG,赵群,蔡特一,费舍尔LD,长MC,

莫尔斯的JS,迪AA,马里诺EK,B​​olson EL,Alaupovic磷,弗罗里希神父

J,阿尔伯斯林俊杰。 辛伐他汀和烟酸,抗氧化维生素或

为预防冠心病的组合。 2001年。 列印ENGL J

MED 345(22):1583 92?

19。 布朗L时,罗斯纳乙,威利特二战,调频袋。 Cholesterollowering

膳食纤维的影响:一项荟萃分析? 1999年。 AM J临床

NUTR 69(1):30 42。

20。 布赫尔慧聪,库克的RJ Guyatt生长激素,郎JD,库克DJ,Hatala

R,:亨特DL。 对饮食补钙

血压。 一元?随机对照试验的分析。

1996年。 JAMA 275(13):1016 22。

21。 慧聪布赫尔,HENGSTLER带够,迅达C,迈耶G.的列印3多不饱和

冠心病的脂肪酸:1荟萃分析

随机对照试验。 2002年。 AM J MED

112(4):298 304。

22。 曼达男,曼达尔一个,小号,戈什S.达斯chakraborti小号,Chakraborti T,镁在心血管的保护作用

疾病:审查。 2002年。 分子与细胞生物化学238:163?79。

23。 钱伯斯赛马,麦格雷戈一个,让玛丽·J,奥贝德办公,Kooner的JS。 示范的快速发病的血管内皮

功能障碍后,同型半胱氨酸与维生素C治疗是可逆的效果。 1999年。 循环

99:1156 60。

24。 程身上,马萨罗JM,福克斯政务司司长,拉森MG,凯斯兆焦耳,麦凯布EL,罗宾斯律政司司长,奥唐奈CJ-霍夫曼ü

雅克犯规,展位SL,Vasan RS,狼,王的TJ。 肥胖,心脏风险,维生素D状态:弗雷明汉

心脏研究。 2010。 糖尿病59(1):242 8。

25。 长的MC,赵群,蔡特一,阿尔伯斯JJ,布朗保函。 补充抗氧化剂阻止高密度脂蛋白胆固醇的反应

烟酸辛伐他汀治疗冠状动脉疾病的患者,低HDL。 2001年。 动脉硬化血栓VASC

生物学21:1320?6。

26。 初级预防项目(PPP)协作组。 低剂量阿司匹林和维生素E在人

心血管疾病的危险:在随机试验的一般做法。 2001年。 柳叶刀“杂志357(9250):89 95。

27。 康纳我们。 N?3脂肪酸在健康和疾病的重要性。 2000。 上午J临床NUTR 71(增刊):171S 5S?

28。 CONSTANS J,Blann公元,Resplandy F,F鹦鹉,中号雷纳,

领主男,卡介苗至五,BoisseauM,Conri C.三个月的补充

叶酸hyperhomocysteinaemic患者

维生素B6可改善血管内皮功能障碍的生物标志物。

1999年。 BR J Haematol 107:776?8。

29。 COS磷,德Bruyneţ,赫曼斯列印,Apers小号,Berghe DV,

vlietinck欧塞尔。 当前和新的保健中的原花青素:

趋势。 2004年。 CURR医学化学11(10):1345 59?

30。 崔R,ISOĤ,日期C,菊池小号,玉越良介一,日本

协作队列研究小组。 膳食叶酸和维生素B6

和B12摄取心血管疾病死亡率的关系

日本协同队列研究。 2010。 中风41:1285 9。

6 |营养补充剂的健康益处:从近20年来选读(1990 2010)。 版权所有©2010,USANA健康科学公司

“总体来说,DHA的补充减少

动脉粥样硬化的浓度

血脂及脂蛋白和增加

浓度的心脏

脂蛋白。“

DS凯利等。 (#75)

“NHEFS结果是一致的

假设,即高水平的抗氧化剂

维生素(如维生素C,E,

和A)增加人体的防御

系统对抗自由基,减少

动脉粥样硬化的风险。 此外,

NHEFS结果是合理的

在这个意义上,他们是一致的

在长期趋势

近20年来在大量增加

消费含补充

维生素C和大跌幅

年龄调整死亡率(总,心血管

疾病,和胃

癌),在总人口

只有部分解释通过建立

风险因素。“

乙脑Enstrom,等。 (#44)

31。 DAVI G,普罗迪中号,Mezzetti一个,等。 水平的提高

可溶性磷,高胆固醇血症患者的选择。 1998年。 循环

97?953?7。

32。 戴维森勋章,希架KC,香港赛马会,劳工处杜根,Torri酒店SA,

医管局厅,卓尔KB,安德森SM,Fulgoni的VL,萨尔达尼亚LG,

奥尔森波黑。 长期影响消费的食品含有车前子多长时间?

血脂与高胆固醇血症科目的种子果壳。

1998年。 上午J临床NUTR 67(3):367 76?

33。 devaraj小号,Jialal一阿尔法维生素E补充剂降低

血清C反应蛋白和单核细胞白细胞介素6水平?

在正常的志愿者和2型糖尿病患者。 2000。 免费拉迪奇生物学杂志29(8):790 2。

34。 devaraj,李军研发,一Jialai阿尔法维生素E补充对单核细胞功能的影响。 下降

脂质过氧化,白细胞介素1β和单核细胞粘附到血管内皮细胞。 1996年。 临床调查学报98:756?63。

35。 男,dieber?Rotheneder PuhlĤ,Esterbauer H.口服补充与dalphatocopherol的影响,WaegĞ,StrieglĞ

人类低密度脂蛋白和抗氧化维生素E的含量。 1991年。 J脂

RES 32(8):1325 32?

36。 djousse L时,阿内特的DK,卡尔JJ,Eckfeldt JH,霍普金斯大学的通知书,省马,埃里森RC。 膳食亚麻酸

负相关,在冠状动脉粥样硬化斑块钙化:国家心脏,肺,

血液研究所家庭心脏研究。 2005年。 7循环; 111(22):2921 6。

37。 达菲律政司司长,Gokce列印,霍尔布鲁克,黄甲,弗雷乙,Keaney JF JR,VITA JA。 治疗高血压与抗坏血酸

酸。 1999年。 柳叶刀“杂志354(9195):2048 9?

38。 达菲律政司司长,Gokce氮,霍尔布鲁克中号的LM猎人,Biegelsen ES,黄一个,摩根富林明JR Keaney,维塔晶澳。 抗坏血酸的影响

酸处理管道船只在高血压患者的血管内皮功能障碍。 2001年。 上午J生理学心脏

中国保监会生理学280(2):H528 34?

39。 杜塔一个,杜塔SK。 维生素E及其在动脉粥样硬化及癌变的预防作用? 述评。

2003。 JACN 22(4):258 68?

40。 德怀尔津海,德怀尔知识,斯克里布纳天雨,孙带够,李丽,尼科尔森的LM,戴维斯IJ,霍恩AR。 膳食中钙,钙

补充和血压,在非洲裔青少年。 1998年。 上午J临床NUTR 68(3):648 55?

41。 埃利奥特TG,巴特JD,曼奇尼GB。 维生素E对男性心肌梗死后血管内皮功能的影响。

1995年。 上午J Cardiol 76(16):1188 90。

42。 埃默特卫生署,基什内尔托德。 维生素E在预防中的作用

心脏疾病。 1999年。 拱地中海秘境8(6):537 42。

43。 engelen瓦,Keenoy骨髓,Vertommen J,德莱乌一影响

长用温和的药物剂量长期补充吗?

维生素E是饱和的和可逆的,在1型患者

糖尿病。 2000。 上午J临床NUTR 72(5):1142 9?

44。 Kanim enstrom乙脑,LE,克莱因马。 维生素C的摄入和

美国人口样本的死亡率。 1992年。

流行病学3:194?202。

45。 eritsland J,阿内森Ĥ,Seljeflot我,本地最理想的AT。 长期

患者3多不饱和脂肪酸的N代谢的影响?

冠状动脉疾病。 1995年。 上午J临床营养与61:831?6。

46。 方金城,Kinlay S,Beltrame J,Hiki​​tiĤ,Wainstein中号,贝伦特

研发,SUH J,弗雷乙,麦基生长激素,时运AP,甘茨体育的影响

维生素C和移植相关的动脉粥样硬化的进展的E?

一项随机试验。 2002年。 柳叶刀“杂志359(9312):1108 13?

47。 豪尔凤举,严的WD,Fischell局长。 鱼油改善

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收件人。 1993年。 J上午科尔Cardiol 21:982?9。

48。 fotherby医师,威廉姆斯JC,福斯特洛杉矶,克莱纳带够,蕨类植物的遗传。

维生素C对动态血压和血脂水平

在老年人中。 2000。 J高血压18(4):411 5。

7 |营养补充剂的健康益处:从近20年来选读(1990 2010)。 版权所有©2010,USANA健康科学公司

“在哺乳动物中,有越来越多的证据

白藜芦醇可以阻止或

延缓发病的癌症,心脏疾病,

缺血性和化学诱导

损伤,糖尿病,病态

炎症和病毒感染。“

JA鲍尔,等。 (#10)

“看来,辅酶Q10的五月

好处是在各种临床情况。

它可能有预防作用

因为心血管疾病

防止低密度脂蛋白氧化的作用,

虽然这个角色需要进一步研究。

看来,这种物质是

许多患者用各种缺乏

心血管疾病,

一些,尤其是那些

冠状动脉疾病,心脏衰竭,

和心肌病可能受益

从它的能力,以提高效率

心肌的能源生产。“

- B Sarter(#128)

49。 弗里德曼乙脑,帕克Ç,李丽,帕尔曼JA,弗雷乙,伊万诺夫至五,

迪克LR,Iafrati医师,Folts法学博士。 选择黄酮类化合物和全汁

紫葡萄抑制血小板功能,并提高一

氧化氮的释放。 2001年。 流通103:2792?8。

50。 厨房高频,桑顿J,Howdle的PD,沃克,韦伯斯特

上午十时三十分。 复方口服抗氧化剂的补充减少

血压。 1997年。 临床SCI(Colch)的92(4):361 5。

51。 吉利根马克,百万袋,Guetta至五,赌场公关,Quyyumi

AA,雷德的DJ,潘沙JA,反渗透炮。 抗氧化维生素的影响

低密度脂蛋白氧化和内皮细胞受损吗?

在高胆固醇血症患者的依赖性血管舒张功能。

1994年。 万方数据Cardiol 24(7):1611 7。

52。 的GISSI?预防和调查。 N?3多不饱和脂肪酸和维生素与膳食补充剂

心肌梗死后é?的GISSI预防和审判结果。 1999年。 柳叶刀“杂志354:447?55。

53。 希利曼兆瓦,胡德我,摩尔的LL,阮美国歌手议员,安东MB。 补钙的影响

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54。 简glore,范Treeckð,Knehans仙,公会M.可溶性纤维和血脂:一个文献综述。 1994年。 J

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55。 霍尔布鲁克中号gocke氮,Keaney摩根富林明小,弗雷,Olesiak中号,撒迦利亚北京,LeeuwenburghÇ,海拿克JW,VITA

司法机构政务长。 长时间?长期抗坏血酸管理逆转冠心病患者血管内皮的血管舒缩功能障碍

冠状动脉疾病。 1999年。 流通99(25):3234 40。

56。 古德费洛J,贝拉米中频,拉姆齐兆瓦,CJH琼斯,刘易斯兆焦耳。 膳食补充剂与海洋的omega?

3脂肪酸改善全身的大动脉内皮功能与高胆固醇血症科目。 2000。 J

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57。 绿色D,Ğ奥德里斯科尔,兰JM,Maiorana欧塞尔,泰勒率。 有益作用的维生素E政府

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58。 格里菲斯乐,Guyatt生长激素,库克RJ,布赫尔HC,库克DJ。 的饮食和nondietary钙的影响

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12(1铂1):84 92。

59。 盖顿JR,马焰,夏甲J,卡什亚普毫升,诺普湿度,麦肯尼JM,DT纳什,纳什的SD,Niaspan?

吉非贝齐的研究小组。 低密度脂蛋白延期释放烟酸与吉非贝齐治疗前高后低的水平?

胆固醇的作用。 2000。 拱实习生MED 160(8):1177 84?

60。 哈里斯的WS。 N 3脂肪酸和血清脂蛋白:人类的研究。 1997年。 上午J临床NUTR 65(5增刊):1645S?

54S。

61。 心脏保护研究协作组。 MRC / BHF

抗氧化维生素补充剂的心脏保护研究

20,536高危人群吗?一项随机安慰剂控制

审判。 2002年。 柳叶刀“杂志360(9326):23 33。

62。 HN hodis,麦克温家宝,达斯汀大号,Mahrer公关,Azen SP,Detrano

黄,刘CR Selhub J,Alaupovic带够,刘CH,R,J,威尔科克斯

AG,Selzer湿度,BVAIT研究小组。 高剂量B族维生素补充剂?

和亚临床动脉粥样硬化的进展:

随机对照试验。 2009年。 中风40(3):730 6。

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一,约翰逊ŕ,Azen SP。 串行冠状动脉造影证据

,抗氧化维生素的摄入,减少冠心病的进展

动脉粥样硬化。 1995年。 JAMA 273(23):1849 54。

64。 拉尔森小号holmquist,,德沃尔克一个,马戏团U。维生素

补充与心肌的风险呈负相关

男人和女人 - 斯德哥尔摩市中心流行病学梗死

(羊)计划。 2003。 J,NUTR 133(8):2650 4。

65。 赫鲁伯赫鲁伯北京的DJ,。 欧米茄?3脂肪酸的鱼油

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8 |营养补充剂的健康益处:从近20年来选读(1990 2010)。 版权所有©2010,USANA健康科学公司

“在这项研究中,我们证明了

饮食亚麻酸的摄入量较高

与发病率较低

测量由心脏的CAC

CT在男性和女性,调整后

在混杂因素,

剂量 - 反应时尚。 该协会

独立的年龄,教育程度,

收入,能量的摄入,N-6的比例;

N-3脂肪酸,食用鱼类。“

- L Djousse,等。 (#36)

“补充辅酶Q10改变自然

心血管疾病史

并有潜在的预防

通过抑制心血管疾病

氧化低密度脂蛋白胆固醇

和维护最佳

细胞和线粒体功能

整个时间的蹂躏和

内部和外部的压力。“

PH值Langsjoen,等。 (#82)

25。

66。 hornig乙,荒氮,科勒,德雷克斯勒H.维生素C

提高患者导管动脉内皮功能与

慢性心脏衰竭。 1998年。 流通97:363?8。

67。 horsch小号,瓦尔特C.银杏特殊的提取物银杏叶提取物

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68。 尤利亚诺L时,一个Mauriello,Sbarigiaé,Spagnoli LG电子,Violi楼

注射到患者的放射性本土密度脂蛋白低?

颈动脉狭窄积聚在动脉粥样硬化巨噬细胞

牌匾:补充维生素E的效果。 2000。 CIR

101(11):1249 54。

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振东,小RL。 适度补充维生素E的作用

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90。

70。 jialal我,格兰迪SM。 影响结合阿尔法补充维生素E,抗坏血酸,β胡萝卜素

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71。 约翰森澳,在阿内森补充的效果与欧米茄3脂肪酸,本地最理想的Seljflot我,

可溶性血管内皮功能的标志物与冠心病的患者。 1999年。 动脉硬化血栓VASC生物学的

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73。 河野Ÿ,松冈Ĥ,Takishita大前吨镁补充剂的高血压患者的影响:

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69(2):261 6。

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鱼油,欧米茄?3脂肪酸,心血管疾病。 2002年。 流通106(21):2747 57。

79。 kritchevsky保安局,告诉GS,Shimakawa T,B,李ŕ丹尼斯,

kohlmeier L时,斯蒂尔é,海斯,维生素A的类胡萝卜素的摄入量

颈动脉斑块:社区动脉粥样硬化的风险

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80。 kugiyama K时,本山牛逼,土井Ĥ,河野平井列印,

副岛Ĥ,秘要,Takazoe钾,森山,角,美津浓ŸŸŸ

小川H,R,坂本T,杉山小号,Yasue H.改进

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高残脂蛋白水平的患者。 1999年。

J上午科尔Cardiol 33:1512?8。

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膳食抗氧化维生素和冠心病死亡

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82。 ,Langsjoen上午langsjoen PH值。 使用概述

9 |营养补充剂的健康益处:从近20年来选读(1990 2010)。 版权所有©2010,USANA健康科学公司

“我们得出这样的结论:辅酶Q10管理

可以提高回收的线粒体

和cardic心肌细胞

从压力。 当一个星期

手术前,辅酶Q10能加速

心脏复苏,导致早期

履行从医院的病人。“

佛罗里达州Rosenfeldt,等。 (#124)

“随后在这个大男人队列

12年,我们发现逆协会

叶酸摄入量和风险之间

PAD的[周边动脉疾病]

独立于其他PAD的危险因素。“

在商户,等。 (#97)

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心律失常的预防。 1999年。 血脂34

增刊:S187 9。

84。 李珺,黄管委会,舂LJ,程CH,林吉隆坡,苏锦,

黄YC。 叶酸和维生素B12是更有效的比

维生素B6在降低空腹血浆同型半胱氨酸浓度

冠心病患者。 2004年。 欧元J临床

NUTR 58(3):481 7。

85。 李歼轰,歼轰奥基夫,贝尔D,Hensrud副署长,Holick MF。 维他命

D缺乏一个重要的,普遍的,很容易治疗

心血管疾病的危险因素。 2008年。 万方数据Cardiol 52(24):1949年?

56。

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BV公司。 维生素治疗冠状动脉粥样硬化进展的影响,因珠蛋白类型

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2000。 万方数据NUTR 19(1):68 76?

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PH值,Seltzer的研发,厄普森B,​​林的QR。 补充叶酸对血浆总同型半胱氨酸的影响是调制

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成人食用叶酸强化饮食。 2000。 J,NUTR 130(12):3090?

6。

96。 麦金利管委会,麦克纳尔蒂Ĥ,McPartlin J,应变JJ,Pentieva

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10 |营养补充剂的健康益处:从近20年来选读(1990 2010)。 版权所有©2010,USANA健康科学公司

“总之,我们的研究结果表明,

食用钙+ D补充剂

增强的有益作用

脂质体减肥

超重或肥胖脂蛋白

与通常的钙的摄入量低的妇女...

[]肥胖的临床上下文

治疗,补钙

可以建议妇女

钙的摄入量不足

改善心血管疾病

风险状况。“

GC少校,等。 (#92)

“多不饱和脂肪酸(多不饱和脂肪酸)

N-6和n-3系列是必需的营养素

发挥有重要影响的

对血脂及服务心

和内皮功能的影响

the prevention and treatment of

coronary heart diseases (CHD). Both n-

6 and n-3 PUFAs have distinct biological

effects contributing to their cardioprotective

action.”

-V Wijendran, et al. (#167)

98。 Meyer F, Bairati I, Dagenais GR. Lower ischemic heart disease

incidence and mortality among vitamin supplement users.

1996. Can J Cardiol 12(10):930?4.

99。 Michos ED, Melamed ML. Vitamin D and cardiovascular

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100。 Mietus?Snyder M, Malloy MJ. Endothelial dysfunction occurs

in children with two genetic hyperlipidemias: improvement

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101。 Morris, CD, Carson, S. Routine vitamin supplementation

to prevent cardiovascular disease: a summary of the evidence for

the US Preventive Services Task Force. 2003. Ann Intern Med

139:56?70.

102。 Morris MC, Sacks F, Rosner B. Does fish oil lower blood

pressure? A meta?analysis of controlled trials. 1993. Circulation

88(2):523?33.

103。 Mosca L, Rubenfire M, Mandel C, Rock C, Tarshis T, Tsai

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104。 Motoyama T, Kawano H, Kugiyama K, Hirashima O, Ohgushi M, Tsunoda R, Moriyama Y, Miyao Y, Yoshimura

M, Ogawa H, Yasue H. Vitamin E administration improves impairment of endothelium?dependent vasodilation

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105. Mottram P, Shige H, Nestel P. Vitamin E improves arterial compliance in middle?aged men and women.

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106. Nallamothu BK, Fendrick AM, Rubenfire M, Saint S, Bandekar RR, Omenn GS. Potential clinical and economic

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107. Ness A, Sterne J. Hypertension and ascorbic acid. 2000. Lancet 355(9211):1271; discussion 1273?4.

108。 Neunteufl T, Kostner K, Katzenschlager R, Zehetgruber M, Maurer G, Weidinger F. Additional benefit of vitamin

E supplementation to simvastatin therapy on vasoreactivity of the brachial artery of hypercholesterolemic

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109. Neunteufl T, Priglinger U, Heher S, Zehetgruber M, Soregi G, Lehr S, Huber K, Maurer G, Weidinger F,

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35:277?83.

110。 Osganian SK, Stampfer MJ, Rimm E, Spiegelman D, Hu FB, Manson JE, Willett WC. Vitamin C and risk of

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111. Pfeifer M, Begerow B, Minne HW, Nachtigall D, Hansen C. Effects of a short?term vitamin D(3) and calcium

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86(4):1633?7.

112。 Pilz S, Dobnig H, Fischer JE, Wellnitz B, Seelhorst U,

Boehm BO, März W. Low vitamin d levels predict stroke in patients

referred to coronary angiography. 2008年。 Stroke 39(9):2611?3.

113。 Pilz S, März W, Wellnitz B, Seelhorst U, Fahrleitner?

Pammer A, Dimai HP, Boehm BO, Dobnig H. Association of vitamin

D deficiency with heart failure and sudden cardiac death in a

large cross?sectional study of patients referred for coronary angiography.

2008年。 J Clin Endocrinol Metab 93(10):3927?35.

114. Plotnick GD, Corretti MC, Vogel RA. Effect of antioxidant

vitamins on the transient impairment of endothelium?dependent

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JAMA 278(20):1682?6.

115. Porkkala?Sarataho EK, Nyyssonen MK, Kaikkonen JE,

Poulsen HE, Hayn EM, Salonen RM, Salonen JT. A randomized,

single?blind, placebo?controlled trial of the effects of 200 mg al11

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“Several epidemiological studies have

revealed an inverse relationship between

vitamin E intake and the progression

of chronic diseases. It is believed

that vitamin E's various actions,

including its role as an antioxidant,

have both antiatherogenic effects and

chemoprotective action.”

-A Dutta, et al. (#39)

“The administration of CoQ10 to heart

transplant candidates led to a significant

improvement in functional status,

clinical symptoms, and quality of life.”

-M Berman, et al. (#12)

pha?tocopherol on the oxidation resistance of atherogenic lipoproteins.

1998年。 Am J Clin Nutr 68(5):1034?41.

116. Pryor WA. Vitamin E and heart disease: basic science to

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117. Quinlivan EP, McPartlin J, McNulty H, Ward M, Strain JJ,

Weir DG, Scott JM. Importance of both folic acid and vitamin B12

in reduction of risk of vascular disease. 2002年。 Lancet

359(9302):227?8.

118。 Rapola JM, Virtamo J, Haukka JK, Heinonen OP, Albanes

D, Taylor PR, Huttunen JK. Effect of vitamin E and beta carotene on the incidence of angina pectoris. A randomized,

double?blind, controlled trial. 1996. JAMA 275(9):693?8.

119。 Raitakari OT, Adams MR, McCredie RJ, Griffiths KA, Stocker R, Celermajer DS. Oral vitamin C and endothelial

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35:1616?21.

120。 Reid IR, Mason B, Horne A, Ames R, Clearwater J, Bava U, Orr?Walker B, Wu F, Evans MC, Gamble GD. Effects

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121. Rimm EB, Stampfer MJ. The role of antioxidants in preventive cardiology. 1997年。 Curr Opin Cardiol 12(2):188?

94。

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123。 Rimm EB, Willett WC, Hu FB, Sampson L, Colditz GA, Manson JE, Hennekens C, Stampfer MJ. Folate and

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DS. Vitamin E ingestion does not improve arterial endothelial

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133. Singh RB, Niaz MA, Sharma JP, Kumar R, Rastogi V, Moshiri

M. Randomized, double?blind, placebo?controlled trial of

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Vitamin E supplementation improves endothelial function in

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“The combined cardiovascular effects

of resveratrol and other plant phenolic

compounds and bioflavonoids with vitamin

E should also be encouraged.

Finally, resveratrol should be evaluated

as an interesting candidate for nondrug

approaches to combat blood

vessel-related diseases in humans.”

-JM Wu, et al. (#174)

“This review confirms the efficacy of

Ginkgo biloba extract EGb 761. It demonstrates

not only the statistical significance

of the difference with respect

to placebo but also the clinical relevance

for the treatment of patients with

PAOD [peripheral arterial occlusive

disease].”

-S Horsch, et al. (#67)

type I diabetes mellitus: a randomized, placebo?controlled study.

2000. J Am Coll Cardiol 36(1):94?102.

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Rosner B, Willett WC. Vitamin E consumption and the risk of

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137. Stampfer MJ, Rimm EB. Epidemiologic evidence for vitamin

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Nutr 62(6 Suppl):1365S?9S.

138. Steinberg FM, Chait A. Antioxidant vitamin supplementation

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68(2):319?27.

139. Steiner M, Glantz M, Lekos A. Vitamin E plus aspirin compared with aspirin alone in patients with transient

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143. Thies F, Garry JM, Yaqoob P, Rerkasem K, Williams J, Shearman CP, Gallagher PJ, Calder PC, Grimble RF.

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150. Van den Berg M, Franken DG, Boers GH, Blom HJ, Jakobs

C, Stehouwer CD, Rauwerda JA. Combined vitamin B6 plus

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| Health Benefits of Nutritional Supplements: Selected Readings from the Last 20 Years (1990?2010). Copyright © 2010, USANA Health Sciences, Inc.

“Evidence from prospective secondary

prevention studies suggests that

EPA/DHA supplementation ranging

from 0.5 to 1.8 g/d (either as fatty fish

or supplements) significantly reduces

subsequent cardiac and all-cause

mortality.”

-PM Kris-Etherton, et al. (#78)

“In summary, the results of the present

study suggest that moderate to severe

vitamin D deficiency is a risk factor for

developing cardiovascular disease.

These findings may have potentially

broad public health implications, given

the high prevalence of vitamin D deficiency

in developed countries, the

contribution of lifestyle and geography

to vitamin D status, and the ease, safety,

and low cost of treating vitamin D

deficiency.”

-TJ Wang, et al. (#162)

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14 | Health Benefits of Nutritional Supplements: Selected Readings from the Last 20 Years (1990?2010). Copyright © 2010, USANA Health Sciences, Inc.

“In conclusion, our data indicate that

oral treatment with folic acid restores

endothelial dysfunction and abolishes

the increase in radical-damage end

products induced by triglyceride-rich

lipoproteins. In combination, these data

imply that folic acid enhances NO

[nitric oxide] bioavailability through

inhibition of lipid-induced oxygen radical

stress. These data underscore a

potential beneficial effect of folic acid

supplementation for cardiovascular

prevention strategies, especially in patients

with an impaired cholesterol

remnant clearance, such as in diabetes

and familial combined hyperlipidemia.

It is also of interest that higher

dietary folate intake apparently may

also protect healthy humans from daily

fat-associated endothelial insults.”

-HW Wilmink, et al. (#168)

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癌症

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189. Blot WJ, Li JY, Taylor PR, Guo W, Dawsey S, Wang GQ,

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“The results of this randomized controlled

trial do not support the hypothesis that

selenium supplementation reduces the

risk of BCC or SCC of the skin, showing no

statistically significant treatment effect on

their incidence. However, selenium supplementation

was found to be associated

with significant reductions in secondary

end points of total cancer incidence

(all-sites combined), long, colorectal

and prostate cancer incidences,

and lung cancer mortality.”

- LC Clark, et al. (#197)

“In vitro, animal and clinical studies

strongly indicate that vitamin D may have

anticancer benefits, including against

progression (such as metastasis) in colorectal

cancer and possibly other cancers.

Thus improving vitamin D status could be

potentially beneficial against either incidence

or mortality, or both.”

-E Giovannucci (#215)

16 | Health Benefits of Nutritional Supplements: Selected Readings from the Last 20 Years (1990?2010). Copyright © 2010, USANA Health Sciences, Inc.

191. Bostick RM, Potter JD, McKenzie DR, Sellers TA, Kushi

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women, we found only very limited

support for the hypothesis that vitamin

supplement use is associated with a decreased

risk of breast cancer. Among

white women, any use of multivitamins,

vitamin C or vitamin E in the past five

years was each associated with an approximately

20% decrease in breast

cancer risk; however, the confidence

intervals around these estimates all included

之一。 There was no evidence of a

dose-response relationship between duration

of use and breast cancer risk.

contrast to the modest inverse associations

with certain vitamin supplements

suggested for white women, there was

essentially no evidence of a protective

effect among black women for any of

the vitamins examined.”

- PG Moorman, et al. (#256)

“In this cohort, we observed a statistically

significant inverse association between

vitamin E intake and bladder cancer risk,

which was strongest among those who

had been taking vitamin E supplements

for many years. A suggestive inverse association

was noted for intake of vitamin

C supplement dose and bladder cancer

risk. No associations were observed between

intake of total energy, macronutrients,

or other micronutrients and bladder

cancer risk.”

-DS Michaud (#251)

17 | Health Benefits of Nutritional Supplements: Selected Readings from the Last 20 Years (1990?2010). Copyright © 2010, USANA Health Sciences, Inc.

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approach in testing the effect of a combination

of 5 antioxidant vitamins or mineral

at low doses. It is thus not possible to

identify which individual micronutrient or

combination is responsible for the preventative

effect observed. Nevertheless, our

study results support the hypothesis that

chemoprevention of prostate cancer

can be achieved with antioxidant vitamins

and minerals.”

- F Meyer, et al. (#250)

“In the 11 non-hormone-dependent

cancer sites described above, 46 studies

have specifically reported on a vitamin

C index or plasma ascorbate values; 33

of these found statistically significant

protective effects, and several more

were in the protective direction but did

not achieve significance. None has

found elevated risk with increasing intake.

In addition to those, 29 studies reported

on the effect of fruit consumption,

21 of which found significant protection

associated with frequent consumption

or high risk associated with low

consumption. For oral, esophageal, gastric,

and pancreatic cancer, the evidence

is extremely strong, with virtually

all studies showing a significant protective

effect.”

- G Block (#187)

18 | Health Benefits of Nutritional Supplements: Selected Readings from the Last 20 Years (1990?2010). Copyright © 2010, USANA Health Sciences, Inc.

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“Our study of nearly 1100 incident cases

of cancer is one of the largest prospective

studies of serum selenium levels and

cancer risk and has more site-specific

cancers than any previous study. 我们

found highly significant (p < 10?4) inverse

associations of serum selenium levels with

the incidence of both esophageal and

gastric cardia cancers over a period of

5.25 years of follow-up. Individuals in the

highest quartile of selenium developed

these cancers at approximately half the

rate as individuals in the lowest quartile.”

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“Total vitamin B6 intake was also statistically

significantly inversely associated

with risk of colorectal cancer. We observed

59 cases of colorectal cancer

among the 25% of women (approximately

8200) with the lowest plasma vitamin B6

concentrations over the 10-year followup,

compared with 33 cases of colorectal

cancer in the 25% of women with the

highest plasma vitamin B6 concentrations.”

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“So far, epidemiological data for cancer

argue for an overall positive role of suninduced

vitamin D. There may be more

beneficial than adverse effects of moderately

increased sun exposure, even for

total cancer mortality. This message

should be addressed to populations at risk

for vitamin D deficiency.”

- J Moan, et al. (#252)

“Based on overall consideration of results

from observational and laboratory studies,

the existing evidence is consistent

with the hypothesis that increasing vitamin

D3 intake to 1000–2000 IU per day or

raising the serum level of 25(OH)D to 33

ng/mL or higher would be associated

with substantially lower incidence rates of

colorectal cancer, with only minimal

risks.”

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20 | Health Benefits of Nutritional Supplements: Selected Readings from the Last 20 Years (1990?2010). Copyright © 2010, USANA Health Sciences, Inc.

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and in vitro studies, the benefits of

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More detailed investigation of the interaction

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including vitamin D, and additional

questions better characterizing vitamin D

status may be necessary to elucidate

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“Optimizing micronutrient intake

(through better diets, fortification of

foods, or multivitamin-mineral pills) can

have a major impact on public health at

low cost. Other micronutrients are likely

to be added to the list of those whose

deficiency causes DNA damage in the

coming years. Tuning-up human metabolism,

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and changes with age, is likely to

be a major way to minimize DNA damage,

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43(1):39?46.

277. The Alpha?Tocopherol, Beta Carotene Cancer Prevention

Study Group. The effect of vitamin E and beta carotene

on the incidence of lung cancer and other cancers in male

smokers. 1994年。 N Engl J Med 330(15):1029?35

278。 Thompson JR, Fitz Gerald P, Willoughby MLN,

Armstrong BK. Maternal folate supplementation in pregnancy

and protection against acute lymphoblastic leukaemia in

childhood: a case?control study. 2001年。 Lancet 358:1935?40.

279. Travis RC, Crowe FL, Allen NE, Appleby PN, Roddam

“In our study, vitamin E showed no overall

effect on lung cancer; however, preliminary

analyses indicate possible efficacy

with longer duration of intervention. 前列腺

cancer incidence was 34% lower in

the vitamin E group and colorectal cancer

was 16% lower, the latter being consistent

with recent observational data

suggesting such a protective association.

Such effects, if corroborated by other

studies, would have substantial public

health consequences on two common

malignancies.”

- D Albanes, et al. (#180)

“On a very simplistic level, cancer is

thought to arise because of an excess of

DNA damage and/or the inappropriate

expression of critical genes. Folate has

consequently been of particular interest

as a potential cancer protective agent

because of the important roles it plays in

nucleotide synthesis, as well as in the biological

methylation of molecules such as

DNA, RNA, proteins, and the phospholipids.”

- SW Choi, et al. (#196)

22 | Health Benefits of Nutritional Supplements: Selected Readings from the Last 20 Years (1990?2010). Copyright © 2010, USANA Health Sciences, Inc.

AW, Tjønneland A, Olsen A, Linseisen J, Kaaks R, Boeing H,

Kröger J, Trichopoulou A, Dilis V, Trichopoulos D, Vineis P,

Palli D, Tumino R, Sieri S, Bueno?de?Mesquita HB, van Duijnhoven

FJ, Chirlaque MD, Barricarte A, Larrañaga N, González

CA, Argüelles MV, Sánchez MJ, Stattin P, Hallmans G, Khaw

KT, Bingham S, Rinaldi S, Slimani N, Jenab M, Riboli E, Key TJ.

Serum vitamin D and risk of prostate cancer in a case?control

analysis nested within the European Prospective Investigation

into Cancer and Nutrition (EPIC). 2009. Am J Epidemiol

169(10):1223?32.

280. Tsavachidou D, McDonnell TJ, Wen S, Wang X, Vakar?

Lopez F, Pisters LL, Pettaway CA, Wood CG, Do KA, Thall PF, Stephens C, Efstathiou E, Taylor R, Menter DG,

Troncoso P, Lippman SM, Logothetis CJ, Kim J. Selenium and vitamin E: cell type? and intervention?specific tissue

effects in prostate cancer. 2009. J Natl Cancer Inst 101(5):306?20.

281. US Preventive Services Task Force. Routine vitamin supplementation to prevent cancer and cardiovascular

disease: recommendations and rationale. 2003. Ann Intern Med 139:51?5.

282。 Velicer CM, Ulrich CM. Vitamin and Mineral Supplement Use Among US Adults After Cancer Diagnosis: A

Systematic Review. 2008年。 J Clin Oncology 26(4):665?73.

283. Virtamo J, Pietinen P, Huttunen JK, Korhonen P, Malila N, Virtanen MJ, Albanes D, Taylor PR, Albert P;

ATBC Study Group. Incidence of cancer and mortality following alpha?tocopherol and beta?carotene supplementation:

a postintervention follow?up. 2003. JAMA 290(4):476?85.

284。 Wactawski?Wende J, Kotchen JM, Anderson FL, Assaf AR, Brunner RL, O'Sullivan MJ, Margolis KL, Ockene

JK, Phillips L, Pottern L, Prentice RL, Robbins J, Rohan TE, Sarto FE, Sharma S, Stefanick ML, Van Horn L, Wallace

RB, Whitlock E, Bassford T, Beresford SA, Black HR, Bonds DE, Brzyski RG, Caan B, Chlebowski RT, Cochrane B,

Garland C, Gass M, Hays J, Heiss G, Hendrix SL, Howard BV, Hsia J, Hubbell FA, Jackson RD, Johnson KC, Judd H,

Kooperberg CL, Kuller LH, LaCroix AZ, Lane DS, Langer RD, Lasser NL, Lewis CE, Limacher MC, Manson JE; Women's

Health Initiative Investigators. Calcium plus vitamin D supplementation and the risk of colorectal cancer. 2006.

N Engl J Med 354(7):684?96.

285。 Wei EK, Giovannucci E, Selhub J, Fuchs CS, Hankinson SE, Ma J. Plasma vitamin B6 and the risk of colorectal

cancer and adenoma in women. 2005. J Natl Cancer Inst 97(9):684?92.

286。 Wu K, Willett WC, Chan JM, Fuchs CS, Colditz GA, Rimm EB, Giovannucci EL. A prospective study on

supplemental vitamin E intake and risk of colon cancer in women and men. 2002年。 Cancer Epidemiol Biomarkers Prev

11(11):1298?304.

287。 Xu Q, Parks CG, DeRoo LA, Cawthon RM, Sandler DP, Chen H. Multivitamin use and telomere length in

women. 2009. Am J Clin Nutr 89:1857–63.

288。 Zhang SM, Cook NR, Albert CM, Gaziano JM, Buring JE, Manson JE. Effect of combined folic acid, vitamin

B6, and vitamin B12 on cancer risk in women: a randomized trial. 2008年。 JAMA 300(17):2012?21.

289。 Zhang SM, Giovannucci EL, Hunter DJ, Rimm EB, Ascherio A, Colditz GA, Speizer FE, Willett WC. Vitamin

supplement use and the risk of non?Hodgkin's lymphoma

among women and men. 2001年。 Am J Epidemiol 153(11):1056?63.

290。 Zhang SM, Moore SC, Lin J, Cook NR, Manson JE, Lee

IM, Buring JE. Folate, vitamin B6, multivitamin supplements,

and colorectal cancer risk in women. 2006. Am J Epidemiol

163(2):108?15.

291。 Zheng W, Anderson KE, Kushi LH, Sellers TA, Greenstein

J, Hong CP, Cerhan JR, Bostick RM, Folsom AR. A prospective

cohort study of intake of calcium, vitamin D, and other

micronutrients in relation to incidence of rectal cancer

among postmenopausal women. 1998年。 Cancer Epidemiol Biomarkers

Prev 7(3):221?5.

“Our study, performed in individuals not

selected for risk factors, indicates that a

7.5-year low-dose antioxidant supplementation

lowered total cancer incidence in

men but not in women. A similar tendency

was observed for all-cause mortality.”

-S Hercberg (#225)

“In summary, overall risks for prostate

cancer were unaffected by supplemental

dietary antioxidant use among participants

in the PLCO Trial; however, vitamin

E supplementation in smokers and ?-

carotene supplementation in men with

low dietary ?-carotene were associated

with reduced risks of this disease.”

-VA Kirsh, et al. (#231)

23 | Health Benefits of Nutritional Supplements: Selected Readings from the Last 20 Years (1990?2010). Copyright © 2010, USANA Health Sciences, Inc.

Bone and Joint Health

292. Adams J, Pepping J. Vitamin K in the treatment and

prevention of osteoporosis and arterial calcification. 2005. Am J

Health Syst Pharm 62(15):1574?81.

293。 Alekel DL, St Germain A, Peterson CT, Hanson KB, Stewart

JW, Toda T. Isoflavone?rich soy protein isolate attenuates

bone loss in the lumbar spine of perimenopausal women. 2000.

AJCN 72(3):844?52.

294。 Allen SC, Raut S. Biochemical recovery time scales in

elderly patients with osteomalacia. 2004. JR Soc Med 97(11): 527?

30

295。 Barnes MS, Robson PJ, Bonham MP, Strain JJ, Wallace

JM. Effect of vitamin D supplementation on vitamin D status

and bone turnover markers in young adults. 2006. Eur J Clin

Nutr 60:727?33.

296. Bikle DD. Role of vitamin D, its metabolites, and analogs

in the management of osteoporosis. 1994年。 Rheum Dis Clin

North Am 20(3):759?75.

297。 Binkley NC, Krueger DC, Kawahara TN, Engelke JA,

Chappell RJ, Suttie JW. A high phylloquinone intake is required

to achieve maximal osteocalcin gamma?carboxylation. 2002年。 Am

J Clin Nutr 76(5):1055?60.

298。 Binkley NC, Suttie JW. Vitamin K nutrition and osteoporosis.

1995. J Nutr 125(7):1812?21.

299。 Bischoff?Ferrari HA, Willett WC, Wong JB, Giovannucci

E, Dietrich T, Dawson?Hughes B. Fracture prevention with vitamin

D supplementation: a meta?analysis of randomized controlled

trials. 2005. JAMA 293(18):2257?64.

300。 Bolton?Smith C, McMurdo MET, Paterson CR, Mole PA,

Harvey JM, Fenton ST, Prynne CJ, Mishra GD, Shearer MJ. Two?

Year Randomized Controlled Trial of Vitamin K1 (Phylloquinone) and Vitamin D3 Plus Calcium on the Bone Health

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301。 Bonjour JP, Chevalley T, Ammann P, Slosman D, Rizzoli R. Gain in bone mineral mass in prepubertal girls 3?

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302。 Braham R, Dawson B, Goodman C, McNaughton L. The effect of glucosamine supplementation on people

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303。 Brownbill RA, Petrosian M, Ilich JZ. Association between dietary conjugated linoleic acid and bone mineral

density in postmenopausal women. 2005. J Am Coll Nutr 24(3):177?81.

304。 Bruyere O, Pavelka K, Rovati LC, Deroisy R, Olejarova M, Gatterova J, Giacovelli G, Reginster JY. Glucosamine

sulfate reduces osteoarthritis progression in postmenopausal women with knee osteoarthritis: evidence from

two 3?year studies. 2004. Menopause 11(2):138?43.

305. Buckley LM, Hillner BE. A cost effectiveness analysis

of calcium and vitamin D supplementation, etidronate, and

alendronate in the prevention of vertebral fractures in women

treated with glucocorticoids. 2003. J Rheumatol 30(1):132?8.

306. Cameron MA, Paton LM, Nowson CA, Margerison C,

Frame M, Wark JD. The effect of calcium supplementation on

bone density in premenarcheal females: a co?twin approach.

2004. J Clin Endocrinol Metab 89(10):4916?22.

“One member in each twin pair was

randomly assigned using computergenerated

numbers to receive 800 mg

of elemental Calcium from citrate and

carbonate, 400 IU of vitamin D3 (as Cholecaliferol),

400 mg of Magnesium from

citrate, and amino acid chelate and

oxide in four orange-flavoured chewable

tablets (Active Calcium™ Chewable);

the other twin was given a

matched placebo in a double-blinded

manner. The placebo tablet was identical

in appearance, taste and composition

but contained no active ingredient.

All tablets were supplied by USANA

Health Sciences, Inc., Sydney, Australia…

“Our findings indicate that supplementation

with 800 mg calcium and 400 IU vitamin

D3 per day for a period of 6

months was associated with increased

trabecular area, trabecular density and

strength strain index at the ultra-distal

tibia and radius and increased cortical

area at tibial mid-shaft.”

- DA Greene, et al. (#327)

“[Boron] may have a preventive or therapeutic

effect that helps to diminish bone

mineral loss in susceptible populations.”

- SL Meacham, et al. (#351)

24 | Health Benefits of Nutritional Supplements: Selected Readings from the Last 20 Years (1990?2010). Copyright © 2010, USANA Health Sciences, Inc.

307。 Chapuy MC, Arlot ME, Duboeuf F, Brun J, Crouzet B,

Arnaud S, Delmas PD, Meunier PJ. Vitamin D3 and calcium to

prevent hip fractures in the elderly women. 1992. N Engl J Med

327(23):1637?42.

308。 Chapuy MC, Pamphile R, Paris E, Kempf C, Schlichting

M, Arnaud S, Garnero P, Meunier PJ. Combined calcium and vitamin

D3 supplementation in elderly women: confirmation of

reversal of secondary hyperparathyroidism and hip fracture risk:

the Decalyos II study. 2002年。 Osteoporos Int 13(3):257?64.

309。 Cheng S, Lyytikäinen A, Kröger H, Lamberg?Allardt C,

Alén, Koistinen A, Wang QJ, Suuriniemi M, Suominen H, Mahonen

A, Nicholson PHF, Ivaska KK, Korpela R, Ohlsson C,

Väänänen KH, Tylavsky F. Effects of calcium, dairy product, and

vitamin D supplementation on bone mass accrual and body

composition in 10?12 year old girls: a 2?y randomized trial. 2005.

Am J Clin Nutr 82:1115?26.

310。 Chevalley T, Bonjour JP, Ferrari S, Hans D, Rizzoli R. Skeletal site selectivity in the effects of calcium supplementation

on areal bone mineral density gain: a randomized, double?blind, placebo?controlled trial in prepubertal

boys. 2005. J Clin Endocrinol Metab 90(6):3342?9.

311。 Cooper L, Clifton?Bligh PB, Nery ML, Figtree G, Twigg S, Hibbert E, Robinson BG. Vitamin D supplementation

and bone mineral density in early postmenopausal women. 2003. Am J Clin Nutr 77(5):1324?9.

312。 Cumming RG, Nevitt MC. Calcium for prevention of osteoporotic fractures in postmenopausal women.

1997年。 J Bone Miner Res 12(9):1321?9.

313. Curtis CL, Hughes CE, Flannery CR, Little CB, Harwood JL, Caterson B. n?3 Fatty Acids Specifically Modulate

Catabolic Factors Involved in Articular Cartilage Degradation. 2000. J Biol Chem 275(2):721?4.

314。 Curtis CL, Rees SG, Cramp J, Flannery CR, Hughes CE, Little CB, Williams R, Wilson C, Dent CM, Harwood

JL, Caterson B. Effects of n?3 fatty acids on cartilage metabolism. 2002年。 Proc Nutr Soc 61(3):381?9.

315。 Dawson?Hughes B, Harris SS, Krall EA, Dallal GE. Effect of calcium and vitamin D supplementation on

bone density in men and women 65 years of age or older. 1997年。 N Engl J Med 337(10):670?6.

316。 Dawson?Hughes B, Harris SS, Krall EA, Dallal GE, Falconer G, Green CL. Rates of bone loss in postmenopausal

women randomly assigned to one of two dosages of vitamin D. 1995. Am J Clin Nutr 61(5):1140?5.

317. Dawson?Hughes B, Dallal GE, Krall EA, Harris S, Sokoll LJ, Falconer G. Effect of vitamin D supplementation

on wintertime and overall bone loss in healthy postmenopausal women. 1991. Ann Intern Med 115(7):505?12.

318。 Dawson?Hughes B, Dallal GE, Krall EA, Sadowski L, Sahyoun N, Tannenbaum S. A controlled trial of the effect

of calcium supplementation on bone density in postmenopausal women. 1990年。 N Engl J Med 323(13):878?83.

319。 Dietrich T, Joshipura KJ, Dawson?Hughes B, Bischoff?Ferrari HA. Association between serum concentrations

of 25?hydroxyvitamin D3 and periodontal disease in the

US population. 2004. Am J Clin Nutr 80:108–13.

320。 Dodiuk?Gad RP, Rozen GS, Rennert G, Rennert HS, Ish?

Shalom S. Sustained effect of short?term calcium supplementation

on bone mass in adolescent girls with low calcium intake.

2005. AJCN 81(1):168?74.

321. Feskanich D, Singh V, Willett WC, Colditz GA. Vitamin

A intake and hip fractures among postmenopausal women.

2002年。 JAMA 287(1):47?54.

322. Feskanich D, Willett WC, Colditz GA. Calcium, vitamin

D, milk consumption, and hip fractures: a prospective

study among postmenopausal women. 2003. Am J Clin Nutr

77(2):504?11.

323。 Fraser DR. Vitamin D?deficiency in Asia. 2004. J Steroid

Biochem Mol Biol 89?90(1?5):491?5.

324。 Gennari C. Calcium and vitamin D nutrition and bone

disease of the elderly. 2001年。 Public Health Nutr 4(2B):547?59.

“Our particular contribution has been to

extend from animal models to humans

the essentiality of Cu, Mn and Zn in the

development and maintenance of BMD

[bone mineral density]… Through understanding

the value of trace elements

from food or supplements, and through

sensible dietary strategies, we can slow

the rate of bone loss, thus delaying or

preventing osteoporosis, in a simple and

inexpensive manner.”

- PD Saltman, et al. (#371)

“In summary, dietary supplementation

with a combination of nutritionally relevant

amounts of vitamin K with vitamin D

and calcium in healthy older women

was associated with a modest but significant

increase in BMC at one site, consisting

predominantly of trabecular bone.

Similar changes were not observed in

either the vitamin K group alone or in the

calcium plus vitamin D group, suggesting

a synergistic role of the combination as

sugggested by previous reports.”

- C Bolton-Smith, et al. (#300)

25 | Health Benefits of Nutritional Supplements: Selected Readings from the Last 20 Years (1990?2010). Copyright © 2010, USANA Health Sciences, Inc.

325. Going S, Lohman T, Houtkooper L, Metcalfe L, Flint?

Wagner H, Blew R, Stanford V, Cussler E, Martin J, Teixeira P,

Harris M, Milliken L, Figueroa?Galvez A, Weber J. Effects of exercise

on bone mineral density in calcium?replete postmenopausal

women with and without hormone replacement therapy.

2003. Osteoporos Int 14(8):637?43.

326。 Grant AM, Avenell A, Campbell MK, McDonald AM,

MacLennan GS, McPherson GC, Anderson FH, Cooper C, Francis

RM, Donaldson C, Gillespie WJ, Robinson CM, Torgerson DJ,

Wallace WA, RECORD Trial Group. Oral vitamin D3 and calcium

for secondary prevention of low?trauma fractures in elderly

people (Randomised Evaluation of Calcium Or vitamin D,

RECORD): a randomized placebo?controlled trial. 2005. Lancet

365(9471):1621?8.

327. Greene DA, Naughton GA. Calcium and vitamin?D

supplementation on bone structural properties in peripubertal

female identical twins: a randomised controlled trial. 2010. Osteoporos

Int [Epub ahead of print].

328。 Greenspan SL, Resnick NM, Parker RA. Vitamin D supplementation

in older women. 2005. J Gerontol A Biol Sci Med Sci 60(6):754?9.

329。 Gulati S, Sharma RK, Gulati K, Singh U, Srivastava A. Longitudinal follow?up of bone mineral density in

children with nephritic syndrome and the role of calcium and vitamin D supplements. 2005. Nephrol Dial Transplant

20(8):1598?603.

330. Haney EM, Stadler D, Bliziotes MM. Vitamin D insufficiency in internal medicine residents. 2005. Calcif

Tissue Int 76(1):11?6.

331。 Hanley DA, Cranney A, Jones G, Whiting SJ, Leslie WD, Cole DEC, Atkinson SA, Josse RG, Feldman S, Kline

GA, Rosen C. Vitamin D in adult health and disease: a review and guideline statement from Osteoporosis Canada.

2010. CMAJ 182(12):E610?8.

332. Harris S, Dawson?Hughes B. Rates of change in bone mineral density of the spine, heel, femoral, neck and

radius in healthy postmenopausal women. 1992. Bone Miner 17(1):87?95.

333。 Harwood RH, Sahota O, Gaynor K, Masud T, Hosking DJ, The Nottingham Neck of Femur (NONOF) Study.

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334. Heaney RP. Bone health. 2007. Am J Clin Nutr

85(suppl):300S?3S.

335. Heaney RP. Nutritional factors in osteoporosis. 1993.

Annu Rev Nutr 13:287?316.

336。 Hunter D, Major P, Arden N, Swaminathan R, Andrew T,

MacGregor AJ, Keen R, Snieder H, Spector TD. A randomized

controlled trial of vitamin D supplementation on preventing

postmenopausal bone loss and modifying bone metabolism

using identical twin pairs. 2000. J Bone Miner Res 15(11):2276?83.

337。 Hyun TH, Barrett?Connor E, Milne DB. Zinc intakes

and plasma concentrations in men with osteoporosis: the Rancho

Bernardo Study. 2004. AJCN 80(3):715?21.

338。 Ilich JZ, Kerstetter JE. Nutrition in Bone Health Revisited:

A Story Beyond Calcium. 2000. JACN 19(6):715?37.

339。 Jackson RD, LaCroix AZ, Gass M, Wallace RB, Robbins J,

Lewis CE, Bassford T, Beresford SAA, Black HR, Blanchette P,

Bonds DE, Brunner RL, Brzyski RG, Caan B, Cauley JA, Chlebowski

RT, Cummings SR, Granek I, Hays J, Heiss G, Hendrix SL,

Howard BV, Hsia J, Hubbell FA, Johnson KC, Judd H, Kotchen

JM, Kuller LH, Langer RD, Lasser NL, Limacher MC, Ludlam S,

“Much evidence indicates that both

calcium and vitamin D are efficacious in

protecting the skeleton, particularly

when these 2 nutrients are used in combination.

Each nutrient is necessary for

the full expression of the effect of the

other, and where their actions are independent,

their effects on skeletal health

are complementary. Nutrient status for

both tends to be deficient in the adult

population of the industrialized nations.

Hence, supplementation or food fortification

with both nutrients is appropriate

and, given contemporary diets and sun

exposure, probably necessary.”

- RP Heaney (#334)

“Adequate nutrition plays a major role in

the prevention and treatment of osteoporosis;

the nutrients of greatest importance

are calcium and vitamin D. Numerous

studies have shown that higher

calcium intake at various ages are associated

with higher bone mineral density

compared with the bone mass of those

with lower calcium intakes. In older

postmenopausal women, the benefits of

vitamin D and calcium supplementation

in preventing bone loss, decreasing

bone turnover, and decreasing nonvertebral

fractures are clear.”

- JW Nieves (#358)

26 | Health Benefits of Nutritional Supplements: Selected Readings from the Last 20 Years (1990?2010). Copyright © 2010, USANA Health Sciences, Inc.

Manson JE, Margolis KL, McGowan J, Ockene JK, O'Sullivan

MJ, Phillips L, Prentice RL, Sarto GE, Stefanick ML, Van Horn

L, Wactawski?Wende J, Whitlock E, Anderson GL, Assaf AR,

Barad D. Calcium plus vitamin D supplementation and the

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340. Javaid MK, Crozier SR, Harvey NC, Gale CR, Dennison

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341。 Johnston CC Jr, Miller JZ, Slemenda CW, Reister TK,

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342. Jugdaohsingh R, Tucker KL, Qiao N, Cupples LA, Kiel

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346。 Lee WTK, Leung SSF, Leung DMY, Tsang HSY, Lau J, Cheng JCY. A randomized double?blind controlled

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347。 Lee WTK, Leung SSF, Leung DMY, Wang SH, Xu YC, Zeng WP, Cheng JCY. Bone mineral acquisition in low

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349。 Lips P, Graafmans WC, Ooms ME, Bezemer PD, Bouter LM. Vitamin D supplementation and fracture incidence

in elderly persons: a randomized, placebo?controlled clinical trial. 1996. Ann Intern Med 124(4):400?6.

350。 Lloyd T, Andon MB, Rollings N, Martel JK, Landis JR, Demers LM, Eggli DF, Kieselhorst K, Kulin HE. Calcium

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351. Meacham SL, Taper LJ, Volpe SL. Effect of boron supplementation on blood and urinary calcium, magnesium,

and phosphorus, and urinary boron in athletic and sedentary

women. 1995. AJCN 61(2):341?5.

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355. Meyer HE, Smedshaug GB, Kvaavik E, Falch JA, Tverdal

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“Osteoporosis is a multifactorial disorder,

and, despite the considerable influence

of heredity, bone health depends on the

whole range of other nutrients and foods

as well as the environmental factors.

prolonged deficiency or excess of one or

the combination of several, as well as the

changes in requirements of those nutrients

caused by physiological and metabolic

changes, might contribute to osteoporosis.”

- JZ Ilich, et al. (#338)

“Numerous studies have demonstrated

the importance of vitamin K in bone

health. Cell studies have helped delineate

the mechanism by which menaquinone

promotes bone mineralization

and inhibits resorption. Human and animal

studies have clearly demonstrated

that vitamin K can improve bone health

by increasing bone mass and reducing

bone loss.”

- J Adams, et al. (#292)

27 | Health Benefits of Nutritional Supplements: Selected Readings from the Last 20 Years (1990?2010). Copyright © 2010, USANA Health Sciences, Inc.

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356. Michaëlsson K, Lithell H, Vessby B, Melhus H. Serum

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357. Ng NTM, Heesch KC, Brown WJ. Efficacy of a progressive

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2005. AJCN 81(5):1232S?9S.

359. Nowson CA, Green RM, Hopper JL, Sherwin AJ, Young

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360. Papadimitropoulos E, Wells G, Shea B, Gillespie W,

Weaver B, Zytaruk N, Cranney A, Adachi J, Tugwell P, Josse R,

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366. Recker RR, Hinders S, Davies KM, Heaney RP, Stegman MR, Lappe JM, Kimmel DB. Correcting calcium nutritional

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368. Reid IR, Ames RW, Evans MC, Gamble GD, Sharpe SJ. Effect of calcium supplementation on bone loss in

postmenopausal women. 1993. N Engl J Med 328(7):460?4.

369. Ricci TA, Chowdhury HA, Heymsfield SB, Stahl T,

Pierson RN, Jr., Shapses SA. Calcium supplementation suppresses

bone turnover during weight reduction in postmenopausal

women. 1998年。 J Bone Miner Res 13:1045?50.

370. Ryder KM, Shorr RI, Bush AJ, Kritchevsky SB, Harris T,

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53(11):1875?80.

371. Saltman PD, Strause LG. The Role of Trace Minerals in

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372. Sato Y, Honda Y, Iwamoto J, Kanoko T, Satoh K. Effect

of folate and mecobalamin on hip fractures in patients with

“In the presence of osteoporosis, vitamin

D insufficiency may amplify bone loss and

thus enhance fracture risk. It follows that

at any age, but particularly in the elderly,

an adequate intake of both calcium and

vitamin D is important for the preservation

of bone mass and prevention of osteoporosis.”

- C Gennari (#324)

“The effects of low intakes of minerals

important to normal bone metabolism

need further investigation. An inadequate

intake or imbalance of one or

several of the minerals critical to bone

development may jeopardize normal

bone metabolism. There has been widespread

interest over the years in assuring

adequate calcium intakes at critical

stages of the female life cycle. This interest

should be extended to emphasize

optimal intakes of all minerals known or

suspected to affect bone mineral density,

such as calcium, phosphorus, magnesium,

and boron.”

- SL Meacham, et al. (#352)

28 | Health Benefits of Nutritional Supplements: Selected Readings from the Last 20 Years (1990?2010). Copyright © 2010, USANA Health Sciences, Inc.

stroke: a randomized controlled trial. 2005. JAMA 293(9):1082?

8。

373. Shea B, Wells G, Cranney A, Zytaruk N, Robinson V,

Griffith L, Ortiz Z, Peterson J, Adachi J, Tugwell P, Guyatt G,

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376. Stear SJ, Prentice A, Jones SC, Cole TJ. Effect of a calcium

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381. Utiger RD. The need for more vitamin D. 1998. N Engl J Med 338(12):828?9.

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383. Winters?Stone KM, Snow CM. One year of oral calcium

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384。 Yasui T, Miyatani Y, Tomita J, Yamada M, Uemura H,

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385. Zamora SA, Rizzoli R, Belli DC, Slosman DO, Bonjour

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“Collectively, our data provide evidence

supporting dietary supplementation of n-3

PUFA [omega-3 polyunsaturated fatty acids],

which in turn may have a beneficial

effect of slowing and reducing inflammation

in the pathogenesis of degenerative

joint diseases in man.”

- CL Curtis, et al. (#314)

“In summary, spinal bone loss in a small

group of older postmenopausal women

was slowed by supplementation with

calcium as CCM [calcium citrate malate]

and was halted by supplementation

with a mineral cocktail composed of

CCM along with zinc, manganese and

copper. Only the group supplemented

with calcium plus trace minerals differed

from the placebo group, which, as expected,

lost a significant amount of bone

density.”

- L Strause, et al. (#377)

29 | Health Benefits of Nutritional Supplements: Selected Readings from the Last 20 Years (1990?2010). Copyright © 2010, USANA Health Sciences, Inc.

Healthy Pregnancies and Healthy Babies

386. Abrams SA. In utero physiology: role in nutrient delivery

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387. Amirlak I, Ezimokhai M, Dawodu A, Dawson KP, Kochiyil

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388. Auestad N, Halter R, Hall RT, Blatter M, Bogle ML,

Burks W, Erickson JR, Fitzgerald KM, Dobson V, Innis SM, Singer

LT, Montalto MB, Jacobs JR, Qiu W, Bornstein MH. Growth

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389. Auestad N, Scott DT, Janowsky JS, Jacobsen C, Carroll

RE, Montalto MB, Halter R, Qiu W, Jacobs JR, Connor WE, Connor

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390. Bailey LB, Berry RJ. Folic acid supplementation and the

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391. Belizan JM, Villar J, Gonzalez L, Campodonico L, Bergei E. Calcium supplementation to prevent hypertensive

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392. Berry RJ, Li Z, Erickson JD, Li S, Moore CA, Wang H, Mulinare J, Zhao P, Wong LY, Gindler J, Hong SX, Correa

A. Prevention of neural?tube defects with folic acid in China. China?US Collaborative Project for Neural Tube

Defect Prevention. 1999. N Engl J Med 341(20):1485?90.

393. Bhate V, Deshpande S, Bhat D, Joshi N, Ladkat R, Watve S, Fall C, de Jager CA, Refsum H, Yajnik C. Vitamin

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29(4):249?54.

394. Birch EE, Birch DG, Hoffman DR, Uauy R. Dietary essential fatty acid supply and visual acuity development.

1992. Invest Ophthalmol Vis Sci 33:3242?53.

395. Birch EE, Carlson SE, Hoffman DR, Fitzgerald?Gustafson KM, Fu VLN, Drover JR, Castañeda YS, Minns L,

Wheaton DKH, Mundy D, Marunycz J, Diersen?Schade DA. The DIAMOND (DHA Intake And Measurement Of

Neural Development) Study: a double?masked, randomized controlled clinical trial of the maturation of infant visual

acuity as a function of the dietary level of docosahexaenoic acid. 2010. AJCN 91(4):848?59.

396. Birch EE, Garfield S, Hoffman DR, Uauy R, Birch DG.

A randomized controlled trial of early dietary supply of longchain

polyunsaturated fatty acids and mental development in

term infants. 2000. Dev Med Child Neurol 42(3):174?181.

397. Bodnar LM, Krohn MA, Simhan HN. Maternal Vitamin

D Deficiency Is Associated with Bacterial Vaginosis in the

First Trimester of Pregnancy. 2009. J Nutr 139(6):1157?61.

398. Bodnar LM, Simhan HN, Powers RW, Frank MP, Cooperstein

E, Roberts JM. High Prevalence of Vitamin D Insufficiency

in Black and White Pregnant Women Residing in the

Northern United States and Their Neonates. 2007. J Nutr

“We have demonstrated for the first time

in a purposeful, community-based prospective

study an association between

maternal nutritional measurements in

pregnancy and two major risk factors for

type 2 diabetes in the offspring… Maternal

macronutrient intakes were unrelated

to adiposity and insulin resistance

in the offspring. However, higher maternal

folate concentrations predicted

greater adiposity (fat mass and body fat

per cent) and higher insulin resistance,

and lower vitamin B12 concentrations

predicted higher insulin resistance. 孩子

born to mothers with low vitamin B12

concentrations but high folate concentrations

were the most insulin resistant.”

- CS Yajnik, et al. (#491)

“In conclusion, relatively modest amounts

of dietary docosahexaenoic acid during

pregnancy appear to extend gestational

age and may lead to enhanced fetal

growth.”

- CM Smuts, et al. (#476)

30 | Health Benefits of Nutritional Supplements: Selected Readings from the Last 20 Years (1990?2010). Copyright © 2010, USANA Health Sciences, Inc.

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399. Botto LD, Mulinare J, Erickson JD. Occurrence of omphalocele

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2007. Biomedicine & Pharmacotherapy 61:105?12.

402. Brehm JM, Celedón JC, Soto?Quiros ME, Avila L, Hunninghake

GM, Forno E, Laskey D, Sylvia JS, Hollis BW, Weiss ST,

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404. Camargo CA Jr, Rifas?Shiman SL, Litonjua AA, Rich?

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risk of recurrent wheeze in children at 3 y of age. 2007. Am J Clin Nutr 85(3):788?95.

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407. Chappell LC, Seed PT, Kelly FJ, Briley A, Hunt BJ, Charnock?Jones DS, Mallet A, Poston L. Vitamin C and E

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414. Dahle LO, Berg G, Hammar M, Hurtig M, Larsson L. The effect of oral magnesium substitution on pregnancy

induce leg cramps. 1995. Am J Obstet Gynecol 173(1):175?80.

415. Daly LE, Kirke PN, Molloy A, Weir DG, Scott JM. Folate levels and neural tube defects: implications for prevention.

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416. Dawodu A, Wagner CL. Mother?child vitamin D deficiency:

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417. Devereux G, Litonjua AA, Turner SW, Craig LC,

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418. Devereux G, Turner SW, Craig LC, McNeill G, Mar?

“Given the results of this study, we think

that all women planning pregnancy

should receive a vitamin supplement containing

folic acid.”

- AE Czeizel, et al. (#413)

“Dosing recommendations for mothers

during pregnancy should be aimed at

preventing problems in neonates and

infants, and a vitamin D dose sufficient

for the mother during pregnancy should

produce normal cord blood 25(OH)D

concentrations at birth. Giving relatively

small doses of vitamin D directly to the

infant or supplementing the mother with

100 ?g (4000 IU) vitamin D daily should

maintain normal 25(OH)D concentrations

in exclusively breastfed infants without

harming the mother.”

- CS Kovacs (#448)

31 | Health Benefits of Nutritional Supplements: Selected Readings from the Last 20 Years (1990?2010). Copyright © 2010, USANA Health Sciences, Inc.

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419. Dijkstra SH, van Beek A, Janssen JW, de Vleeschouwer

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Ahonen S, Nevalainen J, Veijola R, Pekkanen J, Ilonen J, Simell

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421. Gaber KR, Farag MK, Soliman SE, El?Bassyouni HT, El?

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425. Goodyer P, Kurpad A, Rekha S, Muthayya S, Dwarkanath P, Iyengar A, Philip B, Mhaskar A, Benjamin A,

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426. Greenberg JA, Bell SJ, Ausdal WV. Omega?3 Fatty Acid Supplementation During Pregnancy. 2008年。 Rev Obstet

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431. Helland IB, Smith L, Saarem K, Saugstad OD, Drevon

CA. Maternal Supplementation with Very?Long?Chain n?3 Fatty

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at 4 Years of Age. 2003. Pediatrics 111:e39?44.

432. Helland IB, Saugstad OD, Smith L, Saarem K, Solvoll K,

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2001年。 Pediatrics 108(5):E82.

433. Herrera JA, Arevalo?Herrera M, Herrera S. Prevention

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434. Hoffman DR, Birch EE, Birch DG, Uauy RD. Effects of

supplementation with omega 3 long?chain polyunsaturated

fatty acids on retinal and cortical development in premature

“Our study demonstrates an association

between maternal vitamin B12 status during

pregnancy and children's cognitive

functioning. Higher maternal plasma vitamin

B12 concentration in pregnancy

was an independent predictor of the

child's cognitive performance on the CTTA

and Digit Span Backward tests, after

controlling for a number of possible confounders,

including the child's own vitamin

B12 status at 6 years of age.”

- V Bhate, et al. (#393)

“The recommendations for dietary omega-

3 fatty acids should be adopted at

the onset of pregnancy, but there may

be benefits for all women who are considering

becoming pregnant. Given

concerns for mercury toxicity with overconsumption

of certain fish, in order to

meet these recommendations, pregnant

women will need to consume omega-3

fatty acids from 3 sources: vegetable oils,

2 servings of seafood per week, and

omega-3 fatty acid supplements containing

EPA and DHA or DHA alone.”

- JA Greenberg, et al. (#426)

32 | Health Benefits of Nutritional Supplements: Selected Readings from the Last 20 Years (1990?2010). Copyright © 2010, USANA Health Sciences, Inc.

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435. Hoffman DR, Theuer RC, Castañeda YS, Wheaton

DH, Bosworth RG, O'Connor AR, Morale SE, Wiedemann LE,

Birch EE. Maturation of Visual Acuity is Accelerated in

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438. Holmes VA, Barnes MS, Alexander HD, McFaul P, Wallace JM. Vitamin D deficiency and insufficiency in

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439. Hornstra G. Essential fatty acids in mothers and their neonates. 2000. AJCN 71(suppl):1262S?9S.

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9 years: a longitudinal study. 2006. Lancet 367(9504):36?43.

444. Jensen CL, Voigt RG, Prager TC, Zou YL, Fraley JK, Rozelle JC, Turcich MR, Llorente AM, Anderson RE,

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term infants. 2005. Am J Clin Nutr 82(1):125?32.

445. Johansen AM, Lie RT, Wilcox AJ, Andersen LF, Drevon CA. Maternal dietary intake of vitamin A and risk of

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448. Kovacs CS. Vitamin D in pregnancy and lactation: maternal, fetal, and neonatal outcomes from human and

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449. Lauritzen L, Jorgensen MH, Mikkelsen TB, Skovgaard M, Straarup EM, Olsen SF, Hoy CE, Michaelsen KF.

Maternal fish oil supplementation in lactation: effect on visual acuity and n?3 fatty acid content of infant erythrocytes.

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450. Lee JM, Smith JR, Philipp BL, Chen TC, Mathieu J,

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451. Levine RJ, Hauth JC, Curet LB, Sibai BM, Catalano PM,

Morris CD, DerSimonian R, Esterlitz JR, Raymond EG, Bild DE,

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452. Luoto R, Laitinen K, Nermes M, Isolauri E. Impact of

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453. Mahon P, Harvey N, Crozier S, Inskip H, Robinson S,

Arden N, Swaminathan R, Cooper C, Godfrey K, SWS Study

“Omega-3 fatty acid (dietary or in capsules)

ensures that a woman's adipose

tissue contains a reserve of these fatty

acids for the developing fetus and the

breast-fed newborn infant. This ensures

the optimal cerebral and cognitive development

of the infant. The presence of

large quantities of EPA and DHA in the

diet slightly lengthens pregnancy, and

improves its quality.”

- JM Bourre (#401)

“This trial demonstrates that the visual maturation

of healthy infants is improved by

continued supplies of DHA from both human

milk and DHA-enriched baby foods

well into 1 y of life.”

- DR Hoffman, et al. (#435)

33 | Health Benefits of Nutritional Supplements: Selected Readings from the Last 20 Years (1990?2010). Copyright © 2010, USANA Health Sciences, Inc.

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455. Mehta S, Hunter DJ, Mugusi FM, Spiegelman D,

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469. Rochat MK, Ege MJ, Plabst D, Steinle J, Bitter S,

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“This study indicates that maternal supplementation

with very-long-chain n-3 PUFAs

during pregnancy and lactation improves

the intelligence of children at 4

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34 | Health Benefits of Nutritional Supplements: Selected Readings from the Last 20 Years (1990?2010). Copyright © 2010, USANA Health Sciences, Inc.

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positively with birth weight, birth

length, and head circumference, maternal

DHA supplementation during pregnancy

may improve the prognosis of preterm

infants.”

- G Hornstra (#439)

“Studies summarized in this review provide

evidence supporting the view that dietary

EFA supply affects visual development of

preterm and term infants.”

- R Uauy, et al. (#481)

35 | Health Benefits of Nutritional Supplements: Selected Readings from the Last 20 Years (1990?2010). Copyright © 2010, USANA Health Sciences, Inc.

489. Winsloe C, Earl S, Dennison EM, Cooper C, Harvey

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vitamin D deficient [25(OH)D <37.5

nmol/liter] at the time of delivery had almost

4 times the odds of cesarean birth

than women who were not deficient.

One explanation for our findings is the

fact that skeletal muscle contains the

vitamin D receptor. Vitamin D deficiency

has been associated with proximal muscle

weakness as well as suboptimal muscle

performance and strength.”

- A Merewood, et al. (#456)

36 | Health Benefits of Nutritional Supplements: Selected Readings from the Last 20 Years (1990?2010). Copyright © 2010, USANA Health Sciences, Inc.

Immune Function

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506. Baeke F, van Etten E, Overbergh L, Mathieu C. Vitamin D3 and the immune system: maintaining the balance

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507. Barasch A, Elad S, Altman A, Damato K, Epstein J. Antimicrobials, mucosal coating agents, anesthetics,

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509. Beck MA. Selenium and vitamin E status: impact on viral pathogenicity. 2007. J Nutr 137(5):1338?40.

510. Beveridge S, Wintergerst ES, Maggini S, Hornig D.

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512. Bishop NC, Blannin AK, Walsh NP, Robson PJ, Gleeson

M. Nutritional aspects of immunosuppression in athletes.

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513. Boardley D, Fahlman M. Micronutrient supplementation

does not attenuate seasonal decline of immune system

indexes in well?nourished elderly women: A placebo?

“Our findings suggest that in certain diabetic

samples, perhaps those with a high

prevalence of micronutrient deficiency,

daily use of a multivitamin and mineral

supplement can decrease infection frequency.”

- TA Barringer, et al. (#508)

“The common denominator that rises

from these studies is that vitamin D affects

the immune system at many levels and by

a number of mechanisms. It takes part in

the genetic regulation of cytokine production,

VDR expression and affects important

biological processes by which

these cells interact.”

- Y Arnson, et al. (#502)

37 | Health Benefits of Nutritional Supplements: Selected Readings from the Last 20 Years (1990?2010). Copyright © 2010, USANA Health Sciences, Inc.

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514. Bogden JD, Bendich A, Kemp FW, Bruening KS, Shurnick

JH, Denny T, Baker H, Louria DB. Daily micronutrient

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515. Bodgen JD, Oleske JM, Lavenhar MA, Munves EM,

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516. Bonham M, O'Connor JM, Alexander HD, Coulter J,

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517. Cantorna MT. Vitamin D and its role in immunology:

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518. Cantorna MT, Yu S, Bruce D. The paradoxical effects

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521. Chandra RK. Influence of multinutrient supplement

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523. Collins CE, Kershaw J, Brockington S. Effect of nutritional supplements on wound healing in home?nursed

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524. Corthésy B, Gaskins HR, Mercenier A. Cross?talk between probiotic bacteria and the host immune system.

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525. Cutolo M, Otsa K. Review: vitamin D, immunity and lupus. 2008年。 Lupus 17(1):6?10.

526. Damsgaard CT, Lauritzen L, Kjaer TM, Holm PM, Fruekilde MB, Michaelsen KF, Frøkiaer H. Fish oil supplementation

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527. De la Fuente M, Hernanz A, Guayerbas N, Victor VM, Arnalich F. Vitamin E ingestion improves several

immune functions in elderly men and women. 2008年。 Free Radic

Res 42(3):272?80.

528. De la Fuente M, Hernanz A, Vallejo MC. The immune

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2005. Antioxid Redox Signal 7(9?10):1356?66.

529. Dreyfuss ML, Fawzi WW. Micronutrients and vertical

transmission of HIV?1. 2002年。 AJCN 75(6):959?70.

530. El?Kadiki A, Sutton AJ. Role of multivitamins and

mineral supplements in preventing infections in elderly

people: systematic review and meta?analysis of randomised

“Inadequate intake and status of vitamins

and trace elements may lead to

suppressed immunity, which predisposes

to infections and aggravates undernutrition.

Evidence has accumulated that in

humans certain nutrients selectively influence

the immune response, induce

dysregulation of a coordinated host response

to infections in cases of deficiency

and oversupply, and that deficiency

may impact virulence of otherwise

harmless pathogens. Thus, micronutrients

are required at appropriate intakes for

the immune system to function optimally.

Available data indicate a role of vitamins

(A, D, E, B6, B12, folate, and C),

and trace elements (selenium, zinc,

copper, and iron) on the immune response…

Overall, inadequate intake and

status of these vitamins and trace elements

may lead to suppressed immunity,

which predisposes to infections and aggravates

malnutrition. Therefore, supplementation

with these selected micronutrients

can support the body's natural

defence system by enhancing all

three levels of immunity.”

- S Maggini, et al. (#564)

“The elucidation of the precise roles of

vitamin D in the immune system and in the

pathogenesis of multiple diseases has the

potential to have profound effects on our

ability to prevent and treat these disorders.”

- NE Lange, et al. (#559)

38 | Health Benefits of Nutritional Supplements: Selected Readings from the Last 20 Years (1990?2010). Copyright © 2010, USANA Health Sciences, Inc.

controlled trials. 2005. BMJ 330(7496):871.

531. Enioutina EY, Bareyan D, Daynes RA. TLR?induced local

metabolism of vitamin D3 plays an important role in the diversification

of adaptive immune responses. 2009. J Immunol

182(7):4296?305.

532. Fawzi WW, Villamor E, Msamanga GI, Antelman G,

Aboud S, Urassa W, Hunter D. Trial of zinc supplements in relation

to pregnancy outcomes, hematologic indicators, and T cell

counts among HIV?1?infected women in Tanzania. 2005. Am J

Clin Nutr 81(1):161?7.

533. Ferguson LR, Philpott M. Cancer prevention by dietary

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Curr Cancer Drug Targets 7(5):459?64.

534. Fogarty A, Lewis S, Weiss S, Britton J. Dietary vitamin E,

IgE concentrations, and atopy. 2000. Lancet 356(9241):1573?4.

535. Fritsche K. Fatty acids as modulators of the immune response.

2006. Annu Rev Nutr 26:45?73.

536. Froicu M, Cantorna MT. Vitamin D and the vitamin D

receptor are critical for control of the innate immune response

to colonic injury. 2007. BMC Immunol 8:5.

537. Fuller CJ, Faulkner H, Bendich A, Parker RS, Roe DA.

Effect of beta?carotene supplementation on photosuppression of delayed?type hypersensitivity in normal young

men. 1992. Am J Clin Nutr 56(4):684?90.

538. Gariballa S. Vitamin and mineral supplements for preventing infections in older people. 2005. 英国医学杂志

331(7512):304?5.

539. Gariballa S, Forster S, Walters S, Powers H. A randomized, double?blind, placebo?controlled trial of nutritional

supplementation during acute illness. 2006. Am J Med 119(8):693?9.

540. Girodon F, Galan P, Monget AL, Boutron?Ruault MC, Brunet?Lecomte P, Preziosi P, Arnaud J, Manuguerra

JC, Herchberg S, MIN. VIT. AOX. geriatric network. Impact of trace elements and vitamin supplementation on immunity

and infections in institutionalized elderly patients: a randomized controlled trial. 1999. Arch Intern Med

159(7):748?54.

541. Girodon F, Lombard M, Galan P, Brunet?Lecomte P, Monget AL, Arnaud J, Preziosi P, Hercberg S. Effect of

micronutrient supplementation on infection in institutionalized elderly subjects: a controlled trial. 1997年。 Ann Nutr

Metab 41(2):98?107.

542. Gleeson M. Can nutrition limit exercise?induced immunodepression?.

2006. Nutr Rev 64(3):119?31.

543. Gleeson M, Bishop NC. Elite athlete immunology: importance

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544. Gottrand F. Long?chain polyunsaturated fatty acids influence

the immune system of infants. 2008年。 J Nutr

138(9):1807S?12S.

545. Graat JM, Schouten EG, Kok FJ. Effect of daily vitamin E

and multivitamin?mineral supplementation on acute respiratory

tract infections in elderly persons: a randomized controlled

trial. 2002年。 JAMA 288(6):715?21.

546. Haase H, Mocchegiani E, Rink L. Correlation between

zinc status and immune function in the elderly. 2006. Biogerontology

7(5?6):421?8.

547. Håberg SE, London SJ, Stigum H, Nafstad P, Nystad W.

Folic acid supplements in pregnancy and early childhood respiratory

health. 2009. Arch Dis Child 94(3):180?4.

548. Hara M, Tanaka K, Hirota Y. Immune response to influenza

vaccine in healthy adults and the elderly: association

“Because aging and malnutrition exert

cumulative influences on immune responses,

many elderly people have poor

cell-mediated immune responses and

are therefore at a high risk of infection.

Nutritional therapy may improve immune

responses of elderly patients with

protein-energy malnutrition. Supplementation

with high pharmacologic doses of

a single nutrient (zinc or vitamin E) may

be useful for improving immune responses

of self-sufficient elderly people

living at home. Therefore, nutritional deficiency

must be treated in the elderly to

reduce infectious risk and possibly slow

the aging process.”

- BM Lesourd (#560)

“In summary, our results show that the

age-associated defect in the redistribution

of signaling molecules to the immunological

synapse is reversed by vitamin

E. This effect is strongest in naive T cells,

which exhibit the age-related defects in

protein recruitment and T cell activation.

This is the first demonstration of a reversal

of a key early signaling defect in aged T

cells by a nutrient. These findings have

important implications for the development

of preventive and therapeutic

strategies to reduce age-associated defects

in T cells.”

- MG Marko, et al. (#565)

39 | Health Benefits of Nutritional Supplements: Selected Readings from the Last 20 Years (1990?2010). Copyright © 2010, USANA Health Sciences, Inc.

with nutritional status. 2005. Vaccine 23(12):1457?63.

549. Herraiz LA, Hsieh WC, Parker RS, Swanson JE, Bendich

A, Roe DA. Effect of UV exposure and beta?carotene supplementation

on delayed?type hypersensitivity response in healthy

older men. 1998年。 J Am Coll Nutr 17(6):617?24.

550. Hewison M. Vitamin D and the immune system: new

perspectives on an old theme. 2010. Endocrinol Metab Clin

North Am 39(2):365?79.

551. High KP. Micronutrient supplementation and immune

function in the elderly. 1999. Clin Infect Dis 28(4):717?22.

552. High KP. Nutritional strategies to boost immunity and

prevent infection in elderly individuals. 2001年。 Clin Infect Dis

33:1892?900.

553. Hoffmann PR, Berry MJ. The influence of selenium on

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554. Hojsak I, Snovak N, Abdovi? S, Szajewska H, Mišak Z,

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centres: a randomized, double?blind, placebo?controlled trial.

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555. Holmøy T. Vitamin D status modulates the immune response

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multiple sclerosis. 2008年。 Med Hypotheses 70(1):66?9.

556. Hughes DA, Wright AJA, Finglas PM, Perrless ACJ, Bailey AL, Astley SB, Pinder AC, Southon S. The effect of

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Lab Clin Med 129:309?17.

557. Hurwitz BE, Klaus JR, Llabre MM, Gonzalez A, Lawrence PJ, Maher KJ, Greeson JM, Baum MK, Shor?Posner

G, Skyler JS, Schneiderman N. Suppression of human immunodeficiency virus type 1 viral load with selenium supplementation:

a randomized controlled trial. 2007. Arch Intern

Med 167(2):148?54.

558. Kaiser JD, Campa AM, Ondercin JP, Leoung GS, Pless

RF, Baum MK. Micronutrient supplementation increases CD4

count in HIV?infected individuals on highly active antiretroviral

therapy: a prospective, double?blinded, placebo?controlled trial.

2006. J Acquir Immune Defic Syndr 42(5):523?8.

559. Lange NE, Litonjua A, Hawrylowicz CM, Weiss S. Vitamin

D, the immune system and asthma. 2009. Expert Rev Clin

Immunol 5(6):693?702.

560. Lesourd BM. Nutrition and immunity in the elderly:

modification of immune responses with nutritional treatments.

1997年。 Am J Clin Nutr 66(2):478S?84S.

561. Leyes P, Martínez E, Forga MT. Use of diet, nutritional

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Antivir Ther 13(2):149?59.

562. Li?Ng M, Aloia JF, Pollack S, Cunha BA, Mikhail M, Yeh

J, Berbari N. A randomized controlled trial of vitamin D3 supplementation

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tract infections. 2009. Epidemiol Infect 137(10):1396?404.

563. Long KZ, Estrada?Garcia T, Rosado JL, Ignacio Santos J,

Haas M, Firestone M, Bhagwat J, Young C, DuPont HL,

Hertzmark E, Nanthakumar NN. The effect of vitamin A supplementation

on the intestinal immune response in Mexican

“Although our study suggests that many

elderly individuals might benefit from a

supplementary intake of vitamin E, such

public health recommendations can

only be considered after longer-term

studies with lower amounts of tocopherol

are completed. This point will be especially

important in determining if the

immunostimulatory effect observed is

due to pharmacologic or physiologic

effect of vitamin E. Nevertheless, it is encouraging

to note that a single nutrient

supplement can enhance immune responsiveness

in healthy elderly subjects

consuming the recommended amounts

of all nutrients. This is especially significant

because dietary intervention

represents the most practical approach

for delaying or reversing the rate of decline

of immune function with age.”

- SN Meydani, et al. (#568)

“Investigators have demonstrated how

appropriate serum concentrations of

vitamin D facilitate the ability of immune

cells to defend against bacterial and

viral infections. Ongoing research in this

area has provided new ways of understanding

the immune system and how

the pleiotropic actions of vitamin D serve

an important immunoregulatory role in

proper immune function. With the increasing

evidence of vitamin D insufficiency's

detrimental effects beyond the

classically defined cause of rickets, the

full story behind the role of vitamin D insufficiency/

deficiency in pediatric infection

and immune function awaits full

elucidation.”

- VP Walker, et al. (#598)

40 | Health Benefits of Nutritional Supplements: Selected Readings from the Last 20 Years (1990?2010). Copyright © 2010, USANA Health Sciences, Inc.

children is modified by pathogen infections and diarrhea. 2006.

J Nutr 136(5):1365?70.

564. Maggini S, Wintergerst ES, Beveridge S, Hornig DH.

Selected vitamins and trace elements support immune function

by strengthening epithelial barriers and cellular and humoral

immune responses. 2007. BJN 98(Suppl 1):S29?35.

565. Marko MG, Ahmed T, Bunnell SC, We Dayong, Chung

H, Huber BT, Meydani SN. Age?Associated Decline in Effective

Immune Synapse Formation of CDR+ T Cells is Reversed by

Vitamin E Supplementation. 2007. J Immunol 178:1443?9.

566. McKay DL, Perrone G, Rasmussen H, Dallal G, Hartman

W, Cao G, Prior RL, Roubenoff R, Blumberg JB. The effects

of a multivitamin/mineral supplement on micronutrient status,

antioxidant capacity and cytokine production in healthy older

adults consuming a fortified diet. 2000. J Am Coll Nutr

19(5):613?21.

567. Merchant AT, Curhan G, Bendich A, Singh VN, Willett

WC, Fawzi WW. Vitamin intake is not associated with community?

acquired pneumonia in US men. 2004. J Nutr 134:439?44.

568. Meydani SN, Barklund MP, Liu S, Meydani M, Miller

RA, Cannon JG, Morrow FD, Rocklin R, Blumberg JB. Vitamin E supplementation enhances cell?mediated immunity

in healthy elderly subjects. 1990年。 Am J Clin Nutr 52(3):557?63.

569. Meydani SN, Meydani M, Blumberg JB, Leka LS, Siber G, Loszewski R, Thompson C, Pedrosa MC, Diamond

RD, Stollar BD. Vitamin E supplementation and in vivo immune response in healthy elderly subjects: a randomized

controlled trial. 1997年。 JAMA 277(17):1380?6.

570. Mora JR, Iwata M, von Andrian UH. Vitamin effects on the immune system: vitamins A and D take centre

stage. 2008年。 Nat Rev Immunol 8(9):685?98.

571. Moreira A, Kekkonen RA, Delgado L, Fonseca J, Korpela R, Haahtela T. Nutritional modulation of exerciseinduced

immunodepression in athletes: a systematic review and meta?analysis. 2007. Eur J Clin Nutr 61(4):443?60.

572. Muñoz C, Rios E, Olivos J, Brunser O, Olivares M. Iron, copper and immunocompetence. 2007. Br J Nutr

98(Suppl 1):S24?8.

573. Nakamura K, Kariyazono H, Komokata T, Hamada N, Sakata R, Yamada K. Influence of preoperative administration

of omega?3 fatty acid?enriched supplement on inflammatory and immune responses in patients undergoing

major surgery for cancer. 2005. Nutrition 21(6):639?49.

574. Newton S, Owusu?Agyei S, Ampofo W, Zandoh C, Adjuik M, Adjei G, Tchum S, Filteau S, Kirkwood BR. Vitamin

A supplementation enhances infants' immune responses

to hepatitis B vaccine but does not affect responses to Haemophilus

influenzae type b vaccine. 2007. J Nutr 137(5):1272?7.

575. Nieman DC. Exercise immunology: future directions

for research related to athletes, nutrition, and the elderly. 2000.

Int J Sports Med 21 Suppl 1:S61?8.

576. Nieman DC, Henson DA, Gross SJ, Jenkins DP, Davis

JM, Murphy EA, Carmichael MD, Dumke CL, Utter AC, McAnulty

SR, McAnulty LS, Mayer EP. Quercetin reduces illness but

not immune perturbations after intensive exercise. 2007. Med

Sci Sports Exerc 39(9):1561?9.

577. Nugent AP, Roche HM, Noone EJ, Long A, Kelleher DK,

Gibney MJ. The effects of conjugated linoleic acid supplementation

on immune function in healthy volunteers. 2005. Eur J Clin

Nutr 59(6):742?50.

578. Overbeck S, Rink L, Haase H. Modulating the immune

response by oral zinc supplementation: a single approach for

multiple diseases. 2008年。 Arch Immunol Ther Exp 56(1):15?30.

“In summary, the present study demonstrates

that modest daily doses of micronutrients

given for 1 y can enhance cellular

immunity and can also prevent the

development of biochemical evidence

of micronutrient deficiencies in healthy,

independently living older people. 这些

results suggest that the dietary micronutrient

intake of older people and/or the

current RDAs for one or more micronutnients

may be too low to support optimal

immunity in older individuals.”

- JD Bogden, et al. (#515)

“In conclusion, our double-blind, placebo-

controlled study shows that levels of

vitamin E higher than currently recommended

enhance in vivo indexes of T

cell-mediated function in healthy elderly.

The enhancement of cell-mediated

immunity by vitamin E was not associated

with any adverse effects. Since

age-associated decline in immune response

is associated with increased

morbidity and mortality in the elderly

and is widely observed, recommendations

to increase the intake of vitamin E

for elderly should be considered.”

- EG Pallast, et al. (#580)

41 | Health Benefits of Nutritional Supplements: Selected Readings from the Last 20 Years (1990?2010). Copyright © 2010, USANA Health Sciences, Inc.

579. Pagmantidis V, Méplan C, van Schothorst EM, Keijer J,

Hesketh JE. Supplementation of healthy volunteers with nutritionally

relevant amounts of selenium increases the expression

of lymphocyte protein biosynthesis genes. 2008年。 Am J Clin Nutr

87(1):181?9.

580. Pallast EG, Schouten EG, de Waart FG, Fonk HC,

Doekes G, von Blomberg BM, Kok FJ. Effect of 50?and 100mg

vitamin E supplements on cellular immune function in noninstitutionalized

elderly persons. 1999. Am J Clin Nutr

69(6):1273?81.

581. Penn ND, Purkins L, Kelleher J, Heatley RV, Mascie?

Taylor BH, Belfield PW. The effect of dietary supplementation

with vitamins A, C and E on cell?mediated immune function in

elderly long?stay patients: a randomized controlled trial. 1991.

Age Aging 20(3):169?74.

582. Pichard C, Sudre P, Karsegard V, Yerly S, Slosman DO,

Delley V, Perrin L, Hirschel B, Swiss HIV Cohort Study. A randomized

double?blind controlled study of 6 months of oral nutritional

supplementation with arginine and omega?3 fatty acids

in HIV?infected patients. 1998年。 AIDS 12(1):53?63.

583. Prasad AS. Zinc: mechanisms of host defense. 2007. J Nutr 137(5):1345?9.

584. Prasad AS, Beck FW, Bao B, Fitzgerald JT, Snell DC, Steinberg JD, Cardozo LJ. Zinc supplementation decreases

incidence of infections in the elderly: effect of zinc on generation of cytokines and oxidative stress. 2007. Am

J Clin Nutr 85(3):837?44.

585. Rahman MJ, Sarker P, Roy SK, Ahmad SM, Chisti J, Azim T, Mathan M, Sack D, Andersson J, Raqib R. Effects

of zinc supplementation as adjunct therapy on the systemic immune responses in shigellosis. 2005. Am J Clin

Nutr 81(2):495?502.

586. Richard SA, Zavaleta N, Caulfield LE, Black RE, Witzig

RS, Shankar AH. Zinc and iron supplementation and malaria,

diarrhea, and respiratory infections in children in the Peruvian

Amazon. 2006. Am J Trop Med Hyg 75(1):126?32.

587. Richards JB, Valdes AM, Gardner JP, Paximadas D, Kimura

M, Nessa A, Lu X, Surdulescu GL, Swaminathan R, Spector

TD, Aviv A. Higher serum vitamin D concentrations are associated

with longer leukocyte telomere length in women. 2007.

Am J Clin Nutr 86(5):1420?5.

588. Roth DE, Caulfield LE, Ezzati M, Black RE. Acute lower

respiratory infections in childhood: opportunities for reducing

the global burden through nutritional interventions. 2008年。 Bull

World Health Organ 86(5):356?64.

589. Ryan?Borchers TA, Park JS, Chew BP, McGuire MK,

Fournier LR, Beerman KA. Soy isoflavones modulate immune

function in healthy postmenopausal women. 2006. Am J Clin

Nutr 83(5):1118?25.

590. Ryan?Harshman M, Aldoori W. The relevance of selenium

to immunity, cancer, and infectious/inflammatory diseases.

2005. Can J Diet Pract Res 66(2):98?102.

591. Santos MS, Leka LS, Ribaya?Mercado JD, Russell RM,

Meydani M, Hennekens CH, Gaziano JM, Meydani SN. Shortand

long?term beta?carotene supplementation do not influence

T cell?mediated immunity in healthy elderly persons. 1997年。 Am J

Clin Nutr 66(4):917?24.

592. Schauber J, Gallo RL. The vitamin D pathway: a new tar?

“Although many open questions remain,

there is promise that vitamin A and D

metabolites or their analogues have the

potential to be used in clinical settings

for therapeutic benefit. In particular, it

will be important to assess the impact of

using 1,25(OH)2VD3 analogues as an

adjuvant immunomodulatory therapy in

the setting of autoimmune diseases and

in transplant recipients. It will also be important

to determine the net effects of

retinoic acid or synthetic RAR-agonists,

especially in the intestine, where these

agents appear to have a role in enhancing

immune responses. The capacity

of vitamin A metabolites to foster guthoming

T cells might improve strategies

of mucosal vaccination or aid in decreasing

pathogenic immunity by potentiating

the induction of TReg cells.”

- JR Mora, et al. (#570)

“Nutritional intervention has proven to

be a practical approach in modulating

dysregulated immune and inflammatory

responses. The efficacy of such intervention,

as with vitamin E, for example, has

been demonstrated in clinical trials using

infections as an endpoint. At the same

time, mechanistic studies have deciphered

how vitamin E affects T cell functions

at cellular and molecular levels and

thus, lend further support to the efficacy

of nutrient supplementation in modulating

the age-related immune dysregulation.”

- D Wu, et al. (#605)

42 | Health Benefits of Nutritional Supplements: Selected Readings from the Last 20 Years (1990?2010). Copyright © 2010, USANA Health Sciences, Inc.

get for control of the skin's immune response?. 2008年。 Exp Dermatol

17(8):633?9.

593. Smolders J, Damoiseaux J, Menheere P, Hupperts R.

Vitamin D as an immune modulator in multiple sclerosis, a

review. 2008年。 J Neuroimmunol 194(1?2):7?17.

594. Stephen AI, Avenell A. A systematic review of multivitamin

and multimineral supplementation for infection. 2006. J

Hum Nutr Diet 19(3):179?90.

595. Taylor AL, Hale J, Wiltschut J, Lehmann H, Dunstan JA,

Prescott SL. Effects of probiotic supplementation for the first 6

months of life on allergen? and vaccine?specific immune responses.

2006. Clin Exp Allergy 36(10):1227?35.

596. van Etten E, Stoffels K, Gysemans C, Mathieu C, Overbergh

L. Regulation of vitamin D homeostasis: implications for

the immune system. 2008年。 Nutr Rev 66(10 Suppl 2):S125?34.

597. Villamor E, Fawzi WW. Effects of vitamin a supplementation

on immune responses and correlation with clinical

outcomes. 2005. Clin Microbiol Rev 18(3):446?64.

598. Walker VP, Modlin RL. The Vitamin D Connection to

Pediatric Infections and Immune Function. 2009. Pediatr Res

65(5 Pt 2):106R?13R.

599. Wang TT, Dabbas B, Laperriere D, Bitton AJ, Soualhine

H, Tavera?Mendoza LE, Dionne S, Servant MJ, Bitton A, Seidman EG, Mader S, Behr MA, White JH. Direct and indirect

induction by 1,25?dihydroxyvitamin D3 of the NOD2/CARD15?defensin beta2 innate immune pathway defective

in Crohn disease. 2010. J Biol Chem 285(4):2227?31.

600. Webb AL, Villamor E. Update: effects of antioxidant and non?antioxidant vitamin supplementation on immune

function. 2007. Nutr Rev 65(5):181?217.

601. White JH. Vitamin D signaling, infectious diseases, and regulation of innate immunity. 2008年。 Infect Immun

76(9):3837?43.

602. Winkler P, de Vrese M, Laue Ch, Schrezenmeir J. Effect of a dietary supplement containing probiotic bacteria

plus vitamins and minerals on common cold infections and cellular immune parameters. 2005. Int J Clin Pharmacol

Ther 43(7):318?26.

603. Wintergerst ES, Maggini S, Hornig DH. Contribution of selected vitamins and trace elements to immune

function. 2007. Ann Nutr Metab 51(4):301?23.

604. Wintergerst ES, Maggini S, Hornig DH. Immune?enhancing role of vitamin C and zinc and effect on clinical

conditions. 2006. Ann Nutr Metab 50(2):85?94.

605. Wu D, Meydani SN. Age?associated changes in immune and inflammatory responses: impact of vitamin E

intervention. 2008年。 J Leukoc Biol 84:900?14.

606. Yamshchikov AV, Desai NS, Blumberg Hm, Ziegler

TR, Tangpricha V. Vitamin D for treatment and prevention

of infectious diseases: a systematic review of randomized

controlled trials. 2009. Endocr Pract 15(5):438?49.

“In our study, patients who received zinc

and selenium had a better antibody response

after influenza vaccine, and the

percentage of patients without respiratory

tract infections was higher in the T

[trace elements: zinc, selenium] and VT

[vitamin and trace elements: zinc, selenium,

ascorbic acid, beta carotene, alpha-

tocopherol] groups. Our results suggest

a beneficial effect of these nutrients

on the immunity of elderly persons by

improving their resistance to infections.

Larger trials will be required to confirm

our findings, which may have considerable

impact on the health of the institutionalized

elderly.”

- F Girodon, et al. (#540)

“The results of this study substantiate the

hypothesis that nutritional status is an important

determinant of immunocompetence

in old age and that an optimum

intake of micronutrients is needed for enhanced

immune responses in elderly subjects.

Such an intervention led to a striking

reduction in illness, a finding that is of

considerable clinical and public-health

importance.”

- RK Chandra (#520)

43 | Health Benefits of Nutritional Supplements: Selected Readings from the Last 20 Years (1990?2010). Copyright © 2010, USANA Health Sciences, Inc.

Healthy Vision

607. Age?Related Eye Disease Study Research Group.

randomized, placebo?controlled, clinical trial of high?dose

supplementation with vitamins C and E, beta carotene, and

zinc for age?related macular degeneration and vision loss. 2001年。

Arch Ophthalmol 119:1417?36.

608. Age?related Eye Disease Study Research Group. A randomized,

placebo?controlled, clinical trial of high?dose supplementation

with vitamins C and E and beta carotene for agerelated

cataract and vision loss. 2001年。 Arch Ophthalmol

119:1439?52.

609. Age?Related Eye Disease Study Research Group.

Relationship of Dietary Carotenoid and Vitamin A, E, and C

Intake With Age?Related Macular Degeneration in a Case?

Control Study: AREDS Report No. 22. 2007. Arch Ophthalmol

125(9):1225?32.

610。 AREDS Research Group. A randomized, placebocontrolled,

clinical trial of high?dose supplementation with

vitamins C and E, beta carotene, and zinc for age?related macular

degeneration and vision loss. 2001年。 Arch Ophthamol 119:1417?36.

611. AREDS Research Group. A randomized, placebo?controlled, clinical trial of high?dose supplementation

with vitamins C and E and beta carotene for age?related cataract and vision loss. 2001年。 Arch Ophthamol 119:1439?52.

612. Berendschot TTJM, Goldbohm RA, Klopping WAA, van de Kraats J, van Norel J, van Norren D. Influence of

lutein supplementation on macular pigment, assessed with two objective techniques. 2000. Invest Opthamol Vis Sci

41(11):3322?6.

613. Bernstein PS, Zhao DY, Wintch SW, Ermakov IV, McClane RW, Gellermann W. Resonance Raman measurement

of macular carotenoids in normal subjects and in age related macular degeneration patients. 2002年。 眼科

109(10):1780?1787.

614. Berson EL, Rosner B, Sandberg MA, Weigel?DiFranco C, Brockhurst RJ, Hayes KC, Johnson EJ, Anderson EJ,

Johnson CA, Gaudio AR, Willett WC, Schaefer EJ. Clinical trial of lutein in patients with retinitis pigmentosa receiving

vitamin A. 2010. Arch Ophthalmol 128(4):403?11.

615. Birch EE, Carlson SE, Hoffman DR, Fitzgerald?Gustafson KM, Fu VLN, Drover JR, Castañeda YS, Minns L,

Wheaton DKH, Mundy D, Marunycz J, Diersen?Schade DA. The DIAMOND (DHA Intake And Measurement Of

Neural Development) Study: a double?masked, randomized controlled clinical trial of the maturation of infant visual

acuity as a function of the dietary level of docosahexaenoic acid. 2010. AJCN 91(4):848?59.

616. Bone RA, Landrum JT. Distribution of macular pigment

components, zeaxanthin and lutein, in human retina.

1992. Methods in Enzymology 213:360?6.

617. Bone RA, Landrum JT, Mayne ST, Gomez CM, Tibor

SE, Twaroska EE. Macular pigment in donor eyes with and

without AMD: a case control study. 2001年。 Investigative Ophthalmology

and Visual Science 42(1):135?240.

618. Brown L, Rimm EB, Seddon JM, Giovannucci EL, Chasan?

Taber L, Spiegelman D, Willett WC, Hankinson SE.

prospective study of carotenoid intake and risk of cataract extraction

in US men. 1999. Am J Clin Nutr 70(4):517?24.

619. Bursell SE, Clermont AC, Aiello LP, Aiello LM,

Schlossman DK, Feener EP, Laffel L, King GL. High?dose vitamin

E supplementation normalizes retinal blood flow and

“We found that high dietary intake of vitamin

E and zinc was associated with a

lower risk of incident AMD [age-related

macular degeneration]. An abovemedian

intake of the combination of vitamins

C and E, beta carotene, and zinc

was associated with a 35% lower risk of

incident AMD.”

- R van Leeuwen, et al. (#673)

“A daily dose of 10 mg lutein supplementation

induced an increase in mean

plasma lutein by a factor of 5 and a linear

4-week increase in relative MP

[macular pigment] density of 4% to 5%.

To our knowledge, this is the first study in

which the effects of intake of lutein have

been assessed with objective measurement

techniques. In particular, the SLObased

technique provided very reliable

results. With this technique all subjects

showed a significant increase in MP density.”

- TTJM Berendschot, et al. (#612)

44 | Health Benefits of Nutritional Supplements: Selected Readings from the Last 20 Years (1990?2010). Copyright © 2010, USANA Health Sciences, Inc.

creatinine clearance in patients with type 1 diabetes. 1999. 糖尿病

Care 22(8):1245?51.

620. Carpentier S, Knaus M, Suh M. Associations between

lutein, zeaxanthin, and age?related macular degeneration: an

overview. 2009. Crit Rev Food Sci Nutr 49(4):313?26.

621. Chasan?Taber L, Willett WC, Seddon JM, Stampfer MJ,

Rosner B, Colditz GA, Speizer FE, Hankinson SE. A prospective

study of carotenoid and vitamin A intakes and risk of cataract

extraction in US women. 1999. Am J Clin Nutr 70:509?16.

622. Chasan?Taber L, Willett WC, Seddon JM, Stampfer MJ,

Rosner B, Colditz GA, Hankinson SE. A prospective study of

vitamin supplement intake and cataract extraction among US

women. 1999. Epidemiology 10(6):679?84.

623. Cho E, Stampfer MJ, Seddon JM, Hung S, Spiegelman D,

Rimm EB, Willett WC, Hankinson SE. Prospective study of zinc

intake and the risk of age?related macular degeneration. 2001年。

Ann Epidemiol 11(5):328?36.

624. Chong EWT, Wong TY, Kreis AJ, Simpson JA, Guymer

RH. Dietary antioxidants and primary prevention of age related

macular degeneration: systematic review and meta?analysis.

2007. BMJ 335(7623):755.

625. Christen WG, Ajani UA, Glynn RJ, Manson JE,

Schaumberg DA, Chew EC, Buring JE, Hennekens CH. Prospective

cohort study of antioxidant vitamin supplement use and

the risk of age?related maculopathy. 1999. Am J Epidemiol

149(5):476?84.

626. Chylack LT Jr, Brown NP, Bron A, Hurst M, Kopcke W, Thien U, Schalch W. The Roche European American

Cataract Trial (REACT): a randomized clinical trial to investigate the efficacy of an oral antioxidant micronutrient

mixture to slow progression of age?related cataract. 2002年。 Ophthalmic Epidemiol 9(1):49?80.

627. Coleman H, Chew E. Nutritional supplementation in age?related macular degeneration. 2007. Curr Opin

Ophthalmol 18(3):220?3.

628. Delcourt C, Cristol J, Tessier F, Leger CL, Descomps B, Papox L, POLA Study Group. Age?related macular

degeneration and antioxidant status in the POLA study. 1999. Arch Ophthalmol 117(10):1384?90.

629. Fletcher E, Bentham GC, Agnew M, Young IS, Augood C, Chakravarthy U, de Jong PT, Rahu M, Seland J,

Soubrane G, Tomazzoli L, Topouzis F, Vingerling JR, Vioque J. Sunlight exposure, antioxidants, and age?related macular

degeneration. 2008年。 Arch Ophthalmol 126(10):1396?1403.

630. Flood V, Smith W, Wang JJ, Manzi F, Webb K, Mitchell

P. Dietary antioxidant intake and incidence of early age?related

maculopathy: the Blue Mountains Eye Study. 2002年。 眼科

109(12):2272?8.

631. Hammond R Jr, Johnson EZ, Russell RM, Krinsky MI,

Yeum KJ, Edwards RM, Snodderly DM. Dietary modification of

human macular pigment density. 1997年。 Invest Ophthalmol Vis

Sci 38(9):1795?1801.

632. Hammond R Jr, Wooten BR, Snodderly DM. 密度

of the human crystalline lens is related to the macular pigment

carotenoids, lutein and zeaxanthin. 1997年。 Optom Vis Sci

74(7):499?504.

633. Hankinson SE, Stampfer MJ, Seddon JM, Colditz GA,

Rosner B, Speizer FE, Willett WC. Nutrient intake and cataract

extraction in women: a prospective study. 1992. 英国医学杂志

305(6849):335?9.

“In this large prospective study, we observed

a modest inverse association between

intake of lutein and zeaxanthin

and extraction of cataracts. Men in the

highest fifth of lutein and zeaxanthin intake

had a 19% lower risk of cataract

extraction compared with those in the

lowest fifth of intake. There was no significant

association between intake of vitamin

A or other carotenoids and risk of

cataract in multivariate analyses. Increased

consumption of some foods

high in lutein, including broccoli and spinach,

was associated with a lower risk of

cataract extraction. The finding that increased

intake of other fruit and vegetables

was not associated with a decreased

risk suggests that the relation

may be specifically due to lutein and

zeaxanthin and not simply to a healthy

lifestyle.”

-L Brown, et al. (#618)

“In summary, data from the present short

term prospective study are consistent

with potentially protective influences of

vitamins E and C and lutein on the development

of cataract in the lens nucleus.

However, strong inverse relations for

intake of these nutrients were not observed.

Data from longer term prospective

studies and from clinical trials currently

under way will be useful in further evaluating

these associations.”

-PR Trumbo, et al. (#672)

45 | Health Benefits of Nutritional Supplements: Selected Readings from the Last 20 Years (1990?2010). Copyright © 2010, USANA Health Sciences, Inc.

634. Hawkins WR. Zinc supplementation for macular degeneration.

1991. Arch Ophthalmol 109:1345.

635. Jacques PF, Taylor A, Moeller S, Hankinson SE, Rogers

G, Tung W, Ludovico J, Willett WC, Chylack LT Jr. Long?term

nutrient intake and 5?year change in nuclear lens opacities. 2005.

Arch Ophthalmol 123(4):517?26.

636. Jacques PF, Chylack LT Jr, Hankinson SE, Khu PM, Rogers

G, Friend J, Tung W, Wolfe JK, Padhye N. Willett WC, Taylor

A. Long?term nutrient intake and early age?related nuclear lens

opacities. 2001年。 Arch Ophthalmol 119(7):1009?19.

637. Jacques PF, Taylor A, Hankinson SE, Willett WC,

Mahnken B, Lee Y, Vaid K, Lahav M. Long?term vitamin C supplement

use and prevalence of early age?related lens opacities.

1997年。 Am J Clin Nutr 66(4):911?6.

638. Jampol LM. Antioxidants, zinc and age?related macular

degeneration results and recommendations. 2001年。 Arch Ophthalmol

119(10):1533?4.

639. Jampol LM, Ferris FL III. Antioxidants and zinc to prevent

progression of age related macular degeneration. 2001年。 JAMA

286(19):2466?8.

640. Johnson J, Hammond BR, Yeum K, Qin J, Wang XD,

Castaneda C, Snodderly DM, Russell RM. Relation among serum

and tissue concentrations of lutein and zeaxanthin and

macular pigment density. 2000. Am J Clin Nutr 71(6):1555?62.

641. Koh HH, Murray IJ, Nolan D, Carden D, Feather J, Beatty S. Plasma and macular responses to lutein supplement

in subjects with and without age?related maculopathy: a pilot study. 2004. Exp Eye Res 79(1):21?7.

642. Kowluru RA, Tang J, Kern TS. Abnormalities of retinal metabolism in diabetes and experimental galactosemia.

七。 Effect of long?term administration of antioxidants on the development of retinopathy. 2001年。 糖尿病

50(8):1938?42.

643. Krishnadev N, Meleth AD, Chew EY. Nutritional supplements for age?related macular degeneration. 2010.

Curr Opin Ophthalmol 21(3):184?9.

644. Kuzniarz M, Mitchell P, Cumming RG, Flood VM. Use of vitamin supplements and cataract: the Blue

Mountains Eye Study. 2001年。 Am J Ophthalmol 132(1):19?26.

645. Landrum JT, Bone RA. Lutein, zeaxanthin, and the macular pigment. 2001年。 Arch Biochem Biophys 385(1):28?

40.

646. Landrum JT, Bone RA, Joa H, Kilburn MD, Moore LL,

Sprague KE. A one year study of the macular pigment: the effect

of 140 days of a lutein supplement. 1997年。 Exp Eye Res 65(1):57?62.

647. Laplaud PM, Lelubre A, Chapman MJ. Antioxidant action

of Vaccinium myrtillus extract on human low density lipoproteins

in vitro: initial observations. 1997年。 Fundam Clin Pharmacol

11(1):35?40.

648. Larkin M. Vitamins reduce risk of vision loss from macular

degeneration. 2001年。 Lancet 358(9290):1347.

649. Leske MC, Chylack LT Jr, He Q, Wu SY, Schoenfeld E,

Friend J, Wolfe J. Antioxidant vitamins and nuclear opacities:

the longitudinal study of cataract. 1998年。 眼科

105(5):831?6.

650. Leske MC, Wu SY, Connell AM, Hyman L, Schachat AP.

Lens opacities, demographic factors and nutritional supplements

in the Barbados Eye Study. 1997年。 Int J Epidemiol

26(6):1314?22.

“In summary, a multivitamin-multimineral

supplement with a combination of vitamin

C, vitamin E, ?-carotene, and zinc

(with cupric oxide) is recommended for

AMD but not cataract. Observational

studies for cataract provide only weak

support for multivitamins or other vitamin

supplements. The results of observational

studies suggest that a healthy lifestyle

with a diet containing foods rich in antioxidants,

especially lutein and zeaxanthin,

and n–3 fatty acids appears beneficial

for AMD and possibly cataract.”

-JM Seddon (#664)

“The results of our LAST [Lutein Antioxidant

Supplementation Trial] study support

the results of our pilot spinach data

that lutein may be useful in the nutritional

intervention of atrophic ARMD [agerelated

macular degeneration] in midwestern

male subjects. In LAST, lutein enhanced

macular pigment and visual

function with AREDS stages II, III, and IV.

Thus lutein supplementation may be

beneficial at all stages of ARMD. Further

studies with more patients of both

genders are needed to determine the

long-term effect of lutein alone or lutein

together with a broad spectrum of antioxidants,

vitamins, and minerals on patients

with atrophic age-related macular

degeneration.”

-S Richer, et al. (#661)

46 | Health Benefits of Nutritional Supplements: Selected Readings from the Last 20 Years (1990?2010). Copyright © 2010, USANA Health Sciences, Inc.

651. Lyle BJ, Mares?Perlman JA, Klein BE, Klein R, Greger JL.

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69(2):272?7.

653. Mares?Perlman JA, Brady WE, Klein R, Klein BE, Bowen

P, Stacewicz?Sapuntzakis M, Palta M. Serum antioxidants

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656. McNeil JJ, Robman L, Tikellis G, Sinclair MI, McCarty

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657. Moeller SM, Parekh N, Tinker L, Ritenbaugh C, Blodi B,

Wallace RB, Mares JA. Associations between intermediate agerelated

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658. Moeller SM, Voland R, Tinker L, Blodi BA, Klein ML, Gehrs KM, Johnson EJ, Snodderly DM, Wallace RB,

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“In summary, the results of the present

study provide added support for a relation

between nutrient intake and nuclear

opacification. Our observation that

vitamin E intake is associated with a reduction

in nuclear opacification is consistent

with other longitudinal studies,

strengthening the hypothesized role for

this specific nutrient in nuclear cataract

formation, and the associations with riboflavin,

thiamin, and niacin should

serve to focus added effort on examining

the role of these nutrients in the development

of nuclear cataract.”

- PF Jacques, et al. (#635)

“In this large prospective study, those

with the highest intake of lutein and

zeaxanthin had a 22% lower risk of cataract

extraction than did those in the

lowest quintile of intake (RR: 0.78; 95%

CI:0.63, 0.95; P for trend = 0.04) after

age, smoking, and other potential cataract

risk factors were controlled for. 其他

specific carotenoids (a-carotene, bcarotene,

lycopene, and bcryptoxanthin),

vitamin A, and retinol

were not associated with cataract in

multivariate analysis. Increasing frequency

of intake of spinach and kale,

foods rich in lutein, was associated with

a moderate decrease in risk. The observation

that other fruit and vegetables

were not associated with decreased risk

suggests that the relation may be due to

lutein, a specific carotenoid predominantly

found in spinach and kale, and

not to a healthy lifestyle per se.”

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47 | Health Benefits of Nutritional Supplements: Selected Readings from the Last 20 Years (1990?2010). Copyright © 2010, USANA Health Sciences, Inc.

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“In the overall sample we observed no

associations between antioxidant nutrient

intake and either cortical or PSC

[posterior subcapsular] opacities, but we

noted significant and provocative associations

in selected subgroups. The inverse

association observed in the

present study between vitamin C intake

and the prevalence of cortical opacities

in women aged <60 y and the fact that

significantly decreased odds of cortical

opacities were found only with a duration

of vitamin C supplement use >=10 y

provide added support for a protective

role for vitamin C against the formation

of lens opacities. We also found that for

PSC opacities there were decreased

odds for nonsmokers with higher intakes

of carotenoids.”

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48 | Health Benefits of Nutritional Supplements: Selected Readings from the Last 20 Years (1990?2010). Copyright © 2010, USANA Health Sciences, Inc.

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