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A new study in the online edition of the Journal of the
National Cancer Institute adds to the amount of evidence showing that vitamins
do not prevent cancer of any kind. Just last week, researchers at the Brigham
and Women’s Hospital of Harvard Medical School concluded that taking folic acid
and other B vitamins on regular basis doesn’t prevent breast cancer or cancer
in general.
In October, the National Cancer Institute halted a trial
involving about 35,000 men after finding that vitamin E and selenium didn’t
prevent prostate cancer. On contrary, researchers found a higher risk for
aggressive prostate cancer in participants taking only vitamin E and a small
risk of developing diabetes in subjects taking only selenium.
An earlier
study (of a much smaller group) conducted on the effect of selenium
supplementation on the recurrence of skin cancers did not demonstrate a reduced
rate of recurrence of skin cancers, but did show a reduced occurrence of total
cancers.
The new
study makes no exception and says that vitamin D supplements, taken at a dose
of 400 international units per day, may not help prevent breast cancer in women
after menopause.
“The
message is that there’s benefit from calcium and vitamin D for fracture risk, but
taking those supplements won’t be doing much for breast cancer risk. You
wouldn’t expect that you’re doing it to improve breast cancer outcome,” said
study author Dr. Rowan T. Chlebowsky, a medical oncologist at the Los Angeles
Biomedical Research Institute at Harbor-UCLA
Medical Center
in Los Angeles.
The study included 36,282 postmenopausal women involved in
the Women’s Health Initiative trial. All were between 50 and 79 years old, with
no history of breast cancer. The women were randomly assigned to receive either
1,000 milligrams of calcium plus 400 international units daily of vitamin D, or
a placebo for an average of seven years.
At the end of the follow-up period, there were 528 cases of
breast cancer in the group taking calcium and vitamin D compared with 546 cases
in the placebo group – a difference not considered statistically significant.
“The main findings do not support a causal relationship
between calcium and vitamin D supplement use and reduced breast cancer
incidence, despite the association observed in some epidemiological studies. Current
evidence does not support their use in any dose to reduce breast cancer risk,”
Dr. Chlebowsky said.
However,
the link between vitamin D and calcium and breast cancer prevention should be
studied more as the supplements may still have some benefit, according to
researchers Corey Speers and Powel Brown from Baylor College of Medicine in Houston who wrote an
accompanying editorial to the study. They note that 15 percent of the women
assigned to take placebos actually took calcium and vitamin D pills on their
own – a fact that may make it harder to spot any differences between the two
groups. They further suggested that researchers may want to test higher
doses of supplements or design trials with younger women in the hope of
stopping breast cancer in its earliest stages.
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