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Use of B vitamin appears to be inefficient in preventing
death or cardiovascular events, according to the findings of a large clinical
trial involving patients with coronary artery disease published in the August
20 issue of The Journal of the American Medical Association.
For the study, physicians at Haukeland
University Hospital
in Bergen, Norway, followed almost 3,100 heart
disease patients in their early 60s on average. About 75 percent of them were
taking statins, anti-platelet drugs, and beta-blockers to treat their heart
disease.
The patients were also randomly assigned to take folic acid
plus vitamins B6 and B12, folic acid plus vitamin B12, vitamin B6 alone or a
placebo pill.
During the three-year study, the researchers tested
periodically the participants’ levels of homocysteine, an inflammatory chemical
linked to higher rates of heart disease.
But the study was dropped because “we could not detect any
preventive effect of intervention with folic acid plus vitamin B12 or with
vitamin B6 on mortality or major cardiovascular events.” Homocysteine levels
fell as predicted in people administered vitamin B, but it didn’t matter much.
"We found a numerically lower incidence of stroke and higher incidence
of cancer in the groups receiving folic acid, but these observations were not
statistically significant. The findings do not support the use of B vitamins as
secondary prevention in patients with coronary artery disease,” the study
concluded.
This is not the only study reaching to the same conclusion, according to
Andrew Shao, PhD, vice president for scientific and regulatory affairs at the
Council for Responsible Nutrition.
“It appears to be consistent that [for] subjects who have
underlying cardiovascular disease and [are] on multiple medications ... adding
B vitamins on top of a whole host of other medications doesn't appear to
provide any further benefit,” Shao said.
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