Not All Antioxidants Prevent Cancer

October 1, 2004

The Cochrane Institution is very well-respected for its objective consideration of medical issues. The last report from The Lancet today does not actually reveal anything truly new, despite a very useful summary of results from earlier prevention studies made with antioxidants. The results are listed after each antioxidant and after each type of cancer in the gastrointestinal tract.

The good news is that it looks as if selenium may very effectively prevent cancer diseases in the gastrointestinal region, as selenium both halves the frequency of cancer as well as the rate of death in the group of people taking selenium compared with the group taking placebo.

The disappointing news is that certain other antioxidants do not have any cancer-preventive effect in the studies mentioned and in some cases they even have harmful effects – mainly attributed to beta-carotene. This is a well-known fact.

The authors are inclined to think that the ones who might be harmed by antioxidants are people who are not very strained by the harmful free radicals in the first place. However, the authors will not warn against taking moderate doses of antioxidants or eating fruits and vegetables, and they thereby recognize the importance of getting moderate amounts of these antioxidants.

The study should be a memento for the authorities who prevent the public from being informed with fair and useful information on effects as well as side effects of dietary supplements. This censorship conceals positive as well as negative research results to the consumer who is left only to pure speculation about the use and dosage of the antioxidants which could be very beneficial if used correctly.

Antioxidants prevent atherosclerosis with great probability, but, naturally, this must happen before the atherosclerosis is far advanced. Based on his own research, the Californian Nobel Prize Winner Louis Ignarro, one of the world’s leading experts in vascular surgery, has recently in very clear terms encouraged anyone who want to avoid having blood clots to take supplements of vitamin C and -E.

In the last three months alone, the Vitality Council have posted at least six press releases about new scientific research regarding antioxidants; all involving important – in some cases essential – new knowledge from the leading research centres around the world.

By: Vitality Council

Goran Bjelakovic, Dimitrinka Nikolova, Rosa G Simonetti, Christian Gluud Antioxidant supplements for prevention of gastrointestinal cancers: a systematic review and meta-analysis Lancet 2004; 364: 1219-28.

Related articles:
Vitamin E or False Indication of Goods – 12-11-04 09:15
Biased Cochrane Study – 07-10-04 12:00
A Dangerous Cocktail – 03-10-04 12:00

Pregnant Women Addicted to Alcohol Should Take Antioxidants

August 30, 2004

Every year, about a hundred children, who are severely damaged by their mother’s alcohol abuse, are born in Denmark. These children, born with the so called foetal alcohol syndrome (FAS), suffer from mental retardation, decreased growth, heart failure, striking malformations of their face, arms, and legs, and also suffer cardiac malformations.

Researchers at a centre for alcohol studies at the University of North Carolina now believe that some of these malformations can be avoided if pregnant women with an incontrollable alcohol consumption receive an antioxidant supplement, e.g. vitamin E. The viewpoint is that if the mothers are not capable of holding back – and this, of course, is the exact problem of alcoholics, it would be better to try to reduce the damages rather than making impossible demands.

The information is based on studies with foetal mice who were exposed to alcohol. It turned out that the nervous cells of the foetuses which are easily damaged by alcohol is partly protected by the antioxidant SOD. This indicates that the damages are caused by the formation of so-called free radicals and the researchers at the centre have already established that vitamin E, which is also an antioxidant, reduces these damages.

In the actual study, the mice were born with significantly less malformed limbs when they were protected by SOD. Based on this, the conductor of the study, professor Kathleen K. Sulik claimed that it would be “wonderful” if pregnant women with alcohol problems could be persuaded into taking vitamin supplements.

The number of babies who are born with more discrete alcohol damages is not known. An estimated consumption of only one drink a day can increase the risk of abortion and result in growth retardation of several hundred grams while the baby is still in its mother’s womb.

By: Vitality Council

1. Protection from ethanol-induced limb malformations by the superoxide dismutase/catalase mimetic, EUK-134. Chen SY, Dehart DB, Sulik KK. FASEB J. 2004.
2. Graviditet og alkohol [Pregnancy and alcohol]. Sundhedsstyrelsen 1999.

The First Table of the Antioxidant Content of Food

August 12, 2004

Because of the growing interest in antioxidants, two scientific institutions under the American Ministry of Agriculture have prepaired the first extensive table of antioxidants in the diet.

The growing interest in antioxidants has made two scientific institutions under the American Ministry of Agriculture compile the first comprehensive table of the antioxidant content of food.

The reason for this is the increasing belief in antioxidants protecting against atherosclerosis, cancer, Parkinson’s disease, Alzheimer’s disease, old age blindness – and for that matter ageing in general. The latest news is that people who develop oesophageal and gastric cancer generally get significantly less dietary antioxidants than others.

The new table has required an enormous amount of laboratory work and comprises 100 foodstuffs from the vegetable kingdom which, as we know, are the main source of dietary antioxidants. Not only does it show which foodstuffs contain the most antioxidants, it also points out the one with the fewest antioxidants. The type of antioxidants (vitamin E or -C, phenols, carotenoids) is not specified – only the total effect.

Among berries and fruits, the most antioxidants can be found in cranberry, blackcurrants, raspberry, red apples, prunes, and plums. By contrast, bananas, kiwis, mangoes, watermelons, and pineapples are quite poor sources.

In the vegetable group, artichoke is number one, but also dried beans, onions, cabbage, peppers, spinach, and boiled potatoes are good sources of antioxidants, while salad (particularly Iceberg salad), green peas, and raw tomatoes contain significantly less antioxidants. At the bottom is cucumbers with a very low content of antioxidants.

90% of the antioxidants are water-soluble while the rest are fat-soluble and have other properties. It is difficult to get enough of these through the diet but they are present in nuts, oatmeal, avocadoes, broccoli, and artichokes.

Incredibly rich sources of fat-soluble vitamins are the spices cinnamon and (particularly) clove, followed by oregano and basil quite a way down the list. Even small amounts of these spices can have important effects. Chocolate also provides a decent supplement.

Compared to vegetables, berry, fruits, and nuts, cereals such as cornflakes and white bread contain only few antioxidants. People who live on a diet of bread and meat without many spices, who have a traditional breakfast, rarely get other kinds of fruits than bananas, and stick to Iceberg salad with cucumber and tomato will not get many dietary antioxidants!

By: Vitality Council

Xainli Wu, Gary R Beecher, Joanne Holden et al. Lipophilic and hydrophilic antioxidant capacities of common foods in the United States. J Agric. Food Chem. 2004;52:4026-37.

The Role of Antioxidants May Have To Be Reassessed

February 27, 2004

British scientists have discovered that it is enzymes and not antioxidants that are the active factor, when white blood cells attack bacteria.

Free radicals are aggressive molecules that are capable of destroying the structure of other molecules. For example, the body uses free radicals to cut large molecules into pieces and build complex protein structures. So far so good.

But an abundance of free radicals has been shown to be able to damage the body due to the deterioration (oxidation) of certain molecules, such as LDL cholesterol, which then becomes dangerous because it causes arteriosclerosis in its rancid (oxidized) form.

In order to slow down this harmful oxidation, we form the so-called antioxidants. These are also found in our diet and in several dietary supplements. For example, vitamins C and E are such antioxidants.


By: Vitality Council

Nature, vol 427;6977:853.

Danish Society for Orthomolecular Medicine (DSOM) about Heart Protection Study, July 02

November 12, 2002

The Danish Society for Orthomolecular Medicine (DSOM):
Rumours that antioxidants should have no general effect on secondary prevention of heart disease originates from The Heart Protection Study published in July 2002 in the magazine The Lancet. The study was financed by e.g. the pharmaceutical companies Merck & Co. and Roche Vitamins.

The purpose of the study was, among others, to investigate Merck’s cholesterol lowering drug Zocor’s effect on various parameters such as blood clots in the heart and heart disease, etc. The study included 20,536 high-risk patients – ie. patients with known cardiovascular disease or dispositions for this – eg. diabetes.

The patients were randomized to 4 groups, of which 5000 patients received 600 mg vitamin E, 250 mg Vitamin C and 20 mg betacarotene. 5000 patients received both Zocor and vitamins. 5000 patients received Zocor only and 5,000 patients served as a joint control group. This means that the part of the study containing the vitamin group plus a joint control group comprised 10,000 people and not 20,536 persons as stated elsewhere.


By: Per Tork Larsen, M.D., DSOM

(No references)

Antioxidants in general, Research references

January 1999

1. Abbott RA, Cox M, Markus H, Tomkins A. Diet, body size and micronutrient status in Parkinson’s disease. Eur J Clin Nutr 46:879-84, 1992.
2. Ames BN, Shigenaga MK, Hagen TM. Oxidants, antioxidants and the degenerative diseases of aging. Proc Natl Acad Sci USA 1993; 90: 7915-22.
3. Ames BN, Gold LS, Willett WC. The causes and prevention of cancer. Proc Natl Acad Sci. USA 1995; 92: 5258-65.
4. Azen SP, Qian D, Mack W, et al. Effect of supplementary antioxidant vitamin intake on carotid arterial wall intima-media thickness in a controlled clinical trial of cholesterol lowering. Circulation 94;10:2369-72, 1996.
5. Bhat KS. Nutritional status of thiamine, riboflavin and pyridoxine in cataract patients. Nutr Rep Int 363:685-92, 1987.
6. Boers GH. Hyperhomocysteinaemia: A newly recognized risk factor for vascular disease. Neth J Med 45:1:34-41, 1994.
7. Boniton-Kopp C, Coudray C, Berr C, et al. Combined effects of lipid peroxidation and antioxidant status on carotid atherosclerosis in a population aged 59-71 y: The Eva study. Am J Clin Nutr 65:121-7, 1997.
8. Brattström L. Vitamins as homocysteine-lowering agents: A mini review. Presentation at the American Institute of Nutrition Colloquium, April 13, 1995, Atlanta, Georgia; Brattström L. Vitamins as homocysteine-lowering agents. J Nutr 126:4 Suppl:1276S-1280S, 1996.
9. Calzada C, Bruckdorfer K, Rice-Evans C. The influence of antioxidant nutrients on platelet function in healthy volunteers. Atherosclerosis 128;1: 97-105, 1997.
10. Cerhan JR, Wallace RB, Folsom AR. Antioxidant intake and risk of Parkinson’s Disease in older women. Am J Epidemiol 139;11:S65, 1994.
11. De Lorgeril , Boissonnat P, Salen P, et al. The beneficial effect of dietary antioxidant supplementation on platelet aggregation and cyclosporine treatment in heart transplant recipients. Transplantation 58:193-4, 1994.
12. De Rijk MC et al. Dietary antioxidants and Parkinson disease: The Rotterdam study. Arch Neurology 54:762-5, 1997.
13. Ely J. Crary, Smyrna, Georgia, USA – quoted in Zarrow S. Keep your eyes young and sharp. Prevention March, 1985, pp. 74-80; Crary E. Antioxidant treatment of macular degeneration of the aging and macularedema in diabetic retinopathy. South Med J 80 no. 9, supple 3:38, 1987.
14. Fahn S. An open trial of high-dosage antioxidants in early Parkinson’s disease. Am J Clin Nutr 53:380S-1S, 1991.
15. Gartside PS, Glueck CJ. Relationship of dietary intake to hospital admission for coronary heart and vascular disease: The NHANES II National Probability Study. J Am Coll Nutr 12:6:5676-84, 1993.
16. Ghosh S, et al. Dietary intake and plasma levels of antioxidant vitamins in health and disease: A hospital-based case-control study. J Nutr Environ Med 5:235-42, 1995.
17. Grimes JD et al. Prevention of progression of Parkinson’s disease with antioxidative therapy. Prog Neuropsychopharmacol Biol Psychiatry 122-3:165-72, 1988.
18. Hankinson S, Stampfer M, Seddon J, et al. Nutrient intake and cataract extraction in women: A prospective study. BMJ 305: 335-9, 1992.
19. Heliovaara M, Knekt P, Aho K, et al. Serum antioxidants and risk of rheumatoid arthritis. Ann Rheum Dis 53: 51-3, 1994.
20. Hodis HN, Mack WJ, LaBree L, et al. Serial coronary angiographic evidence that antioxidant vitamin intake reduces progression of coronary artery atherosclerosis. JAMA 273;23:1849-54, 1995.
21. Ince S. Vitamin Supplements may help delay onset of AIDS. Medical Tribune September 9, p.18, 1993.
22. Jacques PF, Chylack LT Jr, McGandy RB, Hartz SC. Antioxidant status in persons with and without senile cataract. Arch Ophthalmol 106:3:337-40, 1988.
23. Jacques PF, Chylack LT Jr. Epidemiologic evidence of a role for the antioxidant vitamins and carotenoids in cataract prevention. Am J Clin Nutr 53: 352S-5S, 1991.
24. Jacques PH et al. Vitamin intake and senile cataract. J Am Coll Nutr 6:5:435, 1987.
25. Jain VK, Chandra RK. Does nutritional deficiency predispose to Acquired Immune Deficiency Syndrome (AIDS)? Nutr Res 4:537-43, 1984.
26. Jariwalla RJ. Micro-nutrient imbalance in HIV infection and AIDS: Relevance to pathogenesis and therapy. J Nutr Environ Med 5:297-306, 1995.
27. Knekt P, Reunanen A, Jarvinen R, et al. Antioxidant vitamin intake and coronary mortality in an longitudinal population study. Am JEpidemiol 139:1180-9, 1994.
28. Knekt P, Heliovaara M, Rissanan A, et al. Serum antioxidant vitamins and risk of cataract. BMJ 305:1392-4, 1992.
29. Kritchevsky SB, Shimakawa T, Tell GS, et al. Dietary antioxidants and carotid artery wall thickness: The ARIC study. Circulation 92:8:2142-50, 1995.
30. Manson JE, Stampfer MJ, Willett WC, et al. A prospective study of antioxidant vitamins and incidence of coronary heart disease in women. Abstract. J Am Coll Nutr 11:5:633, 1992.
31. Mares-Perlman J, Klein R, Klein B, et al. Relationship between age-related maculopathy and intake of vitamin and mineral supplements. Invest Ophthalmol Vis Sci 34:1133, 1993.
32. McAlindon TE, Jacques P, Zhang Y, et al. Do antioxidant micronutrients protect against the development and progression of knee osteoarthritis? Arthritis Rheum 39(4): 648-56,1996.
33. Mastroiacovo P et al. Antioxidant Vitamins and Immunodeficiency. Int J Vitam Nutr Res 66:141-5, 1996.
34. Mooradian AD et al. Selected Vitamin and Mineral in Diabetes. Diabetes Care 17; 464-79, 1994.
35. Newsome D et al. The trace element and antioxidant economy of the human macula: Can dietary supplementation influence the course of macular degeneration? J Am Coll Nutr 10:5:536, 1991.
36. Olson RJ. Supplemental dietary antioxidant vitamins and minerals in patients with macular degeneration. J Am Coll Nutr 10:5:550, 1991.
37. Olszewski AJ et al. Reduction of plasma lipid and homocysteine levels by pyridoxine, folate, cobalamin, choline, riboflavin, and troxerutin in atherosclerosis. Atherosclerosis 75:1:1-6, 1989.
38. Pories WJ, Henzel JH, Hennessen JA. Proc U of Missouri First Annual Conference on Trace Substances in the Environment and Health 1968:114, 1967.
39. Rath M, Pauling L. A unified theory of human cardiovascular disease leading the way to the abolition of this disease as a cause for human mortality. J Orthomol Med 7:1:5-15, 1992.
40. Singh R, Niaz M, Bishnol J, et al. Diet, antioxidant vitamins, oxidative stress, and risk of coronary artery disease. Acta Cardiol 49:5:453-67, 1994.
41. Singh RB, Ghosh S, Niaz MA, et al. Dietary intake, plasma levels of antioxidant vitamins and oxidative stress in relation to coronary artery disease in elderly subjects. Am J Cardiol 76:1233-8, 1995.
42. Singh RB, Niaz MA, Ghosh S, et al. Dietary intake and plasma levels of antioxidant vitamins in health and disease: A hospital-based case-control study. J Nutr Environ Med 5:235-42, 1995.
43. Singal PK, Kapur N, Dhillon KS et al. Role of free radicals in catecholamine induced cardiomyopathy. Can J Physiol Pharmacol 60:1390, 1982.
44. Snodderly DM. Evidence for protection against age-related macular degeneration by carotenoids and antioxidant vitamins. Am J Clin Nutr 62:suppl:1448S-61S, 1995.
45. Steinberg D.Antioxidants in the prevention of human Artherosclerosis. Circulation 85; 6; 2338-2344, 1992.
46. Tang A, Graham N, Kirby A, et al. Dietary micronutrient intake and the risk of progression to Acquired Immunodeficiency Syndrome (AIDS) in Human Immunodeficiency Virus Type 1 (HIV-1) infected homosexual men. Am J Epidemiol 138: 937-51, 1993.
47. Tang AM, Graham NM, Saah AJ. Effects of Micronutrient Intake on Survival in Human immunodeficiency virus type 1 Infection. Am J Epidemiol 143:1244-56, 1996.
48. Tavani A et al. Food and nutrient intake and risk of cataract. Ann Epidemiol 6:41-6, 1996.
49. Tolonen, Matti: Fria radikaler och antioxidantia i biologi och medicin. Vitaminers og spormineralers betydning for velfærdssygdomme. (Significance of vitamins and traceminerals in disease), Rigshospitalets Symposium, Pharma Nord Research, 1988 (in Danish/Swedish).
50. Vitale S, West S, Hallfrish H, et al. Plasma antioxidants and risk of cortical and nuclear cataract. Epidemiology 4:195-203, 1993.
Ward RJ et al. Reduced antioxidant status in patients with chronic alcoholic myopathy. Biochem Soc Trans 16:581, 1988.
51. Ward RJ, Peters TJ. The antioxidant status of patients with either alcohol-induced liver damage or myopathy. Alcohol Alcohol 27;4:359-65, 1992.
52. Weisberger JH. Nutritional approach to cancer prevention with emphasis on vitamins, antioxidants, and carotenoids. Am J Clin Nutr 1995; 53: 226s.
53. West S, Vitale S, Hallfrisch J, et al. Are antioxidants or supplements protective for age-related macular degeneration? Arch Ophthalmol 112:222-7, 1994.
54. Woodside J et al. The effects of vitamin supplementation on cardiovascular risk. J Inherit Metabol Dis 19:Suppl 1:26/P51, 1996.

– See also betacarotene, Vitamin B6, Vitamin C, Vitamin E, Coenzyme Q10, Selenium and Zinc.


Joseph E. Pizzorno Jr., Michael T. Murrey & Melvyn R. Werbach.