{"id":2719,"date":"2018-10-17T19:04:42","date_gmt":"2018-10-17T17:04:42","guid":{"rendered":"https:\/\/choosingwiselyitaly.org\/raccomandazione-prof\/dont-encourage-an-extensive-and-indiscriminate-use-of-dietary-supplements-as-preventive-measures-in-cancer-and-cardiovascular-disease\/"},"modified":"2023-06-06T16:19:54","modified_gmt":"2023-06-06T14:19:54","slug":"do-not-encourage-the-extensive-and-indiscriminate-use-of-vitamin-and-mineral-supplements-as-preventive-elements-for-cancer-and-cardiovascular-disease","status":"publish","type":"raccomandazione-prof","link":"https:\/\/choosingwiselyitaly.org\/en\/raccomandazione-prof\/do-not-encourage-the-extensive-and-indiscriminate-use-of-vitamin-and-mineral-supplements-as-preventive-elements-for-cancer-and-cardiovascular-disease\/","title":{"rendered":"Do not encourage the extensive and indiscriminate use of vitamin and mineral supplements as preventive elements for cancer and cardiovascular disease."},"content":{"rendered":"<p>There are strong and recent scientific evidences that don\u2019t document a real protective effect on cancer risk from the use of vitaminic and mineral supplements. The exceptions are calcium-based supplements which appear to have a protective role on colorectal cancers and beta-carotene supplements which, on the contrary, may increase the risk of developing lung cancer in smokers. Furthermore, no advantage has been documented with high-dose antioxidants during cancer treatments, in the absence of a documented deficiency. Supplementation with vitamin and mineral supplements does not produce benefits in the prevention of cardiovascular disease and all-cause mortality in the general population. It\u2019s recommended to communicate the supplements\u2019 intake to doctors during visits: it can alter the results of laboratory tests even significantly.<\/p>\n","protected":false},"featured_media":2951,"template":"","meta":{"_edit_lock":["1686061197:4"],"_edit_last":["4"],"_wpml_media_duplicate":["0"],"_wpml_media_featured":["0"],"_thumbnail_id":["2951"],"_wpml_word_count":["{\"total\":348,\"to_translate\":{\"it\":348}}"],"_yoast_wpseo_primary_eta":[""],"_yoast_wpseo_primary_disciplina":["100"],"_yoast_wpseo_primary_tipologia":[""],"_yoast_wpseo_content_score":["60"],"_yoast_wpseo_focuskeywords":["[]"],"_yoast_wpseo_keywordsynonyms":["[\"\"]"],"_wpml_location_migration_done":["1"],"_layouts_template":["layout-for-raccomandazioni-professionista"],"_wp_page_template":["default"],"_wpv_contains_gutenberg_views":[""],"wpcf-pacchetto":["ADI #1"],"wpcf-bibliografia":["1. World Cancer Research Fund\/American Institute for Cancer. Diet Nutrition, Physical Activity and Cancer: a Global Perspective. Continuous Update Project Expert Report 2018.\r\n2. Jann Arends, Patrick Bachmann, Vickie Baracos, Nicole Barthelemy, Hartmut Bertz, Federico Bozzetti, Ken Fearon, Elisabeth H\u00fctterer, Elizabeth Isenring, Stein Kaasa, Zeljko Krznaric, Barry Laird, Maria Larsson, Alessandro Laviano, Stefan M\u00fchlebach, Maurizio Muscaritoli, Line Oldervoll, Paula Ravasco, Tora Solheim, Florian Strasser, Marian de van der Schueren, Jean-Charles Preiser. ESPEN guidelines on nutrition in cancer patients. Clinical Nutrition\u00a036 (2017)\u00a011\u201348\r\n3. Jenkins DJA et al., Supplemental Vitamins and Minerals for\u00a0CVD Prevention and Treatment., J Am Coll Cardiol. 2018 Jun 5;71(22):2570-2584.\r\n4. Kim J, Choi J, Kwon SY, McEvoy JW, Blaha MJ, Blumenthal RS, Guallar E, Zhao D, Michos ED., Association of Multivitamin and Mineral Supplementation and Risk of Cardiovascular Disease: A Systematic Review and Meta-Analysis., Circ Cardiovasc Qual Outcomes. 2018 Jul;11(7):e004224.\r\n5. Eichhorn T, Greten HJ, Efferth T. Self-medication with nutritional supplements and herbal over-the counter products. 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