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September 22nd, 2010 by Doctor Dirt

By Jane Byrne , 21-Sep-2010

Related topics: Markets

Frequent chocolate consumption was associated with a lower prevalence of coronary heart disease (CHD) in men and women independent of traditional risk factors, according to a review of a national US based heart, lung and blood study.

The conclusions, published in the journal Clinical Nutrition, come on the back of a body of research pointing to the positive impact of flavonoids in chocolate.

And the authors, including researchers based at the Harvard Medical School and the Boston University School of Medicine, argue that their findings are consistent with a recent study in the German Heart Journal which showed dark chocolate intake was associated with a 39 per cent lower risk of myocardial infarction and stroke combined.

Dark chocolate belongs to the flavonoid-rich foods such as fruit and vegetables, tea, and red wine, with epidemiologic evidence indicates that beneficial effects of these on CHD are partly mediated through the effects of their polyphenolic compounds.

The authors hold that while interventional studies have demonstrated beneficial effects of dark chocolate on blood pressure and endothelial function, there is, in fact, limited data available on the effects of total chocolate intake on CHD.

And they decided to analyse data taken from the National Heart, Lung, and Blood Institute (NHLBI) Family Heart Study to evaluate this link.

Method

The scientists explained that, using a cross-sectional design, they studied 4,970 participants aged 25 to 93 years, whose chocolate intake had been assessed through a semi-quantitative food frequency questionnaire. “We used generalized estimating equations to estimate adjusted odds ratios,” said the authors.

Of the total study cohort, 2,258 participants were men while 2,712 were women. The average age was 52.0 years and CHD prevalence was 10.9 per cent, added the researchers.

Conclusions

The researchers found that there was evidence for an inverse association between frequency of chocolate consumption and prevalent CHD in crude and adjusted models.

In the fully adjusted model, consumption of chocolate more than five times a week was associated with 57 per cent lower prevalent CHD compared with subjects who did not consume chocolate.

“Exclusion of subjects with prevalent diabetes and those who were on a weight loss diet made the association stronger,” they added.

They said that similar associations were observed in subjects who were 60 years of age or younger and those above the age of 60. Furthermore, they said, similar associations were seen among smokers and non-smokers.

Study’s limitations

The researchers admit, however, that the cross-sectional design of their study limits their ability to draw casual inference. “In addition, misclassification and reporting bias are inherent to self-reported data on chocolate consumption and we were not able to differentiate dark from milk or lighter chocolate,” they stated.

But the authors also stress that the inability to distinguish the different types of chocolate might have led to an underestimation of the true association between cocoa/chocolate polyphenol consumption and CHD in the study.

And they argue that large sample size (most of whom were from population-based studies), the availability on multiple CHD risk factors, and the multi-centre nature of the study are the strengths of the study.

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September 9th, 2010 by Doctor Dirt

 

Higher blood levels of Selenium may reduce the incidence of skin cancer by about 60 per cent, according to a new study from Dutch and Australian researchers.
Writing in Cancer Epidemiology, Biomarkers & Prevention, the researchers report that the mineral was associated with reduced risks of both basal cell carcinoma and squamous cell carcinoma. In the US, over 1.5 million people are diagnosed with skin cancer very year. According to Cancer Research UK, a charity, over 76,000 cases of skin cancer were documented in 2005 but this is thought to under represent the problem.
“Relatively high serum Selenium levels of between 1.3 and 2.8 micromoles per liter were associated with approximately 60 decrease in subsequent tumor incidence of both BCC and SCC,” wrote the researchers.
Selenium is the Only Mineral that qualifies for an FDA Authorized Health Claim for General Cancer Reduction. (This Claim was sought by Dr. Joel Wallach BS., D.V.M., N.D.
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September 8th, 2010 by Doctor Dirt

 

September 8, 2010

Back in 2007, a controversial meta-analysis published in the Journal of the American Medical Association linked antioxidant supplements to all-cause mortality. The study repurposed data from 68 randomized clinical trials with 232,606 participants, and found a 16% increase in mortality risk from supplement intake of popular antioxidants such as vitamins A, C and E, and beta-carotene. This initial study was conducted by Goran Bjelakovic of the Copenhagen University Hospital.

In a recent re-analysis of the original meta-analysis, Hans Biesalski of the University of Honheim led a team of scientists to different result. In looking at the same data set, Biesalski found:
  • 36% of the trials showed beneficial outcomes to antioxidant supplementation

     
  • 60% showed null outcomes

     
  • 4% showed negative outcomes
The scientists, in reporting their results in Nutrients, found benefits correlated to vitamins C and E, selenium, beta-carotene and zinc. Supplementation appeared to be most effective in treating and preventing chronic health conditions when the user had inadequate levels of these micronutrients from diet alone, but nothing as severe as an overt deficiency. The scientists went on to suggest that thresholds do exist beyond which additional supplementation provides no further benefit.

NBJ bottom line: We've seen these meta-analyses wreak havoc in the past. One such study from 2005 linked vitamin E to all-cause mortality, and vitamin E supplement sales dropped 32% in a year. Those sales have yet to fully recover.

Just last month, another meta-analysis linked calcium supplementation to heart attack risk. National media picked up the story and reported it broadly, so we'll have to see what effect, if any, this carries into future calcium sales.

In the interim, as we wait for evidence of a boost to antioxidant sales in the ping-pong match of secondary clinical analyses, a larger point can be drawn. In a statement to Nutraingredients.com, Andrew Shao, PhD, Senior VP of Scientific and Regulatory Affairs for the Council of Responsible Nutrition, said: "Rather than simply examining numbers to see if the risk for total mortality is increased, this group of experts examined the same studies to (a) see if there was any statistically significant benefits demonstrated and (b) if the effects were biologically plausible. Aside from all the weaknesses and limitations from the previous meta-analysis, these are important questions that were never considered by Bjelakovic. Not surprisingly, they reach a different conclusion."

Experts will continue to question the relevance of meta-analysis, but perhaps a more balanced approach to its practice, one that seeks out benefits as well as risks, might go some measure to ease industry's concerns. In this day and age, we need plenty of good news to temper the bad.

 
Related NBJ links:
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August 31st, 2010 by Doctor Dirt

Forbidden’ rice may rival blueberries as antioxidant source

By Stephen Daniells, 27-Aug-2010

Related topics: Botanicals, Research, Antioxidants, carotenoids, Phytochemicals, plant extracts, Cardiovascular health, Cognitive and mental function, Diabetes

The anthocyanin content of black rice may rival that of the blueberries and blackberries, and be available for a fraction of the cost, suggests new data from Louisiana.

Black rice, or ‘Forbidden Rice’ as it was known in ancient China, is a rich source of anthocyanin antioxidants and could offer food manufacturers an alternative to berries for a range of products, including breakfast cereals, beverages, cakes, cookies, and other foods. The results were presented at the 240th National Meeting of the American Chemical Society (ACS)

“Just a spoonful of black rice bran contains more health promoting anthocyanin antioxidants than are found in a spoonful of blueberries, but with less sugar and more fiber and vitamin E antioxidants,” said Zhimin Xu, Associate Professor at the Department of Food Science at Louisiana State University Agricultural Center in Baton Rouge.

“If berries are used to boost health, why not black rice and black rice bran? Especially, black rice bran would be a unique and economical material to increase consumption of health promoting antioxidants,” added Dr Xu.

Market potential

Data from Leatherhead Food International (LFI) shows that the world functional antioxidants market is increasing year on year by around 3 per cent, and was valued at US$ 400 million in 2004, and US$ 438 million in 2007. Europe, the US, and Japan account for 90 per cent of this market.

With flavonoids and polyphenols reported to be 45 per cent of this functional antioxidant market, equivalent to almost US$ 200 million,

Black rice

Dr Xu and colleagues analyzed samples of black rice bran from rice grown in the southern United States, and found that, in addition to high contents of gamma-tocotrienol (vitamin E), and gamma-oryzanol antioxidants, black rice bran possess higher level of anthocyanins antioxidants, which are water-soluble antioxidants.

 

The Louisiana-based scientists also told attendees at the ACS meeting that pigments in black rice bran extracts may also produce a variety of different colors, ranging from pink to black, and offer ‘natural’ options for foods and beverages.

Dr Xu noted that farmers in Louisiana have already expressed an interest in growing black rice and that he would like to see people in the country embrace its use.

Structure is key

Polyphenols, and flavonoids in particular, are not all created equal. For example, scientists from The Ohio State University reported that the structure of anthocyanins, the antioxidant pigments from a range of fruit and vegetables, is key to the cancer fighting abilities.

According to findings published in the Journal of Agricultural and Food Chemistry (doi: 10.1021/jf8005917), certain types of anthocyanins have greater activity against colon cancer than others.

“The chemical structures of anthocyanins do have a significant impact on their biological activity, and data suggest that non-acylated monoglycosylated anthocyanins are more potent inhibitors of colon cancer cell growth proliferation,” wrote lead author Pu Jing.

The researchers cautioned that more research is necessary to explore the role of anthocyanin structure and the chemo-protective effects.

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August 23rd, 2010 by Doctor Dirt

The International Probiotics Association (IPA) is set to launch a new website early next year that will aim to deliver information about the microorganisms to consumers.

The revamped site will present information about research efforts in the probiotic area; new projects and initiatives undertaken by the IPA and its members.

It is part of a move by the 10-year-old group to raise its profile globally and comes at a time when some regulators and agencies have been raising questions about probiotic marketing, even as probiotic sales continue to grow in most global markets.

The head of the IPA’s marketing committee, George Paraskevakos, said the IPA wanted the IPA website to be the “one-stop-shop” for both industry and consumers, and dismissed suggestions there needed to be a new industry-backed site to perform such a task.

Its profile-raising activities include an annual IPA conference, sponsoring events such as a recent probiotics conference hosted by the New York Academy of Sciences, and working more closely with regulators. It is also involved of a probiotic documentary due for completion this year.

Paraskevakos said the site aimed to do exactly what Henry Dixon, the owner of UK-based food industry PR firm, Barrett Dixon Bell, suggested in a recent NutraIngredients health claims round-table.

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July 30th, 2010 by Doctor Dirt

ADHD could be linked to diet: Cohort study

By Jess Halliday, 30-Jul-2010

Related topics: Science & Nutrition

A new study from Australia has suggested that ADHD in adolescents could be linked to Western diets, which tend to be high in total fat, saturated fat, refined sugar and sodium.

ADHD – attention deficit hyperactivity disorder – has previously been the subject of dietary inquiry. There has been particular attention in the last 3 years to some artificial food colourings, after a study at Southampton University in the UK reported a link between cocktails of colours and hyperactivity in kids. Some research has also investigated the potential role of omega-3 fatty acids in improving childrens’ behaviour.

The new study, from Perth's Telethon Institute for Child Health Research and published in the Journal of Attention Disorders, looked at the dietary patterns of 1800 adolescents from the long-term Raine Study and classified diets into 'Healthy' or 'Western' patterns. The Raine study has been tracking the cohort of individuals in Western Australia since their birth in 1989.

The ‘Healthy’ diet was characterised by high intake of fresh fruit and vegetables, whole grains and fish, and tended to be higher in omega-3 fatty acids, folate and fibre.

The ‘Western’ diet was characterised by a tendency towards takeaway foods, confectionary, processed, fried and refined foods, and tended to be higher in total fat, saturated fat, refined sugar and sodium.

Led by Dr Wendy Oddy, the team looked at the dietary patterns amongst the adolescents and compared the diet information against whether or not the adolescent had received a diagnosis of ADHD by the age of 14 years.

115 adolescents had been diagnosed with ADHD – 91 boys and 24 girls.

“We found a diet high in the Western pattern of foods was associated with more than double the risk of having an ADHD diagnosis compared with a diet low in the Western pattern, after adjusting for numerous other social and family influences,” Dr Oddy said.

“When we looked at specific foods, having an ADHD diagnosis was associated with a diet high in takeaway foods, processed meats, red meat, high fat dairy products and confectionery,” Dr Oddy said.

Fats and nutrients?

In an attempt to explain the observations, Oddy said the Western diet may not provide the best fatty acid profile, and that an omega-3 rich diet could be better for mental health and optimal brain function.

“It also may be that the Western dietary pattern doesn't provide enough essential micronutrients that are needed for brain function, particularly attention and concentration,” she said.

Oddy did not discount the possible influence of colours and other additives – nor that there could be a vicious circle between ADHD and poor dietary choices.

“It may also be that impulsivity, which is a characteristic of ADHD, leads to poor dietary choices such as quick snacks when hungry… “This is a cross-sectional study so we cannot be sure whether a poor diet leads to ADHD or whether ADHD leads to poor dietary choices and cravings,” Oddy said.

The researchers say more studies are needed to uncover what is behind the observed link.

Source

Journal of Attention Disorders
Doi:10.1177/1087054710365990

ADHD Is Associated With a ‘Western’ Dietary Pattern in Adolescents

Authors: Amber L. Howard, Monique Robinson, Grant J. Smith, Gina L. Ambrosini, Jan P. Piek, Wendy H. Oddy

 

A new study from Australia has suggested that ADHD in adolescents could be linked to Western diets, which tend to be high in total fat, saturated fat, refined sugar and sodium.

ADHD – attention deficit hyperactivity disorder – has previously been the subject of dietary inquiry. There has been particular attention in the last 3 years to some artificial food colourings, after a study at Southampton University in the UK reported a link between cocktails of colours and hyperactivity in kids. Some research has also investigated the potential role of omega-3 fatty acids in improving childrens’ behaviour.

The new study, from Perth's Telethon Institute for Child Health Research and published in the Journal of Attention Disorders, looked at the dietary patterns of 1800 adolescents from the long-term Raine Study and classified diets into 'Healthy' or 'Western' patterns. The Raine study has been tracking the cohort of individuals in Western Australia since their birth in 1989.

The ‘Healthy’ diet was characterised by high intake of fresh fruit and vegetables, whole grains and fish, and tended to be higher in omega-3 fatty acids, folate and fibre.

The ‘Western’ diet was characterised by a tendency towards takeaway foods, confectionary, processed, fried and refined foods, and tended to be higher in total fat, saturated fat, refined sugar and sodium.

Led by Dr Wendy Oddy, the team looked at the dietary patterns amongst the adolescents and compared the diet information against whether or not the adolescent had received a diagnosis of ADHD by the age of 14 years.

115 adolescents had been diagnosed with ADHD – 91 boys and 24 girls.

“We found a diet high in the Western pattern of foods was associated with more than double the risk of having an ADHD diagnosis compared with a diet low in the Western pattern, after adjusting for numerous other social and family influences,” Dr Oddy said.

“When we looked at specific foods, having an ADHD diagnosis was associated with a diet high in takeaway foods, processed meats, red meat, high fat dairy products and confectionery,” Dr Oddy said.

Fats and nutrients?

In an attempt to explain the observations, Oddy said the Western diet may not provide the best fatty acid profile, and that an omega-3 rich diet could be better for mental health and optimal brain function.

“It also may be that the Western dietary pattern doesn't provide enough essential micronutrients that are needed for brain function, particularly attention and concentration,” she said.

Oddy did not discount the possible influence of colours and other additives – nor that there could be a vicious circle between ADHD and poor dietary choices.

“It may also be that impulsivity, which is a characteristic of ADHD, leads to poor dietary choices such as quick snacks when hungry… “This is a cross-sectional study so we cannot be sure whether a poor diet leads to ADHD or whether ADHD leads to poor dietary choices and cravings,” Oddy said.

The researchers say more studies are needed to uncover what is behind the observed link.

Source

Journal of Attention Disorders
Doi:10.1177/1087054710365990

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July 29th, 2010 by Doctor Dirt

Vitamin E, and Selenium may offer Prostate Protection says a New Study

Selenium and Vitamin E may offer protection against prostate cancer by changing the expression of certain genes in the prostate linked to tumors says a new study from Texas.

Writing in the Journal of the National Cancer Institute, Scientists from the University of Texas MD Anderson Cancer Center in Houston report that exposure of biopsy samples from people with cancer to Vitamin E, Selenium or both, expressed different genes, with the combined exposure producing results similar to that observed in people with no prostate cancer.

“To the best of our knowledge, this study was the first detailed systematic pathological interrogation to be completed in preoperative patients with favorable risk prostate cancer.” Wrote lead author Dimitria Tsavachidou

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July 13th, 2010 by Doctor Dirt

Vitamin D may slash Parkinson’s risk: Study

By Stephen Daniells, 13-Jul-2010

Related topics: Vitamins & premixes, Cognitive and mental function

High blood levels of vitamin D may reduce the risk of developing Parkinson's disease by 67 per cent, compared with low levels of the sunshine vitamin, says a new study from Finland.

Researchers from the National Institute for Health and Welfare in Helsinki analysed data from 3,173 Finnish men and women aged between 50 and 79. Over an impressive 29 years of follow-up, the researchers documented 50 cases of Parkinson's disease.

The study is reported to be the first longitudinal analysis of vitamin D status and the risk of Parkinson's disease.

Writing in the Archives of Neurology, the authors note that the exact mechanism is unknown, but postulated that vitamin D may be exerting a benefit through antioxidant activities, regulation of calcium levels, detoxification, modulation of the immune system and enhanced conduction of electricity through neurons.

“Our results are in line with the hypothesis that low vitamin D status predicts the development of Parkinson disease,” write the researchers. “Because of the small number of cases and the possibility of residual confounding, large cohort studies are needed. In intervention trials focusing on effects of vitamin D supplements, the incidence of Parkinson disease merits follow up.”

Promising data

In an accompanying editorial, Marian Leslie Evatt, MD, MS, from Emory University in Atlanta described the study as “the first promising human data to suggest that inadequate vitamin D status is associated with the risk of developing Parkinson's disease”.

Evatt cautioned however that “further work is needed in both basic and clinical arenas to elucidate the exact role, mechanisms and optimum concentration of vitamin D in Parkinson's disease."

Parkinson's disease is a degenerative condition affecting movement and balance in more than one million Americans each year, a figure expected to rise due to ageing populations. The disease affects nerve cells in several parts of the brain, particularly those that use the chemical messenger dopamine to control movement.

Previous studies have shown that the part of the brain affected most by Parkinson's, the substantia nigra, contains high levels of the vitamin D receptor, which suggests vitamin D may be important for normal functions of these cells.

Study details

The new study involved the measurement of vitamin D levels in over 3,000 people. The data showed that people with the lowest levels of vitamin D were three times more likely to develop Parkinson's, compared to the group with the highest levels.

Prudence

In the editorial, Evatt added that “it seems prudent to confirm the findings presented in this issue and investigate whether the apparent dose-response relationship observed in the current study maintains its slope, levels off or becomes negative with higher 25-hydroxyvitamin D concentrations.

“In the interim, data from interventional studies of fractures and falls appear to justify optimizing vitamin D levels to greater than 30 to 40 nanograms per millilitre,” she concluded

Source: Archives of Neurology
Volume 67, Issue 7, Pages 808-811
"Serum Vitamin D and the Risk of Parkinson Disease"
Authors: P. Knekt, A. Kilkkinen, H. Rissanen, J. Marniemi, K. Saaksjarvi, M. Heliovaara

Editorial: Archives of Neurology
Volume 67, Issue 7, Pages 795-797, doi:10.1001/archneurol.2010.123
“Beyond Vitamin Status – Is There a Role for Vitamin D in Parkinson Disease?”
Author: M.L. Evatt

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July 12th, 2010 by Doctor Dirt

All forms of vitamin E count in Alzheimer’s protection, finds study

By Lorraine Heller, 08-Jul-2010

Related topics: Research, Vitamins & premixes, Cognitive and mental function

A combination of different vitamin E forms could help prevent cognitive deterioration in advanced age, according to the results of a study from Sweden.

Published this week in the Journal of Alzheimer's Disease, the findings suggest that it is multiple components of the vitamin that could reduce the risk of developing Alzheimer’s.

The role of the vitamin E family in Alzheimer’s Disease (AD) is unclear, said the researchers, in spite of the strong biological plausibility of a possible protective activity of these micronutrients in age-related cognitive decline and AD.

Their population-based study aimed to evaluate whether higher plasma levels of vitamin E could be protective against Alzheimer’s in advanced age and whether the protective activity could be due to more than just the tocopherol form of the vitamin.

"Vitamin E is a family of eight natural components, but most studies related to Alzheimer's disease investigate only one of these components – tocopherol," said Dr Francesca Mangialasche, who led the study.

"We hypothesized that all the vitamin E family members could be important in protecting against AD. If confirmed, this result has implications for both individuals and society, as 70 percent of all dementia cases in the general population occur in people over 75 years of age, and the study suggests a protective effect of vitamin E against AD in individuals aged 80+."

Participants over 80

Conducted at the Aging Research Center (ARC), Karolinska Institutet, Stockholm, Sweden, in collaboration with the Institute of Gerontology and Geriatrics, University of Perugia, Italy, the study involved 232 participants over the age of 80. At the start of the study, all participants were dementia-free. After six years, 57 cases of Alzheimer’s were identified.

 

Blood tests taken at the beginning of the study evaluated all eight vitamin E components. People with higher blood levels of the vitamin were compared with those who had lower levels, to examine whether these two groups developed dementia at different rates.

“The study found that subjects with higher blood levels of all the vitamin E family forms had a reduced risk of developing AD, compared to subjects with lower levels. After adjusting for various confounders, the risk was reduced by 45-54 percent, depending on the vitamin E component,” said the researchers.

Not just tocopherols

These findings support the hypothesis that vitamin E’s protective activity seems to be related to the combination of different forms, rather than α-tocopherol alone, they concluded. This, they said, justifies the “protective effect of dietary intake observed in epidemiological studies and the disappointing results observed in clinical trials.”

"Elderly people as a group are large consumers of vitamin E supplements, which usually contain only ±-tocopherol, and this often at high doses," said Dr Mangialasche.

"Our findings need to be confirmed by other studies, but they open up for the possibility that the balanced presence of different vitamin E forms can have an important neuroprotective effect."

Source: High plasma levels of vitamin E forms and reduced Alzheimer's disease risk in advanced age
Journal of Alzheimer's Disease (JAD), 5 July 2010, DOI: 10.3233/JAD-2010-091450
Authors: Francesca Mangialasche, Miia Kivipelto, Patrizia Mecocci, Debora Rizzuto, Katie Palmer, Bengt Winblad, Laura Fratiglioni

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July 6th, 2010 by Doctor Dirt

Antioxidants may boost heart health and metabolism

By Stephen Daniells, 05-Jul-2010

Related topics: Research, Antioxidants, carotenoids, Minerals, Vitamins & premixes, Cardiovascular health

Long-term supplementation with antioxidants may beneficially effect sugar and fat metabolism, and boost heart health by increasing the flexibility of arteries, says a new study.

Daily supplements of vitamin C, vitamin E, coenzyme Q10 and selenium significantly improved the elasticity of arteries, and levels of HDL cholesterol in people with multiple cardiovascular risk factors, according to findings published in Nutrition & Metabolism.

“This beneficial vascular effect was associated with an improvement in glucose and lipid metabolism as well as significant decrease in blood pressure,” said lead researcher Reuven Zimlichman from Wolfson Medical Center, Israel.

The study involved 70 people with high blood pressure, diabetes, low HDL cholesterol levels, or who were smokers. The average age of the subjects was 62. The participants were randomly assigned to received either a placebo or a daily antioxidant supplement containing vitamin C (1000 mg per day), vitamin E (400 International Units per day), coenzyme Q10 (120 mg per day) and selenium (200 micrograms per day).

Six months later, and the researchers noted that people in the antioxidant group exhibited significant increases in arterial elasticity index, a measure of the flexibility – and therefore the health – of blood vessels. Specifically, the large arterial elasticity index increased from 11 to 12.7 ml/mm Hg x100, while no changes were observed in the placebo group.

Furthermore, both systolic and diastolic blood pressure decreased significantly, with the former dropping from 145.2 to 136.1 mmHg, while the later dropped from 78.4 to 75.0 mmHg, said the researchers.

Significant improvements were also observed in HDL cholesterol levels for the antioxidant group, said the researchers, but not in the placebo group.

How?

Commenting on the potential mechanism, the Israeli researchers note that previous studies have indicated that vitamins C and E may protect DNA from damage, enhance antioxidant defenses and restore the health of the cells lining blood vessels (endothelium). In addition co-Q10 “plays an essential role as an electron carrier in mitochondrial oxidative phosphorylation, improves endothelial dysfunction in diabetic patients”. They also note that selenium, via its role in various antioxidative enzymes, “provides significant protection of the coronary artery endothelium against damage by oxidative stress”.

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