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Antioxidants: Pro- or Anti-Cancer?

 
  Source: Article by Pharmacist, National Cancer Centre Singapore (NCCS)  
     
 

Too much antioxidant supplementation actually appears to be harmful for cancer.

Antioxidants

Normal body functions such as breathing or physical activity, as well as lifestyle habits such as smoking and drinking alcohol, all produce free radicals that attack healthy cells. When your cells are weakened by free radicals, they are more susceptible to developing certain types of cancers.

Antioxidants are a broad range of compounds that destroy free radicals. Many of these compounds are present in the diet as vitamins. The  best known antioxidants are vitamin A, vitamin C and vitamin E.

Getting the right amount of antioxidant vitamins

The best way to get antioxidant vitamins is through healthy eating habits.

Fruits and vegetables contain essential vitamins, minerals, fibre and other nutrients including antioxidants. A good start to optimal health is to eat at least 5 servings of fruits and vegetables a day (you can think of a "serving" as about a fistful).

Individuals who have diets rich in fruits and vegetables may have a reduced risk of cancer compared with those who eat a much higher proportion of high-fat and processed foods.

Antioxidant vitamins in cancer prevention studies

Numerous studies have examined the association between dietary antioxidant intake and the risk of cancer. The results of recent studies are summarised below. As shown, a major surprise of these studies has been that antioxidant supplementation actually appears to be harmful in some disease groups.

Antioxidant supplementation and cancer prevention: randomised trials

Experimental
 Intervention
 Sample
 Size
 Duration
 of Study
 Characteristics
 of Participants
 Study Outcome 
 B-carotene:
 15mg/day
 
 Vit E: 
 30mg/day
 
 Selenium:
 50mcg/day
 
 29,584  6 years  Malnourished
 Age: 40 - 69
 Lower cancer rate

 B-carotene:
 20mg/day
 
 compared to
 
 atocopherol:
 50mg/day
  

 29,133 

 5 - 8 years
 Average 6 years
  

 Male smokers
 Age: 50 - 69
 B-carotene:
 20mg/day 
 associated
 with increase
 in lung cancer
  
 B-carotene:
 30mg/day
 
 and
 
 retinyl palmitate:
 25 000IU/day
 
 18,314  4 years 

 Male and female 
 Age: 45 - 74
 Smoker and/or 
 occupational
 exposure to
 asbestos
   

 No clear evidence 
 of benefit. Associated
 with more death
 B-carotene:
 50mg on
 alternate days
  
 22,071  11.6 - 14.2 years,
 average 12 years
 Male
 Age: 40 - 84
 Current/former 
 or non-smokers
 
 No clear evidence
 of benefit or harm
 related to cancer
 risk
 

 B-carotene:
 50mg on
 alternate days 
  

 39,876   0.00-2.72 years,
 median 2.1 years
  
 Female
 Age: > = 45 
 No significance
 difference in
 incidence of
 cancer
 
 B-carotene:
 25mg/day
 
 Vit C:
 1000mg/day
 
 Vit E:
 400IU/day
  
 864  4 years  Adenoma diagnosed
 Good health
 Age: < 80
  
 No clear evidence
 of benefit
 B-carotene:
 50mg/day 
   
 1,805  5 years  Recent 
 non-melanoma
 skin cancer
  
 No clear evidence
 of benefit
 

Should I take antioxidants?

If you're being treated for cancer, it is not a good idea to take high doses of antioxidant nutrients as they may interfere with cancer treatment. Be sure to discuss them with your healthcare providers. If you decide to take antioxidant supplementation, here are some basic points to consider:

  • Do I need to think first about my total diet plan?
  • Should I check first with my doctors?
  • How reliable is the source recommending those supplements? 
  • Does it sound too good to be true?
  • Is it really likely to be worth the expense, or would I be better off spending my money in some other way?
 
 

 

 
     
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