Showing posts with label vitamin D. Show all posts
Showing posts with label vitamin D. Show all posts

Sunday, December 5, 2010

Vitamin D and Depression


Weekly Health Update:



Vitamin D and Depression





"A critical weekly review of important new research findings for health-conscious readers..."

By, Robert A. Wascher, MD, FACS


Dr. Wascher



Dr. Wascher



Updated: 12/5/2010



The information in this column is intended for informational purposes only, and does not constitute medical advice or recommendations by the author. Please consult with your physician before making any lifestyle or medication changes, or if you have any other concerns regarding your health.






Welcome to Weekly Health Update





“A critical weekly review of important new research findings for health-conscious readers”




VITAMIN D AND DEPRESSION

Regular readers of this column already know that Vitamin D, which functions more as a hormone than a vitamin, has been linked to multiple potential health benefits. These include a decreased risk of cardiovascular disease, improved strength and balance in older men and women, and a decreased risk of certain cancers. In a newly published clinical research study, which appears in the current issue of the International Archives of Internal Medicine, increased blood levels of this hormone-like vitamin also appear to be associated with a significantly decreased level of risk for depression.

This large public health study assessed 7,970 research volunteers between the ages of 15 and 39 years in the United States. All of these young study volunteers had blood Vitamin D levels measured, and this group of nearly 8,000 adolescents and young adults was also assessed for depression using a validated mental health survey. The findings of this large clinical study were impressive: After adjusting for other factors known to be linked with depression, this very large study found that people who were deficient in Vitamin D (blood levels less than or equal to 50 nmol/L) were 85 percent more likely to be clinically depressed when compared to people with normal Vitamin D blood levels (greater than or equal to 75 nmol/L).

Although this clinical research study identified a strong and significant association between the risk of depression and levels of Vitamin D in the blood, the findings of this study cannot prove that low levels of Vitamin D in the blood directly cause depression. There could be other explanations for this finding, including decreased exposure to sunlight which is, itself, linked to depression (the majority of the Vitamin D in our bodies is manufactured in our skin, following exposure to sunlight). However, recent research has also demonstrated that cellular receptors for Vitamin D are present within the brain, including those areas of the brain that regulate mood, and which are also thought to be the areas of the brain responsible for mood disorders like depression. Therefore, it is certainly possible that Vitamin D, like multiple other hormones and neurotransmitters, may also play a direct role in the modulation of our moods.

As always, I strongly recommend that readers consult with their physician prior to taking supplements of Vitamin D, as serious health side effects can occur after taking large doses of this essential nutrient, particularly in patients with kidney or parathyroid gland disorders.


For a complete discussion of the important role of Vitamin D in cancer prevention, order your copy of my new book, A Cancer Prevention Guide for the Human Race,now!



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On Thanksgiving Day, A Cancer Prevention Guide for the Human Race was ranked #6 among all cancer-related books on the Amazon.com Top 100 Bestseller’s List for Kindle e-books!



I and the staff of Weekly Health Update would again like to take this opportunity to thank the more than 100,000 health-conscious people, from around the world, who visit this premier global health information website every month. (As of 9/16/2010, more than 1,000,000 health-conscious people have logged onto Weekly Health Update so far this year!) As always, we enjoy receiving your stimulating feedback and questions, and I will continue to try and personally answer as many of your inquiries as I possibly can.



Disclaimer: As always, my advice to readers is to seek the advice of your physician before making any significant changes in medications, diet, or level of physical activity


Dr. Wascher is an oncologic surgeon, professor of surgery, cancer researcher, oncology consultant, and a widely published author






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Copyright 2007 - 2010


Robert A. Wascher, MD, FACS


All rights reserved




Dr. Wascher's Archives:

12-5-2010: Vitamin D and Depression


11-28-2010: Mammograms Save Lives in Women with Family History of Breast Cancer


11-14-2020: Low Dose Aspirin Reduces Colorectal Cancer Risk


11-7-2010: Coffee, Tea, Caffeine and Brain Cancer Risk


10-28-2010: Diet and Lifestyle Habits that Decrease Colorectal Cancer Risk


10-21-2010: The Silent Epidemic of Surgeon Burnout and Depression


10-14-2010: Gum Disease (Gingivitis) and Breast Cancer Risk


10-7-2010: Hormone Replacement Therapy (HRT) and Breast Cancer Risk


10-3-2010: Mammograms Between 40 and 49 Years of Age


9-26-2010: Vitamin D, Cardiovascular Disease, Cancer, and Death


9-19-2010: Fruits and Vegetables Improve Memory


9-12-2010: Low-Carb Diet and Risk of Death


9-5-2010: Non-Compliance with Hormonal Therapy for Breast Cancer and Risk of Death


8-29-2010: New Treatment for Irritable Bowel Syndrome (IBS)


8-22-2010: Lactoferrin Reduces Abdominal (Visceral) Obesity


8-15-2010: Blueberries, Obesity, Diabetes and Metabolic Syndrome


8-8-2010: High LDL Cholesterol in Young Adults and Heart Disease Risk in Middle Age


8-1-2010: Physician Error


7-25-2010: Obesity and Cancer Risk


7-18-2010: Vitamin D Reduces Risk of Cognitive Decline & Dementia


7-11-2010: All Forms of Hormone Replacement Therapy (HRT) Increase Breast Cancer Risk


7-4-2010: Irritable Bowel Syndrome: Cause Discovered?


6-27-2010: Soy, Curcumin & Prostate Cancer Risk


6-20-2010: Green Tea Epicatechin Reduces Heart Damage & CHF


6-13-2010: Diacylglycerol (Diglyceride) Oil Reduces Obesity


6-6-2010: Important New Advance in the Breast Cancer Treatment: Intraoperative Radiation Therapy


5-30-2010: Medical Research Studies & “Spin”


5-23-2010: Soy & Curcumin Reduce Prostate-Specific Antigen (PSA)


5-16-2010: Coffee & the Risk of Death from Heart Disease & Cancer


5-9-2010: Soy Foods & Stomach Cancer Risk


5-2-2010: Chemotherapy for Breast Cancer & Memory Loss


4-25-2010: Smoking, Teenagers & Tobacco Company Advertising


4-18-2010: Coffee Improves HDL Cholesterol Levels


4-11-2010: Cruciferous Vegetables, Soy & Breast Cancer Risk


4-4-2010: Avodart (Dutasteride) & Prostate Cancer Prevention


3-28-2010: Aspirin & Breast Cancer Survival


3-21-2010: Obesity, Alcohol & Liver Disease


3-14-2010: Nuts, Diet & Obesity


3-7-2010: Walnuts, Cholesterol, LDL & Triglycerides


2-28-2010: Soy Isoflavones & Recurrent Prostate Cancer


2-21-2010: Testosterone Supplements in Frail Elderly Men


2-14-2010: Pancreatic Cancer Risk, Sodas & Juice


2-7-2010: Vitamin D, Cardiovascular Disease & Death


1-31-2010: Concord Grape Juice Improves Memory


1-24-2010: Mozart, Music, Babies & Health


1-17-2010: Breast Cancer, Physical Therapy & Lymphedema


1-10-2010: Prevention of Surgical Site Infections (SSIs) after Surgery


1-3-2010: Ginkgo Biloba, Memory & Cognitive Health


12-20-2009: CT Scans & Cancer Risk


12-13-2009: Soy Isoflavones Decrease Breast Cancer Recurrence Risk


12-6-2009: Salt (Sodium) Intake, Stroke & Cardiovascular Disease


11-29-2009: Exercise & Prostate Cancer Risk


11-22-2009: Genistein (Soy Isoflavone) & Prostate Cancer


11-15-2009: Breast Cancer Treatment & Chronic Pain


1-8-2009: Vitamin D & Breast Cancer Risk


11-1-2009: Exercise & Prostate Cancer Risk


10-25-2009: HPV Virus & Risk of Breast Cancer


10-18-2009: Post-Cholecystectomy Syndrome (Symptoms after Gallbladder Surgery)


10-11-2009: Vitamin D & Falls in the Elderly


10-4-2009: Surgery, NSQIP, Complications & Death


9-27-2009 Stress, Heart Disease, Exercise & Death


9-20-2009: Vitamin D & Colorectal Cancer Survival


9-13-2009: H1N1 Swine Flu Update


9-7-2009: Green Tea, Aging & Lifespan


8-30-2009: Irritable Bowel Syndrome (IBS), Diet & Fiber


8-23-2009: Update on Prostate Cancer and Cryotherapy


8-16-2009: Exercise Improves Lymphedema Symptoms in Breast Cancer Survivors


8-9-2009: Breast Cancer Recurrence, Death & Vitamin D


8-2-2009: Honesty, Dishonesty & Brain Function


7-26-2009: Coronary Artery CT Scans & Cancer Risk


7-19-2009: Hormone Replacement Therapy (HRT) & Ovarian Cancer


7-12-2009: Breast Cancer & Metformin (Glucophage)


7-5-2009: Prostate Cancer & Green Tea


6-28-2009: Air Pollution & the Risk of Deep Venous Thrombosis (DVT)


6-21-2009: Red Yeast Rice, Statins & Cholesterol


6-14-2009: Bone Marrow Stem Cell Transplant & Congestive Heart Failure (CHF)


6-7-2009: Diet, Soy & Breast Cancer Risk


5-31-2009: Diet and Prostate Cancer Risk


5-24-2009: Diabetes, Glucose Control & Death


5-17-2009: Drug Company Marketing & Physician Prescribing Bias


5-10-2009: Hemorrhoids & Surgery


5-3-2009: Statin Drugs & Blood Clots (Thromboembolism)


4-26-2009: Are We Really Losing the War on Cancer?


4-19-2009: Exercise in Middle Age & Risk of Death


4-12-2009: Can Chronic Stress Harm Your Heart?


4-5-2009: Does PSA Testing for Prostate Cancer Save Lives?


3-22-2009: CABG Surgery vs. PCI in Diabetics with Coronary Artery Disease; Sweetened Beverages and Coronary Artery Disease


3-15-2009: Depression, Stress, Anger & Heart Disease


3-8-2009: Coronary Artery Disease: CABG vs. Stents?; Swimming Lessons & Drowning Risk in Children


3-1-2009: Aspirin & Colorectal Cancer Prevention; Fish Oil & Respiratory Infections in Children


2-22-2009: Health Differences Between Americans & Europeans; Lycopene & Prostate Cancer


2-15-2009: Statin Drugs & Death Rates; Physical Activity, Breast Cancer & Sex Hormones


2-8-2009: Hormone Replacement Therapy (HRT) & Breast Cancer; Stool DNA Testing & Cancer of the Colon & Rectum


2-1-2009: Obesity and the Complications of Diverticulosis (Diverticulitis & Bleeding); Obesity, Weight Loss & Urinary Incontinence


1-25-2009: Prostate Cancer, Fatigue & Exercise; Does your Surgeon “Warm-up” Before Surgery?


1-18-2009: Cancer and Vitamins; Teenagers, MySpace and Risky Behaviors


1-11-2009: Exercise Reverses Some Effects of Fatty Meals; Vitamin C and Blood Pressure


1-4-2009: Secondhand Smoke & Heart Attack Risk; Poor Physical Fitness During Childhood & Heart Disease Risk During Adulthood


12-28-2008: Stress & Your Risk of Heart Attack; Vitamin D & the Prevention of Colon & Rectal Polyps


12-21-2008: Breast Cancer Incidence & Hormone Replacement Therapy; Circumcision & the Risk of HPV & HIV Infection


12-14-2008: Vitamin E, Vitamin C and Selenium Do Not Prevent Cancer; Postscript: A Possible Cure for Down’s Syndrome


12-7-2008: Generic vs. Brand-Name Drugs, Stress & Breast Cancer Survival


11-30-2008: A Possible Cure for Down’s Syndrome?; Smoking & Cognitive Decline; Calcium & Vitamin D & Breast Cancer Risk


11-23-2008: Breast Cancer & Fish Oil; Lymphedema after Breast Cancer Treatment; Vasectomy & Prostate Cancer Risk


11-16-2008: Vitamin E & Vitamin C: No Impact on Cardiovascular Disease Risk; Does Lack of Sleep Increase Stroke & Heart Attack Risk in Hypertensive Patients?


11-9-2008: Statins Cut Heart Attack Risk Even with Normal Cholesterol Levels; Statins & PSA Level


11-2-2008: Radiation Treatment of Prostate Cancer & Second Cancers; Sexual Content on TV & Teen Pregnancy Risk


10-26-2008: Smoking & Quality of Life


10-19-2008: Agent Orange & Prostate Cancer


10-12-2008: Pomegranate Juice & Prostate Cancer


10-5-2008: Central Obesity & Dementia; Diet, Vitamin D, Calcium, & Colon Cancer


9-28-2008: Publication & Citation Bias in Favor of Industry-Funded Research?


9-21-2008: Does Tylenol® (Acetaminophen) Cause Asthma?


9-14-208: Arthroscopic Knee Surgery- No Better than Placebo?; A Healthy Lifestyle Prevents Stroke


8-23-2008: Alcohol Abuse Before & After Military Deployment; Running & Age; Running & Your Testicles


8-12-2008: Green Tea & Diabetes; Breastfeeding & Adult Cholesterol Levels; Fish Oil & Senile Macular Degeneration


8-3-2008: Exercise & Weight Loss; Green Tea, Folic Acid & Breast Cancer Risk; Foreign Language Interpreters & ICU Patients


7-26-2008: Viagra & Sexual Function in Women; Patient-Reported Adverse Hospital Events; Curcumin & Pancreatic Cancer


7-13-2008: Erectile Dysfunction & Frequency of Sex; Muscle Strength & Mortality in Men; Cryoablation for Prostate Cancer


7-6-2008: Sleep, Melatonin & Breast Cancer Risk; Mediterranean Diet & Cancer Risk; New Treatment for Varicose Veins


6-29-2008: Bone Marrow Stem Cells & Liver Failure; Vitamin D & Colorectal Cancer Survival; Green Tea & Colorectal Cancer


6-22-2008: Obesity, Lifestyle & Heart Disease; Effects of Lifestyle & Nutrition on Prostate Cancer; Ginkgo Biloba, Ulcerative Colitis & Colorectal Cancer


6-15-2008: Preventable Deaths after Coronary Artery Bypass Graft (CABG) Surgery; Green Tea & Colorectal Cancer; Attention-Deficit/Hyperactivity Disorder (ADHD) & St. John’s Wort


6-8-2008: Vitamin D & Prostate Cancer Risk; Radiofrequency Ablation (RFA) of Kidney (Renal) Cancer; Antisense Telomerase & Cancer


6-2-2008: Acute Coronary Syndrome- Do You Know the Symptoms?; Green Tea & Lung Cancer; Episiotomy & Subsequent Deliveries- An Unkind Cut


5-25-2008: Early Childhood Screening Predicts Later Behavioral Problems; Psychiatric Disorders Among Parents of Autistic Children; Social & Psychiatric Profiles of Young Adults Born Prematurely


5-18-2008: Can Statins Reverse Coronary Artery Disease?; Does Breast Ultrasound Improve Breast Cancer Detection?; Preventive Care Services at Veterans Administration (VA) Medical Centers


5-11-2008: Smoking Cessation & Risk of Death; Childhood Traumas & Adult Suicide Risk; “White Coat Hypertension” & Risk of Cardiovascular Disease


5-4-2008: Super-Size Me: Fast Food’s Effects on Your Liver; Exercise, Weight & Coronary Artery Disease; Contamination of Surgical Instruments in the Operating Room


4-27-2008: Stents vs. Bypass Surgery for Coronary Artery Disease; The “DASH” Hypertension Diet & Cardiovascular Disease Prevention; Testosterone Therapy for Women with Decreased Sexual Desire & Function


4-20-2008: BRCA Breast Cancer Mutations & MRI Scans; Bladder Cancer Prevention with Broccoli?; Diabetes: Risk of Death Due to Heart Attack & Stroke


4-13-2008: Breast Cancer Recurrence & Hormone Replacement Therapy (HRT); Carotid Artery Disease: Surgery vs. Stents?; Statin Drugs & Cancer Prevention


4-6-2008: Human Papilloma Virus (HPV), Pap Smear Results & Cervical Cancer; Human Papilloma Virus (HPV) Infection & Oral Cancer; Hormone Replacement Therapy (HRT) & the Risk of Gastroesophageal Reflux Disorder (GERD)


3-30-2008: Abdominal Obesity & the Risk of Death in Women; Folic Acid Pretreatment & Heart Attacks; Pancreatic Cancer Regression after Injections of Bacteria


3-23-2008: Age of Transfused Blood & Risk of Complications after Surgery; Obesity, Blood Pressure & Heart Size in Children


3-16-2008: Benefits of a Full Drug Coverage Plan for Medicare Patients?; Parent-Teen Conversations about Sex; Soy (Genistein) & Prostate Cancer


3-9-2008: Flat Colorectal Adenomas & Cancer; Health Risks after Stopping Hormone Replacement Therapy (HRT); Television, Children & Obesity


3-2-2008: Medication & Risk of Death After Heart Attack; Hormone Replacement Therapy (HRT) & Mammogram Results; Selenium: Cancer, Heart Disease & Death


2-23-2008: Universal Healthcare Insurance Study; Glucosamine & Arthritis


2-17-2008: Exceptional Longevity in Men; Testosterone & Risk of Prostate Cancer; Smoking & Pre-malignant Colorectal Polyps


2-10-2008: Thrombus Aspiration from Coronary Arteries; Intensive Management of Diabetes & Death; Possible Cure for Down's Syndrome?


2-3-2008: Vitamin D & Cardiovascular Health; Vitamin D & Breast Cancer; Green Tea & Colorectal Cancer


1-27-2008: Colorectal Cancer, Esophageal Cancer & Pancreatic Cancer: Update from the 2008 American Society of Clinical Oncology's Gastrointestinal Cancers Symposium


1-20-2008: Testosterone Levels & Risk of Fractures in Elderly Men; Air Pollution & DNA Damage in Sperm; Statins & Trauma Survival in the Elderly


1-12-2008: Statins, Diabetes & Stroke and Obesity; GERD & Esophageal Cancer


1-7-2008: Testosterone Supplements in Elderly Men; Colorectal Cancer-- Reasons for Poor Compliance with Screening Recommendations


12-31-2007: Minority Women, Hormone Replacement Therapy & Breast Cancer; Does Health Insurance Improve Health?


12-23-2007: Is Coffee Safe After a Heart Attack?; Impact of Divorce on the Environment; Hypertension & the Risk of Dementia; Emotional Vitality & the Risk of Heart Disease


12-16-2007: Honey vs. Dextromethorphan vs. No Treatment for Kids with Night-Time Cough, Acupuncture & Hot Flashes in Women with Breast Cancer, Physical Activity & the Risk of Death, Mediterranean Diet & Mortality


12-11-2007: Bias in Medical Research; Carbon Nanotubes & Radiofrequency: A New Weapon Against Cancer?; Childhood Obesity & Risk of Adult Heart Disease


12-2-2007: Obesity & Risk of Cancer; Testosterone Level & Risk of Death; Drug Company Funding of Research & Results; Smoking & the Risk of Colon & Rectal Cancer






Dr. Wascher's Home Page




Monday, November 9, 2009

Vitamin D & Breast Cancer Risk


Health Report:


Vitamin D & Breast Cancer Risk





"A critical weekly review of important new research findings for health-conscious readers..."

Photo of Dr. Wascher



By, Robert A. Wascher, MD, FACS



Updated: 11/08/2009



The information in this column is intended for informational purposes only, and does not constitute medical advice or recommendations by the author. Please consult with your physician before making any lifestyle or medication changes, or if you have any other concerns regarding your health.




VITAMIN D & BREAST CANCER RISK

As regular readers of this column already know, Vitamin D is a very hot molecule in the world of cancer prevention research. While there have been contradictory results among various clinical research studies regarding the proper role of Vitamin D in the prevention of cancer, there is a growing tally of clinical and laboratory research studies suggesting that higher levels of Vitamin D in the blood may be associated with a lower risk of developing certain cancers. Now, another clinical research trial, just published in the journal Cancer Epidemiology, Biomarkers & Prevention, adds further weight to the theory that Vitamin D may, in fact, significantly reduce the risk of developing certain cancers.

This study involved 2,465 women who were scheduled for diagnostic mammograms. Blood levels of Vitamin D were measured in these women prior to performing their mammograms. Of these nearly 2,500 women, 142 were subsequently confirmed to have a breast cancer. An additional 420 women participating in this study were matched with the newly diagnosed breast cancer patients in terms of age, menopausal status, and other factors known to play a role in breast cancer risk. (This group of 420 women turned out not to have breast cancer, following their mammograms, and so they served as a “control group” for this prospective clinical research study.)

As with several previous Vitamin D cancer prevention studies that I have previously reviewed, the results of this study were quite interesting. After analyzing their data, this study’s authors determined that the women with the highest levels of Vitamin D in their blood experienced a 48 percent reduction in the relative risk of being diagnosed with breast cancer when compared to the women with the lowest levels of Vitamin D.

The evidence for a potential protective effect of Vitamin D against cancer is, arguably, strongest for colon and rectal cancer. However, there is a growing body of research hinting at a potential protective effect for Vitamin D against breast cancer, as well. (As is virtually always the case for disease prevention research, however, there have been several research studies that have failed to identify a cancer prevention benefit for Vitamin D.)

Clearly, additional research is necessary to ferret out the appropriate role of Vitamin D in cancer prevention, and large prospective, randomized, placebo-controlled clinical research (with long term follow-up of patients) will be necessary to resolve the conflicting cancer prevention research data with respect to Vitamin D. Meanwhile, given the stronger data for Vitamin D and colorectal cancer prevention (and for cardiovascular disease prevention, as well), Vitamin D remains, essentially, the only vitamin for which there is at least moderate clinical evidence supporting a potential cancer prevention benefit.

As always, before starting a new vitamin supplement, or other nutritional supplement, I encourage patients to see their personal physician first.

Below are links to previous Vitamin D and breast cancer columns that I have recently published:


Breast Cancer Recurrence, Death & Vitamin D


Vitamin D & Cardiovascular Health; Vitamin D & Breast Cancer; Green Tea & Colorectal Cancer


Disclaimer: As always, my advice to readers is to seek the advice of your physician before making any significant changes in medications, diet, or level of physical activity



Dr. Wascher is an oncologic surgeon, a professor of surgery, a widely published author, and a Surgical Oncologist at the Kaiser Permanente healthcare system in Orange County, California





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(Anticipated Publication Date: March 2010)

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Send your feedback to Dr. Wascher at:

rwascher@doctorwascher.net






Links to Other Health & Wellness Sites




http://doctorwascher.com/




Copyright 2007 - 2009

Robert A. Wascher, MD, FACS

All rights reserved





Dr. Wascher's Archives:


11-1-2009: Exercise & Prostate Cancer Risk


10-25-2009: HPV Virus & Risk of Breast Cancer


10-18-2009: Post-Cholecystectomy Syndrome (Symptoms after Gallbladder Surgery)


10-11-2009: Vitamin D & Falls in the Elderly


10-4-2009: Surgery, NSQIP, Complications & Death


9-27-2009 Stress, Heart Disease, Exercise & Death


9-20-2009: Vitamin D & Colorectal Cancer Survival


9-13-2009: H1N1 Swine Flu Update


9-7-2009: Green Tea, Aging & Lifespan


8-30-2009: Irritable Bowel Syndrome (IBS), Diet & Fiber


8-23-2009: Update on Prostate Cancer and Cryotherapy


8-16-2009: Exercise Improves Lymphedema Symptoms in Breast Cancer Survivors


8-9-2009: Breast Cancer Recurrence, Death & Vitamin D


8-2-2009: Honesty, Dishonesty & Brain Function


7-26-2009: Coronary Artery CT Scans & Cancer Risk


7-19-2009: Hormone Replacement Therapy (HRT) & Ovarian Cancer


7-12-2009: Breast Cancer & Metformin (Glucophage)


7-5-2009: Prostate Cancer & Green Tea


6-28-2009: Air Pollution & the Risk of Deep Venous Thrombosis (DVT)


6-21-2009: Red Yeast Rice, Statins & Cholesterol


6-14-2009: Bone Marrow Stem Cell Transplant & Congestive Heart Failure (CHF)


6-7-2009: Diet, Soy & Breast Cancer Risk


5-31-2009: Diet and Prostate Cancer Risk


5-24-2009: Diabetes, Glucose Control & Death


5-17-2009: Drug Company Marketing & Physician Prescribing Bias


5-10-2009: Hemorrhoids & Surgery


5-3-2009: Statin Drugs & Blood Clots (Thromboembolism)


4-26-2009: Are We Really Losing the War on Cancer?


4-19-2009: Exercise in Middle Age & Risk of Death


4-12-2009: Can Chronic Stress Harm Your Heart?


4-5-2009: Does PSA Testing for Prostate Cancer Save Lives?


3-22-2009: CABG Surgery vs. PCI in Diabetics with Coronary Artery Disease; Sweetened Beverages and Coronary Artery Disease


3-15-2009: Depression, Stress, Anger & Heart Disease


3-8-2009: Coronary Artery Disease: CABG vs. Stents?; Swimming Lessons & Drowning Risk in Children


3-1-2009: Aspirin & Colorectal Cancer Prevention; Fish Oil & Respiratory Infections in Children


2-22-2009: Health Differences Between Americans & Europeans; Lycopene & Prostate Cancer


2-15-2009: Statin Drugs & Death Rates; Physical Activity, Breast Cancer & Sex Hormones


2-8-2009: Hormone Replacement Therapy (HRT) & Breast Cancer; Stool DNA Testing & Cancer of the Colon & Rectum


2-1-2009: Obesity and the Complications of Diverticulosis (Diverticulitis & Bleeding); Obesity, Weight Loss & Urinary Incontinence


1-25-2009: Prostate Cancer, Fatigue & Exercise; Does your Surgeon “Warm-up” Before Surgery?


1-18-2009: Cancer and Vitamins; Teenagers, MySpace and Risky Behaviors


1-11-2009: Exercise Reverses Some Effects of Fatty Meals; Vitamin C and Blood Pressure


1-4-2009: Secondhand Smoke & Heart Attack Risk; Poor Physical Fitness During Childhood & Heart Disease Risk During Adulthood


12-28-2008: Stress & Your Risk of Heart Attack; Vitamin D & the Prevention of Colon & Rectal Polyps


12-21-2008: Breast Cancer Incidence & Hormone Replacement Therapy; Circumcision & the Risk of HPV & HIV Infection


12-14-2008: Vitamin E, Vitamin C and Selenium Do Not Prevent Cancer; Postscript: A Possible Cure for Down’s Syndrome


12-7-2008: Generic vs. Brand-Name Drugs, Stress & Breast Cancer Survival


11-30-2008: A Possible Cure for Down’s Syndrome?; Smoking & Cognitive Decline; Calcium & Vitamin D & Breast Cancer Risk


11-23-2008: Breast Cancer & Fish Oil; Lymphedema after Breast Cancer Treatment; Vasectomy & Prostate Cancer Risk


11-16-2008: Vitamin E & Vitamin C: No Impact on Cardiovascular Disease Risk; Does Lack of Sleep Increase Stroke & Heart Attack Risk in Hypertensive Patients?


11-9-2008: Statins Cut Heart Attack Risk Even with Normal Cholesterol Levels; Statins & PSA Level


11-2-2008: Radiation Treatment of Prostate Cancer & Second Cancers; Sexual Content on TV & Teen Pregnancy Risk


10-26-2008: Smoking & Quality of Life


10-19-2008: Agent Orange & Prostate Cancer


10-12-2008: Pomegranate Juice & Prostate Cancer


10-5-2008: Central Obesity & Dementia; Diet, Vitamin D, Calcium, & Colon Cancer


9-28-2008: Publication & Citation Bias in Favor of Industry-Funded Research?


9-21-2008: Does Tylenol® (Acetaminophen) Cause Asthma?


9-14-208: Arthroscopic Knee Surgery- No Better than Placebo?; A Healthy Lifestyle Prevents Stroke


8-23-2008: Alcohol Abuse Before & After Military Deployment; Running & Age; Running & Your Testicles


8-12-2008: Green Tea & Diabetes; Breastfeeding & Adult Cholesterol Levels; Fish Oil & Senile Macular Degeneration


8-3-2008: Exercise & Weight Loss; Green Tea, Folic Acid & Breast Cancer Risk; Foreign Language Interpreters & ICU Patients


7-26-2008: Viagra & Sexual Function in Women; Patient-Reported Adverse Hospital Events; Curcumin & Pancreatic Cancer


7-13-2008: Erectile Dysfunction & Frequency of Sex; Muscle Strength & Mortality in Men; Cryoablation for Prostate Cancer


7-6-2008: Sleep, Melatonin & Breast Cancer Risk; Mediterranean Diet & Cancer Risk; New Treatment for Varicose Veins


6-29-2008: Bone Marrow Stem Cells & Liver Failure; Vitamin D & Colorectal Cancer Survival; Green Tea & Colorectal Cancer


6-22-2008: Obesity, Lifestyle & Heart Disease; Effects of Lifestyle & Nutrition on Prostate Cancer; Ginkgo Biloba, Ulcerative Colitis & Colorectal Cancer


6-15-2008: Preventable Deaths after Coronary Artery Bypass Graft (CABG) Surgery; Green Tea & Colorectal Cancer; Attention-Deficit/Hyperactivity Disorder (ADHD) & St. John’s Wort


6-8-2008: Vitamin D & Prostate Cancer Risk; Radiofrequency Ablation (RFA) of Kidney (Renal) Cancer; Antisense Telomerase & Cancer


6-2-2008: Acute Coronary Syndrome- Do You Know the Symptoms?; Green Tea & Lung Cancer; Episiotomy & Subsequent Deliveries- An Unkind Cut


5-25-2008: Early Childhood Screening Predicts Later Behavioral Problems; Psychiatric Disorders Among Parents of Autistic Children; Social & Psychiatric Profiles of Young Adults Born Prematurely


5-18-2008: Can Statins Reverse Coronary Artery Disease?; Does Breast Ultrasound Improve Breast Cancer Detection?; Preventive Care Services at Veterans Administration (VA) Medical Centers


5-11-2008: Smoking Cessation & Risk of Death; Childhood Traumas & Adult Suicide Risk; “White Coat Hypertension” & Risk of Cardiovascular Disease


5-4-2008: Super-Size Me: Fast Food’s Effects on Your Liver; Exercise, Weight & Coronary Artery Disease; Contamination of Surgical Instruments in the Operating Room


4-27-2008: Stents vs. Bypass Surgery for Coronary Artery Disease; The “DASH” Hypertension Diet & Cardiovascular Disease Prevention; Testosterone Therapy for Women with Decreased Sexual Desire & Function


4-20-2008: BRCA Breast Cancer Mutations & MRI Scans; Bladder Cancer Prevention with Broccoli?; Diabetes: Risk of Death Due to Heart Attack & Stroke


4-13-2008: Breast Cancer Recurrence & Hormone Replacement Therapy (HRT); Carotid Artery Disease: Surgery vs. Stents?; Statin Drugs & Cancer Prevention


4-6-2008: Human Papilloma Virus (HPV), Pap Smear Results & Cervical Cancer; Human Papilloma Virus (HPV) Infection & Oral Cancer; Hormone Replacement Therapy (HRT) & the Risk of Gastroesophageal Reflux Disorder (GERD)


3-30-2008: Abdominal Obesity & the Risk of Death in Women; Folic Acid Pretreatment & Heart Attacks; Pancreatic Cancer Regression after Injections of Bacteria


3-23-2008: Age of Transfused Blood & Risk of Complications after Surgery; Obesity, Blood Pressure & Heart Size in Children


3-16-2008: Benefits of a Full Drug Coverage Plan for Medicare Patients?; Parent-Teen Conversations about Sex; Soy (Genistein) & Prostate Cancer


3-9-2008: Flat Colorectal Adenomas & Cancer; Health Risks after Stopping Hormone Replacement Therapy (HRT); Television, Children & Obesity


3-2-2008: Medication & Risk of Death After Heart Attack; Hormone Replacement Therapy (HRT) & Mammogram Results; Selenium: Cancer, Heart Disease & Death


2-23-2008: Universal Healthcare Insurance Study; Glucosamine & Arthritis


2-17-2008: Exceptional Longevity in Men; Testosterone & Risk of Prostate Cancer; Smoking & Pre-malignant Colorectal Polyps


2-10-2008: Thrombus Aspiration from Coronary Arteries; Intensive Management of Diabetes & Death; Possible Cure for Down's Syndrome?


2-3-2008: Vitamin D & Cardiovascular Health; Vitamin D & Breast Cancer; Green Tea & Colorectal Cancer


1-27-2008: Colorectal Cancer, Esophageal Cancer & Pancreatic Cancer: Update from the 2008 American Society of Clinical Oncology's Gastrointestinal Cancers Symposium


1-20-2008: Testosterone Levels & Risk of Fractures in Elderly Men; Air Pollution & DNA Damage in Sperm; Statins & Trauma Survival in the Elderly


1-12-2008: Statins, Diabetes & Stroke and Obesity; GERD & Esophageal Cancer


1-7-2008: Testosterone Supplements in Elderly Men; Colorectal Cancer-- Reasons for Poor Compliance with Screening Recommendations


12-31-2007: Minority Women, Hormone Replacement Therapy & Breast Cancer; Does Health Insurance Improve Health?


12-23-2007: Is Coffee Safe After a Heart Attack?; Impact of Divorce on the Environment; Hypertension & the Risk of Dementia; Emotional Vitality & the Risk of Heart Disease


12-16-2007: Honey vs. Dextromethorphan vs. No Treatment for Kids with Night-Time Cough, Acupuncture & Hot Flashes in Women with Breast Cancer, Physical Activity & the Risk of Death, Mediterranean Diet & Mortality


12-11-2007: Bias in Medical Research; Carbon Nanotubes & Radiofrequency: A New Weapon Against Cancer?; Childhood Obesity & Risk of Adult Heart Disease


12-2-2007: Obesity & Risk of Cancer; Testosterone Level & Risk of Death; Drug Company Funding of Research & Results; Smoking & the Risk of Colon & Rectal Cancer






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Saturday, October 10, 2009

Vitamin D & Falls in the Elderly


Health Report:


Vitamin D & Falls in the Elderly






"A critical weekly review of important new research findings for health-conscious readers..."

By, Robert A. Wascher, MD, FACS

Photo of Dr. Wascher


Updated: 10/11/2009




The information in this column is intended for informational purposes only, and does not constitute medical advice or recommendations by the author. Please consult with your physician before making any lifestyle or medication changes, or if you have any other concerns regarding your health.



Vitamin D & Falls in the Elderly

Regular readers of this column are already aware of the intense research underway regarding the potential health benefits of Vitamin D beyond its long understood role in calcium absorption and bone health. A growing body of research suggests important potential roles for Vitamin D in maintaining good cardiovascular health and in the prevention of some types of cancer. More recently, clinical research has also suggested that Vitamin D may also help to directly improve muscle strength.

Falls among the elderly are a major public health problem, and are the most common cause of injury-related death in persons older than 65 years of age. It has been estimated that 30 percent of people over the age of 65 sustain falls every year, while 45 to 60 percent of people aged 80 years or greater experience significant falls every year. Falls among the elderly are also an ominous predictor of future health decline as well, and are associated with up to 40 percent of all nursing home admissions.

While Vitamin D and calcium supplementation have previously been linked with a decrease in fractures among elderly patients, recent prospective, randomized, placebo-controlled clinical research trials have also suggested that Vitamin D supplements may act directly on muscle tissue to improve muscle strength and tone. However, because of inconsistent results among several of these prospective Vitamin D clinical trials, the true benefit of Vitamin D supplements on muscle strength, and on the risk of falls among the elderly, has been rather unclear. Now, a new meta-analysis study has exhaustively reviewed and analyzed the results of 8 different prospective, randomized, placebo-controlled Vitamin D clinical research trials that, together, included more than 2,400 research volunteers. This study has just been published in the British Medical Journal.

In this meta-analysis study, the authors identified a 19 percent decrease in the risk of falls among older patients who received high-dose (700 to 1,000 IU per day) Vitamin D supplements, when compared to research volunteers who were secretly randomized to receive lower dose (200 to 600 IU per day) Vitamin D supplements, or placebo (sugar) pills.

Interestingly, and as has also been shown in several different Vitamin D cancer prevention research studies, the amount of Vitamin D taken, and the level of Vitamin D that is present in the blood, appeared to be very important factors in reducing the risk of falls in elderly patients. Specifically, there appeared to be no significant protective effect against falls among the study volunteers who received less than 700 IU of Vitamin D per day, and in those patients who had less than 60 nanomoles per liter of active Vitamin D in their blood (elderly patients with at least 60 nanomoles per liter of the active form of Vitamin D in their blood experienced a very significant 23 percent reduction in the risk of falls!).

The findings of this meta-analysis are similar to those of other Vitamin D supplement studies that have focused on the prevention of fractures, cardiovascular disease, and cancer, in that the apparent benefit of Vitamin D in reducing the risk of these serious health complications was only observed with supplementation of Vitamin D above the typically recommended levels of 400 to 600 IU per day. In summary, the findings of this study suggest that certain levels of Vitamin D intake, as well as the level of the active form of Vitamin D in the blood, may significantly reduce the risk of falls among the elderly.

The greatest limitation of this study is that it is a meta-analysis. Meta-analysis is a retrospective research technique that is used to combine the results of multiple relatively small clinical research studies, so that a larger number of patients can be analyzed. Because individual clinical research studies rarely use identical methodologies, the most critical aspect of meta-analysis is the “equalization” of methodological differences between similar but non-identical clinical studies, so that the data produced by these different studies can be uniformly analyzed, and accurate conclusions can be drawn. Because there is some subjectivity involved in this “equalization” process, meta-analysis studies are generally not considered to provide the highest possible level of clinical research evidence, although such studies are often useful when the available clinical research data on a particular topic is scattered among multiple small prospective clinical research trials.

Before you run out to the drugstore to load up on Vitamin D supplements, let me first provide a few words of caution. First of all, high doses of Vitamin D can lead to significant toxicity and health problems. Moreover, in patients with certain chronic illnesses, Vitamin D supplementation, even at lower doses, can result in clinically significant toxicity. (These chronic illnesses include excessive parathyroid gland function, certain cancers, chronic inflammatory or infectious disorders, and some forms of kidney disease, among other less common conditions.)

Therefore, before making significant changes in your diet, to include increased Vitamin D intake, or the use of other dietary supplements, I recommend that you first discuss these proposed changes with your personal physician.
For a comprehensive update on the role of Vitamin D in cancer prevention, watch for the publication of my new book, “A Cancer Prevention Guide for the Human Race,” in early 2010.




Disclaimer: As always, my advice to readers is to seek the advice of your physician before making any significant changes in medications, diet, or level of physical activity



Dr. Wascher is an oncologic surgeon, a professor of surgery, a widely published author, and a Surgical Oncologist at the Kaiser Permanente healthcare system in Orange County, California



'


(Anticipated Publication Date: March 2010)


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Dr. Wascher's Home Page