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Vitamin Supplementation in Elderly PersonsVitamin Supplementation in Elderly Persons

JAMA. 2003;289(2):173-173. doi:10.1001/jama.289.2.173-a
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AUTHOR INFORMATION

Letters Section Editor: Stephen J. Lurie, MD, PhD, Senior Editor.

VITAMIN SUPPLEMENTATION IN ELDERLY PERSONS

To the Editor: Ms Graat and colleagues1 found that multivitamin supplements did not prevent acute respiratory tract infections in healthy elderly persons. The authors used a multivitamin and trace-element preparation that contained recommended daily allowances (RDAs) of vitamins but only 25% to 50% of the RDAs for minerals. The RDAs, however, are intended to prevent nutritional deficiency, and may be too low to produce further benefits.2 3 Other studies, using nutrients in amounts based on physiological dose-response curves and immune responses, have found beneficial effects.4 5

I believe that most older individuals would benefit from the regular use of a multivitamin and mineral supplement that is based on the evidence of dose-response curves rather than the theoretical RDAs.

References
Graat JM, Schouten EG, Kok FJ. Effect of daily vitamin E and multivitamin-mineral supplementation on acute respiratory tract infections in elderly persons: a randomized controlled trial.  JAMA.2002;288:715-721.
Chandra RK. Graying of the immune system: can nutrient supplements improve immunity in the elderly?  JAMA.1997;277:1398-1399.
Hoffer LJ. Nutritional supplements and health.  Ann RCPS Can.1996;29:11-16.
Chandra RK. Effect of vitamin and trace-element supplementation on immune responses and infection in elderly subjects.  Lancet.1992;340:1124-1127.
Jain AM. Influence of vitamins and trace-elements on the incidence of respiratory infection.  Nutr Res.2002;22:85-87.

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Graat JM, Schouten EG, Kok FJ. Effect of daily vitamin E and multivitamin-mineral supplementation on acute respiratory tract infections in elderly persons: a randomized controlled trial.  JAMA.2002;288:715-721.
Chandra RK. Graying of the immune system: can nutrient supplements improve immunity in the elderly?  JAMA.1997;277:1398-1399.
Hoffer LJ. Nutritional supplements and health.  Ann RCPS Can.1996;29:11-16.
Chandra RK. Effect of vitamin and trace-element supplementation on immune responses and infection in elderly subjects.  Lancet.1992;340:1124-1127.
Jain AM. Influence of vitamins and trace-elements on the incidence of respiratory infection.  Nutr Res.2002;22:85-87.
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