Vitamin C can shorten the length of stay in the ICU, study finds

March 27, 2019

 

The biochemistry of vitamin C is complex. For example, it is involved in the synthesis of norepinephrine and vasopressin, both of which influence the cardiovascular system, and carnitine, which is involved in energy metabolism. Through its epigenetic effects, vitamin C may influence hundreds of genes. In controlled trials, vitamin C has lowered blood pressure, decreased the incidence of atrial fibrillation, decreased bronchoconstriction, decreased pain, decreased glucose levels in patients with type 2 diabetes, and it has shortened the duration of colds.

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Very low vitamin C plasma levels are not uncommon in hospitals. Furthermore, vitamin C metabolism is changed in many conditions that involve physiological stress, such as infections, surgery, traumas, and burns, in which case vitamin C levels can decline dramatically. Although 0.1 grams per day of vitamin C can maintain a normal plasma level in healthy persons, much higher doses, up to 4 grams per day, are needed for critically ill patients to increase their plasma vitamin C levels to the range of normal healthy people. Therefore, high vitamin C doses may be needed to compensate for the increased metabolism in critically ill patients.
Given that vitamin C has shown diverse effects on medical conditions, and the accumulated evidence for low vitamin C levels and increased metabolism of vitamin C in critically ill patients, vitamin C might influence practical outcomes such as the length of ICU stay, without any restrictions on the specific medical conditions that cause the stay in the ICU.
Dr. Harri Hemilä from the University of Helsinki, Finland, and Dr. Elizabeth Chalker from the University of Sydney, Australia, carried out a systematic review of vitamin C for ICU patients. They identified 18 relevant controlled trials, and 12 of them were included in the meta-analysis on the length of stay. On average, vitamin C administration shortened ICU stay by 7.8%. In six trials, orally administered vitamin C with an average dose of 2 grams per day reduced the length of ICU stay on average by 8.6%.
According to Hemilä and Chalker, "Vitamin C is a safe, low-cost essential nutrient. Given the consistent evidence from the trials published so far, vitamin C might be administered to ICU patients, although further studies are needed to find out optimal protocols for its administration. A few common cold studies have indicated that there may be a linear dose response for vitamin C on common cold duration for up to 6 and 8 grams per day. Evidently the dose response for doses higher than 2 grams per day should also be investigated for ICU patients."

 

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Story Source:
Materials provided by University of Helsinki. Note: Content may be edited for style and length.

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Journal Reference:

1. Harri Hemilä, Elizabeth Chalker. Vitamin C Can Shorten the Length of Stay in the ICU: A Meta-Analysis. Nutrients, 2019; 11 (4): 708 DOI: 10.3390/nu11040708

Adequate zinc eases pneumonia in elderly, study finds

August 10, 2010

An new study has revealed that a high proportion of nursing facility residents were found to have low serum (blood) zinc concentrations, but those with normal blood zinc concentrations were about 50 percent less likely to develop pneumonia than those with low concentrations.

A high proportion of nursing facility residents were found to have low serum (blood) zinc concentrations during an observational study funded by the Agricultural Research Service (ARS) and the National Institute of Aging. The scientists found that those with normal blood zinc concentrations were about 50 percent less likely to develop pneumonia than those with low concentrations.


The study was led by Simin Nikbin Meydani, director of the Nutritional Immunology Laboratory at the Jean Mayer USDA Human Nutrition Research Center on Aging (HNRCA) at Tufts University in Boston, Mass. ARS is the chief intramural scientific research agency of USDA.
HNRCA researchers have been studying immune response and respiratory infections in about 600 elderly residents in 33 nursing facilities in the Boston area. Meydani and colleagues previously reported that among the facility residents, those who consumed 200 international units (IU) of vitamin E daily for one year were 20 percent less likely to get upper respiratory infections, such as colds, than those who took a placebo.
The secondary analysis of data from the same clinical trial showed a high proportion of the residents had low serum (blood) zinc concentrations at baseline and after one year of follow-up. All participants had been supplemented with half of the recommended dietary allowance of essential vitamins and minerals, including zinc, during the trial.
Those with normal zinc status were not only less likely to develop pneumonia, they also had fewer new prescriptions for antibiotics, a shorter duration of pneumonia, and fewer days of antibiotic use compared with residents who had low zinc levels. In addition, mortality was lower in those with adequate blood zinc levels.
The study suggests that supplementation of zinc-deficient elderly may result in reduced risk of pneumonia. Still, the authors note that controlled clinical trials are needed to test efficacy of zinc supplementation as a low-cost intervention to reduce mortality due to pneumonia among vulnerable populations who already have low zinc levels.
These study results were published in the American Journal of Clinical Nutrition.

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Story Source:
Materials provided by USDA/Agricultural Research Service. Original written by Rosalie Marion Bliss. Note: Content may be edited for style and length.

Adequate zinc eases pneumonia in elderly, study finds

August 10, 2010

 

A high proportion of nursing facility residents were found to have low serum (blood) zinc concentrations during an observational study funded by the Agricultural Research Service (ARS) and the National Institute of Aging. The scientists found that those with normal blood zinc concentrations were about 50 percent less likely to develop pneumonia than those with low concentrations.

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The study was led by Simin Nikbin Meydani, director of the Nutritional Immunology Laboratory at the Jean Mayer USDA Human Nutrition Research Center on Aging (HNRCA) at Tufts University in Boston, Mass. ARS is the chief intramural scientific research agency of USDA.
HNRCA researchers have been studying immune response and respiratory infections in about 600 elderly residents in 33 nursing facilities in the Boston area. Meydani and colleagues previously reported that among the facility residents, those who consumed 200 international units (IU) of vitamin E daily for one year were 20 percent less likely to get upper respiratory infections, such as colds, than those who took a placebo.
The secondary analysis of data from the same clinical trial showed a high proportion of the residents had low serum (blood) zinc concentrations at baseline and after one year of follow-up. All participants had been supplemented with half of the recommended dietary allowance of essential vitamins and minerals, including zinc, during the trial.
Those with normal zinc status were not only less likely to develop pneumonia, they also had fewer new prescriptions for antibiotics, a shorter duration of pneumonia, and fewer days of antibiotic use compared with residents who had low zinc levels. In addition, mortality was lower in those with adequate blood zinc levels.
The study suggests that supplementation of zinc-deficient elderly may result in reduced risk of pneumonia. Still, the authors note that controlled clinical trials are needed to test efficacy of zinc supplementation as a low-cost intervention to reduce mortality due to pneumonia among vulnerable populations who already have low zinc levels.
These study results were published in the American Journal of Clinical Nutrition.

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Story Source:
Materials provided by USDA/Agricultural Research Service. Original written by Rosalie Marion Bliss. Note: Content may be edited for style and length.

B vitamins reduce schizophrenia symptoms, study finds

February 16, 2017

 

 

 

 

A review of worldwide studies has found that add-on treatment with high-dose b-vitamins -- including B6, B8 and B12 -- can significantly reduce symptoms of schizophrenia more than standard treatments alone.

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The research -- on the effect of vitamin and mineral supplements on symptoms of schizophrenia -- is funded by The Medical Research Council and University of Manchester, and is published in Psychological Medicine, one of the world's leading psychology journals

Lead author Joseph Firth, based at the University's Division of Psychology and Mental Health, said: "Looking at all of the data from clinical trials of vitamin and mineral supplements for schizophrenia to date, we can see that B vitamins effectively improve outcomes for some patients.
"This could be an important advance, given that new treatments for this condition are so desperately needed."
Schizophrenia affects around 1% of the population and is among the most disabling and costly long term conditions worldwide.
Currently, treatment is based around the administration of antipsychotic drugs.
      

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Although patients typically experience remission of symptoms such as hallucinations and delusions within the first few months of treatment, long-term outcomes are poor; 80% of patients relapse within five years.
The researchers reviewed all randomized clinical trials reporting effects of vitamin or mineral supplements on psychiatric symptoms in people with schizophrenia.

In what is the first meta-analysis carried out on this topic, they identified 18 clinical trials with a combined total of 832 patients receiving antipsychotic treatment for schizophrenia.

B-vitamin interventions which used higher dosages or combined several vitamins were consistently effective for reducing psychiatric symptoms, whereas those which used lower doses were ineffective.
Also, the available evidence also suggests that B-vitamin supplements may be most beneficial when implemented early on, as b-vitamins were most likely to reduce symptoms when used in studies of patients with shorter illness durations.

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Firth added: "High-dose B-vitamins may be useful for reducing residual symptoms in people with schizophrenia, although there were significant differences among the findings of the studies we looked at."
"There is also some indication that these overall effects may be driven by larger benefits among subgroups of patients who have relevant genetic or dietary nutritional deficiencies."
Co-author Jerome Sarris, Professor of Integrative Mental Health at Western Sydney University, added: "This builds on existing evidence of other food-derived supplements, such as certain amino-acids, been beneficial for people with schizophrenia.
"These new findings also fit with our latest research examining how multi-nutrient treatments can reduce depression and other disorders."
The research team say more studies are now needed to discover how nutrients act on the brain to improve mental health, and to measure effects of nutrient-based treatments on other outcomes such as brain functioning and metabolic health.

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Story Source:
Materials provided by University of Manchester. Note: Content may be edited for style and length.

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Journal Reference:

1. J. Firth, B. Stubbs, J. Sarris, S. Rosenbaum, S. Teasdale, M. Berk, A. R. Yung. The effects of vitamin and mineral supplementation on symptoms of schizophrenia: a systematic review and meta-analysis. Psychological Medicine, 2017; 1 DOI: 10.1017/S0033291717000022