ʻO ka hoʻohana ʻana i ka multivitamin ma waena o nā makahiki waena, nā kāne ʻelemakule ka hopena i ka hōʻemi haʻahaʻa o ka maʻi kanesa, ʻike ʻia ka noiʻi

“Multivitaminsʻo ia ka mea hoʻohui meaʻai maʻamau, lawe mau ʻia e ka hapakolu o ka poʻe mākua US.ʻO ka hana kuʻuna o ka multivitamin i kēlā me kēia lā ka pale ʻana i ka hemahema o ka meaʻai.ʻO ka hui pū ʻana o nā huaora a me nā minela koʻikoʻi i loko o nā multivitamins hiki ke hoʻohālikelike i nā ʻano meaʻai olakino e like me ka ʻai ʻana i nā huaʻai a me nā mea kanu, i pili ʻia me ka maʻi kanesa ma kekahi, akā ʻaʻole nā ​​​​mea a pau, nā noiʻi epidemiologic.ʻAʻole kūlike nā haʻawina nānā ʻana no ka hoʻohana ʻana i ka multivitamin lōʻihi a me ka hopena o ka maʻi kanesa.I kēia lā, ʻike pinepine ʻia nā hoʻāʻo randomized nui e hoʻāʻo ana i hoʻokahi a i ʻole nā ​​helu liʻiliʻi o nā huaora a me nā minela kiʻekiʻe o kēlā me kēia kanaka no ka maʻi maʻi maʻi maʻamau i ʻike i ka nele o ka hopena, "wahi a ka ʻike hope i ka puke pai."ʻOiai ka nele o ka ʻikepili hoʻokolokolo paʻa e pili ana i nā pono omultivitaminsi ka pale ʻana i ka maʻi maʻi maʻi, me ka maʻi kanesa, lawe nā kāne a me nā wahine he nui no kēia kumu.

ʻO J. Michael Gaziano, MD, MPH, o Brigham and Women's Hospital a me Harvard Medical School, Boston, (a me ka Luna Hoʻoponopono kōkua,JAMA), a ua kālailai nā hoa hana i ka ʻikepili mai ka Physicians' Health Study (PHS) II, ʻo ia wale nō ka nui-nui, randomized, double-blind, placebo-controlled trial e ho'āʻo ana i nā hopena lōʻihi o ka multivitamin maʻamau i ka pale ʻana i ka maʻi maʻi.Ua kono ʻia kēia hoʻokolohua he 14,641 kāne kauka US ma mua o 50 mau makahiki, me 1,312 kāne me ka maʻi kanesa ma ko lākou mōʻaukala olakino.Ua kākau inoa ʻia lākou i kahi haʻawina multivitamin i hoʻomaka i ka makahiki 1997 me ka mālama ʻana a me ka hahai ʻana a hiki i Iune 1, 2011. Ua loaʻa i nā poʻe i komo kahi multivitamin a i ʻole placebo like.ʻO ka hopena i ana mua ʻia no ke aʻo ʻana ʻo ia ka maʻi maʻi āpau (koe ʻole ka maʻi maʻi ʻili nonmelanoma), me ka prostate, colorectal, a me nā maʻi maʻi maʻi ʻē aʻe ma ka pūnaewele ma waena o nā helu hope.

Ua ukali ʻia nā mea komo PHS II no ka awelika o 11.2 makahiki.I ka wā o ka mālama ʻana i ka multivitamin, ua loaʻa he 2,669 mau hihia o ka maʻi kanesa, me 1,373 mau hihia o ka maʻi maʻi prostate a me 210 mau hihia o ka maʻi kanesa colorectal, me kekahi mau kāne e ʻike nei i nā hanana he nui.He 2,757 (18.8 pakeneka) nā kāne i make i ka wā o ka hahai ʻana, me 859 (5.9 pākēneka) ma muli o ka maʻi kanesa.Ua hōʻike ʻia ka ʻikepili o nā kāne e lawe ana i ka multivitamin he 8 pakeneka ka emi ʻana o ka nui o ka maʻi kanesa.Ua like ka emi ʻana o ka nui o ka maʻi maʻi epithelial cell e nā kāne e lawe ana i ka multivitamin.Ma kahi o ka hapalua o nā maʻi maʻi āpau i hana ʻia he maʻi maʻi prostate, ʻo ka hapa nui o ia mau mea i ka wā mua.ʻAʻole i ʻike ka poʻe noiʻi i ka hopena o ka multivitamin ma ka maʻi prostate, akā ʻo ka multivitamin i hōʻemi nui i ka hopena o ka maʻi maʻi āpau koe ʻole ka maʻi prostate.ʻAʻohe hōʻemi koʻikoʻi i ka helu helu o nā maʻi maʻi maʻi maʻi maʻi maʻi ma kahi pūnaewele, e like me ka colorectal, ka māmā, a me ka maʻi maʻi ʻaʻai, a i ʻole i ka make maʻi maʻi.

Ua pili pū ka hoʻohana ʻana i ka multivitamin i kēlā me kēia lā me ka hōʻemi ʻana i ka nui o ka maʻi kanesa ma waena o nā kāne 1,312 me ka mōʻaukala kumu o ka maʻi kanesa, akā ʻaʻole i ʻokoʻa loa kēia hopena mai ka mea i ʻike ʻia ma waena o nā kāne 13,329 i ka wā mua me ka ʻole o ka maʻi kanesa.

Hoʻomaopopo ka poʻe noiʻi i ka nui o ka nui o ka maʻi kanesa i kā lākou hoʻāʻo ʻana i ka hoʻonui ʻia ʻana o ka nānā ʻana no ka prostate-specific antigen (PSA) a me nā maʻi ma hope o ka maʻi maʻi prostate i ka wā PHS II e hoʻomaka ai i ka hopena o 1990s."Ma kahi o ka hapalua o nā maʻi maʻi āpau i hoʻopaʻa ʻia ma PHS II he maʻi maʻi prostate, ʻo ka hapa nui o ka maʻi maʻi prostate haʻahaʻa me nā helu ola kiʻekiʻe.ʻO ka hōʻemi nui ʻana o ka nui o ka maʻi maʻi maʻi maʻi prostate e hōʻike ana i ka hoʻohana ʻana i nā multivitamin i kēlā me kēia lā e loaʻa i ka pōmaikaʻi nui aʻe i nā maʻi maʻi maʻi e pili ana i ka maʻi."

Ua hoʻohui nā mea kākau, ʻoiai ʻo ka nui o nā huaora a me nā minela i loko o ka PHS II multivitamin study i postulated chemopreventive roles, he mea paʻakikī ke ʻike maopopo i kekahi ʻano hana o ka hopena e hiki ai i ke kanaka a i ʻole nā ​​ʻāpana he nui o kā lākou multivitamin i hoʻāʻo ʻia i hōʻemi i ka maʻi kanesa."ʻO ka hōʻemi ʻana i ka nui o ka maʻi kanesa ma PHS II ke kūʻē nei ʻo ka hui ākea o nā huaora haʻahaʻa a me nā minela i loko o ka multivitamin PHS II, ma mua o ka hoʻoikaika ʻana i nā huaora kiʻekiʻe a me nā hoʻāʻo mineral i hoʻāʻo mua ʻia, ʻo ia ka mea nui no ka pale ʻana i ka maʻi kanesa. .… ʻO ka hana o kahi hoʻolālā pale ʻana i ka maʻi maʻi e pili ana i ka meaʻai e like me ka huaʻai a me ka ʻai ʻai meaʻai e hoʻomau mau ʻia akā ʻaʻole i hōʻoia ʻia i hāʻawi ʻia i nā hōʻike epidemiologic inconsistent a me ka nele o ka ʻikepili hoʻokolokolo paʻa.

"ʻOiai ke kumu nui o ka lawe ʻana i nā multivitamins no ka pale ʻana i ka hemahema o ka meaʻai, hāʻawi kēia mau ʻikepili i ke kākoʻo no ka hoʻohana ʻana i nā mea hoʻohui multivitamin i ka pale ʻana i ka maʻi kanesa ma waena o nā makahiki a me nā kāne ʻelemakule," hoʻopau nā mea noiʻi.