icerat
Philosopher
Hopefully, none. I can't evaluate your quote without a cite.
Sorry, forgot the link -
Apple phytochemicals and their health benefits
Seriously, I can't believe I'm having to provide evidence of the health benefits of fruit & vegetables over and above multivitamin supplements.
some quotes from that paper, a literature review. These are from epidemiological studies -
- In the early 1990's, researchers examined well over one hundred epidemiological studies relating to diet and cancer, and in 128 of 156 dietary studies, fruits and vegetables had a significant protective effect against a variety of different cancers
- those who consumed low amounts of fruits and vegetables were twice as likely to have cancer compared to those who ate high amounts of fruits and vegetables.
- a study linked intake of fruits and vegetables with a reduced risk in breast cancer in woman in China. In this population based, case-control study of women in Shanghai, pre-menopausal women who ate more dark yellow-orange vegetables and more citrus fruits tended to have lower breast cancer risk.
- Approximately 84,000 women were followed for 14 years and 42,000 men were followed for 8 years. They found that people who ate the highest amount of fruits and vegetables had a 20% lower risk for coronary heart disease, and the lowest risks were seen in people who consumed more green leafy vegetables, and fruits rich in vitamin C
- a diet high in fruits and vegetables may help protect against cataracts, diabetes, Alzheimer disease, and even asthma
- phytochemicals may inhibit cancer cell proliferation, regulate inflammatory and immune response, and protect against lipid oxidation
- In a Finnish study of approximately 10,000 people, flavonoid intake was associated with a lower total mortality
- Several studies have specifically linked apple consumption with a reduced risk for cancer, especially lung cancer
- it was found that apple and onion intake was associated with a reduced risk of lung cancer in both males and females
- There was a 40–50% decreased risk in lung cancer in participants with the highest intake of apples, onions, and white grapefruit when compared to those who consumed the lowest amount of these fruits
- the Zutphen Elderly study showed an inverse association between fruit and vegetable flavonoids and total cancer incidence and tumors of the alimentary and respiratory tract
- Women ingesting the highest amounts of flavonoids had a 35% reduction in risk of cardiovascular events
- apple intake and broccoli intake were associated with reductions in the risk of both cardiovascular disease and cardiovascular events. Women ingesting apples had a 13–22% decrease in cardiovascular disease risk
- total flavonoid intake was significantly inversely associated with coronary mortality in women
- Apple and wine consumption was also inversely associated with death from coronary heart disease in postmenopausal women in a study of nearly 35,000 women in Iowa
- Flavonoid intake was strongly correlated with a decreased mortality from heart disease in elderly men and also negatively correlated with myocardial infarction
- apple and pear intake was associated with a decreased risk of asthma and a decrease in bronchial hypersensitivity .. Specific antioxidants, such as vitamin E, vitamin C, retinol, and β-carotene, were not associated with asthma or bronchial hypersensitivity
- Apple intake and orange intake were both associated with a reduced incidence of asthma in the Finnish study involving 10, 000 men and women
- Flavonoid intake in general was associated with a lower risk of asthma, and the association was attributed mainly to quercetin, hesperitin, and naringenin
- Apple and pear intake was positively associated with pulmonary function and negatively associated with chronic obstructive pulmonary disease.
- Catechin intake was also associated with pulmonary function and negatively associated with chronic obstructive pulmonary disease
- In a Finnish study involving 10,000 men and women and a 24-year follow-up, a strong inverse association was seen between flavonoid intake and lung cancer development
- A study of approximately 2500 middle aged (45–59 yrs) Welsh men also demonstrated a beneficial effect of apple consumption on lung function
- Higher quercetin intake, a major component of apple peels, was also associated with a decreased risk in type II diabetes
So the challenge would be to show that A) multivitamins are worth taking outside of diagnosed deficiency
There's increasing research on the issue of insufficiency vs deficiency - ie the amounts needed for optimal health vs an obvious clinical deficiency. You may then want to consider how many people are not insufficient in at least one or more essential nutrients on any given day (particularly water soluble ones, which the body stores poorly)
Or read this paper from JAMA, 2002, and in particular the conclusion -
We recommend that all adults take one multivitamin daily.
Having said that, there is also little scientific doubt that fruit & vegetables are better sources of nutrients that standard multivitamins. A significant reason for that is all the additional phytonutrients that are not typically available in standard multivitamins. As per the paper I cited earlier (and a mountain of other research) a great many of these nutrients have health benefits above and beyond those we've deemed "vitamins". Not to mention the influence of commercial factors - Vitamin E for example is a whole family of nutrients, but the industry successfully lobbied to be able to label products as containing "Vitamin E" when it contained just one form, alpha-tocopherol, the cheapest to synthesize. We now know other forms are probably more vital, and even more importantly, they have synergistic effects.and B) that vegetable extracts specifically offer something even more.
This study by Nutrilite put out a few years ago is an easy read that covers the benefits of various phytonutrients, and the lack in the American diet. It includes referencing to peer-reviewed publications.
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