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NutritionFacts.org Video Podcast

Can Vitamin E or Selenium Supplements Prevent or Treat Alzheimer’s?

NutritionFacts.org Video Podcast

Michael Greger, M.D. FACLM

Nutrition, Health & Fitness, Alternative Health

4.8952 Ratings

🗓️ 3 July 2024

⏱️ 4 minutes

🧾️ Download transcript

Summary

The Prevention of Alzheimer’s Disease by Vitamin E and Selenium trial randomized more than 7,500 older men to take vitamin E, selenium, both, or neither (just placebos) for five years.

Transcript

Click on a timestamp to play from that location

0:00.0

Oxidative stress from free radicals is one of the pathways implicated in the development

0:12.2

and deterioration of Alzheimer's brains, given the evidence of excess oxidative DNA damage

0:18.5

on autopsy. So what about trying an antioxidant?

0:22.6

Vitamin E levels tend to be lower in the bloodstreams of those with cognitive impairment or

0:26.6

dementia, but which came first.

0:29.6

Maybe Alzheimer's disease led to poor eating, rather than poor eating, leading to Alzheimer's disease.

0:36.6

Greater vitamin E intake from foods is clearly associated with the lower risk of developing Alzheimer's,

0:42.0

but greater vitamin E intake from supplements is not.

0:46.5

But that didn't stop researchers from including a vitamin E arm

0:49.9

in the largest primary prevention study of Alzheimer's disease to date.

0:54.7

The prevention of Alzheimer's disease by vitamin E and selenium trial

0:58.5

randomized more than 7,500 older men to take vitamin E, selenium, both or neither,

1:04.7

just placebo, for five years.

1:07.3

To quote from the conclusion,

1:09.2

neither supplement prevented dementia.

1:11.6

A separate long-term vitamin E supplementation trial of older women similarly found no protection against cognitive decline.

1:20.6

Neither did vitamin E appear to benefit those with mild cognitive impairment,

1:24.6

but the trials on Alzheimer's patients themselves started

1:28.8

to get more interesting.

1:30.8

The first trial, published in the New England Journal of Medicine, randomized more than

1:34.4

150 Alzheimer's patients to vitamin E or placebo, to see if vitamin E could slow the progression

1:40.8

of the disease.

...

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