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Which Micronutrients Are Worth Monitoring? (Episode 121)

VitaminPedia.com by VitaminPedia.com
October 4, 2023
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Which Micronutrients Are Worth Monitoring? (Episode 121)
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Introduction (0:00)

 Recommendations and good vibes (0:20)

  • FAT BEAR WEEK
  • 806 Spring Cub Season Highlights
  • Adult Bracket Reveal Stream

 Announcement for next episode: get your questions in for an all-Q&A episode! (8:06)

Recommended products and more from the SBS team (9:35)

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Getting into the content; discussing the difference between insufficient intake and deficient intake/status. (13:40)

  • Episode 1 in the Micronutrient series
  • Episode 2 in the Micronutrients series
  • Landing page for micronutrient articles

Content discussed in this episode:

  • Which Micronutrients Are Worth Monitoring?
  • Micronutrients Are Important, But They Aren’t Everything
  • Landing page for micronutrient content in the KB

 Nutrients that are often overconsumed (21:52)

  • Chart summarizing content in this section

Added sugar

  • USDA: Get the Facts: Added Sugars | Nutrition | CDC
  • NHS: Sugar: the facts – NHS
  • AHA: Dietary sugars intake and cardiovascular health: a scientific statement from the American Heart Association

Saturated fat

  • Intake in the US: Saturated Fat and Food Intakes of Adults – FSRG Dietary Data Briefs – NCBI Bookshelf
  • Intake in the EU: Saturated fat intake across the EU, Norway and the United Kingdom | Knowledge for policy
  • Higher intakes associated with more CVD: Saturated fat and trans-fat intakes and their replacement with other macronutrients: a systematic review and meta-analysis of prospective observational studies
  • Saturated fat increases LDL cholesterol: Effects of saturated fatty acids on serum lipids and lipoproteins: a systematic review and regression analysis
  • Reducing LDL reduces CVD with a strong dose-response relationship, suggesting causation: Association Between Lowering LDL-C and Cardiovascular Risk Reduction Among Different Therapeutic Interventions: A Systematic Review and Meta-analysis | Cardiology | JAMA

Sodium

  • Sodium intake and stroke: Association of sodium intake and major cardiovascular outcomes: a dose-response meta-analysis of prospective cohort studies
  • Update on research related to other diseases: The impact of excessive salt intake on human health

Excluded: Omega-6

  • Inflammation: Omega-6 fatty acids and inflammation
  • Human health outcomes: Omega‐6 fats for the primary and secondary prevention of cardiovascular disease – Hooper, L – 2018 | Cochrane Library
  • Nutrivore article: A Comprehensive Rebuttal to Seed Oil Sophistry

Excluded: Trans Fats

  • Trans Fats | MacroFactor

Nutrients that are frequently under-consumed (44:14)

Most of the data related to under-consumed nutrients came from these sources:

  • Micronutrient Inadequacies in the US Population: an Overview | Linus Pauling Institute | Oregon State University
  • Projected prevalence of inadequate nutrient intakes in Europe
  • Omega-3 Fatty Acids – Health Professional Fact Sheet
  • Should I be eating more fiber? – Harvard Health
  • Choline – Health Professional Fact Sheet

More on individual nutrients

  • Fiber: Dietary Fat | MacroFactor
  • Omega 3s: Omega-3 EPA | MacroFactor, Omega-3 DHA | MacroFactor
  • Vitamin A: Vitamin A (Retinol) | MacroFactor
  • Vitamin B6: Vitamin B6 (Pyridoxine) | MacroFactor
  • Folate: Folate (Vitamin B9) | MacroFactor
  • Vitamin C: Vitamin C (Ascorbic Acid) | MacroFactor
  • Vitamin D: Vitamin D (Calciferol) | MacroFactor
  • Vitamin E: Vitamin E (Tocopherol) | MacroFactor
  • EFSA publication on Vitamin E: Scientific Opinion on Dietary Reference Values  for vitamin E as α-tocopherol
  • Vitamin K: Vitamin K (Phylloquinone and Menaquinone)
  • Choline: Choline | MacroFactor
  • Magnesium: Magnesium | MacroFactor
  • Potassium: Potassium | MacroFactor
  • Zinc: Zinc | MacroFactor

 Nutrients vegans may want to pay more attention to (1:08:46)

  • Omega 3s: 
    • Omega-3 EPA | MacroFactor
    • Omega-3 DHA | MacroFactor
  • Individual Amino Acids (primarily lysine, methionine, and tryptophan):
    • Lysine | MacroFactor
    • Methionine | MacroFactor
    • Tryptophan | MacroFactor
  • B12: Vitamin B12 (Cobalamin) | MacroFactor
  • Calcium, Iron, Zinc, and Selenium:
    • Iron Status of Vegetarian Adults: A Review of Literature – PMC
    • Intake and adequacy of the vegan diet. A systematic review of the evidence
    • Calcium | MacroFactor
    • Iron | MacroFactor
    • Zinc | MacroFactor
    • Selenium | MacroFactor

 Be sure to avoid “micronutrient reductionism” (1:21:58)

  • Polyphenols: The Role of Polyphenols in Human Health and Food Systems: A Mini-Review – PMC
  • Isothiocyanates: Isothiocyanates | Linus Pauling Institute

 Q&A (1:37:49)

Are multivitamins overrated? (1:38:37)

  • 2013 meta: Multivitamin-multimineral supplementation and mortality: a meta-analysis of randomized controlled trials
  • Subsequent metas: Vitamin and Mineral Supplements for the Primary Prevention of Cardiovascular Disease and Cancer: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force | Cardiology | JAMA, Association of Multivitamin and Mineral Supplementation and Risk of Cardiovascular Disease | Circulation
  • 2020 BMJ narrative review: Health effects of vitamin and mineral supplements | The BMJ
  • Calcium + vitamin D for fractures: Calcium plus vitamin D supplementation and risk of fractures: an updated meta-analysis from the National Osteoporosis Foundation

 Is low blood vitamin D often the result of some other underlying problem? (1:57:33)

  • Barbell medicine episode: Episode #152: Vitamin D with Dr. Austin Baraki
  • Relevant research/perspective papers:
    • Real‐world evidence for the effectiveness of vitamin D supplementation in reduction of total and cause‐specific mortality
    • Low vitamin D is a marker for poor health and increased risk for disease: But causality is still unclear in most cases | JIM
    • Vitamin D: health panacea or false prophet?
    • Vitamin D deficiency 2.0: an update on the current status worldwide – PMC
    • Vitamin D: a negative acute phase reactant | Journal of Clinical Pathology
    • Vitamin D and Cancer | IARC
    • Skeletal and Extraskeletal Actions of Vitamin D: Current Evidence and Outstanding Questions
    • Optimal vitamin D status: a critical analysis on the basis of evidence-based medicine

Are there any good proxy measurements to know if you’re meeting micronutrient targets without needing to track micronutrients? (2:09:19)

Folic acid supplementation when trying to get pregnant (2:12:38)

  • 2011 review: Folic Acid Food Fortification—Its History, Effect, Concerns, and Future Directions – PMC
  • 2022 paper arguing for global folate fortification: Preventing birth defects, saving lives, and promoting health equity: an urgent call to action for universal mandatory food fortification with folic acid
  • Letter to the editor calling for caution against universal fortification: Mandatory food fortification with folic acid – The Lancet Global Health

Evidence of vitamin K along with vitamin D and Boron supplementation (2:21:04)

Vitamin K

  • Optimistic epidemiological research: Vitamin K Intake and Atherosclerotic Cardiovascular Disease in the Danish Diet Cancer and Health Study
  • Less clarity from interventions currently: Vitamin K Supplementation for the Prevention of Cardiovascular Disease: Where Is the Evidence? A Systematic Review of Controlled Trials

Boron

  • NIH factsheet: Boron – Health Professional Fact Sheet
  • 2015 cheerleading review: Nothing Boring About Boron | IMCJ
  • Examine.com page: Boron health benefits, dosage, safety, side effects, and supporting evidence. | Supplements | Examine
  • Important note: at one point when answering the question related to boron, I referenced dosages of 2g and 500mg. I meant 2mg and 500mcg. Do not take 2g (or even 500mg) of boron.

The post Which Micronutrients Are Worth Monitoring? (Episode 121) appeared first on Stronger by Science.

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