Buscar en
Endocrinología y Nutrición
Toda la web
Inicio Endocrinología y Nutrición Uso y abuso de los suplementos dietéticos
Información de la revista
Vol. 51. Núm. 2.
Páginas 42-47 (Febrero 2004)
Compartir
Compartir
Descargar PDF
Más opciones de artículo
Vol. 51. Núm. 2.
Páginas 42-47 (Febrero 2004)
Acceso a texto completo
Uso y abuso de los suplementos dietéticos
Visitas
12913
J. Álvarez*
Sección de Endocrinología y Nutrición. Hospital Universitario Príncipe de Asturias. Alcalá de Henares. Madrid. España
Este artículo ha recibido
Información del artículo
Resumen
Bibliografía
Descargar PDF
Estadísticas

Las vitaminas y los minerales constituyen los micronutrientes esenciales en la nutrición del individuo para mantener un adecuado equilibrio en el metabolismo intermediario. Diversos estudios han demostrado los efectos beneficiosos de micronutrientes como el ácido fólico, la vitamina E, el selenio y el calcio en la prevención y tratamiento de algunas enfermedades. Los criterios de la suplementación deben establecerse considerando los estudios de eficacia de los suplementos y las evidencias de seguridad de éstos. El establecimiento de programas de educación sanitaria que informen de estos aspectos a la población podría contribuir al uso racional de los suplementos nutricionales.

Vitamins and minerals are essential micronutrients in human nutrition to maintain adequate intermediate metabolism. Several studies have demonstrated the benefits of micronutrients such as folic acid, vitamin E, selenium, and calcium in preventing or treating certain diseases. The criteria for supplementation should be established, based on safety and efficacy studies. Nutritional education programs aimed at the general public could contribute to the rational use of nutritional supplements.

Palabras clave:
Suplementos nutricionales
Seguridad
Eficacia
Uso racional
El Texto completo está disponible en PDF
Bibliografía
[1.]
A. Entrala.
Vitaminas. En: SENC, editor. Guías alimentarias para la población española.
pp. 249-265
[2.]
A. Entrala.
Minerales. En: SENC, Guías alimentarias para la población española.
pp. 266-275
[3.]
NRC (National Research Council).
Recommended dietary allowances: report of the Food and Nutrition Board. Commission on Life Sciences.
pp. 195
[4.]
Micronutrient suplementation in the critically ill patient.
Strategies for clinical practice.
J Trauma, 51 (2001), pp. 601-620
[5.]
P.A. Lachance.
Overview of Key nutrients: micronutrients aspects.
Nutr Rev, 56 (1998), pp. S34-S39
[6.]
W.R. Bidlack.
Interrelationships of Food, Nutrition, Diet and Health. The National Association of State Universities and Land Grant Colleges White Paper.
J Am Coll Nutr, 15 (1996), pp. 422-433
[7.]
R.M. Ortega.
Suplementos nutricionales. En: SENC, Guías alimentarias para la población española.
pp. 313-320
[8.]
L.A. Berner, F.M. Clydesdale, J.S. Douglass.
Fortification contributed greatly to vitamin and mineral intakes in the United States, 1989-1991.
J Nutr, 131 (2001), pp. 2177-2183
[9.]
L. Serra, L. Ribas, P. Saiz de Bustamante, F. López, M. Barbachano.
Consumo de suplementos vitamínico-minerales en la población española (1996).
Nutr Clin, 16 (1996), pp. 7-15
[10.]
J. Aranceta, L. Serra, C. Pérez, J. Llopis, J. Mataix, L. Ribas, et al.
Las vitaminas en la alimentación de los españoles. Estudio eVe. Análisis en población general.
Gila A editores. Libro blanco, pp. 49-93
[11.]
S. Jasti, A.M. Siega-Riz, M.E. Bentley.
Dietary supplement use in the context of health disparities: cultural, ethnic and demographic determinants of use.
J Nutr, 133 (2003), pp. S2010-S2013
[12.]
E. Frank, A. Bendich, M. Denniston.
Use of vitamin-mineral supplements by female physicians in the United States.
Am J Clin Nutr, 72 (2000), pp. 969-975
[13.]
R. Chernoff.
Nutrition and Health Promotion in Older Adults [series A].
J Gerontol, 56A (2001), pp. 47-53
[14.]
A. Entrala.
Malnutrición en los países desarrollados. Carencias subclínicas de vitaminas.
Tratado de nutrición, pp. 771-784
[15.]
J. Mataix.
Requerimientos nutricionales e ingestas recomendadas de nutrientes.
Tratado de nutrición, pp. 575-587
[16.]
Food and Nutrition Board.
Recommended dietary allowances 10th ed.
[17.]
P. Weber, A. Bendich, W. Schalch.
Vitamin C and human health. A review of recent data relevant to human reuqerimients.
Intern J Vit Nutr Res, 66 (1995), pp. 19-30
[18.]
K.T. Zondervan, M.C. Ocke, H.A. Smit, J.C. Seidell.
Do deitary and supplementary intakes of antioxidants differ with smoking status?.
Int J Epidemiol, 25 (1996), pp. 70-79
[19.]
C.E. Cross, M. Traber, J. Eiserich, A. Van der Vliet.
Micronutrient antioxidants and smoking.
Br Med Bull, 55 (1999), pp. 691-704
[20.]
R.M. Ortega, M.C. Mena, M. Faci, J.F. Santana, L. Serra.
Situación en vitaminas de la población española. Metaanálisis de los estudios realizados en España en el periodo 1990-1999.
editores. Libro blanco. Las vitaminas en la alimentación de los españoles. Estudio eVe, pp. 95-142
[21.]
J.N. Hathcock.
Vitamins and minerals: efficacy and safety.
Am J Clin Nutr, 66 (1997), pp. 427-437
[22.]
Committe on Nutrition and Foods for Special Dietary Uses, Codex Alimentarius Commission.
Draft guidelines for deitary supplements (vitamins and minerals) [ALINORM 95/26].
[23.]
Food and Drug Administration.
Food Labeling: health claims and label statements folate and neural tube defects.
Fed Regist, 61 (1996), pp. 8752-8781
[24.]
A. Sharma, K. Prasad, K.V. Rao.
Identification of an appropiate strategy to control anemia in adolescent girls of poor communities.
Indian Pediatr, 37 (2000), pp. 261-267
[25.]
C. Gopalan.
Multiple Micronutrient Supplementation in Pregnacy.
Nutr Rev, 60 (2002), pp. S2-S6
[26.]
J. Blumberg.
Nutritional Needs of Senior.
J Am Coll Nutr, 16 (1997), pp. 517-523
[27.]
O. Moreiras, B. Beltrán, C. Cuadrado.
Guías dietéticas en la vejez. En: SENC, editor. Guías alimentarias para la población española.
pp. 379-398
[28.]
K.G. Losonezy, T.B. Harris, R.J. Havlik.
Vitamin E and vitamin C supplement use and risk of all-cause and coronary heart disease mortality in older persons: the established populations for epidemiologic studies of elderly.
Am J Clin Nutr, 64 (1996), pp. 190-196
[29.]
J.A. Ward.
Should antioxidants vitamins be routinely recommended for older people?.
Drugs Aging, 12 (1998), pp. 169-175
[30.]
H. Baker, B. De Angelis, E.R. Baker, O. Frank, S.P. Jaslow.
Lack of effect of 1 year intake of high-dose vitamin and mineral supplement on cognitive function of elderly woman.
Gerontology, 45 (1999), pp. 195-199
[31.]
D.L. McKay, G. Perrone, H. Rasmussen, G. Dallal, W. Hartman, G. Cao, et al.
The effects of a multivitamin/mineral supplement on micromutrient status, antioxidant capacity and cytokine production in healthly older adults consuming a fortified diet.
J Am Coll Nutr, 19 (2000), pp. 613-621
[32.]
J. Little.
Problems and approches in investigating the role of micronutrients in the aetiology of cancer in humans.
Br Med Bull, 55 (1999), pp. 600-618
[33.]
M.J. Stampfer, E.B. Rimm.
Epidemiologic evidence for vitamin E in prevention of cardiovascular disease.
Am J Clin Nutr, 62 (1995), pp. S1365-S1369
[34.]
E.B. Rimm, M.J. Stampfer, A. Ascherio, E. Giovannucci, G.A. Colditz, W.C. Willett.
Vitamin E consumption and the risk of coronary heart disease in men.
N Engl J Med, 328 (1993), pp. 1450-1456
[35.]
R.H. Fletcher, K.M. Fairfield.
Vitamins for chronic disease prevention in adults. Clinical applications.
JAMA, 287 (2002), pp. 3127-3129
[36.]
T.A. Barringer, J.K. Kirk, A.C. Santaniello, K.L. Foley, R. Michielutte.
Effect of a Multivitamin and mineral supplement on infection and quality of life.
Ann Intern Med, 138 (2003), pp. 365-371
[37.]
A.R. Kristal, J.L. Stanford, J.H. Cohen, K. Wicklund, R.E. Patterson.
Vitamin and mineral supplement use is associated with reduced risk of prostate cancer.
Cancer Epidemiol Biomarkers Prev, 8 (1999), pp. 887-892
[38.]
The Alpha-Tocopherol, Beta Carotene Cancer Prevention Study Group.
The effect of vitamin E and beta carotene on the incidence of lung cancer and other cancers in male smokers.
N Engl J Med, 330 (1994), pp. 1029-1035
[39.]
P. Knekt, A. Aromaa, J. Maatela, et al.
Vitamin E and cancer prevention.
Am J Clin Nutr, 53 (1991), pp. S283-S286
[40.]
S.R. Tannebaum, J.S. Wishnok, C.D. Leaf.
Inhibition of nitrosamine formation by ascorbic acid.
Am J Clin Nutr, 53 (1991), pp. S287S-S293S
[41.]
E.R. Greenberg, J.A. Baron, T.D. Tosteson, et al.
A clinical trial of antioxidant vitamins to prevent colorectal adenoma.
N Engl J Med, 331 (1994), pp. 141-147
[42.]
A. Mijan, A. Pérez.
Cálculo de necesidades en el paciente oncológico. En: Soporte nutricional en el paciente oncológico.
pp. 57-76
[43.]
C.J. Fuller, M. Chandalia, A. Grag, S.M. Grundy, I. Jialal.
RRR alfa-tocopheryl acetate supplementation at pharmacologic doses decreases low-density-lipoprotein oxidative susceptibility but not protein glycation in patiens with diabetes mellitus.
Am J Clin Nutr, 63 (1996), pp. 753-759
[44.]
A.K. Adams, E.O. Wermuth, P.E. McBride.
Antioxidant vitamins and the prevention of coronary heart disease.
Am Family Phisician, 60 (1999), pp. 895-899
[45.]
J.B. Vincent.
Quest for the molecular mecahanism of chromium action and its relationship to diabetes.
Nutr Rev, 58 (2000), pp. 67-72
[46.]
A. Mezzetti, F. Cipollone, F. Cuccurullo.
Oxidative stress and cardiovacular complications in diabetes: isoprostanes as new markers on an old paradigm.
Cardiovasc Res, 47 (2000), pp. 475-488
[47.]
M.J. Salgueiro, N. Krebs, M.B. Zubillaga, R. Weill, E. Postaire, A.E. Lysionek, et al.
Zinc and diabetes mellitus Is there a need of zinc supplementation in diabetes mellitus patients?.
Biol Trace Elem Res, 81 (2001), pp. 215-228
[48.]
P. Faure, P.Y. Benhamou, A. Perard, S. Halimi, A.M. Roussel.
Lipid peroxidation in insulin-dependent diabetic patients with early retina degenerative lesions: effects of an oral zinc supplementation.
Eur J Clin Nutr, 49 (1995), pp. 282-288
[49.]
R.A. Anderson.
Chromium, glucose intolerance and diabetes.
J Am Coll Nutr, 17 (1998), pp. 548-555
[50.]
R.A. DiSilvestro.
Zinc in relation to diabetes and oxidative disease.
J Nutr, 130 (2000), pp. S1509-S1511
[51.]
Food and Drugs Administration.
Food labeling: health claims calcium and osteoporosis.
Fed Regist, 61 (1996), pp. 8752-8781
[52.]
L. Troppmann, K. Gray-Donald, T. John.
Supplement use: is there any nutritional benefit?.
J Am Diet Assoc, 102 (2002), pp. 818-825
[53.]
S. Hercberg, P. Preziosi, P. Galan, H. Faure, J. Arnaud, N. Duport, S.U. The, et al.
VI. MAX STUDY: a primary prevention trial using nutritional doses of antioxidant vitamins and minerals in cardiovascular disease and cancers.
Food Chem Toxicol, 37 (1999), pp. 925-930
Copyright © 2004. Sociedad Española de Endocrinología y Nutrición
Opciones de artículo
Herramientas
es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos