Use of multivitamin and mineral supplements is
common among adults. In Washington DC, US Food
and Drug Administration carried out a survey to
estimate and identify the trend in the
prevalence and magnitude of supplement usage in
US. The prevalence of supplement users increased
from 42% in 1980 to 57% in 1986. The usage was
more likely and more intense among individuals
who had one or more health problems and
individuals who perceived their health as very
good or excellent. The findings indicate that
supplement usage remains a widespread behaviour
linked to popular conceptions of good health and
well-being.
Navarro M. and Wood R.J. studied the plasma
changes in nutrients following a multivitamin
and mineral supplement in healthy adults. The
results suggest that supplement can be used as a
vehicle to decrease the prevalence of multiple
nutrient deficiencies. This is particularly
important for older adults to improve their
nutrient status to levels associated with
reduced risk for several chronic diseases.
Trials have been designed to assess the reputed
benefits of multivitamin and mineral supplement.
A randomized, double-blind, placebo-controlled
trial was undertaken to determine the effect of
a daily use of multivitamin and mineral
supplement on infection and well-being.
A
total of 130 community-dwelling adults
participated in the study in North Carolina.
They were stratified by age, either 45 to 64
years or more than 65 years, and presence of
type 2 diabetes mellitus. They were given a
multivitamin and mineral supplement or placebo
daily for 1 year. The incidence of
participant-reported symptoms of infection,
incidence of infection-associated absenteeism,
and scores on the physical and mental health
subscales of the Medical Outcomes Study 12-Item
Short Form were recorded.
More participants receiving placebo reported an
infectious illness over the study year than did
participants receiving multivitamin and mineral
supplement. Infection-related absenteeism was
higher in the placebo group than in the
supplement group. Among diabetic participants
receiving placebo, 93% reported an infection
compared with 17% of those receiving
supplements. Medical Outcomes Study 12-Item
Short Form scores did not differ between the
supplement and placebo groups. This study showed
that a multivitamin and mineral supplement
reduced the incidence of participant-reported
infection and related absenteeism in a sample of
participants with type 2 diabetes mellitus.
The effects of a multivitamin and mineral
supplement on psychological well-being were also
studied in another double-blind, randomised-control
trial. Eighty healthy male volunteers were
assigned to either a multivitamin and mineral
supplement or placebo daily for 28 days.
Questionnaires measuring psychological state
were completed and a blood sample taken to
determine plasma zinc concentration before and
after the trial. At the end of the study, the
acceptability of the supplement and
participants' awareness of supplement condition
were assessed, as was habitual dietary behaviour.
The result indicated that multivitamin and
mineral supplement was associated with
consistent and statistically significant
reductions in anxiety and perceived stress
compared to placebo. Participants in the
supplement group also tended to rate themselves
as less tired and better able to concentrate
following the supplement. These findings
demonstrate that multivitamin and mineral
supplement significantly reduces anxiety and
perceived stress.
These two trials illustrate that a multivitamin
and mineral supplement is beneficial for
reducing the incidence of infection, improving
general well-being, and reducing anxiety and
perceived stress.
Multivita is a comprehensive formula containing
vitamins and minerals essential for daily
metabolic needs. These nutrients provide
nutritional support for maintaining general
well-being and vitality.
Boron is a non-metallic element present in the
diet and in the human body in trace amounts. It
is found significantly in raisins, prunes, and
nuts, as well as fruits, vegetables and legumes.
Boron is distributed throughout the human body
with the highest concentration in the bones and
dental enamel. It appears to affect the
metabolism of calcium, magnesium, copper,
phosphorus, and vitamin D. It seems to be
essential for healthy bone and joint functions
and affect cell membranes.
Calcium is the most abundant,
essential mineral in the human body. Most
dietary calcium comes from dairy products and
other good sources include sardines, canned
salmon, green leafy vegetables and tofu. 99% of
calcium contained in the average body is located
in the bones and teeth. Calcium is needed to
form bones and teeth and is also required for
blood clotting, blood pressure regulation,
transmission of signals in nerve cells, and
muscle contraction. The importance of calcium
for preventing osteoporosis is probably its most
well-known role.
Iron
is an essential mineral that is found in
oysters, meat and poultry, fish, dried fruit,
molasses, leafy green vegetables, wine, and iron
supplements. It is part of hemoglobin, the
oxygen-carrying component of the blood. Hence,
iron is essential for oxygen transport and
storage in the blood and muscle, it is also
required for energy production, fatty acid
metabolism and maintenance of a healthy immune
system.
Magnesium is an essential
mineral to the human body and is one of the most
abundant minerals in soft tissue. Good sources
of magnesium include nuts, grains, beans, dark
green vegetables, fish and meat. Magnesium is
needed for production and transfer of energy,
protein and carbohydrate metabolism, manufacture
of genetic material and transport of substances
across cell membranes. It is vital for healthy
heart, bones, muscles and blood vessels.
Manganese
is found in nuts and seeds, wheat germ, wheat
bran, leafy green vegetables, beet tops, tea,
and pineapple. It is an essential trace mineral
needed for healthy skin, bone, and cartilage
formation, as well as glucose tolerance. It
helps activate superoxide dismutase (SOD)—an
important antioxidant enzyme. Manganese is also
required for energy production, protein
metabolism and a healthy nervous system.
Molybdenum is an essential
trace mineral needed for the proper function of
certain enzyme-dependent processes, including
the metabolism of iron, protein and
carbohydrate. It is also essential for alcohol
and sulfite detoxification. The best sources of
molybdenum are beans, dark green leafy
vegetables, and grains.
Potassium
is found in most fruits, beans, milk and
vegetables and is an essential mineral needed to
regulate water balance, levels of acidity, blood
pressure, and neuromuscular function. It also
plays a critical role in the transmission of
nerve impulses and electrical impulses in the
heart. This mineral is also required for
carbohydrate and protein metabolism. Potassium
is an important mineral for maintaining a
healthy heart and blood vessels.
Selenium is an essential trace
mineral for human and is concentrated in the
kidneys, liver, heart, spleen and testes. It is
sourced from brazil nuts, yeast, whole grains
and seafood. Selenium activates an antioxidant
enzyme called glutathione peroxidase, which may
help protect the body from free radical damage
to cells. It is also essential for healthy
immune and cardiovascular systems, as well as
hormone production.
Silica (Silicon) is the most
abundant mineral in the earth’s crust and is a
trace mineral in humans. Good dietary sources
for silicon include whole-grain breads and
cereals, root vegetables, and beer. This mineral
is present in bone, blood vessels, cartilage,
tendons, skin and hair. It has been used to
improve strength in hair, skin and nails, and to
increase bone mineral density. It may also play
a role in the formation of cartilage and other
connective tissue, giving strength and
stability.
Vanadium
is an ultra-trace mineral found in the human
diet and the human body. It is found in a wide
variety of foods, including seafood, cereals,
mushrooms, parsley, corn, soy and gelatin.
Vanadium may act as a cofactor for enzymes
involved in blood sugar metabolism, lipid and
cholesterol metabolism, bones and tooth
development, fertility, thyroid function,
hormone production and neurotransmitter
metabolism.
Zinc is an essential mineral
that is found in oysters, meat, eggs, seafood,
black-eyed peas, tofu and wheat germ. It is a
component of more than 300 enzymes needed to
repair wounds, maintain fertility in adults and
growth in children, synthesize protein, help
cells reproduce, preserve vision, boost
immunity, and protect against free radicals.
Zinc is vital for maintaining a healthy brain
teeth, bones and skin.
Chromium
is an essential trace mineral that is found in
brewer’s yeast, grains and cereals, and some
brands of beer. It helps the body maintain
normal blood sugar levels because it is part of
a compound known as glucose tolerance factor (GTF)
which works with insulin to move glucose into
cells where it can be used to generate energy.
Optimal chromium intake appears to decrease the
amount of insulin needed to maintain normal
blood sugar. Adequate chromium intake is also
essential for maintaining healthy cholesterol
levels.
Phosphorus is an essential
mineral that is usually found in nature combined
with oxygen as phosphate. It is sourced from
protein-rich foods and cereal grains. Most of
the phosphate in the human body is in bone, but
phosphate-containing molecules, for example
phospholipids, are important components of cell
membranes and lipoprotein particles, such as
cholesterols. Phosphorus is also required for
acid-base balance in the body, energy production
and exchange, and metabolism of protein,
carbohydrates, fats and DNA.
Copper
is an essential trace element present in the
diet and in the human body. Good sources of
copper include oysters, nuts, dried legumes,
cereals, potatoes, vegetables and meat. Copper
is most concentrated in the brain and liver and
is needed to absorb and utilize iron. It is an
important component in many enzymes that play
vital role in energy production in cells,
antioxidant, hormone synthesis and production of
skin pigment. Copper is also vital for healthy
nervous, cardiovascular and immune systems.
Calcium ascorbate
(Vitamin C) is a water-soluble vitamin that has
a number of biological functions. Acting as an
antioxidant, one of vitamin C’s important
functions is to protect LDL cholesterol from
oxidative damage. Vitamin C is needed to make
collagen, a protein that forms the basis of
connective tissues such as bones, teeth and
cartilage and strengthens many parts of the
body, such as muscles and blood vessels. It
plays important roles in wound healing and as a
natural antihistamine. This vitamin also aids in
the formation of liver bile, and helps to fight
viruses and to detoxify alcohol and other
substances. Vitamin C is essential for
maintaining healthy immune and nervous systems.
Calcium
pantothenate, also known as Vitamin B5,
is a water-soluble vitamin involved in the
Kreb’s cycle of energy production. It is needed
to make the neurotransmitter, such as
acetylcholine, which is required for normal
nervous system function. It also activates the
adrenal glands to produce adrenal hormones that
play an essential part in the body’s reaction to
stress. Vitamin B5 is also essential for healthy
immune system, red blood cells, and cholesterol
and fatty acid metabolism.
Choline
bitartrate has been recently suggested
as an essential nutrient in humans. It is a
component of cell membranes and participates in
many functions involving cellular components
called phospholipids. It accelerates the
synthesis and release of the neurotransmitter
acetylcholine, which is involved in many nerve
and brain functions. Choline is also involved in
fat metabolism and in the transport of fats from
the liver.
Inositol is part of the vitamin
B-complex. It can be sourced from nuts, beans,
wheat and wheat bran, cantaloupe and oranges.
Inositol is found in the brain, nerves, muscles,
bones, reproductive organs, stomach, kidney,
spleen, liver and heart. It is a component of
cell membranes and myelin which coats the nerves
and therefore affects the nerve transmission.
Inositol also helps in transporting fats within
the body and control of blood cholesterol.
Nicotinic acid, also known as
Vitamin B3, is a water-soluble vitamin used by
the body in the process of releasing energy from
carbohydrates. The best food sources of vitamin
B3 are peanuts, brewer’s yeast, fish, and meat.
Nicotinic acid is needed for healthy skin, and
digestive, brain and nervous systems. It is also
involved in regulation of cholesterol,
production of red blood cells, hormone synthesis
and repair of genetic material.
Para amino benzoic acid (PABA)
is a member of the vitamin B-complex. It is
found in grains and foods of animal origin. It
is a compound that is an essential nutrient for
micro-organisms and some animals. It has been
used as a sunscreen to protect against
ultraviolet rays, and to turn grey hair back to
its natural colour and to treat vitiligo, a skin
depigmenting condition. PABA may be important
for skin, hair and intestinal health.
Pyridoxine HCl, also known as
Vitamin B6, is the master vitamin for processing
amino acids, the building blocks of all proteins
and some hormones. It aids in the formation of
several neurotransmitters and is therefore an
essential nutrient in the regulation of mental
processes and possibly mood. Like the other
B-complex vitamin, vitamin B6 is also involved
in the functioning of enzymes involved in the
release of energy from food. It is also
important for maintaining healthy hair, skin and
red blood cells, and normal functioning of
cardiovascular, nervous and immune system.
Riboflavin (Vitamin B2) is a
water-soluble vitamin that is found in dairy
products, eggs, meat, leafy green vegetables,
whole grains and enriched grains. It is needed
to process amino acids and fats, activate
vitamin B6 and folic acid, and help convert
carbohydrates into ATP, the fuel the body runs
on. Vitamin B2 is involved in adrenal gland
function and in the production and regulation of
certain hormones. It is also vital for healthy
brain, immune and nervous systems.
Thiamine HCl (Vitamin B1) is a
water-soluble vitamin needed to process
carbohydrates, fat and protein. Wheat germ,
whole wheat, peas, beans, enriched flour, fish,
peanuts and meat are all good sources of vitamin
B1.
Thiamine is part of an enzyme
system which is essential for nearly every
cellular reaction in the body. It is vital for
normal development, growth, reproduction,
healthy skin and hair, blood production and
immune function. Nerve cells require vitamin B1
in order to function normally as it is necessary
for the synthesis of a neurotransmitter,
acetylcholine, which affects several brain
functions including memory, and also maintains
muscle tone of the stomach, intestines and
heart.
d-Alpha tocopherol succinate (Vitamin E) is an
antioxidant that protects cells against free
radical damage which may lead to disorders such
as heart disease and cancer. It is particularly
important in protecting fats, cell membranes,
DNA and enzymes against damage. Vitamin E is
essential for the maintenance of a healthy
immune system and vision. As an antioxidant,
vitamin E may also protect against the effects
of aging caused by degeneration in tissues such
as the skin and blood vessels.
Beta carotene (Pro-vitamin A)
is a substance from plants, such as dark green
and orange-yellow vegetables, that the body
converts into vitamin A as the body requires. It
acts as an antioxidant and helps to protect the
body against heart disease, cancer, eye damage
and other disorders. Beta carotene also acts as
an immune system booster.
Folic acid is a B vitamin needed for cell
replication and growth. It is essential for the
synthesis of the DNA and RNA, the genetic
material of cells. Therefore, rapidly growing
tissues, such as those of a foetus, and rapidly
regenerating cells, like red blood cells and
immune cells, have a high need for folic acid.
Folic acid is also involved in the production of
neurotransmitters such as serotonin and
dopamine, which regulate brain functions
including mood, sleep and appetite.
Cyanocobalamin (Vitamin B12) is
a water-soluble vitamin needed for normal nerve
cell activity, DNA replication, and production
of the mood-affecting substance. It is also
essential for metabolism of fats and
carbohydrates, the synthesis of proteins, and
manufacture and normal functioning of blood
cells.
Cholecalciferol (Vitamin D3) is
a fat-soluble vitamin which can be obtained from
food sources and is also manufactured in the
skin through the action of sunlight. The most
important role of vitamin D is maintaining blood
levels of calcium, which it accomplishes by
increasing absorption of calcium from food and
reducing urinary calcium loss. These are vital
for healthy functions and development of bones
and teeth. Vitamin D also plays a role in
immunity, normal cell growth and maturation,
blood cell formation, secretion of insulin by
the pancreas, and nerve impulse transmission and
muscle contraction.
Phylloquinone (Vitamin K1) is a
fat-soluble vitamin needed for proper bone
formation and blood clotting by helping the body
transport calcium. It is necessary for the
production of a urinary protein involved in
kidney function which inhibits the formation of
calcium oxalate kidney stones. Leafy green
vegetables, such as spinach, kale, collards, and
broccoli, are the best sources of vitamin K.
Biotin is a water-soluble B
vitamin that is obtained from dietary sources as
well as produced by gut bacteria. Good dietary
sources of biotin include organ meats, oatmeal,
egg yolk, soy, mushrooms, bananas, peanuts, and
brewer’s yeast. Biotin acts as a coenzyme in the
metabolism of protein, fats, and carbohydrates.
It is essential for cell growth and replication
through its role in the manufacture of DNA and
RNA, which make up the genetic material of the
cells. It is also vital for growth of healthy
hair and nail.
Kelp is a brown-coloured sea
vegetable that is a good source of iodine which
is an essential trace element for humans. Iodine
is a component of the thyroid hormones that
determine the metabolic rate of the body.
Thyroid hormones are important for the growth
and development of all organs, especially the
brain, reproductive organs, nerves, bones, skin,
hair, nails and teeth.
L-Methionine is one of the
essential amino acids (building blocks of
protein), that cannot be produced by the body
and must be provided by the diet. It supplies
sulphur and other compounds required by the body
for normal metabolism and growth. Methionine
belongs to a group of compounds called
lipotropics, or chemicals that help the liver
process fats (lipids). Meat, fish, and dairy are
all good sources of methionine.
n-Acetyl-L-cysteine is a
non-essential sulphur-containing amino acid. It
is a component of the antioxidant, glutathione,
which is useful in protecting the body against
free radical damage. Cysteine can be converted
into glucose and used as a source of energy. It
also strengthens the protective lining of the
stomach and intestines, which may help prevent
damage caused by aspirin and similar drugs. In
addition, cysteine may play an important role in
the communication between immune system cells.
In summary, Multivita is a comprehensive
combination of essential vitamins, minerals and
amino acid that are important for various
functions in the body. These nutrients are vital
for maintaining good health and general
well-being, reducing the prevalence of nutrient
deficiencies, decreasing the incidence of
infection, and reducing anxiety and stress.
References:
Barringer T.A., Kirk J.K., Santaniello A.C.,
Foley K.L., Michielutte R., Effect of a
multivitamin and mineral supplement on infection
and quality of life. A randomized, double-blind,
placebo-controlled trial, Ann Intern Med. 2003
Mar 4; 138 (5): 365-71. Bender M.M., Levy A.S.,
Schucker R.E., Yetley E.A., Trends in prevalence
and magnitude of vitamin and mineral supplement
usage and correlation with health status, J Am
Diet Assoc. 1992 Sep; 92 (9): 1096-101. Carroll
D., Ring C., Suter M., Willemsen G., The effects
of an oral multivitamin combination with
calcium, magnesium, and zinc on psychological
well-being in healthy young male volunteers: a
double-blind placebo-controlled trial,
Psychopharmacology (Berl). 2000 Jun; 150 (2):
220-5. GNC Healthnotes:
www.gnc.com
McKay D.L., Perrone G., Rasmussen H., Dallal G.,
Hartman W., Cao G., Prior R.L., Roubenoff R.,
Blumberg J.B., The effects of a
multivitamin/mineral supplement on micronutrient
status, antioxidant capacity and cytokine
production in healthy older adults consuming a
fortified diet, J Am Coll Nutr. 2000 Oct; 19
(5): 613-21. Navarro M., Wood R.J., Plasma
changes in micronutrients following a
multivitamin and mineral supplement in healthy
adults, J Am Coll Nutr. 2003 Apr; 22 (2):
124-32. Reavley N., The New Encyclopedia of
Vitamins, Minerals, Supplements and Herbs,
Bookman Press, Melbourne, 1998.