NEW BOTTOM LINE ON BETA CAROTENE IN FOOD
Keep eating beta carotene-rich foods. Nobody disputes that the
beta carotene in food is healthful and safe.
Research from many sources shows that eating lots of fruits and vegetables
rich in beta carotene and other antioxidants (five or more servings a
day) can help cut the risk of cancer in half, especially lung, esophageal
and uterine/cervical cancers. People with high blood levels of beta carotene
have lower odds of cancer and heart disease and better immune systems.
One reason: beta carotene's antioxidant powers.
Beta carotene-rich foods also possess dozens of other nutrients and
antioxidants that contribute to the health benefits.
A few specifics: Men who ate 6mg of beta carotene daily (about
one carrot) over 25 years had a 28 percent lower risk of death from all
causes compared with men eating the least beta carotene, reported University
of Texas researchers in 1995. A Harvard study of 87,000 female nurses
found that those eating the most beta carotene (equal to 11/2 carrots
a day) had a 22 percent lower risk of heart disease than women eating
the least.
Only known downside: Consuming too much beta carotene (for example,
glass after glass of carrot juice) can turn your skin - mainly on your
soles and palms - yellow. The discoloration is benign and disappears when
you cut back.
NEW BOTTOM LINE ON SUPPLEMENTS
Smokers, beware: Smokers should not take megadoses of beta carotene,
pending clarification of new findings, experts say. In the University
of Washington study halted in February, smokers taking 30mgs of synthetic
beta carotene plus 25,000 IU of retinol vitamin A daily had a 42 percent
higher risk of lung cancer after six years. A 1994 Finnish study found
more lung cancer in smokers who were also heavy drinkers and who took
20mg of beta carotene a day. The Council for Responsible Nutrition advises
smokers to take only the amount of beta carotene (3-6mgs) in daily multivitamin
supplements.
Researchers suspect extra-high doses of beta carotene might somehow
encourage growth of an early- to late-stage cancer already existing in
smokers. And beta carotene may interact with alcohol to increase damage
in smokers who also are heavy drinkers.
Main message: Longtime smokers who continue to smoke cannot expect beta
carotene to save them from lung cancer. Best bet to prevent lung cancer:
Stop smoking.
Ex-smokers, rejoice: If you have quit smoking, taking beta carotene
supplements could be a good idea. The University of Washington study found
that former smokers had a 20 percent lower risk of developing lung cancer.
Several ongoing studies of smokers who stop or cut back substantially
and also take beta carotene supplements (30mg daily) show a "dramatic"
reduction in risk of oral cancer, says researcher Harinder Garewal, University
of Arizona. The beta carotene reverses growth of pre-cancers of the mouth
in up to 70 percent of patients, he says.
Everyone else, keep an open mind: The Harvard study of physicians
found no evidence that taking beta carotene supplements (50mg every other
day) reduced the odds of heart disease or cancer after 12 years. The study
also revealed no dangers. Study chief Charles Hennekens did not advise
people now taking beta carotene supplements to stop.
Jeffrey Blumberg, antioxidant expert at Tufts University, still favors
beta carotene supplements (he takes 15mg daily). He argues the studies
headlined this winter were faulty, and that much research suggests benefits.
For instance, taking beta carotene supplements (15-60mg daily) has boosted
immune functioning, especially in older people, Tufts researchers say.
And taking 16mg of beta carotene daily for a year, along with modest doses
of 17 other vitamins and minerals, boosted immune functioning and reduced
infectious illnesses by half in healthy elderly people in a 1992 landmark
study by Ranjit Kumar Chandra of Memorial University of Newfoundland.
Blumberg's advice: If you take beta carotene, also eat a high antioxidant
diet and take vitamins E and C; they all work together. "Beta carotene
alone," he says, "is not a magic bullet and never was."