Multivitamin
Supplementation May Help Reduce AIDS Mortality
Healthnotes Newswire (December 4, 2003)—People with acquired
immunodeficiency syndrome (AIDS) may live longer by taking a daily
multivitamin and multimineral (MVM) supplement, according to a new
study in AIDS (2003;17:2461–9). The study’s findings
suggest the enhanced survival with MVM supplementation may be restricted
to those with AIDS and may not necessarily apply to all HIV-positive
individuals.
AIDS is caused by infection with the human immunodeficiency virus
(HIV) and affects more than 800,000 Americans of all ages. Almost
500,000 people in the United States have died from AIDS and related
complications or infections. The incidence of HIV and AIDS has
slowly decreased over the past decade in the United States; however,
AIDS continues to be a problem in developing countries and is
responsible for the death of millions of people worldwide. The
lack of access to expensive prescription medications for AIDS
in some countries increases the need for an inexpensive, effective
treatment to reduce mortality.
In the new study, 293 HIV-infected adults and 188 adults with
AIDS between the ages of 18 and 63 years were assigned to receive
a daily high-potency MVM or placebo for 48 weeks. The MVM contained
nutrient amounts significantly higher than the RDA for healthy
individuals, because HIV-infected people are believed to have
higher-than-normal nutritional requirements. Participants were
examined every 12 weeks and had CD4 (a type of white blood cell
that regulates the immune system and is affected by HIV) counts
measured every 24 weeks. Mortality rate was determined at the
conclusion of the study.
The death rate was significantly lower in the group receiving
the MVM (3%) than in those taking the placebo (6%). The lower
mortality rate was only observed in those whose HIV infection
had progressed to become full-blown AIDS (defined as a CD4 count
of less than 200 million per liter). There was no significant
difference in mortality rates between the MVM and placebo groups
among those with higher CD4 counts. MVM use did not cause an increase
in CD4 cell counts, suggesting that the benefits of MVM therapy
are due to some other effect on the immune system or to an improvement
in overall health.
The results of the new study are encouraging for
the millions of people who suffer from AIDS and its related illnesses.
Death from AIDS is most often due to secondary infections, such
as pneumonia, which develop in the face of a compromised immune
system. Taking a daily MVM may improve the immune system and ward
off some of these secondary infections. People taking anti-retroviral
therapy (HAART) should consult their physician before taking a
MVM, since some of the components of the MVM may interfere with
some prescription medications.