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Vitamin A may slash melanoma risk

 

Vitamin A supplements could reduce the risk of developing the deadly skin cancer melanoma, according to a new study.

 

The results show that people taking vitamin A were 60 percent less likely to develop melanoma over the six-year study. People who had taken the vitamin, but weren’t currently taking it, did not gain any protective effect.

 

The reduced risk was more pronounced in women than men.

 

“This is promising evidence that in addition to sun protection, there’s another option that can help prevent melanoma,” said Dr. Mary Gail Mercurio, a dermatologist at the University of Rochester Medical Center, who was not involved with the study.

 

 

Vitamin A is found in foods such as sweet potato, carrots, spinach, milk, eggs and liver. The vitamin plays an important role in vision, bone health, immune function and reproduction, but high doses of it can be toxic.

 

The study appears today (March 1) in the Journal of Investigative Dermatology.

 

Genetics could increase melanoma risk

 

Melanoma is the sixth leading cause of cancer in the U.S., according to the American Cancer Society. About 76,000 cases of melanomas will be diagnosed this year, based on recent estimates.

 

In the study, researchers examined about 69,000 men and women, and after about six years, 566 had developed melanoma.

 

Among the 59,000 people in the study who had never taken vitamin A supplements, there were 506 cases of melanoma, while among the 5,800 people who were currently taking it and had used it regularly over the past 10 years, there were 28 cases.

 

Study researcher Dr. Maryam Asgari, a dermatologist and research scientist at Kaiser Permanente in Oakland, said the protective effect might be stronger in women than men because men may be more susceptible to skin damage from ultraviolet radiation.

 

She pointed to a recent animal study that suggests females may have more natural antioxidant protection in the skin than males.

 

The new study also found the melanoma risk was reduced the most in those who took high doses of the supplement. But Asgari cautioned that takingtoo much vitamin A could lead to such harmful conditions   as birth defects, liver problems and bone loss.

 

“There are limits to how much vitamin A a person can consume,” she said.

 

The recommended daily amount of vitamin A is 700 micrograms for adult women and 900 micrograms for adult men, according to the National Institutes of Health. Taking more than 2,800 micrograms of vitamin A could lead to toxic symptoms in adults.

 

Genetic risk

 

Reducing sunlight exposure has long been recommended to reduce the risk of melanoma. This includes limiting time in direct sunlight, wearing sun block and avoiding tanning beds.

 

Unfortunately, not all melanoma is a result of sun exposure. There is also a strong genetic component, Mercurio said. “Even the most vigilant sun-avoider is at risk, especially if they are fair-skinned, freckle easily and have red or blonde hair.”

 

Although she said the study’s findings were compelling, she cautioned it’s not clear how much vitamin A might bring a benefit.

 

“We don’t know yet the optimal dosage,” Mercurio said. “Further studies will clarify how much vitamin A in the form of a supplement would be of benefit for melanoma prevention.”

Rating

4 Star

Vitamin A may slash melanoma risk

Our Review Summary

Using language like this is simply not appropriate nor accurate to describe the findings from an observational study:

“slash risk”…”reduce the risk”…”reduced risk was more pronounced in women than in men”…”protective effect”…”melanoma risk was reduced the most”

When, oh when, will such news organizations become aware of and follow our carefully-prepared guidelines on the importance of language in describing such studies?

We email someone from each news organization whenever one of their stories is reviewed.  Anyone listening at MSNBC.com?

 

 

Why This Matters

Stories like this may simply become part of the background noise that overwhelms news consumers in the daily drumbeat of health care news coverage.  That’s why this matters.

Criteria

Does the story adequately discuss the costs of the intervention?

Not Applicable

Not applicable.  The cost of Vitamin A is not in question, although the amount we collectively spend on supplements — most of which are probably unnecessary — is substantial.

Does the story adequately quantify the benefits of the treatment/test/product/procedure?

Satisfactory

At least in clearly describing the study’s findings, the story spelled out the absolute numbers:

Among the 59,000 people in the study who had never taken vitamin A supplements, there were 506 cases of melanoma, while among the 5,800 people who were currently taking it and had used it regularly over the past 10 years, there were 28 cases.

Providing these data as a percentage in addition may have helped some people interpret them, though.

Does the story adequately explain/quantify the harms of the intervention?

Satisfactory

The story included the caution “that taking too much vitamin A could lead to such harmful conditions  as birth defects, liver problems and bone loss.

Does the story seem to grasp the quality of the evidence?

Not Satisfactory

As mentioned in the summary above, the story didn’t include one caveat about the limitations of drawing conclusions from observational studies.

Does the story commit disease-mongering?

Satisfactory

No disease-mongering about melanoma.

Does the story use independent sources and identify conflicts of interest?

Satisfactory

A dermatologist not involved in the study was quoted.

Does the story compare the new approach with existing alternatives?

Satisfactory

The story discussed Vitamin A supplements and foods containing the vitamin.

And from a risk perspective, the story noted:

Reducing sunlight exposure has long been recommended to reduce the risk of melanoma. This includes limiting time in direct sunlight, wearing sun block and avoiding tanning beds.

Unfortunately, not all melanoma is a result of sun exposure. There is also a strong genetic component.

Does the story establish the availability of the treatment/test/product/procedure?

Satisfactory

The availability of Vitamin A from different sources was clear in the story

Does the story establish the true novelty of the approach?

Not Satisfactory

There wasn’t enough context provided about where this study fits into the overall picture of past/other research on this topic in this field.

Does the story appear to rely solely or largely on a news release?

Satisfactory

Because of the independent perspective provided, we think the story showed it did not rely solely on a news release.

Total Score: 7 of 9 Satisfactory

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