Selenium and vitamin E supplements failed
to prevent prostate cancer – this was the conclusion of the largest clinical
trial of this kind, called “SELECT,” or Selenium and Vitamin E Cancer Prevention
Trial. The study of 35,000 men showed that
prostate cancer patients taking vitamin E at doses used in the trial had a small
increase in prostate cancer, while men taking only selenium were more likely to
develop diabetes.
Participants were divided into four groups:
one group took 200 micrograms of selenium and 400 ICU vitamin E, the second
group received the selenium and a vitamin E placebo, the third group got
vitamin E with a selenium placebo and the fourth took placebos of both
supplements. The participants didn't know which nutrients they'd been assigned
to take, or if they were in the placebo group.
The supplements failed to prevent prostate
cancer - and study’s authors noted two worrisome trends: patients taking
vitamin E alone had a slightly higher rate of prostate cancer, while patients
who took selenium alone were more likely to develop diabetes. Researchers have
said the trends were not statistically significant and they may just be due to
chance.
“As we continue to monitor the health of
these 35,000 men, this information may help us understand why two nutrients
that showed strong initial evidence to be able to prevent prostate cancer did
not do so," Dr. Eric Klein of the Cleveland Clinic in Ohio, co-author of the
study, said in a statement.
As a result, the National Cancer Institute,
that helped organize the study, said men taking part in the trial should stop
taking the supplements. They will continue to have their health monitored for
three more years.
The authors of the study called the
findings about these supplements “disappointing.” Dr. Eric Klein says he
believes it “highly unlikely” that the supplements will prove to have harmful
effects.
Other studies, however, have shown that men
taking high levels of multivitamins along with other supplements have increased
risk of advanced or fatal prostate cancer. The study found that men who took
multivitamins more than seven times a week (they were classed as excessive
vitamin users) had a significantly higher risk of advanced and fatal prostate
cancers (32 and 98 per cent respectively) compared with men who did not take
multivitamins at all.
Prostate cancer is the most common type of
cancer in men in the United
States. It affects about 186,000 Americans
and almost 28,000 men loose the battle with the disease each year. Prostate
cancer is the fifth most deadly tumour after lung, breast, colon and pancreatic
cancer.
Prostate cancer screening for men aged 75
or older should be stopped, since the risks involved pose more immediate danger
that the cancer itself. The stress that is caused by the procedure, as well as
the risks involved by the biopsies that are required to confirm the disease
pose a much greater threat to that person.