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Americans
Are Vitamin C Deficient
by
Bill Sardi
Recently
by Bill Sardi: Overuse
of Vaccines, Anti-Flu Drugs May Result in Human Calamity
The latest
data on the status of vitamin C deficiency in the US population
has just been published, and while it shows a significant reduction
in the percentage of Americans who are truly deficient, particularly
among low-income and ethnic groups, still ~7% of the US population
exhibit signs of overt deficiency (called scurvy), an embarrassing
fact for a country that has abundant food supply, fortifies foods
and takes vitamin supplements.
Strikingly,
the study found that a significantly lower percentage of African
and Hispanic Americans exhibit vitamin C deficiency compared to
White Americans.
The most arresting
fact is that the spectrum of vitamin C deficiency/adequacy appears
to follow along the same lines as the rates of disease and mortality
in the population. Smokers and low-income groups who typically exhibit
low blood serum concentrations of vitamin C also have the highest
rates of disease and mortality.
Fewer smokers
produce greatest improvement
While this
study reflects data collected for the period of 2003–04, which shows
dramatic improvement over the period 1988–94, the improvement in
vitamin C status can largely be explained by fewer smokers since
fruit and vegetable intake did not increase. Predictably smokers
exhibited a blood concentration of vitamin C, about a third lower
than non-smokers.
Smokers in
this study, while more likely to exhibit true deficiency, had a
mean vitamin C blood concentration ranging from 35.2 in males to
38.6 in females, which is three times higher than the definition
of a truly deficient state (11.4 millimole per liter). So it is
obvious that the absence of deficiency does not describe a truly
healthy vitamin C blood concentration.
It is known
that smokers exhibit higher risk for cataracts that cloud vision
and for weak blood vessels (aneurysms) which can burst and result
in hemorrhage and death.
Adverse
health consequences for those without deficiency
A much larger
proportion of the US population may still suffer adverse health
consequences from low vitamin C levels even though they do not fit
the definition of deficiency, below 11.4 millimole per liter of
blood serum as used in this study.
In fact, the
report indicates blood concentrations of vitamin C up to 28 micromole
per liter of blood serum still present a modest risk for developing
vitamin C deficiency, obviously due to factors like smoking or disease
which increase the demand for this vitamin.
About 22% of
the subjects in this study had blood concentrations of vitamin C
at or below 28 micromole per liter, which is 245% higher than the
deficiency level (below 11.4). This data says more Americans are
at risk for deficiency symptoms than the synopsis of the report
indicates.
The report
describes the overt symptoms of vitamin C deficiency (also known
as scurvy), which includes anemia, fatigue, bleeding gums, loosened
teeth, pinpoint red skin hemorrhages and irritability.
The range of
vitamin C concentration in blood serum among all study participants
ranged from below 6.2 to 120.8 micromole per liter, a 750-fold difference!
It is unlikely any individual achieved optimal vitamin C blood concentration
without the use of dietary supplementation.
Low-dose
supplementation of questionable value
Vitamin C supplementation,
while reducing the percentage of study participants who were deficient
from ~7% to ~2%, did not completely eradicate deficiency. This means
many vitamin C supplements which provide RDA levels of vitamin C
(60 milligrams) are unlikely to eliminate vitamin C deficiency.
Could more
vitamin C save healthcare insolvency?
In an era of
limited healthcare dollars and inevitable insolvency of Medicare,
it is tempting to extrapolate the data in this study into practical
outcomes. The peak mean vitamin C blood concentration for adult
males was 52.5 millimole and for adult females was 62.9 millimole.
This is a notch below the 73.8 micromole level that was found in
a study published by National Institutes of Health researchers in
the year 2000 which showed that blood plasma concentrations that
exceeded the 73.8 micromole level experienced a 57 percent reduced
risk of dying from any cause and a 62 percent reduced relative risk
of dying of cancer when compared to adults who consumed low amounts
of vitamin C (28 micromole blood concentration). [American Journal
Clinical Nutrition 72: 139–45, 2000]
Prevalence
of deficiency
According to
the data and definitions used in this study, ~21 million Americans
have frank vitamin C deficiency, ~66 million may develop vitamin
C deficiency depending upon their health habits and disease status,
and less than 30 million Americans achieve optimal vitamin C levels
(~100 micromole per liter).
The study was
conducted among 7277 Americans over 6 years of age. [American
Journal Clinical Nutrition 2009 August 12]
Oral dosage
effective
Once again,
this study dispels the mistaken idea that oral doses of vitamin
C beyond 200 milligrams do not significantly raise blood concentrations,
which was based upon a flawed study conducted by researchers at
the National Institutes of Health in the 1990s. [Proceedings National
Academy Science 93:14344–8, 1996] More recent studies show oral
mega-doses of vitamin C (3000 mg every 4 hours) can produce blood
concentrations of vitamin C (220 micromole per deciliter) that are
3 times greater than what was once believed to be the maximum concentration
that could be achieved (70–85 micromole). [Annals Internal Medicine,
April 6, Volume 140: pages 533–37, 2004]
Steve
Hickey PhD, a British pharmacologist, has reported that it takes
~500 milligrams of oral vitamin C consumed at equal intervals, five
times a day, to reach optimal blood concentrations. This is because
vitamin C is a water-soluble nutrient that is rapidly excreted in
the urine.
The Recommended
Daily Allowance (RDA) for vitamin C was established for healthy
Americans and does not apply to a significant portion of the American
population. Smokers (50 million), estrogen or birth control pill
users (13 million and 18 million), diabetics (16 million), women
during pregnancy (4 million) and people taking aspirin (inestimable
millions) or other drugs, and those with chronic infection (viral
hepatitis, herpes, HIV, papilloma virus) have increased need for
vitamin C and comprise more than 35 percent of the population. The
Daily Value for vitamin C, which is widely published on food and
supplement labels, is woefully out of date and misleading.
[Source: Schleicher
RL, Carroll MD, Ford ES, Lacher DA, Serum vitamin C and the
prevalence of vitamin C deficiency in the United States: 2003–2004
National Health and Nutrition Examination Survey (NHANES). American
Journal Clinical Nutrition 2009 Aug 12 online.]
August
18, 2009
Bill
Sardi [send
him mail] is a frequent writer on health and political
topics. His health writings can be found at www.naturalhealthlibrarian.com.
He is the author of You
Don’t Have To Be Afraid Of Cancer Anymore.
Copyright
© 2009 Bill Sardi Word of Knowledge Agency, San Dimas, California.
This article has been written exclusively for www.LewRockwell.com
and other parties who wish to refer to it should link rather than
post at other URLs.
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