Supplement
A multivitamin combines many vitamins and minerals in one product, helping cover nutrients the body needs for energy, immunity, and tissue repair. People most often look at it for nutritional support in HIV, where the evidence is strong, since deficiencies are common there. In well-nourished adults, large studies found it did not lower cardiovascular events or cancer rates, or slow cognitive decline.
- Updated
- How we grade
- Best evidence
- Grade A
- Conditions studied
- 6
- Outcomes
- 6
- Graded outcomes
- 1014
Evidence by condition
- Strong
- Moderate
- Limited
- Very limited
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Neural Tube Defects Folic acid prevents neural tube defects - this is PROVEN. Prenatal MVMs recommended. | Changes; see studies | Large effect | 5,000 people |
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| ADHD Symptoms Some evidence for micronutrient support in ADHD - may help with mood/behavior. | Improves (the measure goes down) | Small effect | 200 people |
Cardiovascular Disease
- CVD Events
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| CVD Events PHS II (n=14,641): No reduction in cardiovascular events over 11 years. Meta-analyses confirm no CVD benefit. | NoneNo effect | 50,000 people |
Cancer Prevention
- Total Cancer Incidence
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Total Cancer Incidence No significant reduction in cancer incidence in well-nourished populations. | NoneNo effect | 40,000 people |
Cognitive Function
- Cognitive Decline
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Cognitive Decline COSMOS-Mind (n=2,262): No slowing of cognitive decline over 3 years. | NoneNo effect | 5,000 people |
Mortality
- All-Cause Mortality
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| All-Cause Mortality Meta-analyses show no mortality benefit from multivitamin use. | NoneNo effect | 100,000 people |
What the published studies found
2 automated readings
Fatigue
The studies disagree. The best available review (2013, 20 studies) found little or no difference in fatigue, while 2 of the 4 studies read found an improvement. The evidence is very weak.
4 studies counted of 10 read: 2 reviews and 2 trials (54 people in the trials).
- Systematic review, 2013; 20 studies; cancer patients undergoing treatment: no clear difference (the review the verdict rests on).
multivitamins are ineffective at reducing cancer-related fatigue
A systematic review of complementary and alternative medicine interventions for the management of cancer-related fatigue - Meta-analysis, 2013; 8 studies; nonclinical samples: improves.
Fatigue (SMD=0.27; 95% CI=0.40-0.146; p<.001) and confusion (SMD=0.225; 95% CI=0.38-0.07; p<.003) were also reduced.
Effects of vitamin and mineral supplementation on stress, mild psychiatric symptoms, and mood in nonclinical samples: a meta-analysis - Crossover trial, 2007; 40 people; breast cancer patients undergoing radiation therapy: no clear difference.
No significant changes were elicited with the use of multivitamins
Multivitamins do not improve radiation therapy-related fatigue: results of a double-blind randomized crossover trial - Crossover trial, 2006; 14 people; resistance-trained men: improves.
decreased rate of fatigue was noted
Effect of a liquid multivitamin/mineral supplement on anaerobic exercise performance
- Systematic review, 2013; 20 studies; cancer patients undergoing treatment: no clear difference (the review the verdict rests on).
Respiratory infections
The studies disagree. The best available review (2006, 20 studies) did not settle it for respiratory infections, while 1 of the 2 studies read found no clear answer. The evidence is very weak.
2 studies counted of 10 read: 2 reviews.
- Meta-analysis, 2006; 20 studies: mixed results (the review the verdict rests on).
significantly less episodes of infection in those supplemented
A systematic review of multivitamin and multimineral supplementation for infection - Meta-analysis, 2005; 8 studies; elderly people: unclear: evidence too weak to tell. Role of multivitamins and mineral supplements in preventing infections in elderly people: systematic review and meta-analysis of randomised controlled trials
- Meta-analysis, 2006; 20 studies: mixed results (the review the verdict rests on).
Key findings
- Neural Tube DefectsChanges; see studies
- ADHD SymptomsImproves (the measure goes down)
- CVD Events
Shop the evidence-backed picks
Third-party tested Multivitamin products, in the forms the graded studies used where we can match them.
- Grade A
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