Page 124 - LIBRO VITAMINA C
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Anexo

          1 (5%) from standard dose group.  in haemoglobin and haematocrit were found
            In order to guarantee comparability of the   (p=0.002 and p= 0.016 respectively) only in
          2 groups, homogeneity statistical analysis was   the megadose Vitamin C group.
          completed, with parametric and non parametric   The return to normal of Haemoglobin and
          tests according to each variable distribution.  Haematocrit in the megadose group suggests
            No adverse events were reported during   that megadose Vitamin C treatment in smokers
          the trial.             improves tissue oxygenation.
            From the results we want to highlight that   The strengths  of this study include:
          in the Vitamin C megadose group there are   •  the size of the sample  n = 46, superior
          statistically significant differences between   to previous studies on effectiveness of
          measurements before intervention and the   Vitamin C and smoking (n = 27) iii
          measurement of day 17 in urinary Vitamin C,   •  It is about a random clinical double-
          blood hemoglobin and blood Hematocrit; whilst   blind study in patients who are smokers,
          in standard dose group, there are significant   homogeneous in variables such as:  age,
          differences only in urinary vitamin C.  sex, weight, and the  BMI, with an
            In order to establish differences before   additional control of intake of food rich
          and after the intervention, an analysis with   in Vitamin C by standardized dietary
          Wilcoxon test for vitamin C level, Hemoglobin   recommendations given to participants.
          and C-LDL in the urine, T Test for related   A weakness of the study could  be
          samples of Haematocrit were done.   considered to be the determination of the
                                            levels of Vitamin C by
                                            using urine test strips,
          Table 2  Comparison before and after GDE and GMD intervention
                                            an indirect measure
                                            of the plasma levels.
          Variable/Group   GDE n = 19      GMD n = 27  The ideal method
          Vitamin C in Urine   Z -3.3563   p = 0.000     Z -4.542  p = 0.000  is the measurement
          Haematocrit   T 1.364    p = 0.189     T 3.732   p = 0.001
          Hemoglobin   Z -0.260     p = 0.795     Z -2.416  p = 0.016  of  Vitamin C in
          C-LDL      Z-0.201      p = 0.840     Z -0.432  p = 0.666  leukocytes, (Jacob et
                                            al., 1987) 28, which
          In the megadose group, actual haematocrit (p = 0.0001) and haemoglobin   is not feasible in
          (p = 0.016) have decreased significantly vs. the standard dose group. (The   Colombia.
          p value means that the original hypothesis that these values should have
          decreased is probably true)
                                 a.  With the support of Universidad Del
          Discussion              Rosarioces Faculty of Medicine Department
            This present study demonstrated statistically   of Epidemiology
          significant changes (p<0.05) in concentrations
          of Vitamin C in urine (indirect measure of
          the plasma concentrations) in standard dose
          and megadose groups, measured before the   References supplied on request and
          intervention and on day 17 after the first  IV   available on <www.acnem.org>
          dose.  This change was significantly superior
          (p>0.05) in the megadose  group.  In the
          standard dose group, the measure changed from
          26.79 ± 13.76 before the intervention to 39 ±
          19.74 mg / 10 ml on day 17.  In the  megadose
          group we found a change of  21.85 ± 11.9 to 71
          ±  20.6 mg / 10 ml after the intervention.  These
          results have not previously been reported in the
          literature for smokers, which makes this study a
          first approximation of this phenomenon.
            The change in urinary concentrations of
          Vitamin C in the  standard dose group  before
          and after the intervention on day 17 of the
          study (group that received the standard dose
          and oral placebo) is statistically significant,
          which makes us think that there is a lasting
          effect, with time, of Vitamin C - even with
          low dose  IV.  This raises the plasma level for
          more than two weeks, which has previously
          been documented  .  Nevertheless, this has
          to be confirmed with additional studies.  The
          concentrations of hemoglobin and haematocrit
          found to be increased above normal levels
          in both groups at the start, were returned
          to normal only in the megadose Vitamin C
          group - statistically significant differences
          3 - Journal of the Australasian College of Nutritional & Environmental Medicine - April 2008
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